QUALIFICATION FORM

POET is committed to providing a safe and healthy workplace for all employees, contractors, vendors and neighbors. Conducting business in a manner that manages environmental issues responsibly is a top priority. All contractors, consultants, and suppliers that are interested in providing POET Design & Construction with materials/equipment or working on projects must complete the following form. This Qualification Form must be completed by a representative of Vendor who is authorized by Vendor to provide the information herein for consideration by POET Design & Construction in its vendor qualification process. Form completion does not guarantee selection for POET projects.

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By submitting this Qualification Form, I hereby acknowledge and agree that I am an individual legally authorized to act for and on behalf of Vendor and to submit this Qualification Form on behalf of Vendor. I hereby certify that the foregoing information provided by me on behalf of Vendor is true and correct to the best of my knowledge, information and belief and that I am legally authorized to make the foregoing certification on behalf of Vendor.




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