Company Name
Phone
FAX
Email

 

Type of Company (Select Only One): 

 

 

Company Contact Information

 

Physical Street Address:

Street Address
Address (cont.)
City
State/Province
Zip Code

 

Mailing Address:

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

 

Principal Contact:

Name
Title
Work Phone
Mobile Phone
FAX
E-mail

 

Estimating Contact:

Name
Title
Work Phone
Mobile Phone
FAX
E-mail

 

 

Company Background Information

 

Years in Business?  

# of Employees?  

Avg. Project Size (Contract Value) 

Max. Project Size (Contract Value) 

Avg. Annual Work Value  

Ability to Furnish a Payment & Performance Bond?  Yes

Meet Minimum Insurance Requirements: Yes

- General Liability $1,000,000 per occurrence / $2,000,000 aggregate

- Automobile $1,000,000

- Workers Compensation $1,000,000
Company is a certified minority business enterprise?  Yes
If Yes, what type?  LDBE   MBE   WBE

 

Select the type of projects for which your company typically performs work. (Select all that apply)

Airport
 Church
 Communication
 Disney
 Education (K-12)  
Entertainment		 Facility Maintenance (FMS)
 Government – Federal
 Government – State
 Green Construction / Design  
Healthcare
 Hospitality / Hotel   		Industrial
 Office
 Recreation
 Restaurant
 Retail
 Room Renovation
 University
 

Company practices the principles of sustainable development?  Yes
If no, would you like more information?  Yes

 

Select the geographic regions where your company is properly licensed, will provide quotes, and will perform work. (Select all that apply)

 FL–Central East Coast (Cocoa)
 FL–Central (Orlando)
 FL–Central West Coast (Tampa)
 FL–South (Palm Beach)
 FL–South (Broward)
 FL–South (Miami Dade)

 

 

By submitting this form, I certify that the information provided herein is a clear and accurate representation of this organization’s background.

Name
Title
Date -- mm/dd/yy

 

 

 Copyright © 2007, 2008 T & G Constructors