Bidder Qualification Form

Bid Qualification Form

Step 1 of 5

20%

Organization Information
Business Name*
Address
Street Address Address Line 2 City State ZIP Code
Contact Name*
First Last
Phone*
Cell
Email*

Organization Information Continued
Type of Business
Specify Type of Business
Type of Work
Federal Tax ID #
Insurance Company
Please Attach Insurance Certificate
Drop files here or

Accepted file types: pdf, doc, docx.
How many years has your organization been in business as a Contractor?
Under what other or former names has your corporation operated?
Corporation Information
Date of Incorporation
State of Incorporation
President's Name
First Last
Vice President's Name
First Last
Secetary's Name
First Last
Treasurer's Name
First Last
Proprietorship Information
Date of Organization
Name of Owner
First Last
Other - Please Describe and Name Principles
Partnership Information
Date of Organization
Name of Owner
First Last
Other - Please Describe and Name Principles
License Information
Licensed in the State of
License Classification
License #
Expiration Date

References - Bank References
Bank Name
Address
Street Address Address Line 2 City State ZIP Code
Contact
First Last
Phone
References - Trade References

List Minimum of 3

Please provide complete contact information.

Business	Address	Phone	Contact Name

Surety
Name of Bonding Company
Name of Agent
First Last
Phone

Experience
Categories of Work
List the categories of work that your organization normally performs with its own forces.
Has your organization ever failed to complete any work awarded to it?
- Yes
- No
Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers?
- Yes
- No
Has your organization filed any lawsuits or requested arbitration with regard to construction contracts within the last five years?
- Yes
- No
Within the last five years, has any officer of principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract?
- Yes
- No
Explain "Yes" Answers
Major Projects Completed in the Last 5 Years
State average annual amount of construction work performed during the past 5 years.
Project 1
Project Name
Project Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
General Contractor Name
First Last
Contact Name
First Last
Phone
Contract Amount
Date Completed
Scope of Work Performed
Project 2
Project Name
Project Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
General Contractor Name
First Last
Contact Name
First Last
Phone
Contract Amount
Date Completed
Scope of Work Performed
Project 3
Project Name
Project Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
General Contractor Name
First Last
Contact Name
First Last
Phone
Contract Amount
Date Completed
Scope of Work Performed
Project 4
Project Name
Project Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
General Contractor Name
First Last
Contact Name
First Last
Phone
Contract Amount
Date Completed
Scope of Work Performed
Additional Projects
List Any Additional Projects

Upload Any Additional Files (Optional)
Drop files here or

Accepted file types: jpg, gif, png, pdf, tiff, tif, doc, docx, xls, xlsx.
Additional Information (Optional)
Comments
This field is for validation purposes and should be left unchanged.

Bidder Qualification Form

Bid Qualification Form

Step 1 of 5

Organization Information

Organization Information Continued

Corporation Information

Proprietorship Information

Partnership Information

License Information

References - Bank References

References - Trade References

Surety

Experience

Major Projects Completed in the Last 5 Years

Project 1

Project 2

Project 3

Project 4

Additional Projects