Subcontractor / Supplier Prequalification Form Page 2
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5Under current management since (date):
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Form of Business:
LLC
Partnership
Corporation
Other - Explain:
Please describe the services which your company performs:
List other types of work within the services you normally perform that you subcontract to others:
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Has your company completed/participated in any LEED projects?
Yes
No
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Has your company completed/participated in any historical restoration projects?
Yes
No
FINANCIAL / INSURANCE
Please attach a list of 4 references – 3 supplier and 1 financial to include contact name, number and address.
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Have you filed for bankruptcy in the past 11 years?
Yes
No
20_____
20_____
20_____
Annual dollar volume for the past three years:
$___________
$__________
$__________
Largest job during the last 5 years:
Your firm’s desired project size:
Maximum:
Minimum:
List major jobs in progress and/or completed in the past 5 years: (May attach additional listing if necessary)
Location
Type of Work
Size $
Customer Contact
Phone/Email
List current backlog of work through the next 12 months: (May attach additional listing if necessary)
Location
Type of Work
Size $
Customer Contact
Phone/Email
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Have you ever failed to complete a project? If yes, please attach details.
Yes
No
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Are there any judgments, claims or suits pending or outstanding against your company?
Yes
No
If yes, please attach details.
AlliedCook Construction 11.09
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prequalification form.doc
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