All information within this Pre-Qualification Form and attachments will be held strictly confidential. First Companies and its clients (project owners) may reject the bid proposal if the contractor qualifications and/or safety record are found to be unacceptable. Incomplete or inaccurate information may be grounds for dismissal of any and all bid proposals.
If your organization is a Corporation, please complete the following fields:
List your workers' compensation experience modifier for the last three (3) years:EMR Year (i.e. 2019): * EMR Rating: * EMR Year (i.e. 2020): * EMR Rating: * EMR Year (i.e. 2021): * EMR Rating: *
REFERENCES:
List three (3) CM/GC or suppliers for reference (company, address, contact, phone)
BANK REFERENCE INFORMATION:
INSURANCE CARRIER REFERENCE INFORMATION:
Thank you for your interest in working with First Companies!
Our team is actively reviewing your submission and will be in contact as needed.