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BART SBSS STATEMENT OF QUALIFICATIONS INTAKE FORM
GENERAL INFORMATION
1.
COMPANY INFORMATION
COMPANY NAME
COMPANY ADDRESS
COMPANY ADDRESS 2
COMPANY CITY
COMPANY STATE
COMPANY ZIP/POSTAL CODE
WEBSITE
COMPANY PHONE NUMBER
2.
CONTACT INFORMATION
NAME
EMAIL ADDRESS
3.
BUSINESS LOCATION(S)?
4.
LENGTH OF TIME IN BUSINESS
5.
HOW IS YOUR BUSINESS SET UP?
SOLE PROPRIETOR
S CORP
C CORP
6.
TOTAL # OF EMPLOYEES
7.
DO ANY EMPLOYEES BELONG TO A UNION?
YES
NO
8.
CONTRACTOR LICENSES NO.
9.
LIST OF SERVICES YOUR COMPANY PROVIDES
SERVICES 1
SERVICES 2
SERVICES 3
SERVICES 4
SERVICES 5
SERVICES 6
SERVICES 7
10.
Type of Company?
PROFESSIONAL SERVICES
CM
CONTRACTOR
GOODS/SERVICES
OTHER (PLEASE SPECIFY)
Current Progress,
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