Landscaping Subcontractor Prequalification Form
Company Information
Company Name
Contact Name
Title
Address
City
State
Zip Code
Phone
Email
Website
Company Details
Years in Business
Contractor License Number
Coverage Area (Cities/Regions)
Types of Landscaping Work Performed
Number of Employees
Annual Volume ($)
Insurance & Safety
Insurance Carrier
Policy Limits
Workers’ Compensation Coverage
OSHA Recordable Incidents (Last 3 Years)
References
Reference 1 - Name & Contact
Reference 1 - Project Name & Description
Reference 2 - Name & Contact
Reference 2 - Project Name & Description
Reference 3 - Name & Contact
Reference 3 - Project Name & Description
Additional Information
Additional Notes