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Subcontractor / Vendor Registration
* Required Field
* Company Name:
* Address:
* City:
* State:
* Zip Code:
* Phone Number:
Fax Number:
Cell Number:
Website:
* Email Address:
P.O.C.:
FEIN:
CCR Number:
D&B Number:
Type of Contractor and Services Performed:
Certifications / Credentials:
Check all that apply
Small Business
8A Certified
Disadvantaged Business
Woman Owned Business
Minority Business
Hub Zone
Veteran Owned
Service Disabled Veteran Owned
SBA Certified
State Certifications
Contractors License Number:
Average Number of Employees:
Average Annual Sales Revenue:
Please submit the following items electronically:
Equipment owned with monthly rental rates, specimen/sample insurance certificate, EMR for the past three years, labor disciplines with hourly and premium time rates, resume of key personnel, copy of SBA certiicates, copy of state certificates, contractors licenses:
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