Please Check One: New Listing Update

Date: Prepared By:

Company Phone#:
Email Address:
Company Fax#:
Company Name:
Address:
City:
Federal Employer ID#:
Number of Employees: Office: Field:

Company Type Corporation Sole Proprietor Individual LLC Partnership DBA
Dun & Bradstreet Number:
Current D & B Rating:
Paydex Rating:

Years in Business Under Present Name:
Contact Person:
Company President's Name:
ISO Certification. Program (9000, 9001, etc):
Bonding Capacity ($):
Largest Bonded Project ($):
Percentage of Self-Performed Work (%):
Bonding Company (List complete name of company, not agent):
Bonding Company Address:
Phone Number:
Years with Current Surety Provider:
Have you ever failed to complete a construction contract? Yes No
If Yes, please explain.

Complete the following for the last three years:

Labor Affiliation (Please Check Appropriate Box):
Not affiliated with any union: MERIT
Affiliated with AFL-CIO: AFL-CIO
Affiliated with CIU: CIU
Affiliated with other union: OTHER
Name OTHER affiliation here:
Materials Only: NONE

Equal Employment Opportunity Status
Please indicate the Equal Opportunity Laws category under which your company qualifies.
Disadvantaged Business Enterprise
Women's Business Enterprise
Small Business Concern
Other

Note: If you do not qualify as one of the above, you may be required to provide a copy of your certification for each individual category. If you do not qualify, or you cannot furnish a valid certification as proof of qualification, check "Other."

Classification
Please check the category that applies to your company.
Subcontractor
Manufacturer's Representative
Supplier
Manufacturer
Services

Bid Item Categories
From the list below, please check all the categories your company normally bids. The bid items are coded according to the Construction Specifications Format Uniform System. Click the division title to display the bid categories in that division.

General Requirements
Sitework
Concrete
Masonry
Metals
Wood & Plastic
Ther & Moisture Prot
Doors & Windows
Finishes
Specialties
Equipment
Furnishings
Special Construction
Conveying Systems
Mechanical
Electrical
Systems