Pre-Qualification

We are always on the lookout for project team members. If Walsh sounds like a company you would like to work with, please complete the pre-qualification form below - the first step toward getting on our bid lists. Please be as complete as possible to help us expedite the pre-qualification process.

If you are interested in working in BOTH the Oregon and Washington regions, please submit the form twice, selecting the appropriate region each time. Be sure to fill out ALL of the fields that have asterisks (*) next to them or the form will not be submitted.

  

Submit To :	Walsh Construction Co./OR Walsh Construction Co./WA
Company Information
* Company :
* Contact Name :
* Address :
* City :
* State :
* Zip Code :
* Email Address :
* Phone Number :
* Fax Number :
Type of Work Performed :
Years in Business :
Certified WBE? :	No Yes
Certified MBE? :	No Yes
Certified ESB? :	No Yes
2007 Annual Volume :
2008 Annual Volume :
2009 Annual Volume :
Insurance Information
Name of insurance carrier :
Name of insurance agent :
General aggregate limit :
Products/ Completed Ops limit : :
Personal/Advert. limit :
Each occurrence :
Pollution limit :
Residential Exclusion :
E & O Exclusion :
Pollution limit :
Capability Information
Percent of work self performed :
Percent of work sub contracted :
Union affiliation :
Number of field employees :
Number of office employees :
Performance/Payment Bonds :	Unknown Yes No
Design Build Services :	Unknown Yes No
Registered Engineers on staff :	Unknown Yes No
Identify the type of projects you would like to work on :
List states and counties you are licensed to work in :
References
* List three credit references with company name, contact name, and phone number :
* List Three General Contractor References with Company Name, Contact Name and Phone Number :
Additional Information or Inquiries :
	* Required Fields