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Email
Company Information
How many years has your company been in business under the present name?
Company Leadership
Accounting Contact
Estimating Contact
Licenses & States
List all license #(s) & states authorized to work.
Capabilities & Trades
List all types of work your company is able to perform (i.e., carpentry, drywall, plumbing, etc.)
Bank Info
Insurance Info
$
$
Experience
Please provide text or links to describe at least three jobs. Please include: project name, location, general contractor, contract value, percent complete and, work description.
Please describe any situations where your organization has failed to complete any work that was awarded to it.
Please describe any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers.
Please describe any law suits or requested arbitration with regard to construction contracts within the last five years.
Please describe any situations within the last five years, where an officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract?
Trade References
Attachments

Please attach a financial statement, preferably audited, including your organization's last balance sheet and income statement showing the following items:

  • Current Assets (e.g. cash, joint venture accounts, accounts receivable, notes receivable, accrued income, deposits, materials inventory and prepaid expenses)
  • Other Assets
  • Current Liabilities (e.g. accounts payable, notes payable, accrued expenses, provision for income taxes, advances, accrued salaries and accrued payroll taxes)
  • Other Liabilities (e.g. capital, capital stock, authorized and outstanding share par values, earned surplus and retained earnings)
Name and address of firm preparing attached financial statement.
Please include proof of insurance.
Agreement
Please type your name if you agree with the following statement:

I hereby certify that the above information is complete and accurate to the best of my ability and authorize R-PCI Construction to research all of the information contained herein. I further authorize R-PCI Construction to contact my primary bank, insurance company, and trade references (as listed), and for said bank, insurance company and trade references to release general financial information requested as part of R-PCI Construction's due diligence in assessing my company's financial stability.