subcontractor 512 7 6 prequalification form new …

Name of Firm:_______________________________________ of 4 Form Rev. 20160217

New Line Structures 512 7th Avenue 6th Floor New York, NY 10018 Tel (212) 280-3019

SUBCONTRACTOR

PREQUALIFICATION FORM –

PART A (GENERAL INFO)

To assist in our review of your company’s qualifications to provide construction services on

our projects, please provide the information requested below, and return it to us as soon as

possible. Please send unsolicited forms to [email protected]; otherwise, this form

(Part A) should be returned directly to the New Line Structures individual who requested it

with a cc: to [email protected]. There is a blank page at the end of this document

should you need additional space to write down your responses.

Thank you and please do not hesitate to contact us with any questions or comments. Both Parts

A and B must be returned to New Line Structures to complete the prequalification application.

A1. Business Information

a. Exact Legal Name of Firm, incl. DBAs:

b. Type of Work Performed (also please fill out the attached Trade checklist):

c. Contact Name:

d. E-mail Address:

e. Firm Address:

f. Phone:

g. Fax:

h. State of Incorporation:

i. Year Started:

j. Tax ID:

k. Contractor License #:

l. Type of Business i.e. C-Corp, LLC:

m. Whether business is a MBE/WBE/SBE/DBE/US8(a) status:

n. List any subsidiaries, affiliates or parents:

A2. Officer Information

a. List the corporate officers, partners, or proprietors of your firm:

b. Describe the role and tenure of the above list with the company:

c. Please describe whether there have been any changes to the company or structure

within the past 5 years. If so, provide details:

mailto:[email protected]




SUBCONTRACTOR



A3. Business details:

a. Please provide resumes of key personnel.

b. Has you firm or any of its principals ever petitioned for bankruptcy or defaulted on

a project? If so, please explain.

c. Is your firm or any of its owners or officers currently involved in any litigation? If

so, please attach explanation.

d. What percentage of the firm’s work is normally subcontracted to others?

e. What trades do you normally subcontract?

f. Is your company bondable?

g. If yes, name of bonding company and how long you have been with them:

h. Previous bonding companies? Reasons for leaving?

i. Bonding capacity per project:

j. What is the largest job you have completed in the last 3 years?

k. What was your largest uncompleted backlog? Amount____ Year______

l. What is your current backlog?

m. What was your backlog last year?

n. What is the largest job you are currently performing?

o. What is the largest backlog expected next year?

p. What is your expected annual volume?

q. What was your volume last year and what is your projected volume next year?

A4. Financial Information

a. Average annual volume (3 Years): $_______________

b. Largest contract completed in last three (3) years: $____________________

c. Percentage of work normally subcontracted: _________ %

d. Name of CPA Firm:

e. Contact Name:



SUBCONTRACTOR



A5. Experience and References (Attach Separately)

a. List five (5) of your largest contracts complete within the past 3 years including Job

Name, Contract Price, Completion date, whether bonded

b. List five (5) of your major suppliers: Name, Phone Number, Contact

c. List five (5) contractors or clients (i.e. references) that you have worked as do

business with including Name, Phone number and Contact

d. Use copies of the attached “NEW LINE STRUCTURES’ PAST PERFORMANCE

QUESTIONNAIRE” sheet to fill out a form for each of the five references above.

A6. Insurance:

a. List coverages and limits currently in force – as well as expiration dates

b. Workers Comp EMR’s for past 3 years

c. Have you had any OSHA fines or fatalities during the past 3 years

d. Please provide a copy of the past 3 years’ worth of OSHA 300 logs

A7. Legal

a. Does your company have any active claims?

b. Any active liens?

c. Any judgements/suits brought against you?

d. Ever failed to complete any work awarded? If yes, explain:

e. Filed any lawsuits or requested arbitration/mediation within the last 3 years?

A8. Operations

a. Do you have an in-house engineering department?

b. List your BIM capabilities:

c. Do you have a full time Safety rep?

d. Does this person perform safety inspections at all your projects?

e. Do you have a written Safety program?

f. Do you have a full time Quality rep?

g. Do you have a written QAQC program?



SUBCONTRACTOR



Please use the blank space below to complete your responses, as needed (reference the item #):

Form Rev. 20160217


SUBCONTRACTOR


PART B (FINANCIAL DOCS)

This is Part B of the prequalification application – Financial Documents.

Name of Firm:_______________________________________

B1. Please attach a copy of the last fiscal financial statement including work in progress &

completed contracts schedule including any interim statements

B2. Please attach a copy of the current financial statement for all indemnitors

B3. Please attach a copy of the Bank Line of Credit agreement

B4. Please attach a copy of the Surety capacity letter.

Both Parts A and B must be returned to New Line Structures to complete the prequalification

application. Please send the information requested above in this Form B directly to Sal

Bousleiman, [email protected] with a cc to the company Controller, Maria

Caba, [email protected]. Be assured that the information provided will be kept in

the strictest confidence.

Thank you and please do not hesitate to contact us should you have any questions or concerns.

Sincerely,

Sal Bousleiman, PE, CCP

Project Executive, Director of Project Controls New Line Structures 512 Seventh Ave, 6th Floor, New York, NY 10018 Office: (212) 280-3019, Direct: (646) 571-1175 [email protected]




New Line Structures, 512 Seventh Ave, 6th Floor, New York, NY 10018. Tel: (212) 280-3019 Page 1 Form Rev. 20160217

NEW LINE STRUCTURES’ PAST PERFORMANCE QUESTIONNAIRE

Contractor: please fill out a copy of this form for each reference and return with Part A (ref. item A5.d)

CONTRACT INFORMATION

1. Contractor Information

Firm Name:

Address:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: Contractor Sub Contractor Joint Venture Other (Explain)

Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

4. Project Description: Complexity of Work High Med Routine

How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements,

conditions, etc.)

REFERENCE COMPANY INFORMATION (OWNER/CLIENT)

5. Reference Company (Owner/ Client)

Firm Name:

Name:

Title:

Phone Number:

Email Address:

6. Describe the Client’s role in the project:

- Please fill out and return this form with Prequalification Form Part A (ref. item A1.b) -

PLEASE CHECK OFF THE APPLICABLE TRADE

Trade Description Comments

Standard Foundations and Slab on Grade

Special Foundations

Basement Excavation

Basement Walls

Concrete Superstructure (incl. Conc. Stairs)

Structural Steel Framing

Structural Stainless Steel Framing

Structural Aluminum Framing

Wire, Rod, and Cable Assemblies

Structural Wood Framing

Canopies

Spray-On Fireproofing

Precast and Tilt-Up Concrete Walls, Precast Specialties

Façade Restoration and Cleaning

Masonry Façade, Stucco, and Parging

Perimeter Drywall (Framing, Sheething)

Weather Barriers (vapor/air)

Finish Carpentry

EIFS Exterior Insulation and Finish Systems

Panels and Siding

Sealants and Expansion Joint Cover Assemblies

Exterior Painting and Coatings

Exterior Stonework

Exterior Louvers, Screens, and Fencing

Balcony Walls and Handrails

Exterior Shutters, Storm Panels, and Sun Control

Windows

Curtain Walls

Storefronts

Translucent Wall and Roof Assemblies

Revolving and Overhead Doors

Other Doors and Entrances (Exterior)

Roof Shingles, Tiles, and Panels

Green Roof (Natural Roof Coverings)

Built-Up and Membrane Roofing

Roof Specialties and Accessories

Roof Pavers

Skylights

SUBSTRUCTURE

SHELL

Name of Firm: . 2/17/2016, Page 1 of 8




Masonry Partitions

Metal Fabrications (Excluding Decorat. Stairs & Railings)

Decorative Metal

Misc. Metals (General)

Rough Carpentry (Misc.)

Finish Carpentry and Architectural Woodwork

Firestopping

Joint Protection

Drywall

Wire Mesh Partitions

Demountable and Retractable Partitions

Interior Balustrades and Screens

Interior Windows and Storefronts

Misc. Glazing and Mirrors

Doors, Frames, and Hardware

Interior Hatches and Access Doors

Coiling Doors and Grilles

Special Doors

Louvers and Vents

Information Specialties (Signage)

Corner Guards, Wall and Door Protection

Fabricated Compartments and Cubicles

Fabricated Toilet Partitions

Toilet, Bath, and Laundry Accessories

Shower Doors

Fireplaces and Stoves

Safety Specialties (Defibrillators, Fire Extinguishers)

Lockers

Postal Specialties

Storage Assemblies

Wardrobe and Closet Specialties

Flags and Banners

Security Mirrors and Domes

Scales

Casework (Cabinets / Vanities)

Countertops

General Fittings

Precast Concrete Stairs

Metal Stairs

Metal Stair Treads and Nosings

Decorative Stairs and Railings

Interior Restoration and Cleaning

Waterproofing

Plaster and Gypsum Board (Stucco, Kadex)

Tiling (Ceramic, Stone, etc.)

Acoustical Ceilings

Specialty and Textured Ceilings

Self Leveling Concrete

Flooring Treatment

INTERIORS





Concrete Finishing (Polished, Stamped, Colored, etc.)

Specialty Flooring

Masonry Flooring (Brick, Stone)

Terrazzo Flooring

Wood Flooring

Ceiling Finishes

Resilient Flooring and Carpeting

Fluid-Applied Flooring

Access Flooring

Wall Finishes (Wallpaper, Carpeting, Surfacing, etc.)

Acoustic Treatment

Interior Painting, Staining, and Coatings

Decorative Paint Finishing (Textured/Faux/Multicolor)

Intumescent Painting





Dumbwaiters

Elevators

Escalators & Moving Walks

Lifts

Turntables

Suspended Scaffolding

Rope Climbers

Elevating Platforms

Powered Scaffolding (Window Washing)

Laundry and Linen Chutes

Trash Chutes

Pneumatic Tube Systems

Other Conveying Systems

Plumbing Fixtures

Plumbing

Domestic Water Distribution

Sanitary Waste

Rain Water Drainage

Special Plumbing Systems

HVAC

Heat Generating Systems

Cooling Generating Systems

Distribution Systems

Terminal & Package Units

Controls & Instrumentation

Special HVAC Systems & Equipment

Systems Testing & Balancing

HVAC Equipment

Fire Protection & Sprinkler Systems

Stand-pipe & Hose Systems

Fire Protection Specialties

Special Fire Protection Systems

Electrical Services & Distribution

Electrical Equipment

Lighting & Branch Wiring

Lighting Equipment

Fire Alarm Systems

Telecommunications Systems

Security & Detection Systems

Low Voltage Systems

Special Electrical Systems

MEPF Coordination and BIM

BIM

SERVICES





Commercial Equipment

Foodservice Equipment (Kitchens)

Educational and Scientific Equipment

Security, Detention, and Banking Equipment (Safes)

Entertainment Equipment (Stages, Theaters)

Healthcare Equipment

Vehicle and Pedestrian Equipment

Other Equipment

Residential Appliances

Athletic Equipment

Recreational Equipment

Play Field Equipment and Structures

Solid Waste Handling Equipment

Art (Murals, Walls Decorations, Sculptures, Glass)

Window Treatments

Entrance Floor Mats, Frames, Grilles, Gratings

Furniture, Furnishings and Accessories, Rugs

Multiple Seating

Booths and Tables

Interior Planters

Tubs and Showers

EQUIPMENT & FURNISHINGS





Swimming Pools and Tubs

Fountains

Aquariums

Amusement Park Structures & Equipment

Ice Rinks

Special Structures

Kennels and Animal Shelters

Controlled Environment Rooms (Walk-In Freezers)

Planetariums

Special Activity Rooms (Saunas, Steam, Athletic)

Storm Shelter Rooms

Vaults (Fire, Security)

Athletic and Recreational Special Construction

Other Special Purpose Rooms (Lobbies & Entrances, etc.)

Fabric Structures

Space Frames

Geodesic Domes

Fabricated Engineered Structures

Glazed Structures (Sunrooms)

Grandstands and Bleechers

Towers

Building Modules

Modular Mezzanines

Radiation Protection

Special Controls and Instrumentation

Building Elements Demolition

Hazardous Components Abatement

Concrete Repairs (Cracks, Spalls) and Coatings

Structural Upgrades, Post Tensioning

Carbon Fiber Reinforcement (CFRP)

Pressure Injection and Grouting

Corrosion Mitigation

SPECIAL CONSTRUCTION & DEMOLITION





Site Clearing

Site Demolition and Relocations

Site Earthwork

Hazardous Waste Remediations

Roadways

Parking Lots

Pedestrian Paving

Site Development

Fences & Gates

Landscaping

Water Supply (Site Mechanical Utilities)

Storm & Sanitary Sewer (Site Mechanical Utilities)

Heating Distribution (Site Mechanical Utilities)

Cooling Distribution (Site Mechanical Utilities)

Fuel Distribution (Site Mechanical Utilities)

Other Site Mechanical Utilities (Site Mechanical Utilities)

Electrical Distribution (Site Electrical Utilities)

Site Lighting (Site Electrical Utilities)

Site Communication & Security (Site Electrical Utilities)

Other Site Electrical Utilities (Site Electrical Utilities)

Service & Pedestrian Tunnels

Other Site Systems

Scaffolding and Hoisting

Temporary Protection

Rough Carpentry, OSHA, Shanties

Temporary Roofing

Temporary Heat, Tarps, Salamanders, etc.

Temporary Power and Temporary Service (Temporary Utilities)

Temporary Plumbing (Temporary Utilities)

Trucking

Cranes and Rigging

Generators

Construction Equipment Rentals

General Contracting

BUILDING SITEWORK

GENERAL REQUIREMENTS





Rubbish Removal

Security Costs

Utilities (Electricity bill only)

Pest Control

Parking

Safety

Field Offices & Sheds

Field Office Fit-Out

Temporary First Aid Facilities

Temporary Signage

Temporary Offices

Temporary Toilets

Temporary Protection

Temporary Power

Temporary Water

Temporary barriers/fencing

Miscellaneous Tools

Misc General Expenses

Equipment Rental

Messenger Service

Postage/Overnight

Xerox Copies

Job Office Supplies

Travel

Vehicles

Telephones/cell phones

Radios/Nextel

Computers/software, Fax & Copy Machines

Internet Service

Lodging

Meeting lunches & Entertainment

Blueprints

Cleaning Supplies

Interior Cleaning

Fuel for On Site Equipment

Consultant

Field Engineering, Testing Labs

Surveys

Violations

DOT Permits (every 90 days)

Permits

Miscellaneous Contracts

Legal

Project Signs

Progress Photos

Site Safety Manager

Inspection

TR-8 Energy Compliance Inspections

Window Testing Lab (Chamber Test, Mockup, etc.)

GENERAL CONDITIONS
