[[[["field24","equal_to","Union"]],[["show_fields","field25,field26"]],"and"],[[["field32","contains","MBE"]],[["show_fields","field33,field35"]],"or"],[[["field32","contains","DBE"]],[["show_fields","field36,field37"]],"and"],[[["field32","contains","SBE"]],[["show_fields","field23,field38"]],"and"],[[["field32","contains","WBE"]],[["show_fields","field43,field44"]],"and"],[[["field32","contains","8a"]],[["show_fields","field41,field42"]],"and"],[[["field32","contains","Other"]],[["show_fields","field39,field40,field45"]],"and"]]
1
Subcontractor Pre-Qualification Form

Thank you for your interest in building a relationship with us!  Please fill in the form below to get started.

Date(today)
Type of Applicationpick one!

General Information

Company Name
Contact Person
Company President's Name
Company Phone
Company Website
Years in Business (Present Name)

Physical Address:

Street
City
State
Zip

Mailing Address (if different)

Street
City
State
Zipcode
Labor Status
Local Name
Local Number
ClassificationSelect all that apply
Equal Employment Opportunity StatusSelect all that apply.
Certifying Agency-MBE Status
Expiration Date MBE-Status
Certifying Agency-DBE Status
Expiration Date-DBE Status
Certifying Agency-SBE Status
Expiration Date-SBE Status
Certifying Agency-WBE Status
Expiration Date-WBE Status
Certifying Agency-8a Certified Status
Expiration Date-8a Certified Status
Other Equal Employment Opportunity StatusList name of other EEO status
Certifiying AgencyAgency Certifying Other EEO Status
Expiration Dateof Other EEO Status

Legal and Financial Information

Bonding Capacity:
Largest Bonded Project:
Aggregate Limit:
Single Project Limit
Percentage of Self-Performed Work:
Current Volume of bonded Work:

Are you, your company or any of it's owners/officers currently involved in any litigation, mediation, arbitration, or prosecution or defense of formal claims in connection with any contract, project, or subcontract?

Has your company or any affiliated company or any of its principals ever filed for bankruptcy, failed in business, closed a business, defaulted or failed to complete on a contract, or been asked to post collateral against a loss?

PLease list any Korte & Luitjohan projects you have worked on in the past three (3) years:

1. Project Name
Contract Amount:
Project Details
0 /
2. Project Name
Contract Amount
Project Details
0 /
3. Project Name
Contract Amount
Project Details
0 /
Banking References3 preferred - minimum of 1 required.
0 /
Project References3 preferred - minimum of 1 required.
0 /

Please upload any forms by clicking on the "Upload" button below.  You can select 1 or more files at a time. 

At a minimum we will need:

  • W-9
  • Union status Letters
  • Surety Letter

When you have selected all the necessary files, click the "Submit Form" button to submit the form to us. You should get a confirmation email right away, and a personal response within 2 days.

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