General Information
Please select the region(s) that match your service area from the following locations, select all that apply.
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Kansas City, MO
Cincinnati, OH
Clarksville, TN
Company Name
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TAX ID
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Company Primary Place of Business Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SAM.gov Unique Identification Number
CAGE Code
Key Company Contact
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First Name
Last Name
Phone Number
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E-mail
Year Business Started:
Average Number of Employees:
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Primary NAICS Code
Business Size (SBA Size Standard based on Primary NAICS)
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Large
Small
Socioeconomic Certifications
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Woman-Owned
Service-Disabled Veteran
8(a)
HUBZone
Federal Construction Past Performance
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Yes
No
Current Capacity to Perform
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Yes
No
Statement of Capability
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of
Safety & Risk Management
Last OSHA 300 Form
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of
Citations/Violations in Last 5 Years
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Yes
No
Explanation of Citations/Violations/Fines and Remedial Actions
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Experience Modification Rate (Last 3 years)
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2022
2021
2020
Rate
Safety Training Program & Incentives
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Yes
No
Certificate of Insurance (COI)
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of
Financial Strength
YTD Revenue
Prior Year Revenue
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Average Monthly Billing Amount
Bonding Capacity (Single Project Limit)
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Bonding Capacity (Aggregate Limit)
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Litigation & Legal History
Current and Active Litigation
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Yes
No
Explain All Pending Litigation
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Labor Law Violation(s)
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Yes
No
Explain Labor Violation(s)
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Prior Judgements
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Yes
No
Explain Judgements
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Contract Default & Early Terminations
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Yes
No
Explain Terminations for Default or Convenience
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Past Performance & Credit Reference(s)
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Full Name
Phone
Email
1
2
3
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