Please complete all of the information below.
Doing Business As
State Contractor's License #
Licenses From Other States
Average Annual Sales Last 3 yrs
Firm's Primary Type of Work
Owner and/or President
Primary Email Address
Secondary Email Address
Has your firm ever filed bankruptcy?YesNo
Are there pending judgments against your firm?YesNo
Are there any claims against your firm?YesNo
Has your firm been cited for any state or federal safety violations in the past 3 years?YesNo
Has your firm ever failed to complete a contract?YesNo
Is your company Certified as a minority, woman, and/or disadvantaged owned business enterprise?Minority OwnedWoman OwnedOther
List the States where your company is Certified and the Certification/License #s.
Does your firm perform background checks on new hires?YesNo
Does your firm have a written safety policy?YesNo
Describe the type of work that your firm is interested in bidding (brief description or NAICS or SIC Codes)..
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Ste 125, Atlanta, GA 30339
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