DowCon, LLC Subcontractor Pre-Qualification Form
  • - -
  • - -
  • ONSITE CONTACT INFORMATION

  • - -
  • EMERGENCY CONTACT INFORMATION

  • - -
  • ORGANIZATION

  • KEY PROJECT EMPLOYEES

  • LICENSED / AREAS OF OPERATION

  • INSURANCE INFORMATION

  • - -
  • WORK EXPERIENCE

  • $ .
  • $ .
  • BACKLOG INFORMATION

  • PROJECT REFERENCE INFORMATION

  • Project #1

  • - -
  • Project #2

  • - -
  • Project #3

  • - -
  • SUPPLIER REFERENCE INFORMATION

  • SUPPLIER #1

  • - -
  • SUPPLIER #2

  • - -
  • SUPPLIER #3

  • - -
  • FINANCIAL INFORMATION

  • SAFETY INFORMATION

  • CERTIFICATION AND AUTHORIZATION

    This application must be signed by an Officer, Principle or Owner of your firm.

    I certify that to the best of my knowledge the information given in response to each question and in the requested documentation is full, complete and accurate.

    I authorize DowCon,LLC to contact any entity named in this application, or in the requested documentation which I have provided, for the purposes of verifying the information supplied.

    I acknowledge that DowCon,LLC may, by means it deems appropriate, determine the accuracy and truth of the statements made in this application and the requested documentation that I have provided.

    I recognize that all of the information submitted is for prequalification purposes only. Additional or different standards are required for each job or project awarded by DowCon,LLC. Those standards and requirements are set forth in each invitation to bid. Prequalification in no way insures the award of contract work.

    I RECOGNIZE THAT A MATERIAL FALSE STATEMENT AND/OR OMISSION MADE IN CONNECTION WITH THIS APPLICATION IS SUFFICIENT CAUSE FOR DISQUALIFICATION OF THE APPLICATION BY DowCon,LLC.
  • / /
  • Digital Signature
  • APPLICATION COMPLETION CHECKLIST