Subcontractor Qualification Form

Project:    Date:


Name of Company:

Mailing Address:

Shipping Address:

City:    State:    Zip:

Phone:    Point of Contact:

Fax:    Email Address:


Type of Entity: Sole Proprietorship Partnership Corporation

Federal ID#:    Years in Business:

Contractor License/Certificate#:    State:    Class:

Does your Company Qualify as a:
Small Business Enterprise
Small Disadvantaged
Veteran Owned
HUB Zone
Woman Owned
Service Disabled VeteranOwned
Has your company:
Ever Operated Under Another Name
Ever Filed Bankruptcy
Ever Failed to Complete a Project

If Checked Any Box Above, Please Explain:

Resources & Bonding

What is your company's current bonding capacity?

Total?    Single Project?

Name of Bonding Company:

What is the largest contract ever performed?

Current value of work on hand?

What is company average annual volume for last 3 years?

Average employees?

Does your company have experience on similar projects? If so, please list.

Project Name:

Project Name:

Project Name:

Subcontract Amount:

Subcontract Amount:

Subcontract Amount:

Requested Attachments - References, Financial Statement, Resume

Please submit a list of references for the following:

(1) General Contractors:

(2) Trade References:

(3) Bank References:

Note: Please include a point of contact and their phone/fax numbers.

Submit a copy of your audited financial statement:

Submit a copy of proposed superintendent's resume: