What is the Contractor Pre-Qualification Application for?

Contractors use it to apply for Van Buren County’s Pre-Qualified Contractor List for non-petitioned maintenance and provide company, equipment, experience, and reference information.

What attachments does the application request?

It requests a completed W-9 unless the contractor is already a county vendor, a certificate of liability insurance, and proof of workers compensation insurance or an exemption.

Do I need a notary for the Contractor Pre-Qualification Application?

No. The application has a signature and date line but no notary block; the signer just signs and dates it.

Van Buren County, MI · Van Buren County

No notary required

Contractor Pre-Qualification Application

Contractors submit this application to be considered for Van Buren County’s Pre-Qualified Contractor List for non-petitioned maintenance.

At a glance

Issued by: City of Van Buren County · Van Buren County, Van Buren County, Michigan
Notarization: Not required: file this form without a notary.
Official source: vanburencountymi.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This application asks contractors to provide company details, identify owned equipment and drain construction abilities, and list recent work and references. Contractors applying for placement on the Van Buren County Pre-Qualified Contractor List for non-petitioned maintenance should complete it and attach the requested W-9, insurance documents, and any other required proof. The applicant signs and dates a certification that the information is accurate.

Who needs it

Contractors seeking placement on Van Buren County’s Pre-Qualified Contractor List for non-petitioned maintenance should complete this application.

How to submit it

Submit the application and requested attachments to the Van Buren County Drain Commissioner, 219 E. Paw Paw St., Ste. 301, Paw Paw, MI 49079.

About notarization

This application is signed and dated without a notary; the signer just signs and dates it.

How to submit this form

1
Download the Application
Download the Contractor Pre-Qualification Application PDF.
2
Complete the Application
Enter company information, check applicable equipment and work abilities, and provide references and credentials.
3
Gather the Attachments
Include the requested W-9, certificate of liability insurance, and proof of workers compensation insurance or an exemption.
4
Sign and Date
Sign and date the certification that the information provided is true and accurate.
5
Submit to the County
Send the application and attachments to the Van Buren County Drain Commissioner at the address listed on the form.

Frequently asked questions

What is the Contractor Pre-Qualification Application for?: Contractors use it to apply for Van Buren County’s Pre-Qualified Contractor List for non-petitioned maintenance and provide company, equipment, experience, and reference information.
What attachments does the application request?: It requests a completed W-9 unless the contractor is already a county vendor, a certificate of liability insurance, and proof of workers compensation insurance or an exemption.
Do I need a notary for the Contractor Pre-Qualification Application?: No. The application has a signature and date line but no notary block; the signer just signs and dates it.
How do I submit the Contractor Pre-Qualification Application?: Send the completed application and requested attachments to the Van Buren County Drain Commissioner, 219 E. Paw Paw St., Ste. 301, Paw Paw, MI 49079.

Need something notarized?

This Contractor Pre-Qualification Application doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.