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INSTRUCTIONS:
1. To be considered for future bid opportunities, please complete the prequalification form below and click SUBMIT.
2. All subcontractors must meet or exceed our insurance requirements. Refer to the Sample Certificate of Insurance to confirm that your company meets our limits of coverage -*highlighted in yellow on sample*.
3. If you meet these requirements, please email a copy of your most recent COI and W-9 to svega@connollybrothers.com.

Sample Certificate of Insurance


General Company Information
Type of Company
Company or Owner Bankruptcy last 5 years?:


Estimating Contact(s) Information
Project Information
Has company ever defaulted on a project?:


Please provide information on three significant projects in the past three years. Use additional attachments as necessary.
Insurance/Banking Information
Legal Information
Are there any judgments, claims, arbitration proceedings, or suits pending/outstanding against your firm or its officer or principals?:


Has your company been involved in any lawsuits, arbitration or mediation with regard to construction contracts within the last five (5) years?:




Please send a copy of your most recent certificate of insurance and w-9 via email to svega@connollybrothers.com