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SUBCONTRACTOR PREQUALIFICATION
Name
*
First Name
Last Name
Email
*
Company Name
*
Address
*
Office Phone
*
(###)
###
####
Cell Phone
(###)
###
####
Nevada Contractors License Number
*
Company Website
Trades typically performed by your team
*
Annual revenues for last year, 2 years ago & 3 years ago
*
Has your firm worked with Frank Lepori Construction before?
*
Yes
No
Is your firm a certified small, minority or disadvantaged business?
*
Yes
No
Is your company affiliated with a union?
*
Yes
No
Are you able to provide bid, payment & performance bonds?
*
Yes
No
Bonding company name, agent contact and phone number
Please provide an overview of your firm's insurance coverage
*
Provide your firm's Workers Compensation Experience Modification Rate (EMR) for last year, 2 years ago and 3 years ago
*
Has your company ever failed to complete a contract?
*
Yes
No
Has your company ever defaulted on, or been declared in default of, a contract?
*
Yes
No
Has your company ever been terminated from a project?
*
Yes
No
Is your company currently involved in any bankruptcy proceeding?
*
Yes
No
Has your company ever been involved in any bankruptcy proceedings?
*
Yes
No
Are you currently involved in any reorganization proceedings?
*
Yes
No
Are there, or have there been, any liens, claims or lawsuits against your company, either pending or resolves, within the last five years?
*
Yes
No
Are there any pending or unpaid debts or judgments against your company?
*
Yes
No
Feel free to add additional information that sets your company apart from your competition
Thank you!