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Subcontractor Qualification Questionnaire

All responses to this questionnaire are strictly confidential. Required fields are marked with an *. If you have any questions, please contact our Qualification Team @ 847-214-6515 or e-mail qualifications@powerconstruction.net **PLEASE EMAIL ALL DOCUMENTS REQUESTED IN SECTION 6 TO QUALIFICATIONS@POWERCONSTRUCTION.NET AS THE UPLOAD FEATURE IS CURRENTLY DOWN**

Company Headquarters Information
Federal Tax ID: *		Year Company Founded *
Company Name: *
Legal Name (only if different than the Company Name above)
Address: *		Contact / Position *
Suite:		Phone (xxx/xxx-xxxx) *
City: *		Toll Free (xxx/xxx-xxxx)
State *	-Select from list- Alabama Alaska Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Ontario Oregon Other (Outside USA) Pennsylvania Quebec Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Fax (xxx/xxx-xxxx) *
Zip *		E-mail *
Country

Branch Offices:  (Enter all your branch office(s) and bid contact names)
Branch Name Address   Contact / Position *   Suite   Phone (xxx/xxx-xxxx)   City Toll Free (xxx/xxx-xxxx) State * -Select from list- Alabama Alaska Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Ontario Oregon Other (Outside USA) Pennsylvania Quebec Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Fax (xxx/xxx-xxxx) Zip E-mail * Country	Remove Row
Add Row

Indicate what region your company does work in: *
Select All Regions
Cook County, IL (within Chicago)	DuPage County, IL	McHenry County, IL
Cook County, IL (outside Chicago)	Kane County, IL	Will County, IL
DeKalb County, IL	Lake County, IL

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