Pre-qualification Form

Step 1 of 7

COMPANY DETAILS

Company Name(Required)

Company Name

Country Location(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone(Required)

Parent Company Name(Required)

Parent Company Name

Parent Country Location(Required)

Parent Company Address APt,suite,etc City State / Province / Region ZIP / Postal Code Country

Website

BUSINESS & SERVICES

Company Date

Type of Company

Corporation

Limited Liability Corporation

Partnership: General, Limited, Limited Liability

Tax ID Number(Required)

Number of Current Employees *(Required)

Business Services

Self-Perform or Subcontract Work?

Self-Perform

Subcontract

If Corporation, in what State?

ANNUAL REVENUE

Please provide your annual revenue for the previous 2 years and year-to-date for the current financial year.

Current YTD

Prior Year(Required)

2 Years Prior(Required)

CONTACT DETAILS

Provide name, phone number and email address for each.

PRESIDENT / OWNER

Name(Required)

Phone

SR. PROJECT MANAGER

Name(Required)

Phone

BILLING / AR

Name(Required)

ESTIMATING

Name(Required)

Phone

PRIMARY CONTACT

Who should bid invites be sent to?

Name

REFERNCES

Please provide the name, address and contact details of two GENERAL CONTRACTORS and two SUPPLIERS who can be used as references.

General Contract 2

Please provide the name, address and contact details of two GENERAL CONTRACTORS and two SUPPLIERS who can be used as references.

GC Name

Apt, suite, etc.

Address

Phone

Address

City State / Province / Region ZIP / Postal Code Country

Address

General Contract 2

Please provide the name, address and contact details of two GENERAL CONTRACTORS and two SUPPLIERS who can be used as references.

GC Name

Apt, suite, etc.

Address

City State / Province / Region ZIP / Postal Code Country

Phone

Suppplier 1

Please provide the name, address and contact details of two GENERAL CONTRACTORS and two SUPPLIERS who can be used as references.

GC Name

Apt, suite, etc.

Address

City State / Province / Region ZIP / Postal Code Country

Phone

Suppplier 2

Please provide the name, address and contact details of two GENERAL CONTRACTORS and two SUPPLIERS who can be used as references.

GC Name

Apt, suite, etc.

Address

City State / Province / Region ZIP / Postal Code Country

Phone

PROJECT DETAILS

Please provide your 4 most recent projects, including project name, location, contract amount and General Contractor.

PROJECT #1

Project Name

Project Location

Contract Amount

GC Name

PROJECT #2

Project Name

Contract Amount

GC Name

PROJECT #3

Project Name

Contract Amount

GC Name

PROJECT #4

Project Name

Contract Amount

GC Name

ATTACHMENTS

Current form w9

Max. file size: 8 MB.

Certificate of Instance

Max. file size: 8 MB.

Complete Packages

I understand that incomplete pre-qualification packages will automatically be rejected.

I Agree(Required)

Agree

Pay When Paid

I understand and agree that Epic Construction Inc. is a PAY WHEN PAID contractor, and they withhold the standard 5% retention on all pay applications. Epic also requires a supplier listing from subcontractors on each project, along with supplier lien waivers to be submitted with each draw request.

I Agree(Required)

Agree

Comments

This field is for validation purposes and should be left unchanged.