Cobblestone Construction

Subcontractor Pre-Qualification Online Information Form

Subcontractor Pre-Qualification Online Information Form

The pre-qualification of all subcontractors and suppliers is a requirement prior to the establishment of any working relationship with Benchmark Contracting, Inc. dba Cobblestone Construction. In order to be considered, please complete the following short questionnaire and send to us by clicking the SUBMIT button at the bottom of the page. More detailed information may be requested at a later time if we determine a need for your Company’s services.

Thanks for your interest in working with Benchmark Contracting, Inc. dba Cobblestone Construction.

SUBCONTRACTOR INFORMATION

Company Name:

First Contact Name:

First Contact Email Address:

Second Contact Name:

Second Contact Email Address:

Address:

City:

State:

ZIP:

Office Phone:

Primary Contact Cell Phone:

Fax Number:

Company Website Address:

Company Federal Tax ID Number:

Contractor's License Numbers, States & Expiration Dates

CSI Number(s):

SIC Number(s):

Union:
yesno

Year Business Began:

Total Number of Employees:

Administration:

Field Supervision:

Engineering/Design:

Normal Field Construction Workers (weekly):

Others:

Has Contractor Operated Under a Different Name?
yesno

If yes, specify:

TYPES OF PROJECTS

SchoolsGovernmentHealthcareMilitaryHospitalityLodgingIndustrialOfficePhysiciansDentistsRestaurantsRetail

Other, specify:

Briefly Describe the Type of Trade your Company Performs/Supplies:

Public Works Projects?
yesno

Private Works Projects?
yesno

Size of Project Your Company is Capable of Performing?

<$250K$251K-500K$501K-999K$1.M+
Current Backlog of Work

Approximate Value

% Complete

Total Number of Open Projects

Please indicate those states where your company is available to work.

NevadaArizonaUtahCalifornia

Other:

Signature of Company Officer

Title

Phone Number

Date

Please enter these characters in the box below.

captcha

To email other supporting documents and information, please attach those documents to this email link, jschweitzer@cobblestoneconstruction.org and send it to us. We will add these documents to your completed Pre-Qualification Information Form. Thank you.