Subcontractor Prequalification

Company Name(Required)

Legal Name

DBA

Address(Required)

Street Address Address Line 2 City State ZIP Code

I have different mailing address

Yes

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Office Phone Number(Required)

Company Website

Type of Company(Required)

State of Incorporation(Required)

State

Year Started(Required)

Federal Tax ID(Required)

Please List any Affiliates, Subsidiaries, or Parents of your Company

Please list all owners and key officers(Required)

Name

Title

Ownership Percentage

Home Address

Indicate if your company is certified in any of the following below

NYC M/WBE

NYS M/WBE

Federal M/WBE

NYC M/WBE(Required)

Issuing Entity

Certficate Number

Expiration Date

NYS M/WBE(Required)

Issuing Entity

Certficate Number

Expiration Date

Federal M/WBE(Required)

Issuing Entity

Certficate Number

Expiration Date

Other Classifications

Yes

Classifications(Required)

Indicate if your company has a Contractor License(s) or other regulatory licenses needed to conduct business

Name of Entity Licensed

License Type

Issuing Entity

License Number

Expiration Date

Indicate if your company employs individuals with occupational licenses/certificates

Name of Employee

License Type

Issuing Entity

License Number

Expiration Date

Indicate the size of the project you are most competitive in performing or willing to perform as well as the typical building type your company has completed(Required)

Building Type(Required)

Provide the CSI Number and description of for the trades your company performs:(Required)

CSI Number

Description

What trades do you normally perform with your own forces?(Required)

CSI Number

Description

What trades do you normally subcontract?(Required)

CSI Number

Description

Provide at least five (5) of your largest contracts either underway or completed within the last three (3) years, including, job name and address; awarded and amended contract amount; completion date; description of work; prevailing wage status; bonding status; and contract references. Include Name, Title, Company Affiliation, Office Address with Phone Number and Phone Number(Required)

Drop files here or

Accepted file types: pdf, docx, xls, Max. file size: 50 MB.

Provide at least three (3) of your major suppliers(Required)

Name

Phone

Contact

Provide at least three (3) of your major contractors or clients (i.e. references) you have worked with(Required)

Name

Phone

Contact

Average annual volume (3 years)(Required)

Largest contract completed in the last five (5) years(Required)

Percentage of work normally subcontracted(Required)

CPA firm with contact information(Required)

Name

Phone

Contact

Provide a copy of the last fiscal financial statement including work in progress and completed contracts schedule including any interim statements(Required)

Drop files here or

Accepted file types: pdf, docx, Max. file size: 50 MB.

Provide a copy of the Bank Line of Credit agreement

Accepted file types: pdf, docx, Max. file size: 50 MB.

Has the company missed or previously owned monies to either the Internal Revenue Service or any other State or Local Government tax department entities?(Required)

If yes, provide an explanation

Yes

No

Explanation(Required)

Is the company current on all tax monies owned to either the Internal Revenue Service or any other State or Local Government tax department entities?(Required)

If no, provide an explanation

Yes

No

Explanation(Required)

Within the last five (5) years, have tax liens been placed on the company?(Required)

If yes, provide an explanation

Yes

No

Explanation(Required)

Preparer(Required)

First Last

Address	150 Myrtle Ave, Suite 2 Brooklyn, NY 11201
Phone	(718) 422-9999
Email	info@bfcnyc.com