Contractor Pre-Qualification Form
This form will serve as the initial input into the m/w/lbe database for the Atlantic Yards and other Forest City Ratner Projects.

You can either fill out the online form below or download it by clicking on the appropriate disk icon and fax it back to us at (718) 337 1885.

For Contractor Pre qualification use form below. For Professional Service Firms click link below to direct you to the appropriate form.

Professional Service Pre-qual Form

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Date:                 

Email:                

Firm Name:      

Address:           

Address Cont:    Zip

Phone #:             Fax:

Contact person:  Title:

How Long has your firm been in business? 1-5 6-10 11-15 16-20 20+

Name All Principals, key personnel & percentage of ownership.

      Name                           Title                       % of ownership

Describe type of work performed:

(PRESS ENTER AFTER EACH TYPE)

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Number of personnel in organization

Administrative Professional Office Shop Field

Is your firm a Union Shop? yes no

If yes, enter locals below

List trade unions for your workers

(PRESS ENTER AFTER EACH TRADE)

UNION LOCAL #                     UNION NAME

Have you ever been bonded? yes no

If yes, name of company:

                     Address:  

                 Agent:   Phone #

         Bonding Capacity: Single Aggregate

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Insurance Company Information:

Company Name:

Address:          

Contact Name:   Phone #

 

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List types of work usually Subcontracted:

(PRESS ENTER AFTER EACH TYPE)

Geographical Market Area:

Type of Organization:

Sole Proprietorship      Partnership

Incorporation                Other

Year Founded

Principals& Key Personnel Of firm:

Name: Title:

Years of experience

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Contracts Recently Completed (Last three years)

Project             Contact Name      Phone #

     

     

     

Type of Work                   $Value

Average Annual Construction Volume ( last three Years)

(PRESS ENTER AFTER EACH TO LIST)

Bank References

Name of Bank

Address Of Branch

Account Manager name/phone #

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Have you ever failed to complete a contract? Yes No

Are there any Judgments, Claims or suits pending or outstanding against you? Yes No

Have you ever been involved in a bankruptcy proceeding?

Yes No

Are you currently barred from bidding on any public work?

Yes No

Please elaborate on any answers marked "yes".

Elaborate here

What is the largest contract you have ever performed?

Job Description Enter Job Description here

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Is your firm at least 51% owned by:

1 or more minorities? yes no

1 or more Women?    yes no

Check if you have been certified as an:

MBE WBE DBE

What agencies have certified you?(List agencies by pressing enter after each one)

List agencies here

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Please attach and/or fax the following to 718 337 1885

List of vehicles and equipment ( type, year, model) Copies of all certification letters and or certificates Copies of insurance certificates Any additional sheets required to adequately answer any questions posed Any other information about your firm you may wish to provide