HVAC Subcontractor Prequalification Questionnaire

Company Information

Company Name Address Phone Email Website Year Established

Licensing & Insurance

Contractor License Number State(s) Licensed In Type of Work Licensed For Workers' Compensation Insurance (Yes/No) General Liability Insurance (Yes/No) Bonding Capacity

Experience & Capabilities

Type of Work Performed Typical Project Size ($) Geographic Areas Serviced Number of Field Employees Number of Office Employees

Safety & References

OSHA Recordable Incidents (past 3 years) EMR (Experience Modification Rate) References (Name, Company, Contact Info)

Recent Projects

Project Name Location Client/Owner Project Value ($) Year Completed Additional Projects/Comments

Additional Information

Comments