Contractor Questionnaire
Name of Contractor
First Name
Last Name
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Officer Name & Title
Email
example@example.com
Type of Vendor
Material/Equipment Supplier Only
Consultant
Contractor
Type of Virginia's Contractor License
None
Class A
Class B
Class C
Contractor's License Classifications/Specialties (Check all that apply)
None
Commercial Building Contractors (CBC)
Electrical Contractors (ELE)
Highway/Heavy Contractors (H/H)
Plumbing Contractors (PLB)
HVAC Contractors (HVA)
Residential Building Contractors (RBC)
Accessibility Services Contracting (ASC)
Accessibility Services Contracting – LULA (ASL)
Alternative Energy System Contracting (AES)
Asbestos Contracting (ASB)
Asphalt Paving and Sealcoating Contracting (PAV)
Billboard/Sign Contracting (BSC)
Blast/Explosive Contracting (BEC)
Commercial Improvement Contracting (CIC)
Concrete Contracting (CEM)
Drug Lab Remediation Contracting (DLR)
Drywall Contracting (DRY)
Electronic/Communication Service Contracting (ESC)
Elevator/Escalator Contracting (EEC)
Environmental Monitoring Well Contracting (EMW)
Environmental Specialties Contracting (ENV)
Equipment/Machinery Contracting (EMC)
Farm Improvement Contracting (FIC)
Finish Carpentry Contracting (FIN)
Fire Alarm Systems Contracting (FAS)
Fire Sprinkler Contracting (SPR)
Fire Suppression Contracting (FSP)
Flooring and Floor Covering Contracting (FLR)
Framing Subcontractor (FRM)
Gas Fitting Contracting (GFC)
Glass and Glazing Contracting (GLZ)
Home Improvement Contracting (HIC)
Industrialized Building Contracting (IBC)
Insulation and Weather Stripping Contracting (INS)
Landscape Irrigation Contracting (ISC)
Landscape Service Contracting (LSC)
Lead Abatement Contracting (LAC)
Liquefied Petroleum Gas Contracting (LPG)
Manufactured Home Contracting (MHC)
Marine Facility Contracting (MCC)
Masonry Contracting (BRK)
Miscellaneous Contracting (MSC)
Natural Gas Fitting Provider Contracting (NGF)
Painting and Wallcovering Contracting (PTC)
Radon Mitigation Contracting (RMC)
Recreational Facility Contracting (RFC)
Refrigeration Contracting (REF)
Roofing Contracting (ROC)
Sewage Disposal Systems Contracting (SDS)
Steel Erection Contracting (STL)
Swimming Pool Construction Contracting (POL)
Tile, Marble, Ceramic, and Terrazzo Contracting (TMC)
Underground Utility and Excavating Contracting (UUC)
Vessel Construction Contracting (VCC)
Water Well/Pump Contracting (WWP)
Virginia Contractor's License Number
What size (dollar value) of projects are you interested in and would be willing to complete? (check all that apply)
$0-$5,000
$5,000-$10,000
$10,000-$50,000
$50,000-$100,000
$100,000-$500,000
$500,000-$1,000,000
Over $1,000,000
What services/trades do you provide?
Architectural/Engineering
General Contractor
Demolition (Buildings)
Demolition (Selective)
Hazardous Materials Abatement
Sitework (Excavation/Earthwork)
Sitework (Undergound Utilities)
Marine Construction
Asphalt Paving
Concrete Paving
Pavement Sealcoating
Pavement Markings
Fences/Gates
Exterior Improvements (Other)
Cast-in-Place Concrete
Masonry
Structural Steel
Miscellaneous Metals
Rough Carpentry/Wood Framing
Finish Carpentry/Millwork
Waterproofing
Insulation
Roofing (Shingles)
Roofing (Metal)
Roofing (Flat)
Siding (Vinyl)
Siding (Wood)
Caulking
Doors
Overhead Doors
Door Controls/Operators
Door Hardware
Glass Entrances and Storefronts
Windows
Drywall
Acoustical Ceilings
Flooring (Wood)
Flooring (VCT)
Flooring (Carpet)
Flooring (Other)
Floor Care & Maintenance
Painting (Interior)
Painting (Exterior)
Signage
Miscellaneous Equipment
Furnishings
Elevators
Plumbing
HVAC
Mechanical/Pipefitting
Electrical
Generators
Water and Wastewater Equipment
Please describe in more detail what services you offer.
Please provide any additional information or comments about your company that you feel would be beneficial for Northampton County to be aware of.
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