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SUBCONTRACTOR QUALIFICATION STATEMENT
Step 1 of 5 - CONTACT INFO
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CONTACT INFO
Company
Trade
Submitted by
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Telephone
Email
Estimating contact
ORGANIZATION
A. Number of years firm established:
Less than a year
1-3 years
3-7 years
7-15 years
Over 15 Years
B. Type of business
Sole proprietorship
Partnership
Corporation
State Incorporated
A. Number of years firm established
C. Names of Owners/Partners/Managers:
Name
Position
D. Is your firm certified as Minority or Women Owned?
Yes
No
E. Number of Employees:
# Office
# Field
LICENSES
A. Please check if you ar licensed in the following jurisdictions
D.C.
Maryland
Virginia
West Virginia
Pennsylvania
EXPERIENCE / REFERENCES
A. How much of your work is done on each of the following project types:
Interior tenant build out
None
Some
Most
All
Retail
None
Some
Most
All
Restaurant
None
Some
Most
All
Medical
None
Some
Most
All
B. In a separate document, provide a list of projects in progress, state the type of the project, contract amount and percentage of completion.
C. Please list General Contractors that you have or are currently work with (company name and contact info).
D. Please list supplier references (company name and contact info).
FINANCIAL
A.Please provide your company’s Certificate of Insurance.
B. Is your company capable of bonding?
YES
NO
To what limit?
C. Claims and Suits
i. Has your organization ever failed to complete any work awarded to it?
ii. Are there any judgements, claims or suits pending or outstanding against your organization or officers?
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