HVAC Subcontractor Prequalification Form
Company Information
Company Name
Primary Contact Name
Address
City
State
ZIP Code
Phone
Email
Website
Company Details
Years in Business
HVAC License Number
License Issued State
Types of HVAC Services Provided
Geographical Areas Covered
Project Experience
Description of Three Recent Projects
Client References (Name, Contact, Project)
Workforce & Capacity
Number of Employees
Number of HVAC Technicians
Annual Work Volume ($)
Insurance & Safety
General Liability Insurance Limit ($)
Workers' Compensation Coverage
Yes
No
Current EMR
Description of Safety Record
Do you have a written safety program?
Yes
No
Certifications & Affiliations
List any industry certifications (e.g., OSHA, EPA, NATE)
Professional Affiliations
Additional Information
Additional Comments or Information