SUBCONTRACTOR PREQUALIFICATIONS

SUBCONTRACTOR PREQUALIFICATIONS
GENERAL INFORMATION
Company Name*
Company Trade(s)*
City*
State*
Zip*
Estimator Name*
State License #*
Office #*
Fax*
# of Years in Business*
Email*
example@example.com
BID INFORMATION
Bid Invitation Email*
example@example.com
Preference of Bid Document Transfers:
BidMail

Preference of Bid Document Transfers:FTPDropbox
BUSINESS OPERATIONS AND CERTIFICATIONS
Current # of Employees*
Maximum Project Size*
Bondable?

YesNoUnionNonUnion
If yes, list bonding limit*
erform prevailing wagework

YesNoCertifications (check all that apply):MBEWBESBEDBEOther
Certifications (check all that apply):
VBE
Areas of Operation(please check states and/or counties below)

California
Areas of Operation(please check states and/or counties below)

LA/OCSan DiegoRiversideDesertCentral ValleyNorthern CoastNorthern CA
Central Valley

ArizonaArkansasColoradoLouisianaNevadaNew MexicoOklahomaOregonTexasUtahWashington
Insurance Information
General Liability Policy:
Per occurrenceinsuranceinthe amount of*
General aggregate insurance in the amount of*
Productscompleted operationsaggregate in the amount of*

REFERENCES

	General Contractor References(required) NameContact Name	-	Phone	Fax	Email

Contact Name

	Material House(minimum 3) Company Name	-	Phone	Amount of Credit

Contact Name
Completed Work(minimum 3) Project
Value of Project
SAFETY
OSHA Violations in the past 3 years (if any):
The undersigned respondent certifies that all provided information in this statement is true and correct and current with respect to the date on which the statement was completed and signed. The respondent also acknowledges that a completed form in response to the email in which this document is originally attached may be considered as acknowledgement and acceptance of the preceding statement in lieu of an original signature.
Signature

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Print*
Date

MonthDayYear
Date
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