Pre-qualification

1 Business Information

2 References

3 Current Projects

Company Legal Name*
Contact Name*
First Last
Physical Address*
Street Address Address Line 2 City State ZIP Code
Add Mailing Address
If different from physical address
- Yes
Mailing Address
If different from above

Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Fax
Trade/Type of Work*
Counties of Operation*
Area You Are Inquiring About*
Business Entity*
- Corporation
- Partnership
- Sole Proprietor
- Other
FEIN or SS#*
Is your firm certified by the State as a Minority Business Enterprise?
- Yes
MBE Certification Documentation
Upload any certification documentation if applicable.
Is your firm certified by the State as a Women Owned Business?
- Yes
WOB Certification Documentation
Upload any certification documentation if applicable.
License*
Copy of current license(s) as required by State/County/Municipality
Drop files here or
License not required
- Check here if a license is not required for your profession
Insurance*
Copy of current certificates of insurance including General Liability, Workers Compensation and Commercial Auto.
View a sample COI here
Drop files here or
Insurance will be sent separately
- Check here if insurance will be sent separately
W-9
Download a blank W-9 form here.
If you are unable to upload the W-9, please send it by email or fax:
Email: office@arkdevelopment.com
Fax: (772) 334-6057
Drop files here or
W-9 will be sent separately
- Check here if W-9 will be sent separately

Please provide three (3) references. Include contact name, phone and fax number.
Reference 1*
Reference 2*
Reference 3*

Project Description*
Include date started & completed, brief description of work, contract size and completed contract size, general contractor (contact name and phone).
Additional Project Description
Include date started & completed, brief description of work, contract size and completed contract size, general contractor (contact name and phone).