Subcontractor Prequalification Form

    GENERAL INFORMATION
    Company Name:
    Address:
    City:
    State:
    Zip Code:


    CONTACT INFORMATION
    Primary Contact:
    Title:
    Email:
    Phone:
    Cell:  
    Fax:  


    Estimating Contact:
    Title:
    Email:
    Phone:
    Cell:
    Fax:


    Other Contact:
    Title:
    Email:
    Phone:
    Cell:
    Fax:



    COMPANY
    Type of Entity: PartnershipSole ProprietorshipCorporationLLC
    Other:
    Year established under current name:
    Is company MBE, WBE, DBE or SBE certified?
    Workers’ Compensation Experience Modification Rate:     Current Year:    Previous Year:
    Does company have a written safety program?
    Is company able to provide a P&P bond if required?
    Average annual sales over past three years
    Average project size:    Value:    Sq. Ft.


    List three projects representative of your company completed in the last five years:
    Name of Project:
    Contract Value:
    Primary/General Contractor:
    Contact:
    Phone:


    Name of Project:
    Contract Value:
    Primary/General Contractor:
    Contact:
    Phone:


    Name of Project:
    Contract Value:
    Primary/General Contractor:
    Contact:
    Phone:



    SCOPE OF WORK/TRADES (Check All that apply)
    Geotechnical & Materials TestingInsulationFinal CleaningEIFS/StuccoDemolitionDoors/Frames/Hardware SupplySoil TreatmentDoors/Frames/Hardware InstallationSite DevelopmentStorefront/GlazingSite UtilitiesWindowsErosion ControlDrywall/Acoustical CeilingAsphalt PavingFlooringCurb & GutterPainting – needs to be added nextStriping & SealcoatingSpecialtiesFencingToilet Partitions & AccessoriesRetaining WallsEquipmentLandscapingFurnishingsCast-In-Place ConcreteCaseworkStructural PrecastCountertopsMasonryPoolsCultured StoneMetal Building SystemsStructural SteelElevatorsMetal FabricationsFire ProtectionRough CarpentryPlumbingFinish/Trim CarpentryHVACArchitectural Millwork/Casework SupplyElectricalCaulking/WaterproofingFire Alarm / SecurityRoofingLow VoltageMetal RoofingOther



    GEOGRAPHIC AREA SERVED (Check all that apply)
    Metro AtlantaNorth GeorgiaCentral GeorgiaSouth GeorgiaAlabamaFloridaNorth CarolinaSouth CarolinaOther



    MARKET SECTORS SERVED (Check all that apply)
    AviationGovernmentHealthcareHospitalityIndustrialInteriorsOfficeRetailOther