CALIFORNIA UNIFORM PUBLIC CONSTRUCTION COST ACCOUNTING ACT INFORMAL BIDDING PROCESS PRE-QUALIFICATION APPLICATION

CALIFORNIA UNIFORM PUBLIC CONSTRUCTION COST ACCOUNTING ACT INFORMAL BIDDING PROCESS PRE-QUALIFICATION APPLICATION
Company Information
Name of Company
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Telephone
Please enter a valid phone number.Format: (000) 000-0000.
FAX
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
CA Contractor’s License No
Classifications
Categories of Work
Certification
I certify that to the best of my knowledge, the elements of information provided above are accurate and true, as of this date. I am properly licensed and skilled to perform the above work and am able to secure bonds to perform the work. My company shall comply with all CITY, STATE, AND FEDERAL REQUIREMENTS.
Typed Name
Signature
Title
Date

MonthDayYear
Date
CUPCCAA Responsible Bidders Supplemental Questionnaire
How many years has your organization been in business in California as a contractor under your present business name and license number?
Is your firm currently the debtor in a bankruptcy case?
If yes, indicate the case number, bankruptcy court, and date on which the petition was filed.
Was your firm in bankruptcy at any time during the last five years? This question refers only to the bankruptcy action that was not described in answer to question 2, above.
If yes, indicate the case number, bankruptcy court, and date on which the petition was filed.
Has any CSLB license held by your firm or its Responsible Managing Employee (RME) or Responsible Managing Office (RMO) been suspended within the last five years?
At any time in the last five years, has your firm been assessed and paid liquidated damages after completion of a project, under a construction contract with either a public or private owner?
Has your firm ever defaulted on a construction contract?
If yes, explain.
In the last five years has your firm, or any firm with which any of your company’s owners, officers or partners as associates, been debarred, disqualified, removed or otherwise prevented from bidding on, or completing, any government agency or publics works project for any reason?
If yes, explain.
In the last five years, has your firm been denied an award of a public works contract based on a finding by a public agency that your company was not a responsible bidder?
If yes, identify the year of the event, the entity that denied the award, the owner, the project, and the basis for finding by the public agency.
In the past five years, has any claim against your firm concerning your firm’s work on a construction project been filed in court of arbitration?
If yes, identify the claim(s) by providing the project name, date of the claim, name of the claimant, the name of the entity the claim was filed against, a brief description of the nature of the claim, the court and the case number, and a brief description of the status of the claim (pending, or if resolved, a brief description of the resolution).
In the past five years, has your firm made any claim against a project owner concerning work on a project or payment for a contract, and filed that claim in court or arbitration?
If yes, identify the claim(s) by providing the name of the claimant, the project name, date of the claim, the name of the entity (or entities) the claim was filed against, a brief description of the nature of the claim, the court and the case number, and a brief description of the status of the claim (pending, or if resolved, a brief description of the resolution).
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CALIFORNIA UNIFORM PUBLIC CONSTRUCTION COST ACCOUNTING ACT INFORMAL BIDDING PROCESS PRE-QUALIFICATION APPLICATION

Company Information

Certification

CUPCCAA Responsible Bidders Supplemental Questionnaire