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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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"*" indicates required fields

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

"*" indicates required fields

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