RENO-TAHOE CONCOURSE DEVELOPMENT PROJECT TRADE CONTRACTOR'S PREQUALIFICATION STATEMENT

TRADE CONTRACTOR'S PREQUALIFICATION STATEMENT

For prequalification with HQD Joint Venture for the Reno-Tahoe Concourse Development Project
NOTE: Hitting "ENTER" on your keyboard will submit this form. Refrain from hitting "ENTER" until all fields in this form are completed.

Submitted To: Holder Q&D Joint Venture
Submitted By (Contacts Name)*
Submitted By (Email)*
This Email will Receive Notice of Successful Prequal Submission
Date*

MonthDayYear
COMPANY INFORMATION
Company Name*
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone
Please enter a valid phone number
Scopes of Work*

EarthworkSite UtilitiesSite RemovalsDemolition (Structure / Skin / Interiors)AbatementApron PavingSite Security / FencingDeep FoundationsBuilding ConcreteStructural SteelSpray FireproofingMasonryPrecastMetal PanelsWaterproofingGlass & GlazingRoofingStucco / EIFSMillwork / Ornamental MetalsDoors / Frames / HardwareDrywall & CeilingsCarpet / ResilientMass TimberTileTerrazzoPaintingOverhead DoorsLoading Dock EquipmentSpecialtiesAppliancesSignageOperable PartitionsFurnishingsHold Room SeatingConveying SystemsFire ProtectionMechanical SystemsElectrical SystemsSpecial SystemsBaggage Handling SystemsFixed Lengths & PBBsLandscape / Hardscape
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
Please enter a valid phone number.
Main Point of Contact Email
example@example.com
PROJECT TYPE EXPERIENCE
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
License Classification
States in which your company is licensed to do Business
e.g., TX, GA, NY
Monetary License Limit (Issued by NV) NRS 624.220 – Contractors
Union Affiliations (if any)
How did you hear about this Project Opportunity?

Phone call from HolderNewspaper 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
SEB & DBE INFORMATION
Is your organization certified as a DBE?

YesNo
If so, please list DBE certification number
EQUIPMENT
Is your firm capable of purchasing long lead mechanical / electrical equipment directly from major manufacturers?

YesNo
If so, how much has your firm purchased directly over the last 12 months?
If so, how much has your firm purchased directly over the last 24 months?
Have you provided equipment for the Reno-Tahoe Airport?

YesNo
Would the purchase of long lead mechanical / electrical equipment require use of a supply house or distibutor?

YesNo
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)?
What is your organization's Total Recordable Injury Rate (TRIR)?
Has your firm ever failed to complete a contract or been assessed schedule related damages?

YesNo
Are they 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 Reno-Tahoe International Airport in the last five (5) years?

YesNo
Is anyone employed by your firm badged at Reno-Tahoe International Airport?

YesNo
Has your firm previously signed a contract with Holder or Q&D Construction?

YesNo
Do you have experience with Buy American and BABAA waivers?

YesNo
If so, please attach an example of a waiver you submitted for another project.

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

Project experience in aviation and/or at Reno-Tahoe International Airport:

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 five (5) years by contract amount

	General Contractor	Project Name	Trades Performed	Contract Value
Project 1
Project 2
Project 3
Project 4
Project 5

LARGEST PROJECTS UNDER CONSTRUCTION

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	Start Date	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 a 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 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 applicant's knowledge:
Name
Company Position
Office Location
Should be Empty:

TRADE CONTRACTOR'S PREQUALIFICATION STATEMENT

COMPANY INFORMATION

MAIN POINT OF CONTACT

PROJECT TYPE EXPERIENCE

FIRM PROFILE

FIRM SIZE

SEB & DBE INFORMATION

EQUIPMENT

OTHER INFORMATION

BILLING INFORMATION / REVENUE PROFILE

RELEVANT PROJECT EXPERIENCE AND REFERENCES

LARGEST PROJECTS IN FIRM HISTORY

LARGEST PROJECTS UNDER CONSTRUCTION

PROJECTS IN PURSUIT

TYPICAL PROJECT SIZE (TRADE CONTRACT)

BONDING INFORMATION

SURETY INFORMATION

ATTEST