• Major Works Pre-Qualification Application

    Major Works Pre-Qualification Application

  • Before filling out this form, please ensure you have all necessary documents on-hand, as progress is only saved when the form is submitted. Please consult this downloadble PDF for more information.

    Please complete the following application to qualify for placement on the Powder River Energy Corporation (PRECorp) Qualified Bidders List (QBL). Contractors must be on the PRECorp QBL to bid on PRECorp construction projects. An incomplete application will not be considered.

    You are notified that PRECorp complies with the prevailing wage laws of the State of Wyoming and requires all contractors to comply. Pre-qualification of bidders will be in accordance with the policies, guidelines, and specifications of PRECorp and/or RUS.

    Questions concerning this application my be directed to PRECorp's Purchasing and Contract Administrator located at 200 S. Garner Lake Road, Gillette, WY 82716 or telephone (307) 685-3560

  • Business Information

  • Format: (000) 000-0000.

  • Business Address

  • Same as Mailing Address?*

  • Mailing Address

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you able to support emergency needs?*
  • Format: (000) 000-0000.
  • 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

  • Include the names and addresses of officers of the corporation and their length of time with the corporation.

    Corporations Only.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • My company is qualified to provide the services selected below; and further seeks pre-qualification to work on PRECorp's system in the following areas:
  • Actual Selections

  • 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.

  • Legal

  • Can you affirm that your company is an independent contractor and that it agrees to perform services for PRECorp as an independent contractor and not as a sub-contractor, agent, or employee of PRECorp?*
  • Is your company a registered contractor under the provisions of the State of Wyoming and is your company up to date on all current fees?*
  • Is your company able to be bonded?*
  • Do you certify that all individuals that would perform work for PRECorp are qualified under required Federal and State regulations including regulatory agencies such as OSHA and DOT that apply to the work being done?*
  • Can you confirm you are in compliance with all state and federal regulatory agencies?*
  • Do you understand that pre-qualification by PRECorp is only a measurement tool to help ascertain my company's ability to comply with PRECorp's contractual specifications and that the process of prequalification in no way negates your company's responsibility to ensure all contractual specifications are met on an ongoing basis?*
  • Do you understand that pre-qualification approval of contractors to perform work on PRECorp's system is not construed as an approval of your company's practices, policies, and procedures or any of your company's programs?*
  • Do you understand that PRECorp has written clearance procedures and do you agree that any and all of your employees working on PRECorp lines will be trained and will adhere to these procedures?*
  • Do you understand that any and all work performed on PRECorp lines must be first approved by an authorized agent of PRECorp?*
  • Do you recognize and agree that Powder River Energy Corporation has the right to reconsider or reevaluate the pre-qualification status of your company at any time and for any reason at the sole discretion of Powder River Energy Corporation?*

  • Safety Information

  • Do you certify that your company has and uses a safety manual and/or procedures?*
  • Do you certify that OSHA 1910.269 training has been completed for all applicable personnel?*
  • Provide the following to the drop box below:
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  • Tools and Equipment Information

  • Provide the following to the drop box below:
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  • Supervision and Personnel information

  • Are you part of a Lineman Apprentice Program?*
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  • Insurance Information

  • Provide workers compensation AND unemployment insurance to the drop box below. Please provide one of the following types of proof of coverage:
  • Provide proof of liability insurance to the drop box below. You should include the following:

  • 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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  • Financial Information

  • Provide the following to the drop box below:

  • Click here to download the Vendor Application Package.

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  • Finalization

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  • Submitted Date*
     - -
  • Clear
  • Should be Empty: