Subcontractor Intake Form Please complete the form so that you can be added to our Bidding Invitations and contacted. "*" indicates required fields Company InformationCompany Name*Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Company Phone Number*Fax NumberContact InformationPrimary Contact Name* First Name Last Name Primary Contact Title*Primary Contact Email* Primary Contact Cell PhoneSecondary Contact Name* First Name Last Name Secondary Contact Title*Secondary Contact Email* Secondary Contact Cell PhoneWebsite Yes No Website AddressBusiness InformationFederal EINDUNSUnique Entity ID(if known from SAM.GOV)NAICS CodeState LicensesLicense #1 License # State / Province / Region Expiration Date License #2 License # State / Province / Region Expiration Date CapabilitiesCompany Type*Check all that apply. Subcontractor Supplier Professional Services Trucking/Hauling Areas of Work*Check all that apply. Access Flooring Asphalt Paving Automatic Entrances Carpet & Resilient Flooring Cast Underlayment Cast-In-Place Concrete Clean-Up Deep Foundations / Support of Excavation Demolition & Abatement Doors, Frames, and Hardware Earthwork & Site Utilities Educational and Scientific Equipment Electrical Elevators Entertainment and Recreation Equipment Entrances, Storefronts, & Curtain Walls Exterior Specialties Facility Chutes Facility Maintenance and Operation Equipment Fencing / Guardrail Fire Suppression Fireplaces & Stoves Foodservice Equipment Furniture GWB Assemblies / General Trades / Fireproofing / EIFS HVAC & Plumbing Information Specialties Interior Specialties Joint Protection Landscaping Louvers & Vents Masonry Millwork & Finish Carpentry Multiple Seating Overhead / Rolling Doors & Grilles Painting Pneumatic Tube System Polished & Stained Concrete Finishing Precast Concrete Radiation / RF Protection Residential Equipment Resinous Flooring Roadway and Sidewalk Protection / Closures Roofing & Metal Wall Panels Rough Carpentry / Wood Framing Safety / Barricades / Temporary Protection Security / Detention Equipment Special Facility Components Special Structures Spray Insulation Storage Specialties Structural Steel & Miscellaneous Metals Terrazzo Flooring Tiling Vehicle and Pedestrian Equipment Waterproofing Window Film Window Treatments Wood Flooring Labor Type*Check all that apply. Union Non-Union Prevailing Wage Open Shop Business Size* Large Small *Business Size is based upon multiple factors, such as NAICS code, volume of production and/or sales, revenues, etc. Visit the website www.sba.gov/size for more details about business size self-certification Diverse Business Yes No Diverse Business*Check all that apply. Minority-Owned Business (MBE) Veteran Owned Business (VOB) Service-Disabled Veteran Owned Business (SDVOB) Lesbian, Gay, Bisexual, Transgender-Owned Business (LGBT) Disabled-Owned Business Enterprise (DOBE) Women-Owned Business (WBE) Disadvantaged Business Enterprise (DBE) Small Disadvantaged Business (SDB) Woman Owned Small Business (WOSB) [SBA Certification] Historically Black Colleges and Universities (HBCU) HubZone Business (HubZone) Veteran Owned Small Business (VOSB) [SBA Certification] Service-Disabled Veteran Owned Small Business (SDVOSB) [SBA Certification] Upload all Current Certifications Drop files here or Select files Max. file size: 512 MB. 93185
