Powerhouse
General Information
Legal Business Name
Primary Contact First Name
Primary Contact Last Name
Primary Contact Title
Primary Contact Phone
Primary Contact Email
Business EIN/SSN
EIN or
SSN?
Pre Qualifying Information
Type of work typically performed?
Company Base City
Company Base State
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Viriginia
Wisconsin
Wyoming
Coverage Cities/States
Will you travel out of state?
Yes
No
Number of Direct Employees
# of Crews and what comprises them
Self-Perform vs. SubContract Out Percentage
Self %:
Sub %:
Last 2 Years Annual Sales
Last Year $:
Year Before $:
Only Numbers are allowed, no commas or decimals. Example: 1,000,000 should be entered as 1000000
Are you interested in reactive work?
Yes
No
Reactive work means You might be issued a work order by our Company, and have no more than 48 hours to accept the work and be on site to perform. These Jobs are typically small, handyman type jobs.
Do you have any OSHA Violations in the past 5 years?
Yes
No
Can your company perform Union Work?
Yes
No
Summary
Do you have any Comments or Questions?