Get Poc Prime Prequalification Form - Connect Ncdot - North ...

The POC Prime Prequalification Form is essential for firms seeking approval as prime contractors for Purchase Order Contracts with the North Carolina Department of Transportation. This guide provides clear instructions on how to complete the form online, ensuring a seamless submission process.

Follow the steps to effectively complete your application.

1. Press the ‘Get Form’ button to access the POC Prime Prequalification Form and open it in your editor.
2. Begin with the front sheet of the form. Fill in your legal company name without abbreviations, federal tax identification number, address, contact name, phone number, fax number, and email.
3. In the section labeled 'Owners of Company,' list the names, percentages of ownership, race, and gender of the owners. Note that gender and race are optional fields.
4. Refer to the checklist provided to ensure all required items are completed, such as addressing items on the additional pages and confirming your desired work codes.
5. Provide details about any equipment your firm owns or rents and list examples of relevant recent work experience.
6. Complete the Substitute W-9 page, ensuring it is signed and dated by an officer of your firm.
7. Fill out Parts 1 and 2 of the Safety Index, including the Experience Modification Rate and Incident Rate. If your firm does not have workers' compensation insurance, check the relevant box.
8. Complete the work location sheet, selecting only the counties or divisions where your firm typically operates.
9. At the end of the application, complete the affidavit, certifying that all information is accurate and that your firm will comply with the Department's Standard Specifications.
10. Submit the completed package to the designated address or by fax. Ensure all components, including the Non-Collusion Affidavit and necessary certifications, are included.
11. Once submitted, keep a copy of your documentation for your records. Depending on the feedback received, you may need to provide additional information.
12. After completing your form, you can save changes, download the form, print it, or share it with others.

Begin your application process online today and ensure you're prequalified to work with the North Carolina Department of Transportation.