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Pre-Qualification Form

Pre-Qualification Form

If you are interested in getting on our Subcontractor or Suppliers Bidders List, please fill out this form

SUBCONTRACTOR PRE-QUALIFICATION FORM

Date

Contact Information:

Company Name

E-mail Address

Company Phone

Company Fax

Cell Phone

Owner/Company Officer

Profile Information:

Trades Performed

Other Trades (not listed above)

MBE

WBE

DBE

MBE/WBE/DBE Certified By:

Please attach copies of all certifications

State of Incorporation

Contractor's License Number, State & Expiration

State Sales Tax Registration Number:

Federal ID Number

Please attach a copy of Workers Compenstaion, W-9, & General Liability

Typical Project Size

Year Company Was Started

Range of contracts within last 2 years (From $- To $)

Annual Revenue for the past 3 years

# of Office Employees

# of Field Supervisors

# of Tradespeople

Trade Reference 1:

Company, Address/City/State, Contact Person, Phone and Fax Numbers

Trade Reference 2:

Company, Address/City/State, Contact Person, Phone and Fax Numbers

Trade Reference 3:

Company, Address/City/State, Contact Person, Phone and Fax Numbers

Has your organization ever failed to complete any work awarded to it?

If Yes, explain:

Are there any judgments, claims, arbitrations proceedings or suits threatened, pending or outstanding against your organization or officers?

If Yes, explain:

Has your organization been a party to any lawsuits or arbitration proceedings related to construction projects within the last five years

If Yes, explain:

Has your organization or any officer or principal past or present ever filed for bankruptcy?

If Yes, explain:

Safety Information

Are you compliant with all OSHA and regulatory safety laws?

Bonding Rate, Name of Surety, & Key Contact/Phone

Kavanagh

Pre-Qualification Form