Prequalification Form

1. GENERAL INFORMATION

Company Name *

Year Established

Address *

City *

State *

Zip *

Phone *

Fax

Company Email *

Federal Tax ID #

D & B #

License #

Upload W-9 (PDF, JPG, PNG, DOC — optional, if you have it now)

Business Type / Vendor Classification *

Vendor / SupplierService ProviderManufacturerOther

NOTE: W-9 on file confirmation added so procurement can verify tax documentation is collected before setting up a new vendor.

2. CONTACT INFORMATION

Primary Contact

Name *

Title

Email *

Phone *

Accounting Contact

Name

Title

Phone

Sales Contact

Name

Title

Phone

Manager Name

Manager Title

Manager Email

Manager Phone

3. CORE OFFERING *(Check all that apply.)

Other

Industries Served

Typical Subcontracting %

Trades / Services Performed Directly

4. RISK TRANSFER ACKNOWLEDGMENT

The vendor acknowledges and agrees that any purchase order or contract entered with Tameer, Inc. will include provisions that transfer all risks, liabilities, and obligations related to the goods or services supplied by the vendor, to the extent permitted by applicable law. This includes but is not limited to risk of loss, damage, delay, product defect, delivery, safety compliance, and third-party claims arising from the vendor’s scope of supply. By signing this form, the vendor confirms their understanding and acceptance of this condition.

I acknowledge and accept the above Risk Transfer condition

5. CONTRACT REFERENCES

Largest Order / Contract Ever Completed:

Project Name / Location

Project Owner / Agency

Year

Type of Work

Contract Amount

Contact Name & Phone #

6. REQUIRED DOCUMENTS CHECKLIST (Vendor-Specific)

W-9 Form (completed and signed)Material Safety Data Sheets (SDS) for chemical or supply products (if applicable)Product Specification / Cut Sheets (if applicable)Certificate of Insurance (current version)Federal Tax ID Verification documentCopy of all applicable Certifications (MWBE / DBE / SBE / VBE)State License copies for all registered operational states

Attach Supporting Documents (PDF, JPG, PNG, DOC — max 10MB)

7. CORPORATE DECLARATION & SIGNATORY AFFIRMATION

I, the undersigned, affirm that I have answered all questions in this Prequalification Form completely and truthfully. I understand that the consideration of my company as a potential vendor by Tameer, Inc. may depend upon the submission of accurate and acceptable information in this form.

Date *

Full Legal Company Name *

Authorized Signature (type full name) *

Print Name *

Corporate Title

Vendor

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Prequalification Form

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