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GENERAL INFORMATION
Date:
9/8/10
Company Name:
Street Address:
City, State, Zip:
Principal's Name:
Nature of your work:
Contractor license # :
UBI # :
Website Address:
Company Contact(s):
E-mail:
Phone # :
Fax # :
Cell/Pager # :
QUESTIONS (please check and/or complete where appropriate)
1.
How many years have you been in business?
2.
Have you done business under any other name?
No
Yes
Please provide previous name:
3.
What type of project classifications are you interested in bidding? (please check all that apply or add others)
Multi-family
Hotel/motel
Hospital/medical
Assis. living/nursing
Commercial office
Mixed-use buildings
Retail facilities
Tenant improvements
Church/educational
Manufacturing/industrial
Warehouse/distribution
Negotiated work
Bidder design
Public work
High-End Residential
High-Rise Towers
Other:
Preferred dollar size range:
4.
Largest projects in the last three years:
Project Name/Location:
Contract Amount:
Contractor Name:
Contact Name:
Phone:
Project Name/Location:
Contract Amount:
Contractor Name:
Contact Name:
Phone:
Project Name/Location:
Contract Amount:
Contractor Name:
Contact Name:
Phone:
5.
List three most prevalent repeat clients:
Firm
Contact Name
Phone:
#1
#2
#3
6.
Safety
What is your approximate annual L&I premium?
How many employees are currently working in WASHINGTON state?
Number of lost time accidents/last three years:
Experience Mod. Factor:
Current Year:
Last Year:
Two Years Ago:
7.
What is your insurance liability limit?
500K
$1M
$2M
$3M
$4M+
Are you currently in a retro program?:
No
Yes
If yes, what program:
8.
Are you bondable?
No
Yes
Largest project bondable:
Bonding agent:
Phone:
Contact:
9.
Bank reference:
Phone:
Contact:
Your net worth:
10.
Number of employees. Office:
Field:
11.
Annual Volume last tear:
Prior year:
Current backlog:
12.
Are you a union or merit shop company?
Union
Merit
13.
Do you want to bid prevailing wage projects?
No
Yes
If yes, which types? Commercial
Residential
14.
Is your company a certified minority or woman-owned enterprise?
No
Yes
If yes, what kind? MBE
WBE
DBE
Other:
15.
Geographic area of operations:
16.
Are you willing to travel?
No
Yes
If yes, what states or counties?
17.
Have you had any disputes within the last three years with a client (owner or contractor) in which either arbitration or litigation were initiated?
No
Yes
If yes, please explain:
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Contact
Copyright 2010 W.G. Clark Construction Co. Phone: 206 624-5244 Fax: 206 682-7126
408 Aurora Avenue N., Seattle, WA 98109 Email:
info@wgclark.com
.
