Our Markets

Lemartec Plan Room

Sub-Contractor Pre-Qualification Form

Please fill out the qualification form below to request access to the Plan Room. If you are granted access, we will send you your login credentials to the email listed in the form below.

Subcontractor Information

* denotes required field

Company Name*:

Complete Address:

Phone Number*:

Fax number:

Contact Name*:

Contact Title:

Contact E-mail address*:

Type of Company:
 Corporation Partnership Sole Proprietorship

Size of projects preferred:
$

Project location preferred:

Trade(s) of Work:

Trade(s) of Work (Other):

Bonding Capacity

Are you able to bond projects?:
 yes no

Bonding Rate:
%

Single project limit:

Insurance Information

Workers’ Compensation Experience Modifier:

Current Experience Modifier:
%

Effective Date:

General Liability Limits:
$ per occurrence
$ aggregate

MBE/WBE/SBE/DBE/DVBE Certification

Is the company certified?
 MBE WBE SBE DBE DVBE

Contractor's License No.:

Please Attach: Insurance Certificate & Copy of all Contractor’s Licenses.