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