City of Grants Pass Contractor’s Prequalification Application Revised 02/2017
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City of Grants Pass
CONTRACTOR’S
PREQUALIFICATION
APPLICATION
Equipment and Experience Questionnaire
Adopted by the Department of Administrative Services
Application of: ______________________________________________________________
Submittal Date:
______________________
Individual Co-Partnership Corporation Joint Venture Member of Joint Venture
Address to which all applicant’s correspondence is to be mailed:
_________________________ _________________________ _________________________
Mailing Address City & State Zip Code
_________________________ _________________________ _________________________
Business Phone Number Cell Phone Number Fax Number
_________________________ _______________________________________________________
Contact Name Email Address
This Prequalification Application is submitted for This space for Engineering use only.
the following purpose: (Check One)
This is a prequalification application for
such period of time as designated by the
mandatory prequalification rules adopted
by the Public Contracting Agency.
This is a prequalification application for
the following:
___________________________________
Name of Project
This prequalification application is subject to the provisions of Ordinance #4752, adopted by the Council of the City of Grants
Pass on December 2, 1992 and Ordinance 5517/Resolution 5682 adopted by the Council of the City of Grants Pass on June 2, 2010.
101 Northwest A Street -- Grants Pass, Oregon 97526 -- (541) 450-6060 -- Fax (541) 476-9218 -- www.grantspassoregon.gov
