Thank you for considering Construx Co to be a mutual and trusted partner. Before you begin the Pre-qualification form be aware it is lengthy. You may want to prepare before you begin. Below is a list of the types of questions you will be asked. Basic company and contact info. Type of work performed. Work volume for up to five previous years. Workmen’s compensation and bonding info. Details on five recent, current or noteworthy projects. Workforce and certification info (small, woman, minority business, etc.) Reference info from a bank, vendor, and professional. Note that none of the form fields are required. We can’t anticipate which questions you will choose to complete. But the completeness of your submission will be considered. Company InfoCompany Name Primary PhoneFaxAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Website Address Years the Company has been in businessPrimary Contact InfoName First Last Email PhoneType of work performedBe specific on trades and scopes typically performed.Description of work performedWork VolumeAnnual Work Volume for the last five (5) years (Dollar amount per year)Year 1 Amount year 1 Year 2 Amount year 2 Year 3 Amount year 3 Year 4 Amount year 4 Year 5 Amount year 5 Workmen's Compensation and Bonding InformationWhat 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? Year 1 EMR 1 Year 2 EMR 2 Year 3 EMR 3 Bonding InfoIs your company Bondable Yes No To what capacity is your company bondable?Name of Bonding Company Has your firm ever defaulted on a bond? Yes No Yes. Attach explanation of why on separate sheetAccepted file types: docdocxxlsxlsxpdf, Max. file size: 50 MB.Allowed file types: .doc .docx .xls .xlsx .pdfPlease list three (3) projectsChose recently completed, current, or noteworthy projects.Project 1Project 1 Name/Location Project 1 Size (sq ft) Project 1 Scope of WorkProject 1 Name of GC / CM & Contact Project 1 Phone # of GC / CM __Project 2Project 2 Name/Location Project 2 Size (sq ft) Project 2 Scope of WorkProject 2 Name of GC / CM & Contact Project 2 Phone # of GC / CM __Project 3Project 3 Name/Location Project 3 Size (sq ft) Project 3 Scope of WorkProject 3 Name of GC / CM & Contact Project 3 Phone # of GC / CM Workforce and CertificationsHas your firm ever failed to complete any work awarded to it? Yes No List signatory unions Are you a Union or Open Shop Contractor Union Open Shop Small Business Enterprise Yes No Upload CertificationAccepted file types: pdf, jpg, jpeg, png, Max. file size: 50 MB. Woman Business Enterprise Yes No Upload CertificationAccepted file types: pdf, jpg, jpeg, png, Max. file size: 50 MB. Minority Business Enterprise Yes No Upload CertificationAccepted file types: pdf, jpg, jpeg, png, Max. file size: 50 MB. Disadvantage Business Enterprise Yes No Upload CertificationAccepted file types: pdf, jpg, jpeg, png, Max. file size: 50 MB. Veteran Owned Small Business Yes No Upload CertificationAccepted file types: pdf, jpg, jpeg, png, Max. file size: 50 MB.References__Vendor ReferenceVendor Name Vendor Contact Vendor Phone __Professional ReferenceProfessional Name Professional Contact Professional Phone CAPTCHA
