Argus Vendor Pre-qualification Form We Are the Fuels Infrastructure Engineering Firm Company Information Company's Legal Name* Corporate Headquarters Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Year Established* Phone* Website address Primary Point of Contact Name* Phone* Products and/or Services Offered (Check all that apply) Number of Products and/or ServicesContractorContractor General Contractor Driller MEP Corrosion Protection Civil Coating/Painter Security Utility Locate Tank Erector Testing Communication/Controls Tank Inspection/Cleaning Other Material SupplierMaterial Supplier Distributor Pipe/Fittings Valves Pumps Tanks Electrical Safety Environmental Other A/EA/E General A/E Architect MEP Civil Geotechnical Structural Corrosion Protection Survey Environmental Interior Design Landscaping Other OtherOther Legal Cost Estimator Aerial Imaging Printer/Reprographics Courier Laboratory Other Primary areas of the world you support (Check all that apply) United StatesUnited States Northeast Southeast Central Southwest Northwest Other CountriesOther Countries Canada Latin America and the Caribbean Asia Africa Europe Does your company maintain any of the below or similar certifications? (check all that apply) Certifications 1 Disadvantaged Business Small Business Veteran Owned Service-Disabled Veteran Owned Other (list in the box below) Certifications 2 Minority Owned Woman Owned HBCU or Minority Institution Alaska Native Certifications 3 HUB Zone 8(a) Other certifications List current certificationsList current certifications in the space provided belowAll industries that you currently serviceCheck all industries that you currently service Commercial Aviation Military Rail Oil & Gas Marine General Aviation Other (specify below) 7 + 8 =*Other IndustriesOther Industries
