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.

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

    We can help build your project!

    Tell us about your project

    Contact us

    Address

    3830 N Jones Blvd
    Las Vegas NV 89108

    License #0048911

    320 Broad Street, Suite 240 Charleston, SC 29401

    License #G117287

    www.cobblestoneconstructionlv.com

    Phone & Fax

    Phone:
    (702) 656-8300
    Phone:
    (843) 628-5999
    Fax:
    (702) 648-2001

    Contact Us

    Send us an email filling out our contact form.

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