Subcontractor Qualification

Subcontractor Pre-Qualification Form

Submit completed form and all requested attachments to estimating@henleyconstruction.com

Step 1 of 3

Person Completing Form
Today's Date

Company Information

Company Name
Company Name
President/Owner/ Partner Name:
Other Contact Name:
Company Address:
National Construction Trade Association Membership:

Structure of Company

Untitled
Date of Establishment

List of States/ metro areas in which authorized to do work (please include license # if applicable)
VA License:
MD License:
Federal ID #
Other:
Other:
 
Company Name/ President

Company Profile

Type of Company
Project Size (Check all that apply)
Types of Projects
Geographic Work Areas: (Check all that apply or list states)
List of States
List States Here
Certified Minority Business Enterprise Contractor (MBE)
Certified Woman Business Enterprise Contractor (WBE)
Do you have experience with LEED/green buildings?

Bonding & Insurance

Name of Bonding Agency
Max. file size: 1,000 MB.
What is your workers comp EMR (experience modification rate) for the last 3 years?
Year, EMR
Year, EMR
Year, EMR
 
Max. file size: 1,000 MB.
Work in Progress
Amount of work under contract ($):
Amount of that work not yet completed ($):
 

Please provide the following attatchments:

Max. file size: 1,000 MB.
Max. file size: 1,000 MB.
Max. file size: 1,000 MB.