Subcontractor Qualification Form
 
 
     Company Information
Company Name:
President/Principals:
Address1: Address2:
City: State: Zip:
Phone: Fax:
Email: Website:
     Company Status
(attach certificate):  
Year Founded/Incorporated: State of Incorporation:
Union Affiliations:
Average Annual Sales (Last 3 yrs.):

Project Size Range
(Min-Max):
Written Safety Programs: Number of OSHA Citations in last 3 years:
Experience Modification Rating (EMR): Year 1:     Year 2:   
     Capabilities
Type of Work:
Commercial/Retail Commercial Interiors
Country Clubs Educational/Library
Institutional Multi-Family Residence
Municipal Parks/Recreation
Others (Specify)
Self-Performed: Yes In-House Engineering Capability: Yes
Geographic Area(s):
Project Managers/Estimators:
Number of Field Personnel:
     Insurance and Bonding
Insurance Carrier: Agent: Phone:
Total Bonding Capacity: Bonding Company: Phone:
Bank: Contact: Phone:
     References
Project References:
Company Name
Contact Person
Phone
Project Name
Credit References:
Company Name
Contact Person
Phone
Project Name
 
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