Subcontractor Pre-Qualification

Date Completed *

General Subcontractor Information

Legal Business Name *

Contact Name *

Physical Address *

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Years in Operation *

Federal ID *

Main Phone *

Website

Regions Covered *

Number of Employees *

Average % of Work Self-Performed *

Scope/Division of Work *

Minority Certification (check all that apply)

Small Business
Women Business Enterprise (WBE)
Minority Business Enterprise (MBE)
Disadvantage Business Enterprise (DBE)
Veteran-owned Small Business (VOSB)
Service-Disabled Veteran-owned Small Business (SDVOSB)
HUBZone

Please attach evidence of Minority Certification

Click or drag a file to this area to upload.

Specific Subcontractor Contacts

President/General Manager

Billing/Accounting

President/General Manager Name

Billing/Accounting Name

President/General Manager Email

Billing/Accounting Email

President/General Manager Phone

Billing/Accounting Phone

Sales

Estimator

Sales Name

Estimator Name

Sales Email

Estimator Email

Sales Phone

Estimator Phone

Market of Projects Interested In

Select all that apply

Project Locations Interested In

Select all that apply

Experience

Please attach a listing of your firms last three (3) years of experience

Click or drag a file to this area to upload.

Largest Contract to-date

Most Relevant Contract

Largest Contract Project Name

Most Relevant Project Name

Largest Contract Client Name

Most Relevant Client Name

Largest Contract Scope

Most Relevant Scope

Largest Contract Contract Price

Most Relevant Contract Price

Largest Contract Date Range

Most Relevant Date Range

Financial Information

Please attach copies of the following documents:

Most recent income statement & balance sheet, audited or reviewed by an independent CPA
Most recent monthly financial statement
Revenue from the last 3 years
Current backlog stating project name, start date, duration, and value
Copy of your current W-9
Current projected revenue

File Upload

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P & P Bonding

Surety Name

12 Month Bond Rate

Agent Name

Agent Phone

Bonding Capacity

Insurance

Please attach a compliant sample Certificate of Insurance for the highest tier level for which you are eligible; Please see the FINFROCK Insurance requirements Subcontract Exhibit “G.”

File Upload

Click or drag a file to this area to upload.

Commercial General Liability

Umbrella/Excess

Commercial General Liability Limit

Umbrella/Excess Limit

Commercial General Liability Carrier

Umbrella/Excess Carrier

Commercial General Liability Agent

Umbrella/Excess Agent

Employer’s Liability and Worker’s Compensation

Professional Liability

Employer’s Liability and Worker’s Compensation Limit

Professional Liability Limit

Employer’s Liability and Worker’s Compensation Experience Modification Rate

Professional Liability Carrier

Employer’s Liability and Worker’s Compensation Carrier

Professional Liability Agent

Employer’s Liability and Worker’s Compensation Agent

Professional Liability Highest Tier:

ONE
TWO

Automotive Liability

Automotive Liability Limit

Automotive Liability Carrier

Automotive Liability Agent

References

Please provide three references

Reference 1

Reference 2

Reference 1 Project Name

Reference 2 Project Name Project Name

Reference 1 Main Contact

Reference 2 Project Name Main Contact

Reference 1 Phone

Reference 2 Project Phone

Reference 3

Reference 3 Project Name

Reference 3 Main Contact

Reference 3 Phone

Disputes

Please attach copies of the following documents (if applicable):

Major disputes (non-litigation) in the past 3 years
Litigation in which you were involved in the past 5 years
Judgments, claims or suits pending or outstanding
Projects for which you have failed to complete your scope

File Upload

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By executing below, I hereby attest and affirm that (1) I have the authority to bind the Subcontractor as stated herein, (2) I have completed the foregoing information, (3) we can comply with the attached Insurance Requirements, (4) the information provided herein is, to the best of my and Subcontractor’s collective, true and accurate as of the date referenced above, (5) we hereby provide authorization for FINFROCK Construction, LLC (or any representative or agent working for or on behalf of FINFROCK Construction, LLC) to contact any individual necessary, whether they be listed herein or elsewhere, in an effort to prequalify Subcontractor (6) we understand that any sample document attached hereto is subject to change and (7) I agree to FINFROCK's Terms of Use, Copyright Policy and Privacy Policy, linked in the footer of this website.