Trade Contractor's Prequalification Statement
For prequalification with Holder, Pankow, TEC - A Joint Venture for the Hollywood Burbank Airport Replacement Passenger Terminal Project.
NOTE: Hitting 'enter' on your keyboard will submit this form. Refrain from hitting 'enter' until all fields in this form are completed.
COMPANY INFORMATION
Company Name
*
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Phone Number
*
Format: (000) 000-0000.
Scopes of Work Performed (select multiple if applicable, use 'Other' if scope is not listed)
*
Demolition & Abatement
Sitework
Site Utilities
Shoring Systems
Asphalt Paving
Concrete Paving
Concrete Apron Paving
Landscape & Hardscape
Site Fencing
Deep Foundation Systems
Building Concrete
Structural Steel
Misc. Steel / Misc. Metals
Metal Decking
Architectural Precast (Wall Panels)
Structural Precast
Fireproofing
Masonry
Metal Panels
Below-Grade Waterproofing
Above-Grade Waterproofing (Joint Sealants, Exp Joints, Etc.)
Glass & Glazing
Roofing
Architectural Millwork
Doors, Frames, & Hardware
Overhead Doors / Loading Dock Equipment
Drywall
Ceilings
Flooring
Ceramic & Porcelain Tile
Terrazzo
Paint & Wallcoverings
Specialties (Toilet Accessories, Etc.)
Window Coverings
Hold Room Seating
Admin Furniture
Signage
Conveying Systems
Baggage Handling Systems
Fire Protection
Mechanical Systems
Electrical Systems
Controls
Special Systems
Passenger Boarding Ramps
ASF General Contractor
Other
MAIN POINT OF CONTACT
For bid opportunities
Main Point of Contact Name
*
Main Point of Contact Title
*
Main Point of Contact Email
*
Main Point of Contact Phone
*
Format: (000) 000-0000.
Main Point of Contact Cell Phone
Format: (000) 000-0000.
FIRM PROFILE
Parent Company (if applicable)
*
Years in Business as Contractor under present firm name
*
State License Number
*
States in which your company is licensed to do business
*
Union Signatories (list multiple if applicable, or write N/A)
*
FIRM SIZE
Provide information which would indicate the size & capacity of your organization, including the number of permanent employees, both hourly & salary (do not count the same employee twice):
Estimating
*
Non-Working Field Supervision
*
Tradespeople
*
Management
*
Clerical & Accounting
DBE INFORMATION
Is your organization certified with Caltrans as part of the California Unified Certification Program (CUCP)?
*
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 Hollywood Burbank Airport in the last five (5) years?
*
Yes
No
Is anyone employed by your firm currently badged at Hollywood Burbank Airport?
*
Yes
No
Has your firm previously signed a contract with Holder, Pankow, or TEC?
*
Yes
No
FINANCIAL INFORMATION
2023 Projected Billing
*
2022 Billing
*
2021 Billing
*
Company Project Experience
References
*
Rows
General Contractor
Project Name
Contact Name
Contact Number
Contact Email
Project #1
Project #2
Project #3
Project #4
Five (5) Largest Projects Completed in the Last 5 Years by Contract Amount
*
Rows
General Contractor
Project Name
Trades Performed
Contract Value
Project #1
Project #2
Project #3
Project #4
Project #5
Company Backlog - Cumulative Contract Value ($)
*
Company Backlog - Percent Complete (%)
*
Company Projects in Pursuit - Cumulative Contract Value
*
TYPICAL PROJECT SIZE (TRADE CONTRACT)
Typical Project Size ($)
*
BONDING INFORMATION
What is your bond rate as a 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
ATTESTATION
The answers to the foregoing questions and all statements herein contained are true and correct to the best of the applicant's knowledge.
Name
*
Company Position
*
Office Location
*
Submit
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