Subcontractor Pre-Qualification Form

If you are a subcontractor that wants to bid on SR’s current and upcoming projects, you must complete our On-line Prequalification
Form. Please note that applications will not be reviewed without all required information.

NAME OF COMPANY

ADDRESS


Street Address

Address Line 2

City

State

ZIP Code
EMAIL ADDRESS
PHONE
FAX
CONTACT
PHONE
CELL
EMAIL
WEBSITE

IS THE ABOVE ADDRESS THE:
 Main Office Regional Office Branch Office

NAME OF PARENT COMPANY

ADDRESS OF PARENT COMPANY


Street Address

Address Line 2

City

State

ZIP Code

YEAR COMPANY OPENED FOR BUSINESS

TYPE OF COMPANY
 Corp Partnership Proprietorship Sub S Corp

STATE OF INCORPORATION
DATE OF INCORPORATION

COMPANY TYPE

 Subcontractor Transportation Service / Equipment Rental Architect / Engineer Manufacturer / Fabricator Consultant Vendor/Supplier General Contractor Other

IS YOUR COMPANY
 MBE DBE HUBZ WBE DVBE

CERTIFIED BY:
DATE CERTIFIED
A. UNION / SIGNATORY W / LOCAL UNIONS

Local Affiliation

B. NON-UNION / NON-SIGNATORY
 Yes No Pending

DO YOU PARTICIPATE IN PREVAILING WAGE PROJECTS:
 Yes No

EXPERIENCE / HISTORY

IDENTIFY THE PRIMARY CATEGORIES AND DIVISIONS OF WORK THAT YOU WOULD NORMALLY PERFORM.

PREFERRED CONTRACT SIZE:
 Up to $250K $1M Up to $500K $5M +

HAS YOUR COMPANY HAD EXPERIENCE WITH LEED-CERTIFIED PROJECTS:
 Yes No

PLEASE LIST YOUR PREFERRED GEOGRAPHIC AREAS OF INTEREST, OR HAVE THE CAPABILITY TO DO WORK.

PROJECT TYPES

PLEASE CHECK THE TYPE OF BUILDING PROJECTS YOUR COMPANY HAS COMPLETED:
 Healthcare Casinos Hospitality Retail Educational Design / Build Restaurants Tenant Imp. Government Other

Bonding Information

BONDABLE
 Yes No Pending

SURETY NAME:

BONDING LIMIT:

BROKER:
BOND RATE:
CONTRACTOR'S LICENSE NUMBER:
STATE:
EXPIRATION:

STATE SALES TAX REGISTRATION NUMBER:

STATE UNEMPLOYMENT INSURANCE NUMBER:

FEDERAL ID NUMBER:

LIST THE CORPORATE OFFICERS, PARTNERS, PROPRIETORS, MEMBERS AND SHAREHOLDERS OF MORE THAN 5% OF YOUR COMPANY STOCK:

NAME:
POSITION:
PER CENT OWNED:

UNDER WHAT OTHER NAMES HAS YOUR COMPANY OPERATED?

HOW MANY PEOPLE DOES YOUR COMPANY PRESENTLY EMPLOY:

HOME OFFICE
FIELD SUPERVISORY
TRADESPEOPLE

HAS YOUR COMPANY OR ANY OWNERS, OFFICERS OR MAJOR STOCKHOLDERS EVER BEEN SUSPENDED, DISBARRED OR OTHERWISE PRECLUDED FROM PURSUING PUBLIC WORK OR EVER BEEN FOUND TO BE NON-RESPONSIVE BY A PUBLIC AGENCY?
 Yes No

HAS YOUR COMPANY EVER HAD A CLAIM MADE AGAINST IT FOR IMPROPER, DELAYED, DEFECTIVE OR NON-COMPLIANT WORK OR FAILURE TO MEET WARRANTY OBLIGATIONS?
 Yes No

ARE THERE ANY JUDGEMENTS, CLAIMS, ARBITRATION PROCEEDINGS OR SUITS PENDING AGAINST YOUR FIRM OR ITS OFFICERS OR PRINCIPALS?
 Yes No

Financial Information

WHAT WAS THE AVERAGE ANNUAL VOLUME FROM WORK COMPLETED IN THE LAST THREE YEARS AND, WHAT IS NEXT YEAR'S FORECASTED REVENUE?

YEAR
VOLUME
FORECASTED VOLUME FOR THE NEXT YEAR

Safety

OSHA Record

HAS YOUR FIRM HAD ANY OSHA CITATIONS, FINES OR JOBSITE FATALITIES WITHIN THE MOST RECENT THREE YEARS?

 Yes No

Worker's Compensation

HAS YOUR FIRM HAD ANY OSHA CITATIONS, FINES OR JOBSITE FATALITIES WITHIN THE MOST RECENT THREE YEARS?

YEAR

RATE

Attach a list of current major projects giving name of project, address, owner, architect, general contractor, contract amount and scope of work and scheduled completion.

Attach a list of completed major projects giving name of project, address, owner, architect, general contractor, contract amount and scope of work.

Please make sure to ATTACH any documents we may need from you.

Files we may need are your Firm’s License, Insurance etc…

Don’t forget to click submit in the online form below, after you attach all of your documents. The documents will then automatically be emailed to us.

Upon approval, you will be added to our current subcontractor list and may begin to bid on any of our current projects.

Please take a moment to view our web site as it illustrates our project types and experience.
Please view The “SR Built” Process to gain a better understanding of our vision and commitment to our clients.