Prospective Subcontractor & Vendor Application

Prospective Subcontractor & Vendor Application

Interested in working with Underground Construction?

Subcontractors and vendors interested in working with UCCo may submit a prequalification application. Being prequalified as an approved UCCo contractor streamlines the process of being considered for/awarded a contract.

Company Information

Company Name*

DBA (If Applicable)

Company Phone*

Phone

Company Fax

Phone

Website

DUNS

FEIN

Country*

Select

Address 1*

Address 2

Zip/Postal*

City*

County*

State*

Select

Primary Contact Information

Enter your organization's primary point of contact for follow up on your request.

First Name*

Last Name*

E-Mail*

Confirm E-Mail*

Phone*

Phone

Fax

Phone

Mobile*

Phone

Underground Construction Referral

How Did You Hear About Us?*

Underground Construction Employee Referral

Utility Company or Customer Referral

Advertisement

Search Engine (Google, Yahoo, Chrome, etc.)

Social Media

Other

UCCo Representative Referral Name

Client/Customer Referral Name

How Did You Hear About Us? (Other Selection)

Have you previously worked as a subcontractor or vendor to UCCo?*

Yes

No

Areas of Work

Geographic Work/Coverage Area

Northern California

Southern California

Arizona

Nevada

Other

Other Work/Coverage Area*

Please input response in any of the following formats: Countries, States, Within XXX Miles of Zip Code XXXXX

Work/Services Type*

1 - Construction

2 - Owner Operator

3 - Professional Services

4 - Trucking

5 - Materials

Work/Service Type Detail

Please provide a list of the services that you would like to provide.

DBE Status

DBE Certified?*

Yes

No

DBE Status*

Select One or More DBE Status

Small Business Enterprise (SBA/SBE)

Woman Owned Business (WMBE)

Disabled Veteran Owned (DVBE)

Minority Owned Business (MBE)

LGBT Owned Business (LGBTBE)

Persons with Disabilities Business (PDBE)

Other (Fill In Below)

Other DBE Status Not Listed

Certifications, Licenses, and Affiliations

Trade Union Affiliation?*

Is your organization signatory with any trade unions?

Yes

No

Trade Union #(s) & Name(s)*

Please list the name(s) and local #'(s) for the unions your signatory with.

ISNET Compliant?*

(PG&E, SDG&E, SoCalGas)

Yes

No

ISNET #*

Common Ground Alliance(CGA)/DPI Compliant?*

Formerly Gold Shovel - if applicable

Yes

No

CAGE Code

SAM Registration

Certifications

List any other certifications your organization currently holds.

Licenses

Please list any professional licenses your organization holds pertinent to the services you would like to provide, including any active contractor's licenses & numbers.

File Upload & Comments

Subcontractor/Vendor Comments

Please provide any general comments not captured in the above.

Upload Files & Documents Including Certifications, Licenses, DBE Verification, Marketing Material

Drag and drop files here or

Send me a copy of my responses

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