CONTRACTOR PREQUALIFICATION FORM Survey

Mosaic Construction Subcontractor Application

We believe our trade partners are an extension of our company and team. We are a relationship-driven, design-build firm that believes in creating long-term partnerships that benefit our clients, our business, and our community. We value the diversity of experience, thinking and problem-solving that comes from working with trade and supplier partners from a wide variety of backgrounds, including women business enterprises (WBEs), minority business enterprises (MBEs) and disadvantaged business enterprises (DBEs).

We're always looking to partner with talented trade contractors and suppliers who provide quality and timely delivery on our projects. We are committed to timely communications, collaboration, and transparent business practices.

As a first step to explore working with us, we invite you to complete and submit our prequalification form

1.Tell us about you and your company

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

2.Website?

3.Work Category?

4.Union or Non-Union?

5.Are you MBE/WBE Certified?

Yes

6.If you are MBE/WBE certified, how many years have you been certified?

7.What areas do you work in/will travel to?

8.Are you workers employees or contracted?

Employees

Contracted Out

9.How many crew members do you have?

10.How many vehicles do you have?

11.How many GC's are you currently working for?

Thank you for filling this out. You will hear from us soon.