Minor Works Pre-Qualification Application

Minor Works Pre-Qualification Application
Administrative Notes
Admin Only.
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:

Proof of Insurance ($1M liability minimum)List of equipment, including age of equipment available for workVendor Information PackageIf applicable, your sales tax licenseIf applicable, Wyoming Worker's Compensation coverage and unemployment insurance certificates of good standing3 References
Click here to download the Vendor Information Package.

References

List references of past work completed. Please make sure to provide references for each of your fields of expertise.
Reference 1 Firm Name*
Reference 1 Contact Name*

First NameLast Name
Reference 1 Contact Number*
Reference 1 Project*
Reference 1 Dollar Amount*
Reference 1: Description of Work Provided
Reference 1 Administrative Notes
Admin Only.
Reference 2 Firm Name*
Reference 2 Contact Name*

First NameLast Name
Reference 2 Contact Number*
Reference 2 Project*
Reference 2 Dollar Amount*
Reference 2: Description of Work Provided
Reference 2 Administrative Notes
Admin Only.
Reference 3 Firm Name*
Reference 3 Contact Name*

First NameLast Name
Reference 3 Contact Number*
Reference 3 Project*
Reference 3 Dollar Amount*
Reference 3: Description of Work Provided
Reference 3 Administrative Notes
Admin Only.

Documentation
Can you confirm you are in compliance with all state and federal regulatory agencies?*

YesNo
Ensure that the following is uploaded to the drop box below:

Proof of Insurance ($1M liability minimum)List of equipment, including age of equipment available for workVendor Information PackageIf applicable, your sales tax licenseIf applicable, Wyoming Worker's Compensation coverage and unemployment insurance certificates of good standing
Insurance Expiration Date*

MonthDayYear
Date
Documents*

If you have any brochures, etc, please attach them here as well. Note: it is the obligation of the contractor to ensure updated certificates are provided to PRECorp annually.
Cancelof
AdminSubmission
Should be Empty:

Business Information