Phone: 866.732.8347 FAX: 904.220.1498
| SUBCONTRACTOR’S QUALIFICATION FORM
| |
Project: |
| Date: | |
|
Trade(s): | |
|
Name of Company: | |
|
Mailing Address: | |
|
Shipping Address: | |
|
| | | | |
|
City | State | ZIP Code |
|
Phone: | ( ) | Point of Contact: | |
|
FAX: | ( ) | E-mail Address: | | |
Owners/Officer: | |
|
Type of Entity: | Sole Proprietorship Partnership Corporation Federal ID# |
|
Years in Business: | | Contractor License / Certificate # | | State | | Classification | | |
Does your company qualify as a : | Small Business Enterprise | Woman Owned | Small Dis- advantaged | 8a | Veteran Owned | Service Disabled Veteran Owned | HUB Zone |
| |
Has your company: | Ever operated under another name? | YES NO | Ever failed to complete a project? | YES NO | Ever filed bankruptcy? | YES NO |
|
If “YES” Please Explain | | | | |
Have your Principals: | Ever worked for a company that failed to complete a project? | YES NO | Ever worked for a company that filed bankruptcy? | YES NO |
|
If “YES” Please Explain | | | | |
| |
Resources & Bonding | |
What is your company’s current bonding capacity? | Total | $ | Single Project: | $ | |
Name of Bonding Company | |
|
What is the largest contract ever performed? | $ | Current value of work on hand: | $ |
|
What is company average annual volume for the last three years? | $ | Average number of employees: | |
|
| |
Experience | |
Does your company have experience on similar projects? If yes, please list. |
Project Name & Location | | Subcontract Amount : | $ |
|
Project Name & Location | | Subcontract Amount : | $ |
|
Project Name & Location | | Subcontract Amount : | $ |
|
| |
Requested Attachments – References, Resume | |
Attach a list of References for the following: 1)General Contractors 2) Trade References |
|
Note: Please include a point of contact and their phone / fax numbers |
|
|
|
Attach a copy of proposed superintendent’s resume. | |