Preliminary Application

If you have any questions please call us at (212) 693-1550 Toll free: 866-776-7331

Type*
Firm Name*
Contact Person*
Address*
Phone*
Email*
Date Firm Was Established
Is a principle, partner, officer, or director a licensed architect, engineer, or registered land surveyor?
Discipline
Acoustical Engineering % Architecture %
Asbestos Inspection, Testing or Abatement Design % Chemical Engineering %
Civil Engineering % Communication Engineering %
Construction/Project Management % Electrical Engineering %
Environmental Engineering % HVAC Engineering %
Interior Design % Laboratory Testing %
Land Surveying % Landscape Architecture %
Machine/Equipment Design % Mining Engineering %
Naval/Marine Engineering % Process Engineering %
Soil/Geotech Engineering % Structural Engineering %
Project Type
Airport Runways / Taxiways % Nuclear Facilities %
Amusement Rides % Office Buildings %
Apartments % Parking Structures %
Bridges % Petrochemical / Refineries %
Churches % Pools %
Condominiums % Power Plants %
Convention Centers % Roads / Highways %
Custom Residential % Schools / Colleges %
Dams % Sewage Systems %
Environmental Impact Statements % Sewage Treatment Plants %
Foundation or Shoring Projects % Shopping Centers / Retail %
Harbors / Piers / Ports % Site Development %
Hospital / Healthcare % Superfund / Pollution %
Hotels / Motels % Tract Homes / Subdivisions %
Industrial Waste Treatment % Traffic Planning %
Jails / Justice % Tunnels %
Landfills % Warehouses %
Libraries % Water Systems %
Manufacturing / Industrial % Other %
Mass Transit % Other %
Are any of your firm's billings related to the following? (If yes please produce the percentages)

Design / Build%

Pollution Related Services%
Please provide the past 3 years of billings

Year 1     Year 2     Year 3

Projection for this upcoming year
Do you currently carry insurance?

Name of Insurance Company

Limits

Deductible

Premium

Expiration Date
 

Some of Our Client

Organizations We Work With

Organizations we work with