Sub-Contractors

Request to Join Bid List

Please fill out this form if you would like to be included on our bid list and recieve invitations to bid.

Company Name:
Area of expertise:
Subcontractor or Supplier: Subcontractor
Supplier
Address:
Phone Number:
Fax Number:
Contact person:
Email Address:
States in which the company is qualified to do business:

Contractor Qualification Form

Before using quotes or signing contracts, we request that subcontractors, to submit this qualification form.
Please fill in this form if you wish to become prequalified or if you have been informed that you are the apparent low bidder.
This form only needs to be filed one (1) time.

1. Contractor Identity

Company name:
Area of Expertise:
Subcontractor
Supplier
Mailing Address:
Physical Address (if different than mailing)
Phone Number:
Fax Number:
Email Address:
Contact Person:
Date Formed:
States in which the company is legally qualified to do business:
Total number of employees:
Names and titles of key people in company:
Has the company operated under any other name in the past five years? Yes
No
If yes, list addresses:

2. MBE/WBE/SBE Certification

Is the company a certified Minority Business Enterprise (MBE), Women Business Enterprise (WBE), Small Business Enterprise (SBE), or any other type of certified business enterprise? Yes
No
If yes, list:

3. Bonding Capacity

Do you have bonding? Yes
No

If yes, give details:

Single project limit:
Aggregate limit:
Bonding company name/address:
Bonding agent name/address/phone number:
4. Completed Projects (Summarize representative projects completed in the past five years) Include for each project: Name of Project, Scope of Work, Contract Amount, Completion Date
5. Current Projects (Summarize current projects) Include for each project: Name of Project, Scope of Work, Contract Amount, Est. Completion Date
6. Trade References (List three of your subcontractors or suppliers) Include for each: Name of Sub/Supplier, How long have you done business with them?, Contact Info
7. Client References (List three clients) Include for each: Name of Project, Scope of Work, Contract Amount, Completion Date

8. Other Information

Has your company or any of its key people been a party to a bankruptcy or reorganization proceeding? Yes
No
If yes, give date:
During the past five years, have any liens been filed against you by any of your subcontractors or suppliers? Yes
No
If yes, give details for any liens over $5,000:
Have you ever failed to complete a contract, been defaulted, or had a contract terminated? Yes
No
If yes, give details:
In the past five years, have you had liquidated damages assessed against you upon completion of a project? Yes
No
If yes, give details:
In the past five years, has your company or any of its key people been involved in any lawsuits arising from construction projects? Yes
No
If yes, give details:
In the past five years, has your company or any of its key people been investigated for or found to have committed a violation of any labor laws? Yes
No
If yes, give details:
In the past five years, has your company or any of its key people been investigated for or found to have committed any OSHA violations? Yes
No
If yes, give details:
In the past five years, has your company or any of its key people been investigated for or found to have committed a violation of state, federal, or local environmental protection laws? Yes
No
If yes, give details:
Is there any other information you would like to give us?

Please complete the form and submit the following attachments:

Licenses (copies of your current license or certification, if you are an electrician, plumber, asbestos handler, or in any other trade that requires a license or certification to perform work):
Certificate of Insurance (general liability, vehicle, & worker's compensation):
W9:
 

Created by KERNgroup Inc.