Building Solutions, Inc. Reno, NV

Facilities Maintenance Operations

Subcontractor/Vendor Prequalification Form

In order to provide Building Solutions, Inc. with more information on your company and the services that you provide, please complete the information requested below.

Company Information:

Legal Firm Name:

Headquarters Address:

Headquarters City:

Headquarters State:

Headquarters Zip:

Local Phone:

Corporate Phone:

Fax:

Website:

Contact Person:

Direct Line:

Email:

Local Office Address:

Local Office City:

Local Office State:

Local Office Zip:

Is Firm a Certified DBE? Yes No ( If yes, please send copy of certification(s))

Is Firm Willing to Bid Prevailing Wage/Davis Bacon Wage Projects? Yes No

Contractor's Licenses:

Types of Work Performed:

State(s) in Which Company Performes Business:

Type of Business: If Other:

Years in Business:

Number of Employees:

State of Incorporation:

Special Certifications/Training (LEED Certified, QC Training, Etc.):

Financial Information

Federal Tax Id:

Duns #:

Duns Rating:

Current Banking Information

Bank Name:

Bank Address:

Contact Person:

Phone/Fax:

Current Bonding Information

Surety Company:

Broker:

Contact Person:

Phone/Fax:

Bonding Capacity Per Job:

Aggregate:

Amount of Work Currently Bonded:

Current Insurance Information

Commercial/General Liability

Auto Insurance:

Workers Comp:

Workers Comp Experience Modification Factor:

Name of Insurance Agent:

Address:

Phone:

References: List Three General Contractors With Whom You Regularly Do Business

Company Name:
Address:
Contact Person:
Phone/Fax/Email

Company Name:
Address:
Contact Person:
Phone/Fax/Email

Company Name:
Address:
Contact Person:
Phone/Fax/Email

References: List Three Major Suppliers With Whom You Regularly Do Business

Company Name:
Address:
Contact Person:
Phone/Fax/Email

Company Name:
Address:
Contact Person:
Phone/Fax/Email

Company Name:
Address:
Contact Person:
Phone/Fax/Email

By submitting this form, I authorize investigation of all statements contained in this form. I hereby give the company permission to contact banks, bonding and insurance companies, references and others, and hereby release the company from any liability as a result of such contact.

Quality, Responsiveness, Safety and Innovation
to Ensure the Successful Completion of Every Project