Contractor Registration - for PRP signatory contractors only

General Information

Company Name:
License Number:
Hawaii Mailing Address:		City:	Zip Code:
Phone:
Fax:
Website:	http://
Year Founded:
Years in Hawaii:

Contact for General Inquiries

	Mr.Ms.
Name:
Title:
Phone:		Ext:
Fax:
Cell:
Email:

Contractor Type:

General Contractor
Sub-Contractor

Specialty Licenses Held

Doing Business On:

Capable of Doing:

Design BuildDesign AssistLEED construction (LEED AP on staff)

Scope of Work: (Please check all that apply)

Residential

Commercial Industrial Institutional

Heavy Civil

Infrastructure

Company Summary:

In 75 words or less, please write a summary of your corporate background or philosophy, specialties, or any other information that you feel best describes your company.

Company Resume:

List of signature or recently completed projects. Up to 10 projects.

	Name	Photo
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

THE REST OF THIS FORM IS FOR PRP INTERNAL USE ONLY – IT WILL NOT BE PUBLISHED

Bonding Capacity:

Head of Hawaii Office:

	Mr.Ms.
Name:
Title:
Phone:		Ext:
Fax:
Cell:
Email:

'Special Projects' division contact (if applicable):

	Mr.Ms.
Name:
Title:
Phone:		Ext:
Fax:
Cell:
Email:			For projects valued between $	and $

Business Development Manager (or Marketing Director):

	Mr.Ms.
Name:
Title:
Phone:		Ext:
Fax:
Cell:
Email:

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