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CONTRACTOR PRE-QUALIFICATION FORM
Company Overview
1.
Company Information
First Name
Last Name
Title
Email
Phone
Company Name
Street Address
City
Zip Code
Phone
Website
DUNS Number
Federal EIN
2.
Year Established
*
3.
Type of Trade (s) performed?
(Required.)
4.
Number of Employees
Administrative/Office
Shop
Field
5.
What type of labor is your firm capable of providing?
Union
Prevailing Wage
Open Shop
6.
If union or prevailing wage, can you provide certified payroll reports to comply with local law?
Yes
No
7.
Certification Type
Woman Owned Business (WBE)
Minority Owned Business (MBE)
8.
Certifiying Agency
The Port Authority of NY & NJ
New York State Empire Development (ESD)
NYC Department of Small Business Services (SBS)
Other Certifying Agency
9.
Please list your insurance limits for the following policies
General Liability (per occurrence, aggregate and umbrella)
Workers Compensation
Bonding Capacity
10.
What was your annual contract volume for the last 3 years?
2021
2020
2019
11.
Are there any judgements, claims or pending suits or outstanding liens against you or your company?
Yes
No
12.
What is the largest size contract you are interested in performing?
13.
What is the largest size contract you have ever performed?
14.
What areas (locations) do you primarily operate within
New York Metro Area (All Boros and New Jersey)
Bronx
Manhattan
Queens
Brooklyn
Staten Island
15.
Attach Capability Statement
Choose File
No file chosen
16.
Provide three references: provide at least one for each trade
Upload file with reference information including: client name, contact, phone number, type of work and dollar value
Choose File
No file chosen
