SUBCONTRACTOR / VENDOR PREQUALIFICATION FORM:

Please complete the following information form and mail to our office or fax to (248) 473-0719.

        Company Name                                                                                                                                   Phone Number

        Address                                                                                        City / State / Zip Code

        Fax Number                                                                Website                                                                    Email

                                                                                                                                                                                    WBE  /   MBE    /  OTHER             

        Owner's Name                                                              Estimator's Name                                                    Specify:____________________

    Union / Non-Union:                                                                           

    Does your company have a written Safety Program? (Y/N)                     If Yes - can you provide a copy upon request? (Y/N)                   

    Bondable ? (Y/N)                                                    Amount: $                                                                                                                                       

    Division of Work:                                                                                                                                                                                                               

    Region(s) of Work:                                                                                                                                                                                                             

    Additional Information: