Please complete the following to the best of your ability. We realize that the information requested may not apply to every subcontractor. If you are a supplier, rather than listing previous experiences on past projects, please provide recent data on projects for which you have supplied material.Within one business day after submission of registration form you should receive an email indicating the status of your registration. If approved, there will be a link to follow which will allow you to register a password to be used with your username to log onto our site.If you are not currently prequalified with BEC SW, please complete all the information requested. The fields highlighted with a red asterisk * are required.
Company Name*
Specialty*
Contact Person*
Title
Address*
Suite Number
City
State
Zip Code
Fax
Username*
Telephone*
Cellular Phone
E-mail *
Dun & Bradstreet Number*
Contractors License Number*
License Classification
License State
Business Status: (Please check all that apply.)
Small Business (SB)
Large Business (LB)
Small Disadvantaged Business (SDB)
Woman-Owned Small Business (WOSB)
Minority Business Enterprise (MBE)
Veteran-Owned Small Business (VOSB)
Native American Ownership
Service-Disabled Veteran-Owned Small Business (SDVOSB)
Open Shop
Union
Has your company ever
Operated under another name?
Filed for bankruptcy?
Has your principals ever
Worked for a company that failed to complete a project?
Please indicate if your firm is registered with any of the following Small Business Administration (SBA) Programs:
Is your firm bondable?
Name and Telephone Number of Surety
Does your firm carry General Liability?
Does your firm carry Worker’s Comp?
Does your firm have a Substance Abuse Program?
Does your firm have a Safety Program?
(Multiplier used in Workers Compensation premium calculations to recognize accident experience)
Warning! Either Username or Email Already Exists!