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Subcontractor and Supplier Interest Form


Vendor Information

Address
Contact Person's Name*

Number of Employees:

Is your company certified by the State of Indiana?*
Are you certified by the City of Indianapolis?*
Please check all certifications your company holds with the City:
Max. file size: 512 MB.
Does your firm share office space, staff, or equipment with any other company?*
Has your firm ever been denied certification, decertified, or graduated from any certification program?*

Licenses:

 

 

Bonding:

 

 

 

As a Subcontractor, I am Interested in providing quotes for the following scopes:

Please list 3 projects your firm has completed within the last 18 months—include project name, general contractor, contract value, and scope of work.

Please list 3 project references, including company name, contact person, and telephone number:

By entering my name below, I verify that the information provided on this form is accurate.

Your typed name above serves as your digital signature.
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Contractor Interest Form


Vendor Information

Contact Person's Name*
Address

Is your company certified by the State of Indiana?*
Are you certified by the City of Indianapolis?*
Please check all certifications your company holds with the City:
Max. file size: 512 MB.

List three (3) of your largest contracts your business completed and their contract amounts within the past four (4) years:

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EMR Ratings for the past 3 Years:

Have you failed to complete a project(s) or have any litigations and/or judgements pending?

As a Subcontractor, I am Interested in providing quotes for the following scopes:

Select from the list below:*

Please list 3 project references, including company name, contact person, and telephone number:

By entering my name below, I verify that the information provided on this form is accurate.

Your typed name above serves as your digital signature.
MM slash DD slash YYYY

Subcontractor and Supplier Interest Form


Vendor Information

Address
Contact Person's Name*

Number of Employees:

Is your company certified by the State of Indiana?*
Are you certified by the City of Indianapolis?*
Please check all certifications your company holds with the City:
Max. file size: 512 MB.

As a Subcontractor, I am Interested in providing quotes for the following scopes:

By entering my name below, I verify that the information provided on this form is accurate.

Your typed name above serves as your digital signature.
MM slash DD slash YYYY