LMCC Referral Form

Monitoring Painting, Taping, Glazing, Floor Covering and Allied Trades on Public Works Projects Throughout the State of Nevada.

Referral Form

"*" indicates required fields

Please provide as much info as possible.

Names of Contractors on the Project:*

Painter #1

Painter #2

Glazier #1

Glazier #2

Drywall #1

Drywall #2

Floorcoverer #1

Floorcoverer #2

Name of Painting Contractor #1*

Name of Painting Contractor #2*

Name of Glazier #1*

Name of Glazier #2*

Name of Drywall Contractor #1*

Name of Drywall Contractor #2*

Name of Floorcoverer #1*

Name of Floorcoverer #2*

General Contractor

Project Name

Project Address (or nearest intersection)*

Project City*

Awarding Agency*

Agency Phone #:

Project Manager/Contact Person

Contact Person's Phone #

Bid Date (if known)

% of Completion

Please enter a number from 1 to 100.

Proposed Project Start Date

Proposed Project End Date

If you have any bid documents, bid announcements, dodge reports, etc., related to this project attach them here.

File

Drop files here or

Max. file size: 256 MB.

Your Name*

Your Email*

Your Phone*

Your Message

Please include as much information applicable.

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