GENERAL CONTRACTOR QUALIFICATION STATEMENT PACKAGE FOR VICTOR VALLEY COMMUNITY COLLEGE

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "GENERAL CONTRACTOR QUALIFICATION STATEMENT PACKAGE FOR VICTOR VALLEY COMMUNITY COLLEGE"

Transcription

1 GENERAL CONTRACTOR QUALIFICATION STATEMENT PACKAGE FOR VICTOR VALLEY COMMUNITY COLLEGE ASBESTOS ABATEMENT and DEMOLITION Music Building

2 VICTOR VALLEY COMMUNITY COLLEGE DISTRICT CONTRACTOR'S STATEMENT OF EXPERIENCE AND FINANCIAL CONDITION SECTION A - INSTRUCTIONS 1. Request for Bidder's Qualifications Statement: The District requires from bidders answers to questions contained in this questionnaire including a complete statement of bidder's financial ability and experience in performing asbestos removal particularly in public schools. The questionnaire and financial statements are not public records and are not open to public inspection. Only one copy of the qualification package is required to be submitted. 2. District qualification standards review includes: (a) contractor's statement of experience (b) appropriate California Contractor's License (c) contractor's financial condition and bondability 3. Life of Qualification Package: A contractor's qualification statement is valid until the financial information shown in the statements on file is more than one year old. Statements will be held on file until the financial information is fifteen months old at which time it will be destroyed. DISTRICT reserves the right to reject statements in which the financial information is more than six months old. All applicable portions of the form should be completed with schedules attached if the space provided does not suffice. Failure to provide the information called for may result in the DISTRICT declaring the bid nonresponsive. 4. Bondability: The bonding surety is required to be an admitted surety in the state of California as well as be listed in the current Federal Treasury Register. The surety will be contacted to confirm willingness to bond this particular project. It is suggested that the contractor include a letter of bondability from the surety indicating their support levels for the project in question. 5. Submission of Completed Statements: Completed statements are to be submitted with the contractor's bid per the instructions as stated in Notice Inviting Bids. The statement must be in an envelope marked "Confidential." 6. Please refer any questions to Stephen Garcia at DISTRICT Facilities Construction Office or telephone (760) extension 2250.

3 SECTION B - GENERAL INFORMATION CONTRACTOR: (as name appears on license) 1. Check one: Corporation Partnership Sole Proprietorship Joint Venture ADDRESS, CITY, STATE, ZIP PHONE NUMBER LICENSE NUMBER FAX NUMBER LICENSE CLASS EXPIRATION DATE RMO/RME - RESPONSIBLE MANAGEMENT OFFICER/EMPLOYEE AS REPORTED TO CONTRACTORS STATE LICENSE BOARD TAX ID NUMBER DATE BUSINESS FORMED DATE OF INCORPORATION 2. If a corporation, under the laws of what state was the corporation organized: 3. Has there been any recent change in control of company? YES NO If yes, explain on separate signed pages. 4. Is the company or its owners connected with other companies as a subsidiary, parent, holding, or affiliate? YES NO If yes, explain on a separate signed page. 5. List corporate officers, partners, proprietor, owners, and/or key personnel: NAME YEARS WITH FIRM POSITION % OF OWNERSHIP SOCIAL SECURITY NUMBER

4 6. Has the company or the officers or principals of this firm ever been licensed under a different name or different license number? YES NO If yes, list all name(s) and license number(s) 7. Have officers or principals of firm ever had their contractor's licenses suspended or revoked? YES NO If yes, explain on separate signed sheet. 8. In what type of construction do you specialize: 9. What was the largest total amount of work completed in one year: $ Number of jobs in this total Year 10. Largest job $ 11. List annual gross and net income for last five (5) years: Annual Gross Income Annual Net $ YEAR $ YEAR 12. Comment on your experience in state construction work with the Division of the State Architect. * * * *

5 SECTION C - INSURANCE 1. Do you currently have a minimum of $1,000,000 combined comprehensive single limit and $2,000,000 aggregate annual liability insurance? Please provide a Certificate of Insurance as verification. YES NO AMOUNT OF INSURANCE $ 2. Insurance Company: Address: City, State, Zip Phone Number Contact Person How long have you been with this insurance company? 3. If less than two years, please list prior insurance companies below. * * * * NOTE: If you should be awarded a contract, you will be required to provide a certificate of insurance with DISTRICT listed as an additional insured. SECTION D - SURETY 1. Provide a statement listing names of all surety companies, not agencies, utilized by bidder in the last five (5) years. State whether the surety or sureties bonding bidder's jobs have been required or requested to complete any part of bidder's work during the last five (5) years. Please provide a letter stating bondability for this project from surety company. SURETY COMPANY AND CONTACT PERSON ADDRESS AND TELEPHONE NUMBER LARGEST BOND LIST YEARS USED SECURITY REQUESTED TO COMPLETE ANY PART OF WORK? 2. Has your company ever been unable to obtain a bond or been denied a bond for a contract? YES NO If yes, explain on a separate signed page.

6 3. For how many projects is your firm currently bonded? 4. Has company (or any owner) ever defaulted on a contract forcing a surety to suffer a loss? YES NO If yes, explain on a separate signed page. 5. Has your company ever failed to complete a contract under the California contractor's license number(s) listed in Section B-1? YES NO If yes, explain on a separate signed page. 6. In the last seven years, has your company ever failed to complete a contract within the authorized contract time under the contractor's license number(s) listed in Section B-1? YES NO If yes, explain on a separate signed page giving owner and details. 7. Has your company been assessed liquidated damages for any project under the California contractor's license number(s) listed in Section B-1 in the past five years? YES NO If yes, please explain on a separate signed page giving owner and details. 8. Has your company had any arbitration on a contract? YES NO If yes, explain on a separate signed page. 9. Has your firm had any Stop Notice(s) or Department of Labor Notices filed against you under the California license(s) listed in Section B-1 in the past five years that were not resolved before a lawsuit was filed? YES NO If yes, please explain (using the following format) on a separate signed page. DATE BY WHOM/WHICH PROJECT WHY FILED HOW RESOLVES 10. At this time, are there any outstanding liens/stop notices/department of Labor notices for labor and/or material filed against your firm under the California contractor's license numbers listed in Section B-1, on any contracts which have been done or are being done by your company? YES NO If yes, explain on a separate signed page. 11. What has been the frequency of Workers' Compensation claims over the past three (3) years? Please explain on a separate signed page. 12. What has been the severity of your Workers' Compensation claims over the past three (3) years? Please explain on a separate signed page.

7 13. List the number of CONTRACTOR GENERATED change orders and their total value filed on projects completed under the California contractor's license(s) listed in Section B-1 on your last three projects: TOTAL NUMBER OF CONTRACTOR GENERATED CHANGE ORDERS PERCENTAGE OF TOTAL CONTRACT DISPUTED? Yes/No PROJECT AND OWNER 14. Has this company, an affiliated company, or any owner ever declared bankruptcy? YES NO Been in receivership? YES NO If yes, explain on a separate signed page. IF AN EXPLANATION IS REQUIRED FOR ANY OF THE ABOVE ANSWERS, PLEASE PROVIDE COMMENTS WITH DATES OF OCCURRENCES ON ATTACHED ADDITIONAL SIGNED PAGES. * * * * SECTION E - PERFORMANCE 1. What was the largest amount of work your company completed in one year: $ Number of jobs: Year: Largest job: $

8 2. List five (5) of the largest asbestos abatement contracts completed in the past five (5) years. OWNER, PERSON TO CONTACT TELEPHONE NUMBER KIND OF WORK CONTRACT PRICE YEAR 3. List all asbestos abatement projects in progress or completed for school districts, including community college districts, in the last five years. SCHOOL DISTRICT PERSON TO CONTACT TELEPHONE NUMBER KIND OF WORK CONTRACT PRICE YEAR 4. How many years experience do you have as a contractor (a) in public works projects in California ; (b) on school or community college construction projects in California under the license classification listed in Section B. 5. List three principal suppliers of equipment, supplies, and materials: NAME MATERIAL/SERVICES PROVIDED STREET ADDRESS, CITY, AND ZIP TELEPHONE NUMBER (WITH AREA CODE) 6. List experience record of principal individuals of your present organization include Responsible Managing Officer/Employee (RMO/RME) as reported to the California State License Board. NAME PRESENT POSITION YEARS WITH FIRM YEARS OF ASBESTOS ABATEMENT EXPERIENCE MAGNITUDE AND TYPE OF PROJECTS

9 7. Explain how this project would be staffed (positions, lines of communication, authority/responsibility). Provide the names and experience of the proposed construction superintendent and project manager and include their experience with comparable school or community college projects constructed in California. SECTION F - FINANCIAL ACCOUNTING Name of Accounting firm: Address: Telephone: 1. How many years has this firm prepared financial statements for you? Tax returns: 2. Fiscal year end: 3. Are taxes (both company and person) current? YES NO BANK Name of Bank Account Manager Phone Address Account numbers Amount of credit line $ Amount in use $ How secured Expiration date Attach letter from bank confirming line of credit and/or relationship/credit/banking history. Signed this day of 20. Signature Printed Name and Title

10 AFFIDAVIT OF AN INDIVIDUAL FOR A SOLE PROPRIETORSHIP I, an individual, doing business as This day of,, city of County of State of Signature of Applicant PARTNERSHIP AFFIDAVIT I, a partner of (name of firm) This day of,, city of County of State of Signature of Applicant CORPORATION AFFIDAVIT I, the (Title of corporation officer) of (use full corporate name) This day of,, city of County of State of Signature of Applicant The submitter of the foregoing statement of experience and financial condition has read the same and it is true to the best of his/her knowledge. The statement is for the purpose of determining bidder's qualification to undertake work bid. Attached is a certified copy of the minutes of the corporation indicating that the person whose signature appears below has authority to bind the corporation. For other types of organizations, provide evidence in a form and substance acceptable to the district (such as Power of Attorney) that the person whose signature appears below has authority to bind the contractor.

11 By signing the proper affidavit, the submitter certified and declares under penalty of perjury that the foregoing is true and correct. If a corporation, answer this: Capital paid in cash, $ When incorporated: In which state: If a partnership, answer this: Date of organization State whether partnership is general, limited, or association In which state: Name and address of each partner President: Vice President: Secretary: Treasurer: Provide copy of most recent certificate from the Secretary of State indicating the standing of the corporation.

12 CONTRACTOR'S FINANCIAL STATEMENT ASSETS DETAIL TOTAL 1. Free and unrestricted, Cash on hand 2. Notes receivable 3. Accounts receivable from completed contracts 4. Accts. receivable, sums billed on incomplete contract 5. Other account(s) receivable 6. Advances to construction joint ventures 7. Material in stock not included in item 4 8. Negotiable securities 9. Other current assets SUBTOTAL OF CURRENT ASSETS $ FIXED AND OTHER ASSETS 10. Real Estate 11. Construction Plant and equipment 12. Furniture and fixtures 13. Investments of a noncurrent nature 14. Other noncurrent assets SUBTOTAL OF FIXED AND OTHER ASSETS TOTAL ASSETS $ $ LIABILITIES AND CAPITAL CURRENT LIABILITIES 15. Current portion of notes payable, exclusive of equipment obligations and real estate encumbrances 16. Accounts Payable 17. Other current liabilities SUBTOTAL OF CURRENT LIABILITIES OTHER LIABILITIES 18. Real Estate encumbrances 19. Equipment obligations secured by equipment 20. Other noncurrent liabilities and non-current notes payable 21. Reserves SUBTOTAL OF OTHER LIABILITIES CAPITAL AND SURPLUS 22. Capital stock, paid up 23. Retained earnings SUBTOTAL OF CAPITAL AND RETAINED EARNINGS TOTAL OF LIABILITIES AND CAPITAL CONTINGENT LIABILITIES 24. Liability on notes receivable, discounted or sold 25. Liability on accounts receivable, pledged, assigned, or sold 26. Liability as a bondsman 27. Liability as guarantor on contracts or on accounts of others 28. Other contingent liabilities TOTAL OF CONTINGENT LIABILITY $ $ $ $ $

13 SUPPORTING SCHEDULES TO BALANCE SHEET ASSETS List any and all items of the following categories as listed on page 11 that exceed 10% of the subject line total or any item that exceeds $50,000. DUE FROM DATE DUE SECURITY AMOUNT LINE 2 NOTES RECEIVABLE LINE 3 ACCOUNTS RECEIVABLE FROM COMPLETED CONTRACTS EXCLUSIVE OF CLAIMS NOT APPROVED FOR PAYMENT LINE 4 SUMS EARNED ON INCOMPLETE CONTRACTS LINE 5 OTHER ACCOUNTS RECEIVABLE LINE 6 ADVANCES TO CONSTRUCTION JOINT VENTURES SUPPORTING SCHEDULES TO BALANCE SHEET LIABILITIES List any and all items of the following categories as listed on page 11 that exceed 10% of the subject line total or any item that exceeds $50,000. DUE FROM DATE DUE SECURITY AMOUNT PERIODIC PAYMENT LINE 15 NOTES PAYABLE EXCLUSIVE OF EQUIPMENT OR REAL ESTATE LINE 16 ACCOUNTS PAYABLE LINE 17 OTHER CURRENT LIABILITIES

14 LINE 18 REAL ESTATE ENCUMBRANCES LINE 19 EQUIPMENT OBLIGATIONS SECURED BY EQUIPMENT

PITTSBURG UNIFIED SCHOOL DISTRICT

PITTSBURG UNIFIED SCHOOL DISTRICT PITTSBURG UNIFIED SCHOOL DISTRICT New Construction and Modernization Projects PRE-QUALIFICATION PROGRAM QUESTIONNAIRE FOR PROJECTS $20 MILLION AND OVER TABLE OF CONTENTS PAGE NO. GENERAL INFORMATION.......i

More information

PREQUALIFICATION QUESTIONNAIRE

PREQUALIFICATION QUESTIONNAIRE PREQUALIFICATION QUESTIONNAIRE BAW&G/WHW/JWF/172861.2 Revision Date: 01-14/14 1 Contractor Prequalification Package CONTACT INFORMATION Firm Name: Check One: Corporation (as it appears on license) Partnership

More information

IRVINE UNIFIED SCHOOL DISTRICT. 100 Nightmist Irvine, California 92618 (949) 936-5317 CONTRACTOR S PREQUALIFICATION QUESTIONNAIRE, 20

IRVINE UNIFIED SCHOOL DISTRICT. 100 Nightmist Irvine, California 92618 (949) 936-5317 CONTRACTOR S PREQUALIFICATION QUESTIONNAIRE, 20 100 Nightmist Irvine, California 92618 (949) 936-5317 CONTRACTOR S PREQUALIFICATION QUESTIONNAIRE, 20 The Irvine Unified School District ( District ) has determined that bidders on an annual basis must

More information

SAN BERNARDINO MOUNTAINS COMMUNITY HEALTHCARE DISTRICT

SAN BERNARDINO MOUNTAINS COMMUNITY HEALTHCARE DISTRICT SAN BERNARDINO MOUNTAINS COMMUNITY HEALTHCARE DISTRICT CONTRACTOR PRE-QUALIFICATION QUESTIONNAIRE 1 PRE-QUALIFICATION QUESTIONNAIRE 000 CONTACT INFORMATION Firm Name: Check One: Corporation (as it appears

More information

Carmel Unified School District. Prequalification Application For Bleacher and Pressbox Replacement Project at Carmel High School

Carmel Unified School District. Prequalification Application For Bleacher and Pressbox Replacement Project at Carmel High School Carmel Unified School District Prequalification Application For Bleacher and Pressbox Replacement Project at Carmel High School January 4, 2016 1 NOTICE REGARDING PREQUALIFICATION FOR BLEACHER AND PRESSBOX

More information

Morgan Hill Unified SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE FOR PROSPECTIVE BIDDERS. October 19, 2015

Morgan Hill Unified SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE FOR PROSPECTIVE BIDDERS. October 19, 2015 Morgan Hill Unified SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE FOR PROSPECTIVE BIDDERS October 19, 2015 The Morgan Hill Unified School District ( District ) has determined that contractors on future

More information

OAKLAND UNIFIED SCHOOL DISTRICT FOR LOCAL FIRST TIER SUBCONTRACTORS PREQUALIFICATION QUESTIONNAIRE FOR PROSPECTIVE BIDDERS

OAKLAND UNIFIED SCHOOL DISTRICT FOR LOCAL FIRST TIER SUBCONTRACTORS PREQUALIFICATION QUESTIONNAIRE FOR PROSPECTIVE BIDDERS OAKLAND UNIFIED SCHOOL DISTRICT FOR LOCAL FIRST TIER SUBCONTRACTORS PREQUALIFICATION QUESTIONNAIRE FOR PROSPECTIVE BIDDERS THIS QUESTIONNAIRE MUST BE PRINTED ON BLUE PAPER OAKLAND UNIFIED SCHOOL DISTRICT

More information

APPLICATION FOR PRE-QUALIFICATION OF GENERAL CONTRACTORS AND PRIME CONTRACTORS. (for construction projects valued at more than $250,000) for

APPLICATION FOR PRE-QUALIFICATION OF GENERAL CONTRACTORS AND PRIME CONTRACTORS. (for construction projects valued at more than $250,000) for Palomar Community College District Business & Contract Services, Room A-10 1140 W. Mission Rd. San Marcos, CA 92069-1487 Phone: (760) 744-1150 x 2129 FAX: (760) 761-3548 APPLICATION FOR PRE-QUALIFICATION

More information

STATEMENT OF BIDDER S QUALIFICATIONS

STATEMENT OF BIDDER S QUALIFICATIONS 1 Bidder's Organization STATEMENT OF BIDDER'S QUALIFICATIONS 1.1 Form of entity of Bidder, i.e, corporation, partnership, etc. 1.1.1 If a corporation, state the following: State of Incorporation: Date

More information

Know Surety Bonds.com Contractor s Questionnaire

Know Surety Bonds.com Contractor s Questionnaire Thank you for the opportunity to allow us to secure a bonding line for your company. In order for us to better evaluate your company and obtain the best possible bond program, please fill out the form

More information

STATEMENT OF BIDDER S QUALIFICATIONS

STATEMENT OF BIDDER S QUALIFICATIONS 1.01 Bidder s Organization SECTION 00035 A. Form of entity of Bidder, i.e., corporation, partnership, etc. 1. If a corporation, state the following: State of Incorporation: Date of Incorporation: President/Chief

More information

Performance and Payment Bonds

Performance and Payment Bonds Performance and Payment Bonds Submission Requirements 1) Request for Performance and Payment Bonds. (Forms attached for your convenience, please return only with a Performance and or Payment Bond Request.

More information

CONTRACTOR PREQUALIFICATION REQUIREMENTS GENERAL CONTRACTORS, MECHANICAL/PLUMBING SUBCONTRACTORS & ELECTRICAL SUBCONTRACTORS FOR THE

CONTRACTOR PREQUALIFICATION REQUIREMENTS GENERAL CONTRACTORS, MECHANICAL/PLUMBING SUBCONTRACTORS & ELECTRICAL SUBCONTRACTORS FOR THE CONTRACTOR PREQUALIFICATION REQUIREMENTS GENERAL CONTRACTORS, MECHANICAL/PLUMBING SUBCONTRACTORS & ELECTRICAL SUBCONTRACTORS FOR THE SANTEE SCHOOL DISTRICT 1 .......... 2 1. Effective January 1 st, 2014,

More information

FABENS INDEPENDENT SCHOOL DISTRICT FABENS, TEXAS. REQUEST FOR PROPOSALS FOR CONSTRUCTION MANAGEMENT SERVICES (CM @ Risk) FOR

FABENS INDEPENDENT SCHOOL DISTRICT FABENS, TEXAS. REQUEST FOR PROPOSALS FOR CONSTRUCTION MANAGEMENT SERVICES (CM @ Risk) FOR FABENS INDEPENDENT SCHOOL DISTRICT FABENS, TEXAS REQUEST FOR PROPOSALS FOR CONSTRUCTION MANAGEMENT SERVICES (CM @ Risk) FOR A New High School Competition Gym RFP No. 052015-036 PROPOSALS ARE DUE 10:00

More information

CONTRACT BOND SUBMISSION

CONTRACT BOND SUBMISSION CONTRACT BOND SUBMISSION 1030 17th Avenue South Nashville, TN 37212 Contract & Commercial Surety Bonds (615) 321-9700 Toll Free: 1-877-992-6637 Fax: (615) 321-9702 Our obligation as Surety is to analyze

More information

ANY INVALID WILL NOT

ANY INVALID WILL NOT NOTICE!! THIS IS AN OFFICIAL DOCUMENT THAT IS USED TO DETERMINE THE QUALIFICATIONS OF CONTRACTORS TO BID WITH THE AGENCY OF TRANSPORTATION FOR THE STATE OF VERMONT. ANY ALTERATIONS OF THIS DOCUMENT WILL

More information

INSTRUCTIONS AND APPLICATION FOR CONTRACT BONDING

INSTRUCTIONS AND APPLICATION FOR CONTRACT BONDING Melwain Enterprises, Inc. 181 South Franklyn Avenue - Suite 603 Valley Stream, New York 11581 (516) 295-6081 Fax: (516) 569-1516 Email Address: info@melwainbonds.com INSTRUCTIONS AND APPLICATION FOR CONTRACT

More information

SUBCONTRACTOR PRE-QUALIFICATION APPLICATION

SUBCONTRACTOR PRE-QUALIFICATION APPLICATION APPLICATION SUBCONTRACTOR IDENTITY Date Submitted Company Name Complete Address Phone Number Contact Name Federal Tax ID # DUNS # Fax Number Email Address NAICS Code States Registered to do Business Include

More information

Colorado Mesa University CMU 2489 REQUEST FOR QUALIFICATIONS SMALL BUSINESS GENERAL CONTRACTOR PREQUALIFICATION

Colorado Mesa University CMU 2489 REQUEST FOR QUALIFICATIONS SMALL BUSINESS GENERAL CONTRACTOR PREQUALIFICATION CMU 2489 REQUEST FOR QUALIFICATIONS SMALL BUSINESS GENERAL CONTRACTOR PREQUALIFICATION BACKGROUND, OVERVIEW AND GOALS Colorado Mesa University is soliciting the submittal of qualifications from General

More information

SUBCONTRACTOR S QUALIFICATION STATEMENT. Give complete answers to the following questions (attach additional pages if necessary).

SUBCONTRACTOR S QUALIFICATION STATEMENT. Give complete answers to the following questions (attach additional pages if necessary). 1 SUBCONTRACTOR S QUALIFICATION STATEMENT Submitted to: B.C. Construction Co., Inc. 385 Main Street Wakefield, MA 01880 For consideration with regard to: (Name of Project) Date: Give complete answers to

More information

May 2013. This document is not a public record. Amador Water Agency

May 2013. This document is not a public record. Amador Water Agency Gravity Supply Line Project PRE-QUALIFICATION QUESTIONNAIRE May 2013 Amador Water Agency 12800 Ridge Road Sutter Creek, California 95686 Phone:(209) 257-5222 Fax:(209) 257-5295 INVITATION TO PRE-QUALIFY

More information

Contractor s Questionnaire

Contractor s Questionnaire Contractor s Questionnaire Along with this submission please include all of the following (incomplete submissions may result in a delayed response): Last three fiscal year end statements of applicant and

More information

BDH ASSOCIATES, INC. 4572 Lawrenceville Hwy., Suite 201 Lilburn, GA 30047 (770) 564-2999 or Toll Free (888) 3280500 Fax: 770-564-9327

BDH ASSOCIATES, INC. 4572 Lawrenceville Hwy., Suite 201 Lilburn, GA 30047 (770) 564-2999 or Toll Free (888) 3280500 Fax: 770-564-9327 BDH ASSOCIATES, INC. 4572 Lawrenceville Hwy., Suite 201 Lilburn, GA 30047 (770) 564-2999 or Toll Free (888) 3280500 Fax: 770-564-9327 USED CAR & PARTS DEALER BOND REQUIREMENTS ANNUAL PREMIUM: VARIES BASED

More information

Contractor s Bond Submission Checklist

Contractor s Bond Submission Checklist Contractor s Bond Submission Checklist Please complete the forms for items 1, 3, and 5. If you can not download any of the checked documents, please contact us. 1. *Contractors Questionnaire 2. *CPA Prepared

More information

State of North Carolina Prequalification Form for Prime Contractor

State of North Carolina Prequalification Form for Prime Contractor Pursuant to the statute, this form gathers information about the contractors seeking to qualify for the work and provides a general format for the prequalification criteria. Completing this questionnaire

More information

Subcontractor Qualifications Statement

Subcontractor Qualifications Statement Subcontractor Qualifications Statement Submitted to: 134 N. Narberth Avenue Narberth, PA 19072 For consideration with regard to: (Name of Project) Please provide complete answers to all of the following.

More information

CONTRACTOR QUALIFICATIONS STATEMENT

CONTRACTOR QUALIFICATIONS STATEMENT Page 1 of 6 CONTRACTOR QUALIFICATIONS STATEMENT The undersigned certifies under oath the truth and correctness of all statements and of all answers to questions made hereinafter. SUBMITTED TO: St. Vrain

More information

CITY OF JACKSON, MISSISSIPPI MINORITY/WOMEN BUSINESS ENTERPRISE DISCLOSURE AFFIDAVIT

CITY OF JACKSON, MISSISSIPPI MINORITY/WOMEN BUSINESS ENTERPRISE DISCLOSURE AFFIDAVIT CITY OF JACKSON, MISSISSIPPI MINORITY/WOMEN BUSINESS ENTERPRISE DISCLOSURE AFFIDAVIT In order to evaluate the legitimacy of each MBE/FBE applicant, certain relevant information must be provided initially,

More information

CONTRACT BOND SUBMISSION CHECKLIST

CONTRACT BOND SUBMISSION CHECKLIST CONTRACT BOND SUBMISSION CHECKLIST Contractors uestionnaire Bond equest orm Copy of contract (if final bond request) Past three years CPA Prepared fiscal year end statements Interim financial statement

More information

APPLICATION FOR FINANCIAL ASSISTANCE Phone: 513.631.8292 Fax: 513.631.1192 1776 Mentor Ave. Suite 100 Cincinnati, OH 45212 www.hcdc.

APPLICATION FOR FINANCIAL ASSISTANCE Phone: 513.631.8292 Fax: 513.631.1192 1776 Mentor Ave. Suite 100 Cincinnati, OH 45212 www.hcdc. APPLICATION FOR FINANCIAL ASSISTANCE Phone: 513.631.8292 Fax: 513.631.1192 1776 Mentor Ave. Suite 100 Cincinnati, OH 45212 www.hcdc.com COMPANY INFORMATION: (This is information about your operating business.)

More information

Eanes Independent School District

Eanes Independent School District EANES INDEPENDENT SCHOOL DISTRICT 601 Camp Craft Road Austin, Texas 78746 Request for Qualifications Construction Manager at Risk Services Eanes Independent School District Construct a District Operations

More information

APPLICATION FOR PRE-QUALIFICATION FOR GENERAL CONTRACTORS FOR THE L TOWER SEISMIC PROJECT RIO HONDO COMMUNITY COLLEGE DISTRICT

APPLICATION FOR PRE-QUALIFICATION FOR GENERAL CONTRACTORS FOR THE L TOWER SEISMIC PROJECT RIO HONDO COMMUNITY COLLEGE DISTRICT APPLICATION FOR PRE-QUALIFICATION FOR GENERAL CONTRACTORS FOR THE L TOWER SEISMIC PROJECT RIO HONDO COMMUNITY COLLEGE DISTRICT May 2016 TABLE OF CONTENTS 1. General Information...1 2. Quick Check: Should

More information

Small Business Enterprise Certification Application 49 CFR Part 26

Small Business Enterprise Certification Application 49 CFR Part 26 Small Business Enterprise Certification Application 49 CFR Part 26 All firms wishing to be certified as a Small Business Enterprise (SBE) must complete this application and submit it to the Washington

More information

NORTH CAROLINA DEPARTMENT OF INSURANCE RALEIGH, NORTH CAROLINA INDIVIDUAL EMPLOYERS SELF-INSURED FOR WORKERS COMPENSATION APPLICATION TO SELF-INSURE

NORTH CAROLINA DEPARTMENT OF INSURANCE RALEIGH, NORTH CAROLINA INDIVIDUAL EMPLOYERS SELF-INSURED FOR WORKERS COMPENSATION APPLICATION TO SELF-INSURE NORTH CAROLINA DEPARTMENT OF INSURANCE RALEIGH, NORTH CAROLINA INDIVIDUAL EMPLOYERS SELF-INSURED FOR WORKERS COMPENSATION APPLICATION TO SELF-INSURE The undersigned, an employer subject to the current

More information

MASTER TEXT COPY CONSENSUSDOCS 221 CONTRACTOR'S STATEMENT OF QUALIFICATIONS FOR A SPECIFIC PROJECT

MASTER TEXT COPY CONSENSUSDOCS 221 CONTRACTOR'S STATEMENT OF QUALIFICATIONS FOR A SPECIFIC PROJECT CONSENSUSDOCS 221 CONTRACTOR'S STATEMENT OF QUALIFICATIONS FOR A SPECIFIC PROJECT This document was developed through a collaborative effort of entities representing a wide cross-section of the construction

More information

HOW TO OBTAIN A NEW CONTRACTOR LICENSE

HOW TO OBTAIN A NEW CONTRACTOR LICENSE HOW TO OBTAIN A NEW CONTRACTOR LICENSE These instructions apply to new licenses only. If you wish to add a classification or a qualifying party to an existing license, please see HOW TO ADD A CLASSIFICATION

More information

T R A D E C O N T R A C T O R Q U A L I F I C A T I O N F O R M

T R A D E C O N T R A C T O R Q U A L I F I C A T I O N F O R M ALL INFORMATION MUST BE COMPLETED IN ORDER TO BE CONSIDERED FOR PRE- QUALIFICATION. PLEASE RETURN COMPLETED FORM, ALONG WITH A CURRENT FINANCIAL STATEMENT TO: Rentenbach Constructors Inc. 2400 Sutherland

More information

ANNUAL PREQUALIFACTION APPLICATION. Interested Subcontractor:

ANNUAL PREQUALIFACTION APPLICATION. Interested Subcontractor: ANNUAL PREQUALIFACTION APPLICATION Interested Subcontractor: Each Frank L. Blum Construction subcontractor that has the potential of having a contract greater than $50,000 must submit a completed Subcontractor

More information

CONSTRUCTION CONTRACT NO. T-333.59F001-3-02

CONSTRUCTION CONTRACT NO. T-333.59F001-3-02 SPECIAL PREQUALIFICATION PROCESS FOR PLYMOUTH MEETING MAINTENANCE FACILITY RELOCATION AND CONSTRUCTION MILEPOST 332.5 EASTBOUND PLYMOUTH TOWNSHIP, MONTGOMERY COUNTY PENNSYLVANIA TURNPIKE COMMISSION CONSTRUCTION

More information

CALIFORNIA SOUTHERN Small Business Development Corporation 600 B Street, Suite 2450 San Diego, California 92101 (619) 232-7771 FAX (619) 232-6743

CALIFORNIA SOUTHERN Small Business Development Corporation 600 B Street, Suite 2450 San Diego, California 92101 (619) 232-7771 FAX (619) 232-6743 600 B Street, Suite 2450 San Diego, California 92101 (619) 232-7771 FAX (619) 232-6743 THE FOLLOWING INFORMATION (WHERE APPROPRIATE) MUST BE SUBMITTED TO CALIFORNIA SOUTHERN TO APPLY FOR A BUSINESS LOAN:

More information

CONTRACT BONDS * Bid * Payment * Performance

CONTRACT BONDS * Bid * Payment * Performance ALAMO SURETY BONDS Phone (210) 930-5550 2361 Austin Hwy Fax (210) 930-3255 San Antonio, TX 78218 bondinfo@alamobonds.com To qualify for bonding credit, the surety company underwriter will need to determine

More information

Contractors Surety Questionnaire

Contractors Surety Questionnaire Contractors Surety Questionnaire The information requested in this questionnaire is required for us to consider your company for bonding. Please be as thorough as possible when you answer the questions.

More information

Hunt Construction Group, Inc. LEVEL 1 DESIGN BUILD SPECIALTY CONTRACTOR PREQUALIFICATION DOCUMENTS FOR:

Hunt Construction Group, Inc. LEVEL 1 DESIGN BUILD SPECIALTY CONTRACTOR PREQUALIFICATION DOCUMENTS FOR: Hunt Construction Group, Inc. LEVEL 1 DESIGN BUILD SPECIALTY CONTRACTOR PREQUALIFICATION DOCUMENTS FOR: San Diego State University Basketball Practice Facility Project Number: 03400200 October 2013 San

More information

SUBCONTRACTOR PREQUALIFICATION STATEMENT Name of Company: Street Address:

SUBCONTRACTOR PREQUALIFICATION STATEMENT Name of Company: Street Address: LEEDing the way in electrical construction Weifield Group Contracting Pre-Qualification Form Send completed form to: Weifield Group Contracting Attn: Seth Anderson 146 Yuma Street Denver, CO 80223 Phone:

More information

The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading.

The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading. The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading.! " " [] Corporation [] Partnership [] Individual [] Joint Venture

More information

Franchise Tax Board 4905BE Booklet Offer In Compromise for Business Entities

Franchise Tax Board 4905BE Booklet Offer In Compromise for Business Entities State of California Franchise Tax Board 4905BE Booklet Offer In Compromise for Business Entities What you should know before preparing an Offer in Compromise Are you an OIC Candidate? If your business

More information

JOSEPHINE COUNTY PUBLIC WORKS DEPARTMENT GRANTS PASS, OREGON CONTRACTOR'S PREQUALIFICATION APPLICATION

JOSEPHINE COUNTY PUBLIC WORKS DEPARTMENT GRANTS PASS, OREGON CONTRACTOR'S PREQUALIFICATION APPLICATION JOSEPHINE COUNTY PUBLIC WORKS DEPARTMENT GRANTS PASS, OREGON 97527 CONTRACTOR'S PREQUALIFICATION APPLICATION Equipment and Experience Questionnaire JOSEPHINE COUNTY PUBLIC WORKS DEPARTMENT 201 River Heights

More information

Southeastern Pennsylvania Transportation Authority

Southeastern Pennsylvania Transportation Authority Southeastern Pennsylvania Transportation Authority DBE Program Office Business Services Division Small Business Enterprise Verification Application 49 C.F.R. Part 26 All firms wishing to verify its status

More information

State of North Carolina Prequalification Form for Prime Contractor

State of North Carolina Prequalification Form for Prime Contractor Pursuant to the statute, this form gathers information about the contractors seeking to qualify for the work and provides a general format for the prequalification criteria. Completing this questionnaire

More information

SBA Loan Checklist. Ownership Information. Site Information (For Real Estate Transactions Only) Business Information

SBA Loan Checklist. Ownership Information. Site Information (For Real Estate Transactions Only) Business Information SBA Loan Checklist Ownership Information Completed Credit Application Completed Personal Financial Statement (for each owner) Summary of Project Cost (form attached) 3 Years Personal Federal Tax Returns

More information

CALIFORNIA UNIFORM PUBLIC CONSTRUCTION COST ACCOUNTING ACT (CUPCCAA) INFORMAL BIDDING PREQUALIFICATION APPLICATION FOR THE 2016 CALENDAR YEAR

CALIFORNIA UNIFORM PUBLIC CONSTRUCTION COST ACCOUNTING ACT (CUPCCAA) INFORMAL BIDDING PREQUALIFICATION APPLICATION FOR THE 2016 CALENDAR YEAR CALIFORNIA UNIFORM PUBLIC CONSTRUCTION COST ACCOUNTING ACT (CUPCCAA) INFORMAL BIDDING PREQUALIFICATION APPLICATION FOR THE 2016 CALENDAR YEAR Return Application to: By Mail: North Orange County CCD Purchasing

More information

Project Name: Project No.: CONTRACTOR BID FORM. BID FROM: Name: Address:

Project Name: Project No.: CONTRACTOR BID FORM. BID FROM: Name: Address: This bid form must be filled out but is for MPOWER processing purposes only. It does not replace the contractors bid. Your contractors bid should additionally be attached. Project Name: Project No.: CONTRACTOR

More information

The City of Burlington Minority and Women Enterprise Program Self-Certification Application

The City of Burlington Minority and Women Enterprise Program Self-Certification Application The City of Burlington Minority and Women Enterprise Program Self-Certification Application Trade name of small business concern Street address of business Mailing address of business (if different) City

More information

RE CERTIFICATION FOR TIER I EMERGING SMALL BUSINESS (ESB) OR SMALL BUSINESS (SB)

RE CERTIFICATION FOR TIER I EMERGING SMALL BUSINESS (ESB) OR SMALL BUSINESS (SB) City of Omaha Jean Stothert, Mayor Human Rights and Relations Department Omaha/Douglas Civic Center 1819 Farnam Street, Suite 502 Omaha, Nebraska 68183 0502 Phone No. (402) 444 5055 Fax (402) 444 5058

More information

SUBMISSION CHECKLIST CONTRACT BONDS

SUBMISSION CHECKLIST CONTRACT BONDS 4446 State Route 42, Ste. B Monticello, NY 12701 T (845) 791-6700 / F (845) 794-5333 www.hudsonunderwriters.com SUBMISSION CHECKLIST CONTRACT BONDS We appreciate this opportunity to earn your business.

More information

CITY OF DURHAM SMALL LOCAL BUSINESS ENTERPRISE PROGRAM CERTIFICATION QUESTIONNAIRE

CITY OF DURHAM SMALL LOCAL BUSINESS ENTERPRISE PROGRAM CERTIFICATION QUESTIONNAIRE CITY OF DURHAM SMALL LOCAL BUSINESS ENTERPRISE PROGRAM CERTIFICATION QUESTIONNAIRE Phone: 919-560-4180 Facsimile: 919-560-4513 Street Address: 101 City Hall Plaza (Annex) Durham, North Carolina 27701 POLICY

More information

GEORGIA UNIFORM CERTIFICATIO PROGRAM Section 1: CERTIFICATION INFORMATION

GEORGIA UNIFORM CERTIFICATIO PROGRAM Section 1: CERTIFICATION INFORMATION GEORGIA UNIFORM CERTIFICATIO PROGRAM Section 1: CERTIFICATION INFORMATION A. Prior/Other Certifications Is your firm currently certified for DBE any of the following programs? (If Yes, check appropriate

More information

Construction Trades Qualifying Board APPLICATION FOR BUSINESS CERTIFICATION OR ADDING D/B/A TO EXISTING BUSINESS LICENSE

Construction Trades Qualifying Board APPLICATION FOR BUSINESS CERTIFICATION OR ADDING D/B/A TO EXISTING BUSINESS LICENSE Construction Trades Qualifying Board APPLICATION FOR BUSINESS CERTIFICATION OR ADDING D/B/A TO EXISTING BUSINESS LICENSE BUSINESS APPLICATION INCLUDING D/B/A... $ 315.00 (Business Application not applicable

More information

The School Board of Miami-Dade County, Florida Department of Contractor Prequalification Frequently Asked Questions and Answers

The School Board of Miami-Dade County, Florida Department of Contractor Prequalification Frequently Asked Questions and Answers The School Board of Miami-Dade County, Florida Department of Contractor Prequalification Frequently Asked Questions and Answers Question 1: How long will the prequalification process take? Answer: The

More information

SHORT FORM For Use by presently certified firms.

SHORT FORM For Use by presently certified firms. Economic Development Department Minority and Women-Owned Business Enterprise Certification Application SHORT FORM For Use by presently certified firms. M/WBE Certification Application, Short Form Rev.

More information

WONG GLOBEWIDE PROPERTY INVESTMENTS CORPORATION WGPIC. Commercial Loan Application. Need Help! Please call 213-618-6611 Ask for JC

WONG GLOBEWIDE PROPERTY INVESTMENTS CORPORATION WGPIC. Commercial Loan Application. Need Help! Please call 213-618-6611 Ask for JC WONG GLOBEWIDE PROPERTY INVESTMENTS CORPORATION WGPIC Commercial Loan Application Need Help! Please call 213-618-6611 Ask for JC Or Efax 866-612-9898 Or Email: Info@WGPIC.com (please answer all questionnaires

More information

SUBCONTRACTOR / VENDOR PREQUALIFICATION QUESTIONNAIRE

SUBCONTRACTOR / VENDOR PREQUALIFICATION QUESTIONNAIRE Return to: Phone: 1-208-323-4500 1. General Information Name of Business: SUBCONTRACTOR / VENDOR PREQUALIFICATION QUESTIONNAIRE Petra, Inc. 1097 North Rosario St. Meridian, ID 83642 1-208-323-1147 E-Mail:

More information

Menlo Park City School District 181 Encinal Avenue Atherton, CA 94027

Menlo Park City School District 181 Encinal Avenue Atherton, CA 94027 181 Encinal Avenue Atherton, CA 94027 The offers this information to any individual or firm wishing to be added to the District s general construction informal bid list for all trades pursuant to Public

More information

Financial Information Statement for Businesses

Financial Information Statement for Businesses Financial Information Statement for Businesses How to Complete This Statement Enter the most current data available in all spaces. Write N/A in spaces that don t apply to you. The Taxation and Revenue

More information

SAMPLE STATE OF HAWAII STANDARD QUALIFICATION QUESTIONNAIRE FOR OFFERORS. issued by the PROCUREMENT POLICY BOARD STATE OF HAWAII.

SAMPLE STATE OF HAWAII STANDARD QUALIFICATION QUESTIONNAIRE FOR OFFERORS. issued by the PROCUREMENT POLICY BOARD STATE OF HAWAII. SAMPLE STATE OF HAWAII STANDARD QUALIFICATION QUESTIONNAIRE FOR OFFERORS issued by the PROCUREMENT POLICY BOARD STATE OF HAWAII June 16, 2003 To be filed with the procurement officer calling for offers

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION One Commerce Park P. O. Box 160 Shallowater,Texas 79363 Phone - 806.832.4525 Fax - 806.832.5849 EMAIL ADDRESS - MARK@FSBSHALLOWATER.COM Page 9 of 23 Commercial Loan Application:

More information

KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned,

KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned, SURETY BOND KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned, (Contractor's Name) as Principal, and, as Surety, are hereby held and firmly bound into City of Buckeye as OWNER in the penal sum of

More information

State of North Carolina Prequalification for First Tier Subcontractors under CM at Risk

State of North Carolina Prequalification for First Tier Subcontractors under CM at Risk NC General Statute 143.128.1.c states, The construction manager at risk shall contract directly with the public entity for all construction; shall publicly advertise as prescribed in G.S. 143 129; and

More information

Contractor s Bond Questionnaire

Contractor s Bond Questionnaire We appreciate the opportunity to be the broker of record in providing surety bond credit to your company. The purpose of this questionnaire is to assist us, and the designated surety company, in evaluating

More information

PASADENA AREA COMMUNITY COLLEGE DISTRICT (PACCD) 2015 California Uniform Public Construction Cost Accounting Act (CUPCCAA) Informal Bid List

PASADENA AREA COMMUNITY COLLEGE DISTRICT (PACCD) 2015 California Uniform Public Construction Cost Accounting Act (CUPCCAA) Informal Bid List PASADENA AREA COMMUNITY COLLEGE DISTRICT (PACCD) 2015 California Uniform Public Construction Cost Accounting Act (CUPCCAA) Informal Bid List At their Board meeting of August 21, 2013, the Trustees of the

More information

10. PROOF OF USABLE PHONE listed with local directory assistance in the business name and lot address as it appears on the initial application.

10. PROOF OF USABLE PHONE listed with local directory assistance in the business name and lot address as it appears on the initial application. USED MOTOR VEHICLE AND PARTS COMMISSION 2401 NW 23 rd, Suite 57, Oklahoma City, OK 73107 Phone: (405)521-3600 Fax (405)521-3604 www.usedcarcommission.ok.gov WHOLESALE MOTOR VEHICLE DEALER S LICENSE INSTRUCTION

More information

J.R. OLSEN BONDS & INSURANCE BROKERS, INC. CA Broker/Agent Lic. #

J.R. OLSEN BONDS & INSURANCE BROKERS, INC. CA Broker/Agent Lic. # BID / CONTRACT / PERFORMANCE BONDS Thank you for giving J. R. Olsen Bonds & Insurance Brokers, Inc. the opportunity to underwrite your account for bonding credit. Please use the enclosed kit, to apply

More information

Date. Resubmit this form during the year if there are changes in your company ownership or financial standing.

Date. Resubmit this form during the year if there are changes in your company ownership or financial standing. COLORADO DEPARTMENT OF TRANSPORTATION CONTRACTOR PREQUALIFICATION STATEMENT (EXPERIENCE, EQUIPMENT AND FINANCIAL) Return to: Contracts & Market Analysis Prequalification Unit 4201 E. Arkansas,4th Floor

More information

INFORMAL BIDDING APPLICATION FOR REGISTRATION November 2015 October 2016

INFORMAL BIDDING APPLICATION FOR REGISTRATION November 2015 October 2016 INFORMAL BIDDING APPLICATION FOR REGISTRATION General Instructions: Bidders must complete the entire Application. If the requested information does not apply please indicate by N/A. If there is not enough

More information

APPLICATION for NATIONAL CERTIFICATION as a VETERAN BUSINESS ENTERPRISE

APPLICATION for NATIONAL CERTIFICATION as a VETERAN BUSINESS ENTERPRISE APPLICATION for NATIONAL CERTIFICATION as a VETERAN BUSINESS ENTERPRISE APPLICATION FOR NATIONAL CERTIFICATION AS A VETERAN OWNED AND CONTROLLED BUSINESS Introduction We welcome your interest in NWBOC

More information

LOST NOTE BOND APPLICATION *CHECKLIST*

LOST NOTE BOND APPLICATION *CHECKLIST* Artisan Bonding & Insurance Services LLC 155 Rochester Street, Costa Mesa, CA 92627 Toll Free: 800-598-7535 Fax: 949-515-2984 Phone: 949-515-4194 www.artisanbonding.com LOST NOTE BOND APPLICATION CA License

More information

1. LOAN TERMS 2. BORROWER INFORMATION

1. LOAN TERMS 2. BORROWER INFORMATION 1. LOAN TERMS Loan Amount Requested Loan Amortization Requested years (25 year maximum) Type of Loan Requested (Select One) 1-Year Adjustable Rate 5-Year Adjustable Rate 3-Year Adjustable Rate 2. BORROWER

More information

FAÇADE RENOVATION PROGRAM Business Credit Application

FAÇADE RENOVATION PROGRAM Business Credit Application FAÇADE RENOVATION PROGRAM Business Credit Application Loan Amount Requested: Purpose: Bricks Façade Renovation for property located at: Edmond, OK 73034 Business Summary: Business Legal Name (Applicant):

More information

CLEVELAND HOUSING NETWORK, INC CONSTRUCTION DEPARTMENT GENERAL CONTRACTOR APPLICATION PROCESS

CLEVELAND HOUSING NETWORK, INC CONSTRUCTION DEPARTMENT GENERAL CONTRACTOR APPLICATION PROCESS CLEVELAND HOUSING NETWORK, INC CONSTRUCTION DEPARTMENT GENERAL CONTRACTOR APPLICATION PROCESS I. It is the Cleveland Housing Network, Inc. s policy to verify all information given on the application. This

More information

JOYCE BRADLEY BABIN CHAPTER 13 STANDING TRUSTEE P.O. Box 8064 Little Rock, AR 72203-8064 Tel: (501) 537-2500 Fax: (501) 537-2501

JOYCE BRADLEY BABIN CHAPTER 13 STANDING TRUSTEE P.O. Box 8064 Little Rock, AR 72203-8064 Tel: (501) 537-2500 Fax: (501) 537-2501 JOYCE BRADLEY BABIN CHAPTER 13 STANDING TRUSTEE P.O. Box 8064 Little Rock, AR 72203-8064 Tel: (501) 537-2500 Fax: (501) 537-2501 IN RE: CASE NO.: BUSINESS QUESTIONNAIRE The Trustee requires Debtors who

More information

N.I.C.E. COMMUNITY SCHOOL DISTRICT PRELIMINARY ARCHITECTURAL SERVICES REQUEST FOR PROPOSALS ("RFP")

N.I.C.E. COMMUNITY SCHOOL DISTRICT PRELIMINARY ARCHITECTURAL SERVICES REQUEST FOR PROPOSALS (RFP) N.I.C.E. COMMUNITY SCHOOL DISTRICT PRELIMINARY ARCHITECTURAL SERVICES REQUEST FOR PROPOSALS ("RFP") January 7, 2016 N.I.C.E. Community School District A. Instructions REQUEST FOR PROPOSAL FOR PRELIMINARY

More information

State of New Jersey DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT P.O. BOX 389 TRENTON, NJ 08625-0389

State of New Jersey DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT P.O. BOX 389 TRENTON, NJ 08625-0389 State of New Jersey DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT P.O. BOX 389 TRENTON, NJ 08625-0389 Instructions for completing the application for Public Works Contractor Registration The Division of

More information

Residential Builders New Application

Residential Builders New Application State of Arkansas CONTRACTORS LICENSING BOARD Residential Builders New Application $100.00 Filing Fee - NON-REFUNDABLE MAIL TO: CONTRACTORS LICENSING BOARD 4100 RICHARDS ROAD NORTH LITTLE ROCK, ARKANSAS

More information

PAYDAY LENDER LICENSE APPLICATION CHECK LIST

PAYDAY LENDER LICENSE APPLICATION CHECK LIST PAYDAY LENDER LICENSE APPLICATION CHECK LIST 1. Application Form 2. A copy of all organization documents required to be filed with the Illinois Secretary of State and a copy of the filing of assumed business

More information

SUBCONTRACTOR S PRE-QUALIFICATION FORM

SUBCONTRACTOR S PRE-QUALIFICATION FORM PAGE 1 OF 6 The undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading. SUBMITTED TO: Stock CMS SUBMITTED BY: ADDRESS: E-MAIL

More information

Bank of America Merrill Lynch McDonald s Franchise Loan Application

Bank of America Merrill Lynch McDonald s Franchise Loan Application Bank of America Merrill Lynch McDonald s Franchise Loan Application Bank of America Merrill Lynch McDonald s Franchise Loan Checklist We ve designed this package to make applying for a loan as fast and

More information

City of Hewitt. Request For Qualifications. For. Construction Manager At Risk New Hewitt Police and Fire Department Building

City of Hewitt. Request For Qualifications. For. Construction Manager At Risk New Hewitt Police and Fire Department Building City of Hewitt Request For Qualifications For Construction Manager At Risk New Hewitt Police and Fire Department Building Due Wednesday, April 24, 2013 By 2:00 PM RFQ 13-02 The City of Hewitt (Owner) invites

More information

PLEASE RETAIN COPIES OF ALL DOCUMENTS FOR YOUR RECORDS.

PLEASE RETAIN COPIES OF ALL DOCUMENTS FOR YOUR RECORDS. Real Estate / SBA Loan Checklist Ownership Information Completed Credit Application Completed Personal Financial Statement (for each owner) 3 Years Personal Federal Tax Returns (for each owner) Management

More information

CULVER CITY UNIFIED SCHOOL DISTRICT PREQUALIFICATION INFORMATION FOR PROSPECTIVE CONTRACTORS. May 21, 2015

CULVER CITY UNIFIED SCHOOL DISTRICT PREQUALIFICATION INFORMATION FOR PROSPECTIVE CONTRACTORS. May 21, 2015 I. BACKGROUND AND OVERVIEW PREQUALIFICATION INFORMATION FOR PROSPECTIVE CONTRACTORS May 21, 2015 The Culver City Unified School District ( District ), is prequalifying contractors to perform construction

More information

Initial Application for Debt Management License Attachments and Instructions

Initial Application for Debt Management License Attachments and Instructions FIS 0506 (05/15) Department of Insurance and Financial Services Page 1 of 3 Initial Application for Debt Management License Initial Application for Debt Management License Attachments and Instructions

More information

CONTRACTOR QUALIFICATION FOR PORT OF MIAMI TUNNEL PROJECT RFP - DOT - 05/06-600IDS

CONTRACTOR QUALIFICATION FOR PORT OF MIAMI TUNNEL PROJECT RFP - DOT - 05/06-600IDS STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION TALLAHASSEE, FLORIDA DRAFT 3/14/06 CONTRACTOR QUALIFICATION FOR PORT OF MIAMI TUNNEL PROJECT RFP - DOT - 05/06-600IDS Submitted on, Balance Sheet Date, Applicant

More information

City & County of Denver Division of Small Business Opportunity (DSBO)

City & County of Denver Division of Small Business Opportunity (DSBO) City & County of Denver Division of Small Business Opportunity (DSBO) Renewal Application Disadvantaged Business Enterprise (DBE) (3 Year Renewal) (No Fee) Airport Concession Disadvantaged Business Enterprise

More information

Rule 14-79.006, F.A.C. 275-030-071 EQUAL OPPORTUNITY 06/10 Page 1 of 10 STATE OF FLORIDA. Mail Completed Forms To:

Rule 14-79.006, F.A.C. 275-030-071 EQUAL OPPORTUNITY 06/10 Page 1 of 10 STATE OF FLORIDA. Mail Completed Forms To: Page 1 of 10 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION TALLAHASSEE, FLORIDA APPLICATION FOR SMALL BUSINESS CERTIFICATION (SBC) Mail Completed Forms To: FAMU 2035 East Paul Dirac Drive Suite 130, Morgan

More information

Sales Finance Company Annual Report For the Calendar Year 2014. General Instructions

Sales Finance Company Annual Report For the Calendar Year 2014. General Instructions Sales Finance Company Annual Report For the Calendar Year 2014 General Instructions The Annual Report should be prepared by qualified persons and received at the Department of Financial Services (DFS)

More information

Minnesota Power PRE QUALIFICATION QUESTIONNAIRE. Engineering, Procurement and Construction of a 10 MW Solar PV Power Plant

Minnesota Power PRE QUALIFICATION QUESTIONNAIRE. Engineering, Procurement and Construction of a 10 MW Solar PV Power Plant Minnesota Power PRE QUALIFICATION QUESTIONNAIRE Engineering, Procurement and Construction of a 10 MW Solar PV Power Plant December 1, 2014 CONTRACTOR s NAME: Project Description: Minnesota Power is developing,

More information

Emerald Financial Commercial Funding COMMERCIAL LOAN APPLICATION

Emerald Financial Commercial Funding COMMERCIAL LOAN APPLICATION Emerald Financial Commercial Funding COMMERCIAL LOAN APPLICATION This checklist if provided to assist in gathering the necessary information needed for the initial evaluation of your loan request. Complete

More information

RECRUITMENT LETTER. To be included on our current bidders list, please fill in the Contractor Qualification Registration, which includes:

RECRUITMENT LETTER. To be included on our current bidders list, please fill in the Contractor Qualification Registration, which includes: CITY OF BRUNSWICK Department of Community Development 601 Gloucester Street * Post Office Box 550 * Brunswick * Georgia * 31520-0550 * (912) 267-5530 * Fax (912) 267-5542 Cornell L. Harvey, Mayor Felicia

More information

INDEMNITIES. Guaranty Agreement and Bond Information

INDEMNITIES. Guaranty Agreement and Bond Information STATE OF TENNESSEE DEPARTMENT OF COMMERCE AND INSURANCE BOARD FOR LICENSING CONTRACTORS Mailing Address: 500 JAMES ROBERTSON PARKWAY NASHVILLE, TENNESSEE 37243-1150 TELEPHONE: 800-544-7693 OR (615) 741-8307

More information

PREQUALIFICATION APPLICATION FOR ELECTRICAL CONTRACTORS MECHANICAL CONTRACTORS PLUMBING CONTRACTORS AND ROOFING CONTRACTORS

PREQUALIFICATION APPLICATION FOR ELECTRICAL CONTRACTORS MECHANICAL CONTRACTORS PLUMBING CONTRACTORS AND ROOFING CONTRACTORS PREQUALIFICATION APPLICATION FOR ELECTRICAL CONTRACTORS MECHANICAL CONTRACTORS PLUMBING CONTRACTORS AND ROOFING CONTRACTORS Prequalification Packets Issued March 5, 2014 Deadline for Submissions: March

More information

All You Need to Know About Obtaining and Maintaining your California Contractor s License

All You Need to Know About Obtaining and Maintaining your California Contractor s License All You Need to Know About Obtaining and Maintaining your California Contractor s License California law requires that all contractors operating in the State be properly licensed by the Contractors State

More information