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VENDOR PROFILE FORM
VENDOR PROFILE FORM(PDF)

Subcontractors Vendor Profile Form

Completely filling out the vendor profile form will allow us to objectively and efficiently evaluate your business. Please be as thorough as possible.

Subcontractor & Supplier Information Request Form
Project (if applicable):
Solicitation/Reference No.
Application / Bid date
Legal Business Name:
 
BUSINESS INFORMATION
(check type)

Supplier

Subcontractor

Consultant

Other
Primary Office Address:
Address

City

State

Zip
Mailing/Billing Address:
Address

City

State

Zip
Principal Contact:
Name

Phone

Fax

Company Website
 
CONTACTS Name Title Cell Email Address
Project Manager:
Estimating:
Accounting:
 
TYPE OF BUSINESS
(check type)

Corporation

Partnership

LLC/LLP

Other
Labor / Union Affiliations(s):
Union

Non-Union

Merit Shop

Design/Build Capabilities: Yes No Internal External
Years in Buisinss:
No. of Employees:
WI Tax ID No:
Federal Tax ID No:
 
SMALL & DISADVANTAGED BUSINESS UTILIZATION (check all entities that apply)
Large Business (Annual Sales > $28.5 million over 3-year average)
Small Business (Annual Sales < $28.5 million over 3-year average)
Women-Owned (51% Ownership & Participation)
Small Disadvantaged (51% Minority Ownership)
Veteran-Owned Business (51% Veteran Ownership)
Service Disabled Veteran-Owned Business
Other:
HUBZone Business
Census Tract No: Certification Date:
The Primary North American Industry Classification System (NAICS) codes for the above location is/are:
   
 
SAFETY SECTION (check all that apply)
Do you have a written Safety Program? Yes No
Are all employees trained in safety requirements? Yes No
Do you have a Company Safety Director or
other Safety Professionals on Staff? Yes No
 
INSURANCE SECTION [Do you currently carry, or can you obtain the following insurance coverage(s)?]
Worker's Compensation Statutory Maximum at Project Site Location? Yes No
General Liability
Yes No
( $1,000,000)
Automobile Liability
Yes No
( $1,000,000)
Employer Liability
Yes No
( $1,000,000)
 
PROJECT INFORMATION SECTION (check all that apply)
Select the geographical area(s) from the listing below where your company is properly licensed and will provide quotes for work.
  Wisconsin
Western WI
Eastern WI
Northern WI
Minnesota
Illinois
Iowa
Other:
 
CONFIDENTIALITY NOTE: The information supplied by the undersigned in this document is intended only for the use of TCI
The undersigned certifies that the information provided herein is a clear and accurate representation of this organization.
 
Print Name Signature Title Date
 
Return Completed Form To:
TCI Architects/Engineers/Contractor, Inc. or fax to (608) 781-0008
Director of Preconstruction Services or email to klisowski@tciaec.com
1718 State Road 16 / La Crosse, WI 54601  
 
Questions regarding this
Form can be answered by:
Kevin Lisowski (608) 781-5700 ext. 274
 
SCOPE OF WORK SECTION [Scope(s) of work that your company performs]
(check all that apply)
1000 General Requirements
1231 Geotechnical Investigation
1353 Progress/ Aerial Photos
1410 Material Testing
1544 Clean-Up
1544 Final Clean-Up
1550 Temporary Labor
1553 Construction Fence
1554 Security Service
1557 Scaffolding
1623 Crane Rental
1900 Layout/ Surveying
1999 Other

2000 Sitework
2020 Dewatering
2100 Demolition
2130 Hazardous Material Abatement
2250 Shoring
2300 Earthwork S/C
2341 Soil Treatment (Termite)
2410 Piles/ Caissons
2500 Site Utilities: water,sewer,storm
2550 Fuel Systems S/C
2660 Supply Wells
2700 Disposal Wells
2710 Asphalt Paving S/C
2720 Concrete Paving S/C
2730 Curb and Gutter
2760 Trenchless Technologies
2800 Site Hardscape S/C
2820 Fencing & Gates
2830 Retaining Walls
2840 Guardrails & Bumpers
2853 Playground Equipment
2854 Fountains
2860 Marine Construction
2870 Railroad Construction S/C
2890 Traffic Signals
2901 Landscape & Irrigation S/C
2950 MOT (Maintenance of Traffic)
2999 Other

3000 Concrete
3050 Fine Grading S/C
3100 Concrete Formwork
3200 Reinforcing Steel-Installed
3210 Reinforcing Steel-Furnished
3300 Cast-in-Place Concrete S/C
3310 Concrete Materials
3315 Concrete Pumping
3330 Place & Finish
3370 Tilt-Up S/C
3410 Structural Precast Concrete
3420 Post Tension S/C
3450 Architectural Precast Concrete
3700 Concrete Accessories
3770 Tilt-Up Accessories
3830 Concrete Cutting
3840 Concrete Repair & Restoration
3999 Other

4000 Masonry
4010 Masonry S/C
4100 Masonry Materials
4400 Stone Masonry
4900 Masonry Restoration & Cleaning
4999 Other

5000 Metals
5120 Structural Steel Supply
5170 Structural Steel Erection
5210 Steel Joist/ Supply
5300 Metal Deck Supply
5500 Misc. Metal Fabrication
5510 Metal Stairs & Handrails
5700 Ornamental Metals
5800 Expansion Control Assemblies
5999 Other

6000 Wood and Plastics
6100 Rough Carpentry Material
6110 Framing S/C
6130 Heavy Timber Framing
6150 Wood Decking/ Paneling
6190 Wood Trusses
6200 Finish Carpentry
6400 Architectural Casework
6610 FRP
6999 Other

7000 Thermal & Moisture Protection
7100 Waterproofing & Sealants
7210 Building Insulation
7240 Ext. Insul. & Finish Systems (EIFS)
7310 Shingle/ Tile Roofing
7410 Metal Roof & Wall Panels
7415 Insulated Metal Panels
7460 Siding & Soffits
7500 Membrane Roofing
7600 Flashing, Sheet Metal & Access.
7700 Roof Specialties
7810 Fireproofing
7900 Joint Sealers
7999 Other

8000 Doors and Windows
8010 Doors, Frames & Hardware
8111 Doors & Hdw. Installer Only
8360 Overhead Doors
8400 Storefronts
8460 Automatic Entrance Door
8500 Windows
8521 Sliding Glass Doors
8600 Skylights
8800 Glass & Glazing S/C
8900 Glazed Curtain Walls
8950 Translucent Roof & Walls
8999 Other

9000 Finishes
9220 Plaster/ Stucco
9250 Drywall S/C
9300 Tile
9400 Terrazzo
9500 Acoustical Ceilings
9600 Resilient Flooring/ Carpet
9640 Wood Flooring
9670 Fluid Applied Flooring
9675 Stone Flooring
9840 Acoustical Wall Treatment
9900 Painting/ Wall Covering
9960 Special Coating
9999 Other

10000 Specialties
10100 Visual Display Boards
10160 Toilet Partitions & Accessories
10190 Cubicle Curtains
10200 Louvers & Vents
10260 Wall & Corner Guards
10270 Access Flooring
10300 Fireplaces & Stoves
10340 Manufactured Exterior Spec.
10350 Flagpoles
10500 Identification Devices/ Signage
10500 Lockers & Benches
10520 Fire Extinguishers & Cabinets
10530 Prot. Covers/ Awnings/Canopies
10550 Postal Specialties
10610 Wire Mesh/Chain Link Partitions
10620 Demountable Partitions
10650 Oper. Partitions/ Accordian Wall
10670 Storage Shelving
10750 Telephone Specialties
10825 Shower & Tub Doors
10999 Other

11000 Equipment
11030 Bank Equipment
11040 Ecclesiastical Equipment
11050 Library Equipment
11060 Theatre & Stage Equipment
11110 Commercial Laundry Equipment
11130 Audio-Visual Equipment
11140 Vehicle Service Equipment
11150 Parking Control Equipment
11170 Solid Waste Handling Equipment
11190 Detention Equipment
11200 Water Supply & Treatment Equip
11400 Food Service Equipment
11450 Residential Equipment
11470 Darkroom Equipment
11480 Athletic & Recreation Equipment
11500 Industrial & Process Equipment
11600 Laboratory Equipment
11700 Medical Equipment
11800 Variable Message Signs
11999 Other

12000 Furnishings
12300 Manufactured Casework
12350 Grilles, Mats & Frames
12400 Window Treatment
12500 Furniture
12700 Systems Furniture
12999 Other

13000 Special Construction
13030 Special Purpose Rooms
13100 Lighting Protection
13120 Pre-Engineered Metal Buildings
13121 Metal Building Erector
13150 Swimming Pools
13200 Storage Tanks
13300 Cold Storage Tanks
13700 Security Access & Surveillance
13800 Fire Alarm System
13900 Fire Suppression/ Protection
13999 Other

14000 Conveying Systems
14200 Elevators & Lifts
14300 Escalators & Moving Walks
14500 Material Handling
14580 Pneumatic Tube System
14600 Hoists & Cranes
14999 Other

15000 Mechanical
15100 HVAC S/C
15180 HVAC Instrumentation/ Controls
15181 Process Instrumentation Controls
15190 Test, Balance & Adjust
15200 Plumbing S/C
15300 Refrigeration
15999 Other

16000 Electrical
16050 Electrical S/C
16231 Generators
16400 Switchboards/ Panel Boards
16500 Lighting Supplier
16700 Communications
16800 Sound & Video
16900 Technologies
16910 Instrumentation & Control
16999 Other

17000 Security
17000 Security & Alarms
17999 Other