Subcontractor / Vendor Prequalification

At Belz Architecture+Construction, we are proud to call subcontractors a part of our family. We've worked with some of the most dedicated and skilled subcontractors and vendors in the industry, and we are always looking to connect with more.

If you're interested in working with us, please fill out the vendor prequalification form below where you can tell us more about your company and work experience. We look forward to working with you.

General Company Information
Company's Legal Name: *
Mailing Address: *
Street Address: *
Phone: *    Fax: 
Website: http://
Estimating Contact: *     Title: 
Email: *        Year Company Founded: 
Type of Company:*




Are there any affiliated subsidiaries?
If yes, please name them:
Is your firm owned or controlled by another organization?
If yes, please enter the name of the parent organization:
Union:
Total number of employees: *    
How many employees are: Office Personnel    Field Supervisors    Field Labor 
Minority Business
Enterprise Status: 		 MBE    WBE
Preferred Project Size:



List the geographical areas in which you work: *    
List the trades you normally perform with your own forces:
What percentage of your company's work is normally subcontraced? %
Current backlog as of today: $
Contractor's License(s) States & Numbers
State:    License No: 
State:    License No: 
State:    License No: 
State:    License No: 
Surety Information
Surety Company:
Broker Agent Name:    Phone: 
Single Project Bonding Capacity: $
Aggregate Bonding Capacity: $
CSI Codes on Which You Are Interested in Bidding



Insurance Information
Insurance Broker Name: 
CGL limits of $2M per project aggregate
$1M umbrella / excess policy
Business auto policy limits $1M CSL
30 days notice of cancellation
Evidence of Worker's Compensation
Additional insured endorsement
Other: 
Bank & Financial Information
Bank Name:
Contact Name:
Phone Number:    Fax Number:   
Email:
Line of credit amount: $
If you have a D&B number, enter it here:
D&B Paydex:
Has your firm filed bankruptcy?
If yes, explain:
Additional Information
Please provide additional information that you feel would be important for us to review during the
prequalification process: