Subcontractors Qualification Form

Please complete the form below and submit by clicking the send button.
Thank you for your interest in becoming a member of the Phoenix Builders team!

Contact Information
Company Name:	Office Address:
City:	State:	Zip:
Telephone:	Fax:

Company Information: Sole Proprietorship Partnership S-Corp C-Corp LLC
Federal ID #:	Workers Experience Mod Rate:
Contact Person:	Email Address: (For Bid Notification)	Mobile Phone:
Year Business Started:	Number of Employees:
Trades Performed:		Union Shop? Yes No
Certified MBE: Yes No	Certified WBE: Yes No	Does the firm have a written Safety Program? Yes No
Average Annual Sales for last 3 years:
Last Year: $	Year Before: $	Two Years Before: $

3 References (Owner, Architect or GC)
Contact:	Company:	Address:
City:	State:	Zip:
Phone:	Email Address:

Contact:	Company:	Address:
City:	State:	Zip:
Phone:	Email Address:

Contact:	Company:	Address:
City:	State:	Zip:
Phone:	Email Address:

3 Vendor References
Contact:	Company:	Address:
City:	State:	Zip:
Phone:	Email Address:

Contact:	Company:	Address:
City:	State:	Zip:
Phone:	Email Address:

Contact:	Company:	Address:
City:	State:	Zip:
Phone:	Email Address: