3411 Oak Lake Boulevard

3411 Oak Lake Boulevard

<p> Corporate Office: 210 First Avenue South, Conover, NC 28613 (828) 464-7325 FAX: (828) 465-6747 Charlotte Office: 3411 Oak Lake Blvd., Charlotte, NC 28208 (704) 357-6095 FAX: (704) 357-1442</p><p>SUBCONTRACTOR & VENDOR INFORMATION FORM</p><p>Please complete the form and return via fax (704) 357-1442.</p><p>Update your company information to have on file with Matthews Construction Co., Inc.</p><p>COMPANY: ADDRESS: Physical Address City State Zip</p><p>Mailing Address City State Zip</p><p>CONTACT INFO: PHONE: EMAIL: ______Please note, email is the ONLY way MCC will send out bid invitations.</p><p>Name Title Email Address</p><p>WORK AREAS:</p><p>States: Counties: </p><p>LIST TRADES: Division # Description</p><p>Circle One Do you have General Liability & Worker’s Comp. Insurance? YES or NO Do you qualify as a Minority, Women Owned Business (MWBE)? YES or NO</p><p>Specify Which designations you Qualify for (Circle all that apply):</p><p>MBE WBE SBE HUB DBE DVBE</p><p>Distance your company will travel for project: Miles</p>

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