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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

              Specific Project Prequalifying For (if applicable)

              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: