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SUBCONTRACTOR PREQUALIFICATION FORM
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APPLICATION CONTROL
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Prequalification record number
Revision number
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Application statusReview status
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Approval statusConfidentiality level
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Submission dateExpiration date
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COMPANY INFORMATION
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Applying company legal name
Doing-business-as name
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Business entity typeYear established
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Primary office addressPrimary phone
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Primary emailPrimary trade
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TRADE, EXPERIENCE & CAPACITY
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Secondary trades
Scope-of-work categories
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Typical project typeTypical contract value
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Largest completed contract
Current backlog amount
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Available field workforce
Current workload concern
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LICENSES, SAFETY & INSURANCE
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License numberLicense status
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License expiration date
Written safety program received
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Experience-modification rate
Current certificate of insurance received
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General-liability expiration date
Workers-compensation expiration date
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BONDING & FINANCIAL CAPACITY
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Single-project bonding capacity
Aggregate bonding capacity
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Available bonding capacity
Financial-statement type
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Working capitalCurrent ratio
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Debt-to-equity ratio
Financial concern indicator
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PROJECT REFERENCES
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Reference project name
Reference customer
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Reference contract amount
Reference completion date
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Reference contact name
Reference contact phone
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Reference ratingReference comments
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PROJECT-SPECIFIC REVIEW
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Proposed project name
Proposed project number
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Proposed scope
Proposed contract amount
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Proposed start date
Proposed completion date
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Project-specific concern
Project-specific condition
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SCORING & APPROVAL SUMMARY
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Weighted scoreRisk rating
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Recommended award limit
Approval conditions
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Review recommendation
Final approver
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Final approval date
Next annual review date
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