Vendor Qualification

Company*

Email for Bid Invitations*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Fax

Is your company MBE Certified?*

Is your company EDGE Certified?*

Trade(s) your company is interested in bidding*

Is your company union?*

List Unions which you have agreements with:*

Type of Company:

Year Company Started

State of Incorporation:

How many people does your company presently employ:

Office

Trades People:

Do you have a documented safety program?*

Do you have a Drug Free Workplace program?*

Completed By:*

First Last

Consent*

I certify that the facts contained in this form are true and complete to the best of my knowledge.