Bidder Pre-Qualification Form Bidder Pre-Qualification Form Pre-qualifying subcontractors. DATE MM slash DD slash YYYY GENERAL INFORMATION - Be sure to answer every field on this form.Type of BusinessCompany NameMailing AddressStreet AddressPhone NumberEmail AddressContact Name / TitleORGANIZATIONNumber of years in businessType of businessFederal ID No.Number of years in businessGeneral liability insurance in place?Name of insurance company or agentWorker's compensation insurance in place?Name of bonding company, agent name and rateContact person name and phone numberBonding CapacityWork Currently BondedIs Your Firm a Minority Owned Business? Yes No What TypeFINANCIALFirm's Annual Dollar Volume Last Year1 Year Prior2 Years PriorWhat is your backlog as of today?Backlog from 12 months ago?Has your company ever failed to complete a contract? Yes No Has your company ever been In bankruptcy or reorganization? Yes No Does your company have pending judgement claims or suites against It? Yes No Has your company been assessed liquidated damages on any project? Yes No If yes to any of the proceeding, submit details here.WORK EXPERIENCES / REFERENCESProvide examples of specific project experience, relevant to the type of project to be constructed.1. Project NameProject LocationName of ContractorContact Person and Phone NumberDescription of Services3. Project NameProject LocationName of ContractorContact Person and Phone NumberDescription of Services2. Project NameProject LocationName of ContractorContact Person and Phone NumberDescription of ServicesList the References of 3 Suppliers (Company, Contact, and Phone Number)SAFETYIn the previous 3 years, has the firm been cited for any serious (as defined by OSHA) violations? Yes No If yes, please submit details here.SCOPE OF WORKList area of trade you perform in: Δ
Sheridan Construction