STILES CONSTRUCTION PREQUALIFICATION FORM

General Information
     
Please type the full legal name for your company here  
     
Physical Mailing Address Line1 (we may need to send you plans which cannot be sent to PO Box addresses)  
     
Physical Mailing Address Line2 (Suite / Building #)  
     
City  
State  
Zip Code  
     
Website Address  
Email Address (Estimator's Email Address)  
     
Billing Address (if different than mailing address)  
Billing City
Billing State
Billing Zip Code
Office Telephone (555-555-5555)
Office Facsimile (555-555-5555)
Please tell us what trade(s) your company specializes in (example: Drywall, Electrical, Sitework, etc.).  

Are you a MBE/WBE certified contractor?

Yes No
If so, what counties?
Are you M/WBE Certified with a school board entity? Yes No
If so, what school board?

Company Officers and Banking Information
     
Principal #1 Name  
Principal #1 Position / Title  
Principal #2 Name  
Principal #2 Position / Title  
     
Estimator / Contact Name (contact person for bids)  
Estimator / Contact Cellular Phone (555-555-5555)
Bank Reference
Bank Officer
Telephone

Company References
     
Current Projects    
1 Project Name  
  Contract Amount (ex: 1,234.56)   $
  GC  
  GC Contact Name  
  GC Contact Phone  
       

2

 Project Name  
  Contract Amount (ex: 1,234.56)   $
  GC  
  GC Contact Name  
  GC Contact Phone  
       

3

 Project Name  
  Contract Amount (ex: 1,234.56)   $
  GC  
  GC Contact Name  
  GC Contact Phone  
       

4

 Project Name  
  Contract Amount (ex: 1,234.56)   $
  GC  
  GC Contact Name  
  GC Contact Phone  
       
Completed Projects
1 Project Name  
  Contract Amount (ex: 1,234.56)   $
  GC  
  GC Contact Name  
  GC Contact Phone  
       
2 Project Name  
  Contract Amount (ex: 1,234.56)   $
  GC  
  GC Contact Name  
  GC Contact Phone  
       
3 Project Name  
  Contract Amount (ex: 1,234.56)   $
  GC  
  GC Contact Name  
  GC Contact Phone  
       
4 Project Name  
  Contract Amount (ex: 1,234.56)   $
  GC  
  GC Contact Name  
  GC Contact Phone  
       

Special Equipment
     
Owned  
Available Crews  
Bonding Capacity   $
Bonding Company  
Bonding Company Contact  
Telephone  
Major Suppliers  
     
INSURANCE INFORMATION
     
Insurance Company Name  
Insurance Contact Name  
Insurance Company Telephone Number  
General Liability Coverage   $
Automobile / Vehicle Coverage   $
   

For those who are qualifying for school board work please note the following insurance requirements

Broward County School Board requires subcontractors to maintain General Liability Insurance, including Contractual Liability to cover the “Hold Harmless Agreement” set forth herein, with bodily injury limits of not less than One Million ($1,000,000) Dollars per occurrence combined single limit for bodily injury and property damage and not less than the Two Million ($2,000,000) General Aggregate.

Please note that the $2,000,000 Aggregate is higher the usual $1,000,000 required.
Can your company meet these requirements:  
 
Yes No
     
Please tell us how you would like to be contacted regarding future projects available to bid.   Please contact me by email
Please contact me by fax
     
If you are satisfied that you have fully completed the form and all information is accurate, please press the SUBMIT button below. If not, press CLEAR to clear the form.
     

e-mail Stiles Construction