Project that you are submitting a prequalification for (required) Company name (required) Address (required) Phone (required) Website Primary Contact Position Estimator Name How many years has the Company been in business? Please check if applies to your Company MBEWBESmall BusinessDBE What is the Company’s annual volume (Last 3 Years)? Number of Company employees Has the Company been involved in a LEED project? YesNo If yes, please provide Project and Location Has the Company been involved in State projects? YesNo Does the Company have a safety plan? YesNo Any major safety violations? YesNo If Yes, please specify How far are you willing to travel? Also provide: Is the Company able to provide a Bond? YesNo Bonding Company Name Bonding Capacity Please email the following to firstname.lastname@example.org: - List of Major Projects Successfully Completed – Include Project Name/Address, name of General Contractor, Project Subcontract Amount, Project Completion Date. - List of Current Projects- Include Project Name/Address, Project Size, General Scope, Schedule. - Copy of Safety Plan.