Roofing Subcontractor Prequalification Form
Company Information
Company Name
Address
City
State
Zip Code
Phone
Email
Website
Main Contact Person
Title
Company Details
Years in Business
Contractor License Number
State(s) Licensed In
Type of Business Structure
Sole Proprietorship
Partnership
Corporation
LLC
Other
Federal Tax ID
Capabilities
Roofing Services Offered
Number of Field Employees
Major Equipment Owned
Insurance
Insurance Carrier
Insurance Agent Name
Insurance Agent Phone
Liability Insurance Limit
Worker's Compensation Insurance
References
Reference 1 - Name
Company
Phone
Reference 2 - Name
Company
Phone
Recent Projects
Please list three recent roofing projects (name, location, type, date, contract amount):
Certification
Name
Title
Date