CONSTRUCTION INDUSTRY ASSESSMENT OF ESSENTIAL SKILLS

General Information

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This assessment must be completed by the majority owner or stockholder of the business.

Company Name:
Company Address:
City/State/Zip:
Phone Number:

Fax:
Email address:
Your Name:

Title:

How did you find out about this site:  

Please check your firms' type of organization:

Other:

#of Partners or Shareholders:

Month/Year business was started:

Firm has the capability to perform work on Government contracts:

If yes, check all kinds of work that apply to your capability:
Excavation/Grading Trucking Landscaping Sewer/water Paving/Asphalt
Pavement marking Curb/Gutter Fencing Electrical Traffic Control
Bridges/Structures Painting Signage Gravel/stone Clearing/grubbing
General Contractor Demolition

      Paving/Concrete

Environmental
Supplier (list here):
Professional services (list):
Other Capabilities:
Are you certified as a Minority/Disadvantage/Women Owned/Emerging Business Enterprise with any government agencies?
Please list type (eg: SBE, DBE, WBE, etc), agency, and date in the blanks below.
Certification 1:
Certification 2:
Certification 3:
If this firm is a partnership or corporation, is the person completing this assessment a majority partner or stockholder?
 Yes No

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email: Assessment services

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