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Subcontractor Qualification Review

Berkeley Building Company welcomes the opportunity to work with you!  Please complete this form in it’s entirety and submit it for review.  Alternatively you can print this form to complete by hand and submit it here or fax it to781.246.3354.

Company Name (required)
Office Address (required)
Phone No: Fax No:

E-mail Address: Website:

Primary Contact:

Scope of Work:

Average Subcontract Size: Is your company:



Structure of Company

Business Type: If "Other" please specify:

Date of Incorporation or Establishment: State of Incorporation:

Federal Id Number: Dunn & Bradstreet Number:

States authorized to do work:

License No:

President's Name: Vice President's Name:

Has Contractor ever done business under a different name? YesNo If yes, provide name:

Can Contractor provide a bond? YesNo If yes, provide name of bonding agency:

Insurance Agent Contact Information:

Name: Contact:
Phone: Fax:
Indicate if your business qualifies as one or more of the following:


Do you have a written SafetyProgram? YesNo If yes, describe scope:

Any employee deaths in the last 3 years? YesNo If yes, explain:

Any willful OSHA citations? YesNo If yes, explain:


Do you have a drug testing program? YesNo If yes, describe:

Has your organization failed to complete any work awarded to you in the last 5 years? YesNo If yes, explain:

Any litigation? YesNo If yes, explain:



REFERENCES


Please list three trade references with whom you have worked in the last year:
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Please list general contractors with whom you have worked in the last year:
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Projects Prior or Current Projects for this firm:
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Thank you for taking the time to complete this information. We look forward to working with you in the near future!

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