Sub-Contractor Qualification

Contracting Interests
Indicate CSI Code*
Company Info
Name of Company*
Phone*
Mailing Address*
City*
State*
Zip Code*
Contact Info
Office Contact
Office Contact Email
Estimator
Estimator Email
Onsite Contact
Onsite Contact Email
Onsite Contact Phone
Union Info
Union Affiliations
Local
National
Tax ID Number
Business Info
Indicate Type of Business Operation
- CORPORATION
- PARTNERSHIP
- SOLE OWNER
If Corporation or Partnership, list names of Officers/Partners
License(s) Info
Licenses
State / Country / City Number(s) Holder's Name
Bonding Info
Total Bonding Capacity
Value of work presently bonded
Bonding Co.
Agent
Phone #
Insurance Requirements
Please note required subcontractor limits: GL $1mm/$2mm, Umbrella $5mm, Workers Comp $1mm. Must supply full insurance policies for review before approval.
General Liability Amount
Auto Insurance Amount
Excess Coverage Amount
Worker's Comp Amount
Insurance Agent
Address
Phone
Contact
Project History
List the four (4) most significant projects completed in the last five (5) years:

Project 1
Project Name / Location
Contract Amount
Date Completed
Project 2
Project Name / Location
Contract Amount
Date Completed
Project 3
Project Name / Location
Contract Amount
Date Completed
Project 4
Project Name / Location
Contract Amount
Date Completed
List the three (3) most significant projects presently under construction:

Project 1
Project Name / Location
Contract Amount
Date Completed
Project 2
Project Name / Location
Contract Amount
Date Completed
Project 3
Project Name / Location
Contract Amount
Date Completed
References
List three (3) Trade references below:

Reference 1
Company Name
Contact Person
Phone #
Reference 2
Company Name
Contact Person
Phone #
Reference 3
Company Name
Contact Person
Phone #
List three (3) Owner/Architect references below:

Reference 1
Company Name
Contact Person
Phone #
Reference 2
Company Name
Company Name
Phone #
Reference 3
Company Name
Contact Person
Phone #
List three (3) Supplier references below:

Reference 1
Company Name
Contact Person
Phone #
Reference 2
Company Name
Contact Person
Phone #
Reference 3
Company Name
Contact Person
Phone #
Signature
Name*
Title*
Signature Confirmation*
- By entering your Name and Title, you are signifying that the above listed information is correct and that this is your electronic signature.

Contracting Interests

Company Info

Contact Info

Union Info

Business Info

License(s) Info

Bonding Info

Insurance Requirements

Project History

References

Signature