Subcontractor Pre-Qualification Form
All subcontractors are required to complete this pre-qualification form before being added to our bid list. Once you have completed each page, your progress will be saved. You can complete your form at any time by clicking the link provided via email.
Company Information
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
-
Area Code
Phone Number
Fax Number
-
Area Code
Phone Number
Company Website
*
Company Email
*
Contractor's License #
*
President's Name
First Name
Last Name
Vice President's Name
First Name
Last Name
CFO/Controller's Name
First Name
Last Name
Back
Next
List the type of work performed by your company and include CSI references numbers.
*
Number of Years in Business
*
List any former names your organization operated under:
Service Area:
*
South Bay
Peninsula
East Bay
North Bay
Vacaville
Monterey
ALL
Other
Are you a Union or Non-Union shop?
*
Union
Non-Union
If Union, Local #
Which Union Labor Agreements are you signatory to?
MEP In-House Design?
*
Yes
No
Please list your Primary Estimating Contacts
*
Name
Title
Phone
Email
Contact 1
Contact 2
Back
Next
Financial Information
Largest Job Completed
*
Total Job $ Amount
Ideal Job Size
*
Total Job $ Amount
Please select project-desired ranges that apply (check all that apply):
*
Up to $250k
Up to $500k
Up to $1 Million
$1 Million Plus
Up to $10 Million
$10 Million Plus
List your company volume history for the past 3 years:
*
Please List Year + Revenue on separate lines: ie. 2018, $6.0 Million
Is your company a subsidiary or affiliate of another firm? If yes, list the parent company name.
Federal Tax ID#
*
Back
Next
Claims Information
Are there any judgements, claims, arbitration proceedings or suits pending or outstanding against your organization or officers within the last five years? If yes, please describe:
*
Has your organization filed any lawsuits or requested arbitration with regard to contracts within the last five years? If yes, please describe:
*
Back
Next
Insurance & Safety
Does your company meet all C&J's General Insurance Requirements? (See C&J's Master Subcontract Agreement for Insurance Requirements.)
*
YES
NO
Have you included your company's general insurance certificate? (Upload in Bottom Section of Form.)
*
YES
NO
Please show your Workers Comp Experience and Incident Rate (OSHA Recordable Injury/Illness Rate) for the past three years. (This information is available through your Insurance Carrier.)
*
YEAR
EMR %
Incident Rate
1
2
3
Back
Next
File Uploads
COI Upload:
*
Upload Your Certificate of Insurance
Cancel
of
Back
Next
Signature
The undersigned certifies that the information provided in this pre-qualification form is true and sufficiently complete so as not to be misleading.
Full Name
*
First Name
Last Name
Title
Signature
*
Submit
Should be Empty: