Construction Registration Form

 

Basic Information

Company Name:
Number of employees:
Address:
City :
State :
5 Digit Zip Code :
Website:

 

Contact Person:

Salutation:	Mr. Ms. Mrs. Dr.
Name (First, Middle, Last, Suffix)
NONE A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Title:
Phone: (Please enter in the format 1234567890. Do not enter any other symbols)
Fax: (Please enter in the format 1234567890. Do not enter any other symbols)
E-mail (joe@somecompany.com):

 

Detail:

Year the company was established:
Year the company was established in the County:
Company's annual revenue: (Please enter in the format 1234567890. Do not enter any other symbols)
Average number of projects the company is engaged in annually: (Please enter in the format 1234567890. Do not enter any other symbols)
Is the company locally owned?	Yes   No
Does the company employ County residents?	Yes   No
Does the company have a Statement of Capabilities?	Yes   No
What is the company's bonding capacity? (Please enter in the format 1234567890. Do not enter any other symbols)
Does the company need construction bonding?	Yes   No
Does the company need a service bond?	Yes   No
List NAICS Code(s) with Description(s)
Is the company certified as a Women's Business Enterprise (WBE)?	Yes   No
Is the company interested in becoming certified as a WBE?	Yes   No
Is the company certified as a Minority Business Enterprise (MBE)?	Yes   No
Is the company interested in becoming certified as an MBE?	Yes   No
Is the company certified with the Maryland Department of Transportation (MDOT)?	Yes   No
Is the company interested in becoming MDOT certified?	Yes   No
Is the company a member of the Minority Building Industry Association?	Yes   No
If not, would the company like to receive information from this association?	Yes   No
Will the company agree to meet with an EDC representative?	Yes   No
Does the company grant permission for referrals related to contract opportunities?	Yes   No
References

Contact

Prince George’s County
Economic Development Corporation

1100 Mercantile Lane, Suite 115A

Largo, MD 20774

Phone: (301) 583-4650

Fax: (301) 772-8540

Toolbox

- Quick Links - Prince George’s County Website Park and Planning Commission Dept. of Business & Economic Devpmt. Dept. of Labor Licensing & Regualtions Maryland State Data Center Financial Services Corporation Chamber of Commerce Doing Business in the County

Please enable Javascript in your browser.