CTA-services CTA-products CTA-contactus CTA-subcontracting-opportunities CTA-qualification-form

COMPANY INFORMATION

Company Name:
Please fill out this field.
Postal Address:
Please fill out this field.
Physical Address:
Please fill out this field.
Branch Office Locations:
Primary Contact:
Primary Contact Email:
Please let us know your email address.
Phone:
Please fill out this field.
Fax:
Please fill out this field.
Company Type:
Please fill out this field.
Targeted Work:
Projects:
Ideal Project Type:
Ideal Dollar Value:

ORGANIZATION

Number of years your organization been in business:
Number of years your organization been in business under its present name:
Under what other or former names has your organization operated?:
Number of Employees:
Number of Work Crews:

LICENSING

List jurisdictions and trade categories in which your organization is legally qualified to do business, and indicate license numbers for each:
Federal Identification Number:

SWAM CERTIFICATION

What is your organization's minority status?
Certification Status (Please provide a copy of certification.):
City:
County:
State:

EXPERIENCE

List the categories of work that your organization normally performs with its own forces:
List the major construction projects your organization has completed within the past five years, giving the name of the project, owner, architect and contract amount.
List the construction experience and present commitments of the key individuals of your organization.
Indicate average contract value for current year:
Indicate range of contract value for current year:
Indicate average annual volume over the last five years:
Indicate range of contract value for the past five years:

CLAIMS AND SUITS

(If the answer is "yes" to any of the following questions, please attach details.)
Has your organization ever failed to complete any work awarded to it?
Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers?
Has your organization filed any lawsuits or requested arbitration with regard to construction contracts within the last five years?
Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract?
Within the last five years, has your organization received any judgments, claims, arbitration proceedings or suits from second tier subcontractors for lack of payment?

REFERENCES

General Contractor References (list three):
Company Name:
Contact Person:
Phone:
Company Name:
Contact Person:
Phone:
Company Name:
Contact Person:
Phone:

Supplier References (list three):
Company Name:
Contact Person:
Phone:
Company Name:
Contact Person:
Phone:
Company Name:
Contact Person:
Phone:

BONDING

Is your organization bondable?
Bonding Capacity:
Name of Bonding Company:
Contact Person:
Phone:
If not bondable, please explain:

INSURANCE

Is your organization insured?
Name of insurance company:
Contact Person:
Phone:

KBS requires all subcontractors to meet the following insurance limits:
Commercial General Liability $1,000,000 - Each Occurrence
$2,000,000 - Annual Aggregate
Automobile Liability $1,000,000 - Each Accident
Commercial Umbrella $5,000,000
Workers Compensation $100,000 - Each Accident For Bodily Injury By Accident
$100,000 - Each Employee For Injury By Disease
Professional Liability $1,000,000 - Per Claim

Is your firm capable of meeting the limits listed above?

FINANCIAL

Indicate your organization's projected revenue for the current year:
Indicate your organization's revenue for the previous year:
Indicate your organization's current backlog of work:
Indicate your organization's current net worth:
Indicate your organization's current credit limit:
Indicate your the percent in use of your organization's current credit limit:

SAFETY

Does your organization employ a safety coordinator?
Contact Person:
Phone:
Does your organization require safety training for employees?
Indicate your organization's Experience Modification Rate for each of the last five years:

ACKNOWLEDGEMENT

The undersigned certifies the information provided herein is true and sufficiently complete so as not to be misleading.
Contact Name:
Please fill out this field.
Title:
Please fill out this field.
Date Completed:
Please fill out this field.
Enter Security Code Enter Security Code
Please fill out this field.