Bidder Pre-Qualification Form Bidder Pre-Qualification Form Pre-qualifying subcontractors. DATE(Required) MM slash DD slash YYYY GENERAL INFORMATION - Be sure to answer every field on this form.Type of Business(Required)Company Name(Required)Mailing Address(Required)Street Address(Required)Phone Number(Required)Email Address(Required)Contact Name / Title(Required)ORGANIZATIONNumber of years in business(Required)Type of business(Required)Federal ID No.(Required)Number of years in business(Required)General liability insurance in place?(Required)Name of insurance company or agent(Required)Worker's compensation insurance in place?(Required)Name of bonding company, agent name and rate(Required)Contact person name and phone number(Required)Bonding Capacity(Required)Work Currently Bonded(Required)Is Your Firm a Minority Owned Business?(Required) Yes No What Type(Required)FINANCIALFirm's Annual Dollar Volume Last Year(Required)1 Year Prior(Required)2 Years Prior(Required)What is your backlog as of today?(Required)Backlog from 12 months ago?(Required)Has your company ever failed to complete a contract?(Required) Yes No Has your company ever been In bankruptcy or reorganization?(Required) Yes No Does your company have pending judgement claims or suites against It?(Required) Yes No Has your company been assessed liquidated damages on any project?(Required) Yes No If yes to any of the proceeding, submit details here.(Required)WORK EXPERIENCES / REFERENCESProvide examples of specific project experience, relevant to the type of project to be constructed.1. Project Name(Required)Project Location(Required)Name of Contractor(Required)Contact Person and Phone Number(Required)Description of Services(Required)3. Project Name(Required)Project Location(Required)Name of Contractor(Required)Contact Person and Phone Number(Required)Description of Services(Required)2. Project Name(Required)Project Location(Required)Name of Contractor(Required)Contact Person and Phone Number(Required)Description of Services(Required)List the References of 3 Suppliers (Company, Contact, and Phone Number)(Required)SAFETYIn the previous 3 years, has the firm been cited for any serious (as defined by OSHA) violations?(Required) Yes No If yes, please submit details here.(Required)SCOPE OF WORKList area of trade you perform in:(Required) Δ
Sheridan Construction