Subcontractor Pre Qualification Application Page 2

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D. Is your company a minority owned company? _____
If yes, provide the minority classification: ___________________________
Are you certified under any of the following?
SDBE ____ CSBE____ CSBE ____ DBE ____ MBE ____ WBE ____
List Counties, School Boards or Districts Certified with: ____________________
________________________________________________________________
E. Is your company a State or County certified contractor? _____
License number(s): ________________________________________________
F. Is your company bondable? _____
Bonding Company Name:
_________________________________________
Phone number for agent:
_________________________________________
Total aggregate bonding capacity in dollars: ____________________________
Individual project bonding capacity in dollars: ____________________________
2. Experience
Please attach details if you answered "yes" to any of the questions below:
A.
Have you ever failed to complete any work awarded
to your company?
_____
B.
Are there any judgments, claims, arbitration
proceedings or suits pending or outstanding against your
organization or its officers?
_____
C.
Do you as a company have any claims or suits
against a GC or CM?
_____
D.
Has your firm ever been involved in any bankruptcy
or reorganization proceedings?
_____
E.
Average annual value of work performed in the past
five (5) years.
$ ____________
F.
Value of work currently under contract.
$ ____________
G.
Percentage of work performed by your own forces.
_____%
H.
Total number of permanent employees:
Quantity of Clerical
_____
Quantity of Project Managers
_____
Quantity of Field Supervisors
_____
Quantity of Estimators
_____
Quantity of Officers
_____
Quantity of Carpenters
_____
Quantity of Laborers
_____
Quantity of Skilled Craftsmen
_____
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