All Construction Group Prequalification Form

Company Information
Firm Name
Firm Name
Firm Street Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Person
First Last
Business Phone
Email
Parent Company Name (If Applicable)
Parent Company Name
Parent Company Street Address (If Applicable)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Certification
Business Certification
Certification Agency
(Include a current copy of your certification letter)
How many years has the firm been in business?
List the names and titles of all individuals authorized to submit proposals and negotiate subcontract agreements.
Experience
Has the firm completed projects for the Public Building Commission of Chicago? If so, provide the name, date complete, general contractors or construction manager, and contract value of the projects.
Has the firm completed projects for the Chicago Public Schools? If so, provide the name, date complete, general contractors or construction manager, and contract value of the projects.
Has the firm completed projects for other school districts in Illinois? If so, provide the name, date complete, general contractors or construction manager, and contract value of the projects.
Trade Affiliations
Provide a list of trade unions with which the firm is signatory.
Provide a letter of good standing from each applicable trade union.
Insurance
Insurance Provider Firm Name
Firm Name
Insurance Provider Street Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Insurance Provider Contact Person
First Last
Insurance Provider Business Phone
Insurance Provider Email Address
Attach a sample Certification of Insurance
Bonding
Bonding Company Firm Name
Bonding Company Firm Name
Bonding Company Street Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Bonding Company Contact Person
First Last
Bonding Company Business Phone
Bonding Company Email Address
Bonding Capacity
Attach evidence of bonding capacity
References
Provide a minimum of three (3) references for projects of similar size and scope.
Safety
Does the firm have a safety program?
EMR for the last three (3) years
Under penalties of perjury, and the applicable statutes of the State of Illinois, I hereby swear, warrant and represent that the questions on this form have been personally answered by me, and that I have authority to execute this document on behalf of this firm.
Signed
Signed
Print Name
Print Name
Title

All Construction Group Prequalification Form

Company Information

Experience

Trade Affiliations

Insurance

Bonding

References

Safety

Under penalties of perjury, and the applicable statutes of the State of Illinois, I hereby swear, warrant and represent that the questions on this form have been personally answered by me, and that I have authority to execute this document on behalf of this firm.