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SUBCONTRACTOR PRE-QUALIFICATION FORM

SUBCONTRACTOR PRE-QUALIFICATION form Page 1 All subcontractors are required to complete this questionnaire. The contents of this questionnaire will be considered and used solely to determine your firm s qualification to perform work for Riley Construction. Return completed form to: Riley Construction 5301 99th Avenue, Kenosha, WI 53144-7870, Attention: SUBCONTRACTOR Prequalification PLEASE NOTE: This form must be filled out completely. Missing information may result in disqualification of consideration. Application Date: Date of Prequal Expiration: April 30th Next Year Background Company Name Type of Company Type of Work Performed Street Address Phone Number Fax Number City/State/Zip Principal

5301 99th Avenue Kenosha, Wisconsin 53144 Tel 262-658-4381 Fax 262-658-0312 www.rileycon.com KENOSHA, WI MILWAUKEE, WI LAKE BLUFF, IL EXHIBIT A INSURANCE REQUIREMENTS Contractor’s Insurance: Prior to the Contractor commencing any work on the project job site, and as a

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  Form, Requirements, Qualification, Insurance, Wisconsin, Subcontractor, Subcontractor pre qualification form, Insurance requirements

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