Subcontractor Prequalification - Wilcox Contracting

Company Name

Business Type

General Email

Years in Business

General Phone Number

Address

Trades Performed

Please list the services you provide

Please email a copy of the following items to: joshwilcox@wilcoxcontracting.com

Please email a copy of your W9, Certifications, and Certificate of Insurance

Provide the Last 3 projects completed (first of three)

Please list the Project name: Project type, General contractor, Contact person, Phone number, and Completion Date

Contact (first or

Last projects completed (second of three)

Please list the Project name: Project type, General contractor, Contact person, Phone number, and Completion Date

Last projects completed (third of three)

Please list the Project name: Project type, General contractor, Contact person, Phone number, and Completion Date

Primary Contact Name

Title/Position

Cell Number

Comment or Question