Contractor Qualification Statement

1. Name:


2. Your Organization:

Type of Organization:

Indicate if your business qualifies as one of the following:

Name of Officers:


3. References:

State the total worth of work in progress and under contract:

State the average amount of construction work performed during the past five (5) years:

Trade References:



Surety:





4. INSURANCE / SAFETY / QUALITY

Fill in your firm's workers compensation modification factor (EMR) for the years shown:



Do you have a written safety program?

Is your organization LEED certified?


5. BUSINESS INTERESTS:

List the trade you are interested in bidding:




List the States you are interested in:




Clicking the submit button will send your request to RB Construction Company.

RB Construction Company is an Equal Employment Opportunity (EEO) employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex or natural origin.