Commercial Construction Subcontractor Prequalification Form
Company Information
Company Name
Address
City
State
Zip Code
Phone
Email
Website
Type of Work/Trades Performed
Years in Business
Licensing & Insurance
Contractor License Number(s)
License Classification(s)
Bonding Capacity
Insurance Provider
Limits of Liability
Safety Information
OSHA EMR (Experience Modification Rate) Last 3 Years
Number of OSHA Recordable Incidents (Past 3 Years)
OSHA Citations (if any)
Safety Program Details
Financial Information
Annual Revenue (last fiscal year)
Largest Completed Project Value
Average Project Size
References (List at least 3)
Project Experience
Project Names/Locations
Scope of Work Performed
Contact Person
Contact Name
Title
Phone
Email