AULD & WHITE CONSTRUCTORS, LLC
SUBCONTRACTOR PRE-QUALIFICATION FORM
An asterisk (*) indicates required information.
 COMPANY INFORMATION
Company Name *
P.O. Address
Street Address *
City * State * Zip *
Business Type
Company Website
Year Business Founded
Number of Employees: Office Field Shop


Principals or Corporate Officers
Name Title Years with Company
Name Title Years with Company


What is the dollar value that your company is interested in and competitive in bidding?
from (minimum) (maximum)

Estimator
Name * Telephone # * Fax # Email *

Enter any additional contacts.
Edit Column  Additional Contact Name   Position   Email Address 
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Please provide all trade and professional licenses, if any, required for you to perform your services.
Edit Column  Type/Name of License   State   County   License No.   Valid Thru Date 
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Select all the counties licensed to work in. Select the types(s) of work you are interested in bidding.
Hold down Ctrl key to select multiple. Hold down Ctrl key to select multiple.
 REFERENCES (PROJECT) / MATERIAL SUPPLIERS / CURRENT / PRIOR
List Trade References your firm has worked with within the past (2) years.
Edit Column  Company   Contact   Phone 
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List (4) of the most significant Projects Completed in the last (5) years (include contacts and phone numbers).
Edit Column  Project Name   Location   Architect   Contractor / CM   Contract Amt.   Finish Date 
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General Contractor / CM References
Edit Column  Company   Contact   Phone   Fax   Email 
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Enter Historical Data for the previous 3 years
Edit Column  Type   2009   2008   2007 
Edit Revenue Volume   
Edit Average Project Size   
 AKNOWLEGEMENT OF INSURANCE REQUIREMENTS
General Liability each occurrence limit of $1,000,000
General Liability general aggregate limit of $2,000,000
Automobile Liability single limit of $1,000,000
Workers Compensation and Employers' Liability
Do you agree to provide a Waiver of Subrogation in favor of Auld & White Constructors, LLC.
 FINANCIAL
List (3) Credit References your firm has worked with within the past (2) years including your primary financial institution.
Edit Column  Company   Contact   Phone 
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 BONDING
Is your company bondable?
 MINORITY CERTIFIED
Is your firm Certified as an MBE?
 
 SAFETY
List your firms Workers Compensation Experience Modification Rate (EMR) for the previous 3 years
Edit Column  EMR   2009   2008   2007 
Edit Rate   
 CERTIFICATION
I hereby certify that the foregoing is true and complete to the best of my knowledge.
Name / Title *
(Officer of Firm)