General Contractor Application

COMPANY BACKGROUND

Date Company Established as A General Contractor Under This Name:

Has Your Company Been an AGC Member Before:

Yes
No

# of Persons in the Firm:

If Yes, List Year and Under What Name and Chapter:

Of These: # of Field Employees:

Indicate if Your Company Is:

SBE (Small Business Enterprise)
WBE (Women-Owned Business)
MBE (Minority Business Enterprise)
LBE (Large Business Enterprise)

Classification or Scope of Work

Primary:

CSI/UCI Code:

Alternate:

CSI/UCI Code:

Alternate:

CSI/UCI Code:

Has this company or a company you were a principal in failed to complete a contract awarded to them?

Yes
No

Has company been found guilty in a lawsuit by an owner or architect for fraudulent practices?

Yes
No

Your Company is:

Corporation
LLC
Partnership
Sole Proprietorship

Principal Officers

Name:

Title:

# of Years With Company:

Name:

Title:

# of Years With Company:

Name:

Title:

# of Years With Company

Name:

Title:

# of Years With Company

INSURANCE COVERAGE

General Liability

Yes
No

Agency:

Agent Name:

Agent Phone/Email:

Workers Compensation

Yes
No

Agency:

Agent Name:

Agent Phone/Email:

Bonding

Yes
No

Agency:

Agent Name:

Agent Phone/Email:

Bonding Capacity - Aggregate

Bonding Capacity - Single Project

DOCUMENT CHECKLIST:

Important!! Do not submit application until all supporting documentation has been gathered and uploaded that is listed on the checklist below. All supporting documents are required before the Board of Directors will begin the evaluation of an application.

Supporting Documents Checklist Required for Membership (All Boxes Must Be Checked and Documents Uploaded Below)

Provide Copy of Current Certificate of Insurance
Provide Letter From Bonding Agent Detailing Bonding Capacity
Provide a Minimum of Three (3) Written References From Architects or Engineers
Provide a Minimum of Three (3) Written References form Subcontractors or Suppliers
Provide a Minimum of Three (3) Written References from Project Owners/Customers
Provide Project List (Include current work and work performed for the previous two years (minimum) or longer. Include project name, location, construction start date, completion date and contract amount.
Provide List of Project Team for a Minimum of 10 Projects (Include Owner, Architect, Engineer, all major Subcontractors)

Upload Your Supporting Documents Here:

Drag & Drop Files, Choose Files to Upload You can upload up to 20 files.

Upload Your Company Logo Here:

Drag & Drop Files, Choose Files to Upload

Please upload a high-res version of your company's most up to date logo. We will use this logo in our website directory and when we reference your company in any social media posts should you be approved for membership. Upload the in following file formats: .jpg .jpeg .png or .pdf.

General Contractor Application

Important! Please have the following documentation ready to upload and submit at the end of this application form.