Contractor Registration - Lobar Construction Services

Contact Name: *
Phone Number: *
Phone Number Extension:
Title:
Fax Number:
Email Address: *
Company Website Address:
Years Established: *

Business Information

Tax ID Number:
DUNS Number:
Number of Employees: * Annual Sales for Previous Year: Ownership: * Business Classification: *

Small Business Classifications : * 8(a) Certified Small Disadvantaged Business HUBZone Certified Woman-Owned Native American Veteran-Owned Service Disabled Veteran Owned Alaskan Native Corporation Native Hawaiian Corporation

Contract Information

Have you done business with Lobar before?

Yes No

Is your company now or has it ever been debarred or suspended from working on federal contracts?

Yes No

Are you currently in a Mentor/Protege relationship?

Yes No

Bonding level per contract
Bonding level (aggregate)

Insurance Information

General Liability: Automobile Liability: Worker's Comp/Employee Liability:

Company Information

Business Information

Contract Information

Insurance Information

Geographic Scope

Products/Services