SUBCONTRACTOR SUBCONTRACTOR QUALIFICATION STATEMENT Step 1 of 5 - CONTACT INFO 0% CONTACT INFOCompany Trade Submitted by Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Telephone Email Estimating contact CAPTCHA ORGANIZATIONA. Number of years firm established:Less than a year1-3 years3-7 years7-15 yearsOver 15 YearsB. Type of business Sole proprietorship Partnership Corporation State Incorporated A. Number of years firm established C. Names of Owners/Partners/Managers:NamePosition D. Is your firm certified as Minority or Women Owned? Yes No E. Number of Employees: # Office # Field LICENSESA. Please check if you ar licensed in the following jurisdictions D.C. Maryland Virginia West Virginia Pennsylvania EXPERIENCE / REFERENCES A. How much of your work is done on each of the following project types: Interior tenant build out None Some Most All Retail None Some Most All Restaurant None Some Most All Medical None Some Most All B. In a separate document, provide a list of projects in progress, state the type of the project, contract amount and percentage of completion. C. Please list General Contractors that you have or are currently work with (company name and contact info). D. Please list supplier references (company name and contact info). FINANCIALA.Please provide your company’s Certificate of Insurance.Max. file size: 32 MB.B. Is your company capable of bonding? YES NO To what limit? C. Claims and Suits i. Has your organization ever failed to complete any work awarded to it? ii. Are there any judgements, claims or suits pending or outstanding against your organization or officers? NameThis field is for validation purposes and should be left unchanged.