SNC-Lavalin Constructors Inc.             
Subcontract / Vendor Registration Form
 

SLCI Mission Statement:
"To help create and sustain an equitable business environment for all sub tier contractors and suppliers through promoting the participation, in public contracting and procurement, of all qualified and available small business enterprises and those owned and controlled by minorities, women, and all others who may be socially and economically disadvantaged"

Please provide the following information to be considered for inclusion in the Subcontractor registry.   Everything marked with an (*) must be filled in before you can select the "Submit" button.

*Business Name *Address
*Contact Person *City
Title *State
*Phone # *Zip
*Fax Number Country
*Email Address Website

 

If your mailing address is different than the above address, please list here:
Mailing Address State
City Zip
*Month Established *Year Est.
Type of Business *Tax ID #

 

*SIC Number:  
Gross Receipts for the last three (3) years of business:

1st Year

 $

2nd Year

 $

3rd Year

 $
Type of Ownership, Ownership Identification and Employees
*Type of Ownership CorporationProprietorshipPartnership

*Ownership ID MBE  WBE  SBE  Other  If other, please list 
*Certification Agency
*Phone # of Cert. Agcy
*Number of Employees Full-time
Part-time

Permanent

Temporary
Please list the last three (3) major projects completed by your business in the past 15 months. 
     Project Amt. Grossed Date (dd-mm-yyyy) Phone #
1. $
2. $
3. $
Please list three (3) business references (i.e. contractors or business suppliers):
1. Phone #
2. Phone #
3. Phone #
*Is your company insured? yes   no
If yes, please provide the following:
Provider Name Phone #
Address State
City Zip
Contact Person
Identify type of insurance Coverage Limit
A. $
B. $
C. $
*Is your company bonded? yes   no
If yes, please provide type and limit
Type Limit
Bonding Company
Address State
City Zip
Contact Phone #
*Is your firm authorized to do business in the state of Washington and does your firm have all of the required business licenses?  Yes  No
License or Certification #
If no, please explain

 

                                         

If you receive a blank page after submitting this form, please do not submit it again - your information will still be registered.  Thank you.