• Minor Works Pre-Qualification Application

    Minor Works Pre-Qualification Application

  • Please complete the following application in order to be considered for PRECorp's Minor Works Roster. An incomplete application will not be considered.

    Questions concerning this application my be directed to PRECorp's Purchasing and Contract Administrator's email (raym@precorp.coop) or telephone ((307) 685-3560)

  • Before filling out this application, please ensure that you have the following electronic documents and information available:

  • Click here to download the Vendor Information Package.

  • Business Information

  • Format: (000) 000-0000.

  • Business Address

  • Is the mailing address the same?*

  • Mailing Address

  • Format: (000) 000-0000.
  • Business Type*

  • If incorporated, provide Resident Agent's details below. If partnership, limited liability, or sole proprietorship, provide managing person's details.

  • Resident Agent/Managing Person's Address

  • Format: (000) 000-0000.
  • Are you able to support emergency needs?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you a contractor's association member?*
  • Are you able to be bonded?*
  • Check the appropriate boxes for work you are interested in and qualified to perform:

  • References

    List references of past work completed. Please make sure to provide references for each of your fields of expertise. 
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Documentation

  • Can you confirm you are in compliance with all state and federal regulatory agencies?*
  • Ensure that the following is uploaded to the drop box below:
  • Insurance Expiration Date*
     - -

  • Insurance Certificates should have the following address:

    Powder River Energy Corporation
    Attn: Dispatch
    200 S. Garner Lake Road
    Gillette, WY 82718-8259

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