Subcontractor Prequalification Questionnaire

Does your company hold a DBE, SBE, AABE certification?*

YesNo
If yes, please provide details
What scope(s) of work does your company perform (Concrete, Landscaping, Striping, etc.)*
Quality Management
Do you have a documented policy and organization for quality management?*
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Business and professional standing
Please note that information supplied in this section will be taken into account in assessing the outcome of this application where the circumstances of judgement are pertinent to future projects. It will not necessarily constitute a reason for rejection
Is your company or any of its Directors and Executive Officers the subject of ongoing or pending criminal or civil court action (Including for bankruptcy or insolvency) in respect of the business of the business activities currently engaged in?*

YesNo
If yes, please provide details
Has your company or any of its Directors and Executive Officers been in receipt of enforcement/remedial orders (such as those in relation to OSHA, Environmental Agencies, etc.) in the past 3 years?*

YesNo
If yes, please provide details:

References and additional information
Please provide details of references for whom you have undertaken work of a similar nature to that applied for here.*
Please provide address, contact details and name of 2 references for works undertaken in the past 12 months.
Please provide any reference letters or testimonials your company has received within the last 12 months.
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Declaration
I confirm that the information provided in this form is a true and accurate record and correct as of date of submission.*

First NameLast Name
Signature*
Should be Empty:

E-Z Bel Construction Subcontractor Prequalification Questionnaire