SUPPLIER
Pre-Qualification Form

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Thank you for your interest in doing business with Resia.
 
With the growth of our company, we are implementing several changes to our supplier contracting process. Our first effort is to have all of our suppliers to complete our Prequalification Form. This form will be used to demonstrate your resources, experience, financial capacity and risk.
 
Please proceed and fill the information below. If you have any questions, please contact us at procurement@liveresia.com
 

General Information
What type of Material/Service Category does your company provide? *
What kind of material/service you can provide? *
Type of Supplier *
 
Type of Business *
 

Construction Division
 
Select all the construction divisions that your company performs
 *
Construction Subdivision
 
Select all the construction subdivisions that your company performs
Division 01 - General Conditions *
Division 02 - Site Work *
Division 03 - Concrete *
Division 04 - Masonry *
Division 05 - Metals *
Division 06 - Wood & Plastics *
Division 07 - Thermal & Moisture Protection *
Division 08 - Doors & Windows *
Division 09 - Finishes *
Division 10 - Specialties *
Division 11 - Equipment *
Division 12 - Furnishings *
Division 13 - Special Construction *
Division 14 - Conveying Systems *
Division 15 - Mechanical, Plumbing & HVAC *
Division 16 - Electrical *

Financial Capacity

Risk
Do you carry, or can obtain the following: *
Workers Compensation          500,000          Each Accident
General Liability                    1,000,000       Each Occurance
                                             2,000,000       Aggregate
Commercial Auto Ins.             1,000,000         
Excess/Umbrella Liability       2,000,000
Must Include Waiver of Subrogation and Additional Insured
Must Include Correct Certificate Holder And Description of Operations

Additional Information
Does your company has its own installers? (If applicable for your categories) *
What is the service coverage? *
State *
 
County *
 
County *
 
County *
 


References
Can you provide business references? *

Project References
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Pre-Qualification Acceptance & Form Completion

CONFIDENTIALITY NOTE: The information supplied by the undersigned in this document is intended only for the use of Resia.
 
 
The undersigned certifies that the information provided herein is a clear and accurate representation of this organization.
 
 
Information Supplied By:
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INCLUDE THE FOLLOWING
Please click at the link below to access the document.