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                Subcontractor Prequalification Questionnaire

                Note - By completing this questionnaire, it does not guarantee or obligate Downes Construction Company, LLC to solicit or award your firm work. All information herein to be treated as confidential

                Type of Work Performed (Be specific on trades and scopes typically performed)

                What company (not agency) writes your workmen's compensation and liability insurance?

                What is your Workmen's Compensation Experience Modification Rate (EMR) for the last three (3) years?

                Bonding Information

                Has your firm ever defaulted on a bond? (If yes, attach explanation of why on separate sheet)

                Example block-level help text here.

                Number of years your firm has been in business

                Annual Work Volume for the last five (5) years (Dollar amount per year)

                Work Experience by Project Type:

                Hospital / Healthcare
                Education
                Office and Commercial
                Housing
                Process and Power Plant
                Other
                 

                Below, please list five (5) recently completed or current projects:

                Project 1

                Project 2

                Project 3

                Project 4

                Project 5

                Below, please list three (3) relevant projects completed within the last five (5) years:

                Project 1

                Project 2

                Project 3

                Workforce and Certifications:

                Has your firm ever failed to complete any work awarded to it?
                Union Contractor
                Yes
                No
                If yes, list signatory unions:
                Open Shop Contractor
                Yes
                No
                Small Business Enterprise
                Yes
                No
                Certified by Whom:
                Woman Business Enterprise
                Yes
                No
                Certified by Whom:
                Minority Business Enterprise
                Yes
                No
                Certified by Whom:
                Disadvantage Business Enterprise
                Yes
                No
                Certified by Whom:

                Has your firm ever failed to complete any work awarded to it?

                Financial:

                If it is determined by Downes Construction that your firm's services meet the needs of Downes Construction an audited financial statement will be requested.

                References:

                Bank Reference

                Bank Name:
                Address:
                Contact Name:
                Phone:

                Vendor Reference

                Vendor Name:
                Address:
                Contact Name:
                Phone:

                Addl. Vendor Reference

                Vendor Name:
                Address:
                Contact Name:
                Phone:

                Professional Reference

                Professional Name:
                Address:
                Contact Name:
                Phone:

                Signature:

                The information provided herein is true and sufficiently complete so as not to be misleading: