Subcontractor Prequalification Form

Thank you for your interest in working with the Procopio Companies. As a first step in ensuring a good working relationship and a quality work product we ask potential trade contractors to fill out this form to the best of their abilities.

 
 
mm/dd/yyyy
 
 
 
Phone
 
 
 
 
 
 
Phone
 
 
 
Phone
 
 
 
 

Safety

 

Provide Current Rate - This information is available through your insurance provider.

 
 
 

Financial

 
 
 

Insurance

 

GL ea. Occurence $1M, Injury $1M, General Aggregate $2M, Auto Liability $1M, Umbrella $1M, Excess $1M, Workers Comp $1M

 

Legal