Parrish McCall Pre-Qualification Form
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Email address *
How did you hear about Parrish McCall? *
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President and Principal(s) (Show Ownership%): *
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Contact Name and Title: *
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Legal Name of Company: *
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Type of Company: *
Address (Street, Suite No.): *
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Address (City): *
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Address (County): *
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Address (State): *
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Office Phone Number: *
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Cell Phone Number: *
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Fax Number: *
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Website: *
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Contractor's License Number:
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Geographic Area of Interest: *
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Services and Products Offered (List CSI and NAICS Codes): *
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In our Effort to Improve Capacity, What are your areas of Need?
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Work Specialty and Years Performing Word Specialty: *
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Dollar Value of Work Presently Bonded:
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Bonding Agent and Phone Number:
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List Important Industry Credentials, Clearances, Certifications and Contracting Vehicles: State Certified, (8(a), SDB, WOB, BPA, Purchase Order, GSA Schedule, etc.) With Certificate Number(s):
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If any scope of work is to be subcontracted, provide name(s) of subcontractor(s) and background information on each subcontractor that will be utilized on these projects:
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Does the Company have a Safety Program?
Does the Company have a D&B Rating? (If so, Please Provide your D&B Number):
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Trade References (Contact Name, Address, Phone Number) (At Least Three):
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Last 3 Projects/ Contracts (Give Dates & Dollar Amounts):
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(In Relation to the Entry Above) Is the work being Self-Performed?
Does the Company have any Current Professional Marketing Materials?
What would you identify as a challenge for your business, i.e., access to personnel, capital, producing documentation, etc.)?
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I hereby certify that the above information is true and complete to the best of my knowledge. I understand that the CM has the sole discretion based on the information provided in this application and past experience to approve or deny a company's ability to bid on a project:
Full Name (First, Middle, Last): *
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