SUBCONTRACTOR PREQUALIFICATION & BID EVALUATION FORMMultifamily Construction | Market-Rate | Affordable | Senior Living | Mixed-Use | Renovation
Purpose:
This form is used to evaluate subcontractor qualifications, capacity, safety, relevant multifamily experience, and readiness for inclusion in Varium Construction Group's bid opportunities. Completion does not guarantee an invitation to bid or contract award.
1. COMPANY INFORMATION
Company Name:
Office #:
Format: (000) 000-0000.
Legal Company Name:
Website:
Year Established:
# of Employees:
Parent Company (if applicable):
Federal EIN:
Address Information
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact:
First Name
Last Name
Title:
Email:
example@example.com
Cell:
Format: (000) 000-0000.
Subcontractor or Vendor?
Subcontractor
Vendor
If Subcontractor, Turnkey?
Yes
No
2. BID / CONTACT INFORMATION
2. BID / CONTACT INFORMATION
Rows
Yes
No
Details / Notes
Familiar with Varium ITB process via Procore?
Able to receive and respond to electronic bid invitations?
Technology Capabilities:
Procore
Bluebeam
Autodesk Build / ACC
BIM / Coordination
Electronic Submittals
Electronic Daily Reports
Digital Punch Lists
Other
ITB Contact #1 - Name:
First Name
Last Name
ITB Contact #2 - Name:
First Name
Last Name
ITB Contact #1 - Title:
ITB Contact #2 - Title:
ITB Contact #1 - Email:
example@example.com
ITB Contact #2 - Email:
example@example.com
ITB Contact #1 - Cell:
Format: (000) 000-0000.
ITB Contact #2 - Cell:
Format: (000) 000-0000.
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VARIUM CONSTRUCTION GROUP | SUBCONTRACTOR PREQUALIFICATION
3. TRADES & SCOPE CAPABILITIES
List CSI division(s), trade(s), and specific scope(s) you would like to bid. Include whether you self-perform or subcontract portions of the work.
3. TRADES & SCOPE CAPABILITIES List CSI division(s), trade(s), and specific scope(s) you would like to bid. Include whether you self-perform or subcontract portions of the work.
Rows
CSI Division / Trade
Primary Scope
Self-Perform?
Subcontracted Portions / Notes
1
2
3
4
4. GEOGRAPHIC COVERAGE
Geographic Coverage States
Georgia
Alabama
Florida
Tennessee
South Carolina
North Carolina
Other
Primary counties / metro areas served:
Maximum travel radius from home office:
Will travel overnight?
Yes
No
5. MULTIFAMILY PROJECT EXPERIENCE
Multifamily Project Experience Types
Garden-Style
Wrap
Podium
Senior Living
Student Housing
Market-Rate
Affordable / LIHTC
HUD
Mixed-Use
Renovation
Occupied Renovation
Largest subcontract value performed ($):
Typical subcontract value range ($):
Projects completed in the last 5 years: (#):
Current multifamily projects underway:
Representative Multifamily Projects
Representative Multifamily Projects
Rows
Project / Location
GC / Developer
Type
Units / SF
Contract $
Completion
1
2
3
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6. COMPLIANCE & CERTIFICATIONS
6. COMPLIANCE & CERTIFICATIONS
Rows
Yes
No
Details / Notes
Perform HUD work, including certified payroll / Davis-Bacon wage requirements?
Experience with Section 3 reporting and workforce requirements?
Participate in E-Verify?
Able to provide certified payroll electronically when required?
Able to comply with project-specific local hiring / workforce reporting?
Certifications (check all that apply):
MBE
WBE
SBE
DBE
VBE
Section 3 Business Concern
Other
7. SAFETY PERFORMANCE
Current EMR:
EMR Year:
OSHA Recordable Incidents - last 3 years:
Lost-time incidents - last 3 years:
7. SAFETY PERFORMANCE
Rows
Yes
No
Details / Notes
Written safety program in place?
Dedicated safety manager / director?
Require OSHA 10 for field personnel?
Require OSHA 30 for supervisors?
Pre-employment drug testing program?
Post-incident drug testing program?
Any OSHA citations in the last 3 years?
Any work-related fatalities in the last 5 years?
8. INSURANCE & BONDING
8. INSURANCE & BONDING
Rows
Yes
No
Limit
General Liability
Workers' Compensation
Commercial Auto
Umbrella / Excess
Professional Liability (if applicable)
Pollution (if applicable)
Bondable?
Yes
No
Single Project Limit: $
Aggregate Limit: $
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9. CLAIMS, LITIGATION & PERFORMANCE HISTORY
9. CLAIMS, LITIGATION & PERFORMANCE HISTORY
Rows
Yes
No
Details / Notes
Any contract terminated for cause in the last 5 years?
Any default on a construction contract in the last 5 years?
Any pending material litigation related to construction work?
Any insurance claims that materially affected operations in the last 5 years?
Any unresolved warranty claims on recent multifamily work?
If yes to any item above, provide project, date, parties involved, current status, and explanation:
10. REFERENCES
Provide at least three general contractor, developer, or owner references familiar with your recent multifamily work.
10. REFERENCES Provide at least three general contractor, developer, or owner references familiar with your recent multifamily work.
Rows
Company
Contact
Project / Scope
Phone / Email
Relationship / Year
1
2
3
11. CERTIFICATION & AUTHORIZATION
I certify that the information provided in this form is true and complete to the best of my knowledge. I authorize Varium Construction Group to verify references, safety information, insurance, bonding, and other qualifications reasonably related to subcontractor prequalification and bid evaluation.
Completed By:
First Name
Last Name
Title:
Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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