Subcontractor Prequalification Form

General Information

Company name *

Address *

City *

State *

Zip *

Phone *

Estimating contact *

Estimating contact email *

Secondary estimating contact

Secondary estimating contact email

Number of employees *

Number of years in business *

Union affiliation *

Do you qualify as a Minority Business Enterprise (MBE) or a Women-owned Business Enterprise (WBE)? *

What trades does your company perform? *

What geographic areas do you cover? *

What size projects do you prefer to work on? *

List any predominant markets you work in (residential, healthcare, etc.) *

Do you subcontract any work? *

If yes, what types?

Trade References

Please list three trade references

Reference 1

Company name *

Contact name *

Phone *

Reference 2

Company name *

Contact name *

Phone *

Reference 3

Company name *

Contact name *

Phone *

Projects Completed Within the Last Five Years

Project 1

Project name *

General contractor *

Contact name *

Contact phone *

Size (sf) *

Value ($) *

Completion *

Project 2

Project name *

General contractor *

Contact name *

Contact phone *

Size (sf) *

Value ($) *

Completion *

Project 3

Project name

General contractor

Contact name

Contact phone

Size (sf)

Value ($)

Completion

Project 4

Project name

General contractor

Contact name

Contact phone

Size (sf)

Value ($)

Completion

Has your company ever failed to complete a contract? *

If yes, please explain

Has your company ever been terminated by a GC? *

If yes, please explain

Are there any pending lawsuits or claims against your company? *

If yes, please explain

Safety, Insurance, and Bonding

Current worker’s compensation modifier *

Does your company have a written safety policy? *

Have all field employees received OSHA 10 hour training? *

Does your company have a written drug policy? *

Who manages safety for your company? *

Has your company been cited for safety violations in the past 5 years? *

If yes, please explain

Please attach a copy of your most recent OSHA 300 log (PDF or Word) *

Name of your surety company *

Bonding capacity *

Bonding rate % *

Proof of insurance is required. Please attach a current certificate showing proof of coverage. Upon request, Kaplan Construction may ask your company to provide proof of bondability (PDF or Word). *