ATL SOUTH PARKING DECK PHASE 1 TRADE CONTRACTOR'S PREQUALIFICATION STATEMENT

TRADE CONTRACTOR'S PREQUALIFICATION STATEMENT

For prequalification with Holder-Austin-Moody-Bryson, JV for the ATL South Parking Deck Phase 1 Project
NOTE: Hitting "enter" will submit this form. Refrain from hitting "enter" until all fields in this form are completed.

Submitted To: Holder-Austin-Moody-Bryson, JV
Submitted By (Contacts Name)
Date

MonthDayYear
Date
COMPANY INFORMATION
Company Name*
Company Address*

Street Address

Street Address Line 2

CityState

Zip Code
Company Phone*
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.
Main Point of Contact Cell Phone*
Main Point of Contact Email*
example@example.com
PROJECT TYPE EXPERIENCE

Such as Aviation, Office, Retail, Hospitality, etc
Market Types*

AviationOfficeRetailHospitalityData CenterResidentialOther
FIRM PROFILE
Type of Firm*

CorporationPartnershipIndividualOther
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
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 HAMBNewspaper AdvertisementIndustry NetworkingOutreach 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*
EBO INFORMATION
Is your organization certified with the City of Atlanta's EBO Program?*

YesNo
If yes, which category of EBO?

WBEMBE
If so, please list certification number
OTHER INFORMATION
Is your organization currently registered with Dun & Bradstreet?*

YesNo
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?*

YesNo
Are there any judgments, claims, liens, or suits pending or outstanding against your firm?*

YesNo
Has your firm been a party to any lawsuits, arbitration, or mediation with regard to construction Projects in the last five (5) Years?*

YesNo
Has your firm worked at H-JAIA in the past 5 years?*

YesNo
Is anyone employed by your firm badged at H-JAIA?*

YesNo
Has your firm previously signed a contract with Holder, Austin, Moody, or Bryson?*

YesNo
BILLING INFORMATION / REVENUE PROFILE
2024 Projected Billing*
2023 Billing*
2022 Billing*
2021 Billing*
2020 Billing*
2019 Billing*
2018 Billing*
RELEVANT PROJECT EXPERIENCE AND REFERENCES

Project experience in aviation and/or at HJAIA

References

	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*

	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*

	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*

	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

CityState / Province

Postal / Zip Code
Bonding Agent Contact Name

First NameLast Name
Bonding Agent Contact Email
SURETY INFORMATION
Surety Name
Surety Address

Street Address

Street Address Line 2

CityState / 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:*
Should be Empty:

TRADE CONTRACTOR'S PREQUALIFICATION STATEMENT

NOTE: Hitting "enter" will submit this form. Refrain from hitting "enter" until all fields in this form are completed.

COMPANY INFORMATION

MAIN POINT OF CONTACT

PROJECT TYPE EXPERIENCE

FIRM PROFILE

FIRM SIZE

EBO INFORMATION

OTHER INFORMATION

BILLING INFORMATION / REVENUE PROFILE

RELEVANT PROJECT EXPERIENCE AND REFERENCES

LARGEST PROJECTS IN FIRM HISTORY

YOUR LARGEST PROJECTS UNDER CONSTRUCTION

PROJECTS IN PURSUIT

TYPICAL PROJECT SIZE (TRADE CONTRACT)

BONDING INFORMATION

SURETY INFORMATION

ATTEST