Subcontractor Prequalification Form

COMPANY INFORMATION

This field is required.

Primary Contact

TAX/LICENSE INFORMATION
Click here for more information about FEIN
Click here for more information about E-Verify
OWNERSHIP / MANAGEMENT
Names of company's officers and executives. If an LLC, include all members and any managers or managing members. If a partnership, include all partners.
List any of the following certifications along with the certification number(s) and expiration date(s):
AABE, FBE, HABE, AP/ABE, 8A, HUBZone, Native American 8A, NWBOC, SBE, SDVOSB, VOSB, WOSB, DBE, MBE, or any other certification.

CLAIMS / SAFETY
Experience Modification Rate (EMR) - Current and last 3 years' EMR
Click here for more information on your EMR or ask your insurance agent for assistance.

Last 3 years' OSHA Total Recordable Frequency Rate
Click here for more information on how to calculate your Rate.


Safety Manager / Director

WORK EXPERIENCE
This field is required.
List your three largest projects completed.
REFERENCES

General Contractor
Include 3 general contractor references, including the company name, telephone number, and person having the most knowledge of your dealings with their organization over the last 5 years.


Trade Contractor
List 2 trade contractor references, including company name, phone, and person having the most knowledge of your dealings with their organization over the last 5 years.


INSURANCE/BONDS
Contact should have knowledge of your company's bonding capacity, performance, and financials history.





In order for us to complete our prequalification of your firm, please provide your most recent fiscal year-end financials including a balance sheet and income statement or profit and loss statement. If available, audited financials are preferred. Click here to see a sample balance sheet and income statement. Please send your financials to financials@newsouthconstruction.com

(If an NDA is required, please contact financials@newsouthconstruction.com)

By submitting this form, the submitting Company (and related entities) hereby certifies and swears that the information contained herein and attached hereto, and all documents and other information provided as requested herein, is true, complete, and correct on and as of the date hereof. If such information is not true, complete, and correct, in addition to all other remedies available to it, New South Construction Company or any joint venture or other New South entity may terminate any contract, purchase order, purchase agreement, or other agreement with the undersigned and such termination shall be considered a for cause termination. Any misrepresentations provided shall be considered fraudulent inducement in and to any subsequently executed subcontract.


Please check the form for possible error(s).