Construction Services
200 General Services Building
700 Wallace Road
Ames, IA 50011-4013
Phone: (515) 294-0563
Fax: (515) 294-2764
E-Mail:
Project Information & Contact List
Name of Project:Use project title as exactly on award letter or contract
Bid Package Number or Phase:Iowa Sales Tax Exemption Certificates will be prepared by the Owner for the Contractor and Subcontractor(s) listed on this form. Include parties who will be purchasing material for this project. The Owner will generate the Certificate(s). The Certificate(s) will be sent to the Prime Contractor for distribution.
Return this form by e-mail at the address above
Prime Contractor:Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Project Manager:
Project Manager E-Mail Address:
Superintendent:
Superintendent E-Mail Address:
Superintendent Cellular Phone #:
Site Phone #:
Safety Representative:
Safety Representative Phone #:
Primary Emergency Contact: / Phone #:
Secondary Emergency Contact:
(Not required if Primary is answered 24 hours) / Phone #:
Check here if no subcontractors will be used:
ISU Use Only: / Tax Exempt Entry & Certificate / :Subcontractor: / Does this company need access to Centric Project? Yes No
Section & Description:
Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Emergency Contact: / Phone #:
Primary Contact & Title: / E-mail Address:
(Required for access to Centric Project)
Type of work:
Brickwork / Masonry Carpentry / Millwork Concrete Drywall / Plaster / Insulation Electrical
Electrical - Access Control Electrical - Fire Alarm Electrical - Telecommunications Elevator (Other) Excavation - Grading
Excavation - Grading (Site Utilities) Fire Protection Flooring Heavy Construction HVAC - Controls
HVAC - Ductwork HVAC - Hydronic Landscaping Painting Paving
Plumbing Roofing / Siding / Sheet Metal Steel / Metals (Other) Windows / Curtainwall Wrecking / Demolition
Material Supplier Only (Other) Other: Specify: Comments:
ISU Use Only: / Tax Exempt Entry & Certificate: / CP Set Up:Subcontractor: / Does this company need access to Centric Project? Yes No
Section & Description:
Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Emergency Contact: / Phone #:
Primary Contact & Title: / E-mail Address:
(Required for access to Centric Project)
Type of work:
Brickwork / Masonry Carpentry / Millwork Concrete Drywall / Plaster / Insulation Electrical
Electrical - Access Control Electrical - Fire Alarm Electrical - Telecommunications Elevator (Other) Excavation - Grading
Excavation - Grading (Site Utilities) Fire Protection Flooring Heavy Construction HVAC - Controls
HVAC - Ductwork HVAC - Hydronic Landscaping Painting Paving
Plumbing Roofing / Siding / Sheet Metal Steel / Metals (Other) Windows / Curtainwall Wrecking / Demolition
Material Supplier Only (Other) Other: Specify: Comments:
ISU Use Only: / Tax Exempt Entry & Certificate: / CP Set Up:Subcontractor: / Does this company need access to Centric Project? Yes No
Section & Description:
Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Emergency Contact: / Phone #:
Primary Contact & Title: / E-mail Address:
(Required for access to Centric Project)
Type of work:
Brickwork / Masonry Carpentry / Millwork Concrete Drywall / Plaster / Insulation Electrical
Electrical - Access Control Electrical - Fire Alarm Electrical - Telecommunications Elevator (Other) Excavation - Grading
Excavation - Grading (Site Utilities) Fire Protection Flooring Heavy Construction HVAC - Controls
HVAC - Ductwork HVAC - Hydronic Landscaping Painting Paving
Plumbing Roofing / Siding / Sheet Metal Steel / Metals (Other) Windows / Curtainwall Wrecking / Demolition
Material Supplier Only (Other) Other: Specify: Comments:
ISU Use Only: / Tax Exempt Entry & Certificate: / CP Set Up:Subcontractor: / Does this company need access to Centric Project? Yes No
Section & Description:
Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Emergency Contact: / Phone #:
Primary Contact & Title: / E-mail Address:
(Required for access to Centric Project)
Type of work:
Brickwork / Masonry Carpentry / Millwork Concrete Drywall / Plaster / Insulation Electrical
Electrical - Access Control Electrical - Fire Alarm Electrical - Telecommunications Elevator (Other) Excavation - Grading
Excavation - Grading (Site Utilities) Fire Protection Flooring Heavy Construction HVAC - Controls
HVAC - Ductwork HVAC - Hydronic Landscaping Painting Paving
Plumbing Roofing / Siding / Sheet Metal Steel / Metals (Other) Windows / Curtainwall Wrecking / Demolition
Material Supplier Only (Other) Other: Specify: Comments:
ISU Use Only: / Tax Exempt Entry & Certificate: / CP Set Up:Subcontractor: / Does this company need access to Centric Project? Yes No
Section & Description:
Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Emergency Contact: / Phone #:
Primary Contact & Title: / E-mail Address:
(Required for access to Centric Project)
Type of work:
Brickwork / Masonry Carpentry / Millwork Concrete Drywall / Plaster / Insulation Electrical
Electrical - Access Control Electrical - Fire Alarm Electrical - Telecommunications Elevator (Other) Excavation - Grading
Excavation - Grading (Site Utilities) Fire Protection Flooring Heavy Construction HVAC - Controls
HVAC - Ductwork HVAC - Hydronic Landscaping Painting Paving
Plumbing Roofing / Siding / Sheet Metal Steel / Metals (Other) Windows / Curtainwall Wrecking / Demolition
Material Supplier Only (Other) Other: Specify: Comments:
ISU Use Only: / Tax Exempt Entry & Certificate: / CP Set Up:Subcontractor: / Does this company need access to Centric Project? Yes No
Section & Description:
Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Emergency Contact: / Phone #:
Primary Contact & Title: / E-mail Address:
(Required for access to Centric Project)
Type of work:
Brickwork / Masonry Carpentry / Millwork Concrete Drywall / Plaster / Insulation Electrical
Electrical - Access Control Electrical - Fire Alarm Electrical - Telecommunications Elevator (Other) Excavation - Grading
Excavation - Grading (Site Utilities) Fire Protection Flooring Heavy Construction HVAC - Controls
HVAC - Ductwork HVAC - Hydronic Landscaping Painting Paving
Plumbing Roofing / Siding / Sheet Metal Steel / Metals (Other) Windows / Curtainwall Wrecking / Demolition
Material Supplier Only (Other) Other: Specify: Comments:
ISU Use Only: / Tax Exempt Entry & Certificate: / CP Set Up:Subcontractor: / Does this company need access to Centric Project? Yes No
Section & Description:
Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Emergency Contact: / Phone #:
Primary Contact & Title: / E-mail Address:
(Required for access to Centric Project)
Type of work:
Brickwork / Masonry Carpentry / Millwork Concrete Drywall / Plaster / Insulation Electrical
Electrical - Access Control Electrical - Fire Alarm Electrical - Telecommunications Elevator (Other) Excavation - Grading
Excavation - Grading (Site Utilities) Fire Protection Flooring Heavy Construction HVAC - Controls
HVAC - Ductwork HVAC - Hydronic Landscaping Painting Paving
Plumbing Roofing / Siding / Sheet Metal Steel / Metals (Other) Windows / Curtainwall Wrecking / Demolition
Material Supplier Only (Other) Other: Specify: Comments:
ISU Use Only: / Tax Exempt Entry & Certificate: / CP Set Up:Subcontractor: / Does this company need access to Centric Project? Yes No
Section & Description:
Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Emergency Contact: / Phone #:
Primary Contact & Title: / E-mail Address:
(Required for access to Centric Project)
Type of work:
Brickwork / Masonry Carpentry / Millwork Concrete Drywall / Plaster / Insulation Electrical
Electrical - Access Control Electrical - Fire Alarm Electrical - Telecommunications Elevator (Other) Excavation - Grading
Excavation - Grading (Site Utilities) Fire Protection Flooring Heavy Construction HVAC - Controls
HVAC - Ductwork HVAC - Hydronic Landscaping Painting Paving
Plumbing Roofing / Siding / Sheet Metal Steel / Metals (Other) Windows / Curtainwall Wrecking / Demolition
Material Supplier Only (Other) Other: Specify: Comments:
ISU Use Only: / Tax Exempt Entry & Certificate: / CP Set Up:Subcontractor: / Does this company need access to Centric Project? Yes No
Section & Description:
Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Emergency Contact: / Phone #:
Primary Contact & Title: / E-mail Address:
(Required for access to Centric Project)
Type of work:
Brickwork / Masonry Carpentry / Millwork Concrete Drywall / Plaster / Insulation Electrical
Electrical - Access Control Electrical - Fire Alarm Electrical - Telecommunications Elevator (Other) Excavation - Grading
Excavation - Grading (Site Utilities) Fire Protection Flooring Heavy Construction HVAC - Controls
HVAC - Ductwork HVAC - Hydronic Landscaping Painting Paving
Plumbing Roofing / Siding / Sheet Metal Steel / Metals (Other) Windows / Curtainwall Wrecking / Demolition
Material Supplier Only (Other) Other: Specify: Comments:
ISU Use Only: / Tax Exempt Entry & Certificate: / CP Set Up:Subcontractor: / Does this company need access to Centric Project? Yes No
Section & Description:
Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Emergency Contact: / Phone #:
Primary Contact & Title: / E-mail Address:
(Required for access to Centric Project)
Type of work:
Brickwork / Masonry Carpentry / Millwork Concrete Drywall / Plaster / Insulation Electrical
Electrical - Access Control Electrical - Fire Alarm Electrical - Telecommunications Elevator (Other) Excavation - Grading
Excavation - Grading (Site Utilities) Fire Protection Flooring Heavy Construction HVAC - Controls
HVAC - Ductwork HVAC - Hydronic Landscaping Painting Paving
Plumbing Roofing / Siding / Sheet Metal Steel / Metals (Other) Windows / Curtainwall Wrecking / Demolition
Material Supplier Only (Other) Other: Specify: Comments:
ISU Use Only: / Tax Exempt Entry & Certificate: / CP Set Up:Subcontractor: / Does this company need access to Centric Project? Yes No
Section & Description:
Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Emergency Contact: / Phone #:
Primary Contact & Title: / E-mail Address:
(Required for access to Centric Project)
Type of work:
Brickwork / Masonry Carpentry / Millwork Concrete Drywall / Plaster / Insulation Electrical
Electrical - Access Control Electrical - Fire Alarm Electrical - Telecommunications Elevator (Other) Excavation - Grading
Excavation - Grading (Site Utilities) Fire Protection Flooring Heavy Construction HVAC - Controls
HVAC - Ductwork HVAC - Hydronic Landscaping Painting Paving
Plumbing Roofing / Siding / Sheet Metal Steel / Metals (Other) Windows / Curtainwall Wrecking / Demolition
Material Supplier Only (Other) Other: Specify: Comments:
ISU Use Only: / Tax Exempt Entry & Certificate: / CP Set Up:Subcontractor: / Does this company need access to Centric Project? Yes No
Section & Description:
Iowa Contractor Registration #:
Federal ID #:
Street Address:
City, State, Zip:
Office Phone #:
Fax #:
Emergency Contact: / Phone #:
Primary Contact & Title: / E-mail Address:
(Required for access to Centric Project)
Type of work:
Brickwork / Masonry Carpentry / Millwork Concrete Drywall / Plaster / Insulation Electrical
Electrical - Access Control Electrical - Fire Alarm Electrical - Telecommunications Elevator (Other) Excavation - Grading
Excavation - Grading (Site Utilities) Fire Protection Flooring Heavy Construction HVAC - Controls
HVAC - Ductwork HVAC - Hydronic Landscaping Painting Paving
Plumbing Roofing / Siding / Sheet Metal Steel / Metals (Other) Windows / Curtainwall Wrecking / Demolition
Material Supplier Only (Other) Other: Specify: Comments:
ISU Use Only: / Tax Exempt Entry & Certificate: / CP Set Up:G:\Project Management\Capital Projects\Templates\Contractor Web Forms\Project Information And Contact List.Doc