TRADE CONTRACTOR'S PREQUALIFICATION STATEMENT
For prequalification with Holder Construction Company for the BNA Satellite Concourse Project
NOTE: Hitting "enter" will submit this form. Refrain from hitting "enter" until all fields in this form are completed.
Submitted To: Holder Construction Company
Submitted By (Contacts Name)
Date
/
Month
/
Day
Year
Date
COMPANY INFORMATION
Company Name
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Phone
Format: (000) 000-0000.
Scopes of Work
MAIN POINT OF CONTACT
For project opportunities
Main Point of Contact Name
Main Point of Contact Title
Main Point of Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Main Point of Contact Cell Phone
Format: (000) 000-0000.
Main Point of Contact Email
example@example.com
PROJECT TYPE EXPERIENCE
Such as Aviation, Office, Retail, Hospitality, etc
Market Types
Aviation
Office
Retail
Hospitality
Data Center
Residential
Other
FIRM PROFILE
Type of Firm
Corporation
Partnership
Individual
Other
Parent Company (if Applicable)
Years in Business as Contractor under present firm name
License Number
States in which your company is licensed to do Business
Union Affiliations (if any)
How did you hear about this Project Opportunity?
Phone call from Holder
Newspaper Advertisement
Industry Networking
Outreach Event
FIRM SIZE
Provide information which would indicate the size and capacity of your organization, including the number of permanent employees engaged in (do not count the same employee twice):
Estimating
Field Supervision
Clerical and Accounting
Management
Tradespeople
SMWBE INFORMATION
Is your organization a registered SMWBE contractor?
Yes
No
If yes, which category of SMWBE?
WBE
MBE
SBE
Is your firm certified as an SMWBE with BNA?
Yes
No
If so, please list certification number
OTHER INFORMATION
Is your organization currently registered with Dun & Bradstreet?
Yes
No
If yes, what is your D & B number?
What is your organization's Experience Modification Rate (EMR)?
Has your firm ever failed to complete a contract or been assessed schedule related damages?
Yes
No
Are there any judgments, claims, liens, or suits pending or outstanding against your firm?
Yes
No
Has your firm been a party to any lawsuits, arbitration, or mediation with regard to construction Projects in the last five (5) Years?
Yes
No
Has your firm worked at BNA in the past 5 years?
Yes
No
Is anyone employed by your firm badged at BNA?
Yes
No
Has your firm previously signed a contract with Holder Construction?
Yes
No
BILLING INFORMATION / REVENUE PROFILE
2021 Projected Billing
2020 Billing
2019 Billing
2018 Billing
2017 Billing
2016 Billing
RELEVANT PROJECT EXPERIENCE AND REFERENCES
Project experience in aviation and/or at BNA
References
Rows
General Contractor
Project Name
Contact Name
Contact Number
Contract Value
Project 1
Project 2
Project 3
Project 4
LARGEST PROJECTS IN FIRM HISTORY
Five (5) Largest Projects Completed in the Last 5 Years by your Contract Amount
Rows
General Contractor
Project Name
Trades Performed
Contract Value
Project 1
Project 2
Project 3
Project 4
Project 5
YOUR LARGEST PROJECTS UNDER CONSTRUCTION
Your Five (5) Largest Projects Under Construction
Rows
General Contractor
Project Name
End Date
% Complete
Contract Value
Project 1
Project 2
Project 3
Project 4
Project 5
PROJECTS IN PURSUIT
Projects in Pursuit
Rows
General Contractor
Project Name
Trades Performed
Date Start
Contract value
Project 1
Project 2
Project 3
Project 4
Project 5
TYPICAL PROJECT SIZE (TRADE CONTRACT)
Typical Size ($)
Largest ($)
Smallest ($)
BONDING INFORMATION
What is your Bond Rate as Percentage?
Aggregate Bonding Limit
Single Project Bonding Limit
Who is your Bonding Agent?
Bonding Agent Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Bonding Agent Contact Name
First Name
Last Name
Bonding Agent Contact Email
SURETY INFORMATION
Surety Name
Surety Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
ATTEST
The answers to the foregoing questions and all statements herein contained are true and correct to the best of the applicants knowledge:
Name
Company Position
Office Location:
Submit
Should be Empty: