Prequalification Form

Subcontractors and Vendors, please complete and submit this form to become
prequalified with Bomel Construction.

All fields noted with (*) are required
Company Name: Company Name is required.  *
Contact Name: Contact Name is required.  *
Department: Department Name is required.  *
Address: Address is required.  *
Address2:
City: City is required.  *
State: Please select a state.  *
Zip: Zip is required.  *
Telephone: Telephone is required.  *    Fax:
Company Website:
Email: Email is required.  *
Primary Trade:
Union: Yes   No
Union Affiliation:
Certified: DVBE   MBE   WBE
Bondable: Yes   No
Bonding Rate: %
Bonding Capacity: Per Project:   Aggregate:
Contractor License:
Geographic Area: Southern California   Northern California     Nevada
Oregon   Utah   Washington   Other
Notes & Comments:
Submitted By: Submitted by is required.  *
 
 

 

 
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