Subcontractor Prequalification Form

 GENERAL INFORMATION
  Company Name
  
  Company Address
  
  Phone
 Fax
  
  Website
    
  Parent Company
  
  Parent Company's Address
  
       
  President
    
  Phone
 Email Address
  
  Contact:
    
  Phone
 Email Address
  
     
  List Current License and include any out of state:  
  Principal Office: Corporation Partnership Individual Joint Venture      
Other:
       
  Years in Business
 Federal Tax ID Number
  
  Annual Sales:
    
 
2007
 2006
 2005
  Average Annual Volume (3 Yrs)
    
  Dunn & Bradstreet Number (PWCI)
 Dunn & Bradstreet Rating (PWCI)
  
     
  Union Affiliations Yes No
  If yes, please list affiliations:
  
  MBE, WBE, SBE, DBE, DVBE
  
       
  KEY PERSONNELL  
  Person in your office to receive bid invitations:
  
  Email:
  
  Chief Estimator
  
  Operations Manager
  
  Length of present Management Control
  
       
  Primary Trade (and CSI or UCI Code, if known, i.e., 16000 Electrical, 03300 Concrete):
 
  Please make sure to fill this section out. If we do not know what your company does, we cannot add you to our database.  
  Project Type Will Bid:
All Types Educational Commercial
CM / Multi-Prime Public Design / Build
 
     
  Geographic Area Limitations:
All Areas Orange Co. San Bernardino
Los Angeles Ventura Riverside
San Diego Nevada Colorado
South Carolina    
Others (Please specify):
 
     
  List work regularly performed by own forces:
  
       
  Has this firm ever defaulted on a contract? Yes No
  If yes, please provide details:
 
  Has this firm experienced reorganization within the past year? Yes No
  If yes, please provide details:
 


Are there any judgements, claims, arbitration proceedings or suits pending or outstanding against your organization or its officiers Yes No
  If yes, please provide details:
 
  Has your orgainzation filed any lawsuits or requested arbitration with regard to construction contracts within the last five years? Yes No
  If yes, please provide details:
 
  Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract? Yes No
  If yes, please provide details:
  
  Total Number of Home Office Employees
 Total Number of Field Employees
  
  Have you ever signed the PW Construction Subcontract Agreement? Yes No
  CAD Capabilities: Yes No
  LEED Experience: Yes No
  Drug Program: Yes No
  Safety manager: Yes No
       
 TRADE REFERENCES
  TRADE REFERENCE 1
  Company  
  Telephone  
  Fax  
  Contact  
  Annual Purchase Amount  
       
  TRADE REFERENCE 2    
  Company  
  Telephone  
  Fax  
  Contact  
  Annual Purchase Amount  
       
  TRADE REFERENCE 3    
  Company  
  Telephone  
  Fax  
  Contact  
  Annual Purchase Amount  
       
 EXPERIENCE LIST
  List at least three of your largest projects in the past 3 years; include the following information  
     
  PROJECT 1  
  Name of project
 Type of building
  
  City & State
 Contract Amount ($)
  
  Contractor / Client Contact
   
  Phone
Email
 
  Subcontractor Project Manager
 Subcontractor Foreman
  
  Start Date
 End Date
  
  Comments:
 
     
  PROJECT 2  
  Name of project
 Type of building
  
  City & State
 Contract Amount ($)
  
  Contractor / Client Contact
   
  Phone
Email
 
  Subcontractor Project Manager
 Subcontractor Foreman
  
  Start Date
 End Date
  
  Comments:
 
     
  PROJECT 3  
  Name of project
 Type of building
  
  City & State
 Contract Amount ($)
  
  Contractor / Client Contact
   
  Phone
Email
 
  Subcontractor Project Manager
 Subcontractor Foreman
  
  Start Date
 End Date
  
  Comments:
 
     
 BONDING AND BANKING INFORMATION  
  Bonding Company Name
  
  Address
  
  Phone
 Fax
  
  Website
    
  Contact
    
  Phone
 Email
  
  Aggregate Bonding Capacity:
 Fax
  
  Website
    
     
  Bank Name:
  
  Address
  
  Phone
 Fax
  
  Website
    
       
       
 SUBMIT  
  PRESIDENT    
  Phone
 Email Address
  
  CONTACT    
  Phone
 Email Address
  
   
 

BY CLICKING "SUBMIT", I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE AND ACCURATE.