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 Info

Company Name

Office Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Fax

(###)

###

####

Company Information

Federal ID #

Workers Experience Mod Rate

Contact Person

First Name

Last Name

Email Address

Mobile Phone

(###)

###

####

Year Business Started

YYYY

Number of Employees

Trades Performed

Union Shop?

Yes

Certified MBE?

Yes

Certified WBE?

Yes

Does the firm have a written Safety Program?

Yes

Average Annual Sales for last 3 years

Last Year

Year Before

Two Years Before

3 References (Owner, Architect or GC)

Reference 1

First Name

Last Name

Company

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Reference 2

First Name

Last Name

Company

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Reference 3

First Name

Last Name

Company

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

3 Vendor References

Vendor 1

First Name

Last Name

Company

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Vendor 2

First Name

Last Name

Company

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Vendor 3

First Name

Last Name

Company

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####