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CrowderGulf
Debris Management Sub-Contractor Preliminary Registration Form
Please fill-out this form and fax to (251) 459-7433 Attn: Subcontractors. Thank you.
First Name
Last Name
Your Position or Title
Company
Email Address
Company Address
City
State/Province
Zip Code
County
Phone Number
Cell Phone Number
Fax Number
Owner Name
Please Note Insurance Requirements
Type of Business-Federal Certification
(check all that apply)

Large Business (over $11.5 million
       in revenue annually)
 Small Business (under $11.5 million
       in revenue annually)
 Woman-Owned Business
Small Disadvantaged Business
      (As defined in 13 CFR 124.1002)
HUB Zone Owned
Veteran Owned
Service Disabled Veteran


Please fill-in the number of pieces of equipment you have for each type of equipment listed below:
Description of Equipment
Number of Pieces
1.
Dump Truck, 16-24 yd3 Capacity
2.
Dump Truck, 25-45 yd3 Capacity
3.
Dump Truck, 46-65 yd3 Capacity
4.
Pickup truck w/ Dump Trailer
15-20 yd3 Capacity
5.
Knuckle boom, Prentice-Style/Self-Loader, 10,000 lb. Capacity
6.
Wheel Loader, 50HP 1yd Capacity
7.
Wheel Loader, 100HP 2yd Capacity
8.
Wheel Loader, 150HP 4yd Capacity
9.
Truck Pickup, .5 Ton
10. Hydraulic Excavator, 50HP, w/bucket & Grapple/Thumb
11. Hydraulic Excavator, 100HP, w/bucket & Grapple/Thumb
12. Hydraulic Excavator, 150HP, w/bucket & Grapple/Thumb
13. Trailer Mounted Flood Light Set  with Generator Unit
14. Low-bed trailer with tractor
15. Water Truck - min. 3,000 Gal.
16. Air Curtain Burner, min. nozzle velocity of 8,800 ft/min(100mph) and volume of 900 cf/min/linear ft.
17. Backhoe, with loader, 1.5 yd3 Capacity, with thumb attachment
18. Dozer, tracked 2-3 yd3 Blade Capacity
19. Dozer, tracked with root rake blade, D7 or equal
20. Grader, Motor, 12 foot blade,     130-140 net HP
21. Chipper, with 12 inch minimum
22. Tub Grinder 800-1,000HP
23. Tub Grinder, 300-400HP
24. Self loading truck, 20-30 yd3 Capacity
25. Self loading truck, 30-40 yd3 Capacity
26. Skid steer loader, 40HP, w/grapple
27. Skid steer loader, 60HP, w/grapple
28. Skid steer loader, 80HP, w/grapple
 
Additional Resources - Please list any Other Equipment
 

This form is only a preliminary step in the process of hiring potential contractors.
Completion of this form does not guarantee employment.

 
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