BG Southern Qualification Form

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Area CodePhone Number
Address

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Postal / Zip Code
Email
Office Phone

Area CodePhone Number
Subcontractor Qualification Form

BG Southern Construction
Thank you for your interest in working with BG Southern Division. We strive to build long lasting partnerships.

Before working with us, we need some information returned via the online form or email to admin@bgsouthern.com. Please complete and return or provide the following documents:
- Qualification Form completed and signed
- Current COI for General Liability and WC with BG Southern Division, LLC as the certificate holder
- Current diversified business certificate (if applicable)
In addition, please add @bgsouthern.com and @corecon.com to the safe senders list in your email. This will guarantee BG Southern's communications are not captured in your spam folder. Our ITB's come via our project management system, Corecon, so please be on the lookout for the.

Link to online form
Please Upload COI and W9

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Company*
Office Phone*
Project Manager Contact
Name*
Email*
example@example.com
Estimating Contact
Name/Title
Phone Number
Please enter a valid phone number.
Email to send ITBs
example@example.com
Trade(s)/Scope of Work
Company established
$ volume last year
Total years of experience
# of employees
Federal Tax ID #: *
Does your company hold any diversified business certificates? If yes, please list below including who the certification is with
Does your insurance meet the requirements as outlined on the following page (Vendors not required to complete this section)*

NOYES
If no, please provide additional information below
Work location: If you only work within a certain area of Florida, please provide zip code and mile radius. If you work through out Florida, leave this blank
Zip Code
Mile Radius
Please provide 2 Vendor references:
Company 1 Name
Product/Service Provided
Contact Name
Phone No
Company 2 Name
Product/Service Provided
Contact Name
Phone No
Please provide 2 General Contractor references:
Company 1 Name
Contact Name
Phone No
Company 2 Name
Email
Contact Name
Phone No
Additional company information you'd like to provide
Please sign to confirm information provided is accurate*

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Name of Signer*
Title*
Date

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Date
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Subcontractor Qualification Form

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Project Manager Contact

Estimating Contact

Work location: If you only work within a certain area of Florida, please provide zip code and mile radius. If you work through out Florida, leave this blank

Please provide 2 Vendor references: