Subcontractor Qualification Statement

Subcontractor Statement of Qualifications

  • References

    List three major suppliers
  • References

    List three General Contractors with whom you do business
  • Revenue Past Five Years:

  • Include Revenue ($), Largest Contract, General Contractor
  • Include Revenue ($), Largest Contract, General Contractor
  • Include Revenue ($), Largest Contract, General Contractor
  • Include Revenue ($), Largest Contract, General Contractor
  • Include Revenue ($), Largest Contract, General Contractor
  • Current Bonding, Insurance, & Banking Information

  • Max. file size: 256 MB.
  • Drop files here or
    Max. file size: 256 MB.
    • Drop files here or
      Max. file size: 256 MB.
      • MM slash DD slash YYYY
      • Project Performance Information

      • Drop files here or
        Max. file size: 256 MB.
          Provide the following information: - Project Name/Description - Agency/Owner - Total Construction Cost - Date Completed - Reference Name, Phone and Email
        • Drop files here or
          Max. file size: 256 MB.
            Provide the following information: - Project Name/Description - Agency/Owner - Total Construction Cost - Scheduled Completion Date - Reference Name, Phone and Email
          • Safety Performance Questionaire

          • 1) OSHA Reporting Safety Information

          • 202020192018 
          • 202020192018 
          • 202020192018 
          • 202020192018 
          • 202020192018 
          • Experience Modification Rate Information

          • Current202020192018 
          • OSHA Citation Information

          • 2020# of Citations UpheldProvide Severity Rating (Non‐serious, serious, willful) 
          • 2019# of Citations UpheldProvide Severity Rating (Non‐serious, serious, willful) 
          • 2018# of Citations UpheldProvide Severity Rating (Non‐serious, serious, willful) 
            (You may be required to submit a pre‐project hazard analysis)
          • OMITTING OR REPORTING FALSE INFROMATION ON THIS QUESTIONAIRE COULD RESULT IN REMOVAL FROM OUR MASTER BID LIST.

          • MM slash DD slash YYYY
          • MM slash DD slash YYYY
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