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2. Contractors interested in bidding on the City's rehabilitation projects mentioned on the previous page are asked to submit an interest form below. You will be contacted at a later date to provide additional information such as, but not limited to: references, W-9, copy of State Contractor's license, proof of Insurance, etc.
4. Insurance must be equal to, or exceed the following requirements:
6. 
10. Housing Rehabilitation Program - Contractor Interest Form
12. Company/Contractor Name*
14. Address*
16. City*
17. State*
18. Zip*
20. Telephone Number*
21. Email Address*
22. State License Number*
24. Name of Person Filling out this Form*
25. Title of Person Filling out this Form*
27. Certification of Non-Discrimination by Contractor*

    I hereby certify that my contracting firm does not discriminate in its employment with regard to race, color, religion, sex, or national origin; that it is in compliance with all Federal, State, and local directives and executive orders regarding non-discrimination in employment; and that it agrees to demonstrate positively and aggressively the principle of equal opportunity in employment.

    1. I agree
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print

* indicates a required field