All Subcontractors bidding on future jobs must submit current certificates of insurance and Valid licenses to the office to be considered for the project.

Company Name:
Phone:
Fax:
Contact Name:

Contractor's License(s) State & Nos.
State:
Number:
State:
Number:
State:
Number:
Federal I.D.#:
Year Business Started:
Union Signatory: Yes No

1. Trade Categories

List categories of work you are qualifies to perform.

2. Project types

Please check the type and size of work your company is qualified to perform
Commericial Custom Home Infrastructure up to $100K $100-500K over $500K

3. Performance Reference

Provide five (5) recently completed jobs and corresponding reference. FAX NUMBER MUST BE FILLED OUT.
Job Name General Contractor
/Contact Name		 Telephone Number Fax Number
(must be filled out)		 Subcontract Value

4. Annual Volume

Provide your annual volume of work completed in the last three years as well as the next year's forecast.
$ 2005
$ 2006
$ 2007

5. Can you provide a Labor, Material and Performance Bond?
Yes No

6. Bonding
Company Agent Name & Telephone
Bonding Capacity
- per job
- aggregrate

7. Staff
# Office personnel
# Field Supervisors
# Avg. Field Labor

8. Principals
Name Title
Name Title
Name Title

9. Has you company implemented a Total Quality Management (T.Q.M) System?
Yes No

10. In the last 5 years, has your company had any fatalities, falls over 10', or been cited OSHA for a "serious" or "willful" violation?
Yes No

11. What was your Worker's Compensation Modifier or EMR for the last three (3) years and liability insurance?
$ 2005
$ 2006
$ 2007

12. Balance Sheet

$ 2005
$ 2006
$ 2007

Note:

Your responses to these questions will be checked and evaluated. If approved, your firm will be invited to bid on appropriate projects.