CONTRACTOR & PROJECT OPPORTUNITY REGISTRATION


BID SOLICITATION INFORMATION

Bid Contact & Position

Phone

Cell

E-mail

Secondary Contact & Position

Phone

Cell

E-mail

Scope of work

Regions of work

CONTRACTOR/VENDOR QUALIFICATION INFORMATION

BUSINESS TYPE

BUSINESS INFORMATION

Company Name

Mailing Address

Street Address

City

State

Zip

Telephone Number

Facsimile Number

BUSINESS ORGANIZATION

STATE AND DATE ORGANIZED

NAME & TITLE OFFICERS, OWNERS, AND/OR PARTNERS

Name

Title

IF A SUBSIDIARY OF ANOTHER COMPANY, LIST PARENT COMPANY NAME & ADDRESS

LENGTH OF TIME IN BUSINESS

UNDER CURRENT NAME

UNDER OTHER NAME

METHOD OF OPERATION

LIST STATES AND WORK CATEGORIES IN WHICH YOUR ORGANIZATION IS LEGALLY QUALIFIED TO DO BUSINESS

CURRENT NUMBER OF

FULL-TIME EMPLOYEES

PROJECT MANAGERS

ESTIMATORS

ARE YOU OR ANY OFFICERS, STOCKHOLDERS, KEY MEMBERS, OR ANY RELATED COMPANIES INVOLVED IN ANY LITIGATION OR DISPUTES, OR ANY JUDGMENTS PENDING OR RENDERED ?

HAVE YOU FAILED TO COMPLETE ANY WORK AWARDED TO YOU ?

LIST YOUR MAJOR CONSTRUCTION PROJECTS ( MINIMUM 5) COMPLETED IN THE LAST FIVE YEARS:
PROJECT NAME
LOCATION
CONTRACT AMOUNT
OWNER NAME
ARCHITECT NAME
G.C.NAME
BID/NEGOTIATED
BONDED/UNBONDED
LIST ALL YOUR MAJOR CONSTRUCTION PROJECTS CURRENTLY IN PROGRESS:
PROJECT NAME
LOCATION
CONTRACT AMOUNT
% COMPLETE
OWNER NAME
ARCHITECT NAME
G.C.NAME
COMPLETION DATE
BID/NEGOTIATED
BONDED/UNBONDED
LIST FIVE (5) GENERAL CONTRACTOR REFERENCES FOR WHICH YOU HAVE WORKED:
COMPANY NAMECONTACTTELEPHONE NUMBERADDRESS
LIST FIVE (5) TRADE (CREDIT) REFERENCES:
COMPANY NAMECONTACTTELEPHONE NUMBERADDRESS

SUBMIT A COPY OF YOUR STANDARD INSURANCE CERTIFICATE SHOWING COVERAGES & LIMITS

INSURANCE AGENCY NAME

ADDRESS

CITY

STATE

ZIP

TELEPHONE NO

BOND AGENCY NAME

ADDRESS

TELEPHONE NO.

DOLLAR AMOUNT OF BONDED WORK ON HAND

PERCENT OF BONDED WORK TO TOTAL WORK

BONDING CAPACITY TOTAL

BONDING CAPACITY PER JOB

BOND PREMIUM RATE

SURETY COMPANY

BUSINESS BANK NAME

ADDRESS

CITY

STATE

ZIP

ACCOUNT EXECUTIVE

TELEPHONE NUMBER

TYPE OF ACCOUNT AND ACCOUNT NUMBERS

LINE OF CREDIT

TOTAL VOLUME OF SALES AND/ OR WORK PERFORMED FOR EACH OF THE PREVIOUS FIVE YEARS :
YEAR
AMOUNT

SUBMIT YOUR LATEST AUDITED, REVIEWED, OR COMPILED BALANCE SHEET AND INCOME STATE THAT INCLUDES

CURRENT ASSETS, TOTAL ASSETS, CURRENT LIABILITIES, LONG TERM LIABILITIES, EQUITY, REVENUE, GROSS PROFIT AND NET INCOME

FEDERAL IDENTIFICATION NUMBER

WHO DO YOU PROPOSE TO USE AS

YOUR PROJECT MANAGER

YOUR SUPERINTENDENT

(PLEASE ATTACH RESUMES OF EACH WITH A LIST OF GENERAL CONTRACTORS FROM THEIR LAST THREE PROJECTS.)

WORKMAN’S COMPENSATION EXPERIENCE MODIFIER

STATE CONTRACTOR LICENSE # FOR STATE THIS PROJECT WILL BE BUILT

(A copy of the license must be attached)

PERSONAL INFORMATION

NAME

TITLE

COMPANY

DATE