Subcontractors
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Southeast Region -Subcontractor's Qualification


Firm Name:
  
Phone:
Address:
  
Fax:
City:
  
Email:
State:
  
Website:
Zip:
  
MBE WBE
Veterans Disabled
President/Principals:
Project Managers/Estimators:


 

Year Founded/Incorporated:
  
State of Incorporation:
Union/Local Affiliates:
Type of Work:
  
Commercial Light Industrial
Residential Institutional
Heavy Industrial
Self-Performed:
Yes    No 		 
In-House Engineering Capability:
Yes    No 		 
Type:
   
Errors & Omissions Insurance Carrier:
Geographic Area(s):
Average Annual Sales (Last Three Years):
Project Size Range (Min. - Max.):
Total Bonding Capacity:
Bonding Company:
Bonding Company Contact/Person:
Does Your Company Have a Written Safety Programs:
Yes    No
Safety Representative Name:
Safety Representative Phone:
OSHA Safety Violations within the Past Three Years:
2010:
2009:
2008:
Experience Modification Rating (EMR):
2010:
2009:
2008:
List Incident Rate for Past Three Years:
2010:
2009:
2008:
Number of Man-Hours Performed:
2010:
2009:
2008:

Project Reference 1:

Project (if Applicable):
Name of Company:
Contact:
Phone:

Project Reference 2:

Project (if Applicable):
Name of Company:
Contact:
Phone:

Credit Reference 1:

Project (if Applicable):
Name of Company:
Contact:
Phone:

Credit Reference 2:

Project (if Applicable):
Name of Company:
Contact:
Phone:

Questions regarding submissions?

Please contact your regional office for assistance:

Rosemont:
Mark Cicero
847.692.8704
mcicero@mcshane.com


Phoenix:
Robert Guerena
602.515.0194
rguerena@mcshane.com


California:
Dave Denley
949.253.2413
ddenley@mcshane.com

 

Auburn:
Main Office
334.887.8181

Purpose: The information contained on the Subcontractor’s Qualification form will be distributed to subcontractors for potential bid solicitation. This information is general and time sensitive. Therefore, a detailed qualification inquiry may be required prior to award of a project.

Instructions: Please provide the information requested. Additional information deemed useful for evaluation of your firm’s capabilities may be attached to this form. This form shall be resubmitted annually with updated information.

  • List name, address and phone/fax number, etc. of your firm.

If MBE or WBE, be sure to attach certificate(s).


  • List principals of firm.
  • List project managers, estimators or other staff.
  • List year and state of incorporation of your firm under its current name. List other names, if applicable.
  • List union affiliates and local numbers.
  • List type of work – Examples: 09250-Drywall, 15600-Mechanical
  • Check appropriate self-performance box.
  • Does your firm have on-staff, in-house engineering capabilities? If so, licensed in what state,of what type (i.e., Structural, Mechanical), provide the company that carries errors and omissions insurance for the engineering services contracted.

List all applicable geographic areas where your company performs work.


  • List average sales for the last three years.
  • List project size job (minimum size – maximum size) you would pursue.
  • Bonding information: List bonding capacity and information on bonding company.
  • Does your organization have a written Safety Program: mark yes or no.
  • List safety violations that your company has been involved with in the last three years.
  • List Experience Modification Rating (EMR).
  • List references, including banking, suppliers and subcontracting (Owner/GC).

Regardless of the geographical market where services would be provided, kindly return this completed form to:

McShane Construction Company
9550 West Higgins Road, Suite 200
Rosemont, IL 60018
Attn: Subcontractor Qualification