R.D. MICHAELS - CONTACT

Company Name:
Number of Years in Business under Current Name:
Address of Home/Corporate Office:
Telephone Number:
Fax Number:
Number of years office has existed at its current location:
Name(s) of company's owners / officers:
Has the company or any of its owners ever filed any form of Bankruptcy?	Yes No
Name of Bank:
Bank Contact Person:
Telephone Number:
Notes:
Would your company be able to provide a bond?
Bonding Company:
Bonding Contact Person:
Bonding Telephone Number:
What work will your company be subcontracting out?
What work will your company be self-performing?
Approximate number of Employees on your company's payroll:
Please provide the following:
A. List of three projects, general contractor's name and contact and telephone number:
B. List of three largest projects completed by your company, dollar amounts of your subcontracts, general contractor's name, contact and telephone number:
C. List of three vendors with whom your company has had accounts with for over three years:
Other Information: