New Subcontractor & Supplier Qualification Form

Qualified subcontractors and suppliers are vital to Irwin & Leighton’s continued success. If you wish to be considered for future project opportunities, please complete the Qualification Form below. All items marked with an asterisk are required.


Company Information

Firm Name:*  

Office Phone Number (land line only, no cell phone numbers):*  

Office Fax Number:*  

Physical Address:*

Address Line 1:*  

Address Line 2:  

City:*       State:*       Zip Code:*  


Mailing Address:[required if different from Physical Address above]

Address Line 1:  

Address Line 2:  

City:     State:     Zip Code:  

Trade:*

Labor Affiliation:*

 Union      Open Shop     Both

Memberships:*

 AISC ERE (AISC Certified Steel Erector)
 AISC FAB (AISC Certified Steel Fabricator)
 AWI (Architectural Woodwork Institute)
 None applicable

Minority Status:*

 Minority Business Enterprise (MBE)
 Women's Business Enterprise (WBE)
 Disadvantaged Business Enterprise (DBE)
 None Applicable

Estimating Contact Information

Primary Contact:*

Name:*  

Email:*  

Cell:*  


Alternate Contact:

Name:  

Email:  

Cell:   Must be different from Primary Contact’s email!


Work Regions (check all applicable areas):*

Pennsylvania:

       Philadelphia/Five County Area
       Harrisburg/York/Lancaster
       Reading/Allentown
       Scranton/Wilkes-Barre
       Happy Valley
       Western Pennsylvania

New Jersey:

       Princeton/Central Jersey
       North Jersey
       South Jersey

Other:

       Delaware
       Maryland
       WashingtonDC/Virginia
       Retail, all Work Regions