Bynum & Associates Corporation A General Contractor, Design/Build, and Construction Management Firm based in Orange County, California Bynum & Associates Corporation
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Bynum & Associates Subcontractor Prequalification 

Bynum and Associates requires all subcontractors to be prequalified for any project being bid. If you would like your company to be included on a project bid list, please complete the form below.
All information provided is used strictly for the purpose of qualifying the right subcontractor for the right project. Information provided will remain confidential.
Subcontractor's Prequalifcation Form
Corporate Profile
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Firm
Type: Corporation Partnership Sole Proprietor
Address 1
Address 2
P.O. Box
City
State Zip Code
Phone
Fax
E-Mail
Web Site www.
   
  Principal:
Title
Last N. First N. MI
Phone 1 Extension  
Phone 2 Extension
Fax
Mobile
Pager
Email
   
  Contact Person:
Title
Last N. First N. MI
Phone 1 Extension  
Phone 2 Extension  
Fax  
Mobile  
Pager  
Email  
     
  Firm Profile:  
  Please complete the organization chart information  
Title Name  
Title Name  
Title Name  
     
Bus. Type
Contractor Consultant Vendor
Architect Manufacturer  
 
Specialty  
Experience Years in Business  
     
  Employee Information  
Employees Total #  
  Office Employees Field Employees  
  Journeymen Apprentices  
  Laborers Sales Others  
     
  Tax - Licenses - Insurance  
     
Fed. ID #  
State ID # State  
Contractor Lic# State  
Contractor Lic# State  
Contractor Lic# State  
Contractor Lic# State  
Contractor Lic# State  
     
Bondable Capacity Premium %  
     
  Workmen's Compensation Insurance  
Carrier  
Policy #  
     
  General Liability Insurance  
Carrier  
Policy # Limits  
State  
   
Carrier
Policy # Limits
State
   
  Auto Insurance
Carrier  
Policy # Limits  
State  
     
Carrier  
Policy # Limits  
State  
     
Other Ins.  
     
  Project Information  
Annual Volume $ # of Projects  
     
Types of Projects  
   
   
   
   
     
  Project Preference  
  Please complete both low and high fields  
Bid Range Low High  
     
  Select all that apply  
Locations Arizona Nevada N. Carolina S. Carolina  
 
California Los Angeles County
  Orange County
  Riverside County
  San Diego County
  Ventura County
Other
 
     
Preferred Type
New Construction Remodel/Renovations
Commercial Industrial
Residential/Custom Multi-Family
 
     
  References  
Project Name  
Location City  
Est. Cost Date Completedddmmyy  
Scope of Work  
Ref. Name  
Phone # Email  
     
Project Name  
Location City  
Est. Cost Date Completedddmmyy  
Scope of Work  
Ref. Name  
Phone # Email  
     
  Additional Information  
Comments  
     
   
 
 
 
   
   
       

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