SUBCONTRACTORS BECOME A SUBCONTRACTOR OF STC SERVICES, LLC TODAYSTC SERVICES, LLC would like to invite you to become a Subcontractor TODAY! STCSERVICES, LLC provides a quality commitment and expresses the level of commitment toexcellence, and focuses on delivering Construction and Construction-Related Services and arelooking for the best value-added SB Contractors to join us in delivering a customer-centeredapproach and dedication to the Project to see it to the end! STC SERVICES, LLC provides aQuality Commitment and Safety Assurance that expresses the level of commitment toexcellence and focuses on delivering essential Construction and Construction-Related Services.Complete the STC SERVICES, LLC SUBCONTRACT PRE-QUAL FORM TO GET STARTED! DATE MM DD YYYY PROJECT NAME * HOW DID YOU HEAR ABOUT STC? CONTACT NAME * First Name Last Name CONTACT TITLE * PRESIDENT AND PRINCIPAL(S) (SHOW OWNERSHIP %) * LEGAL NAME OF COMPANY * TYPE OF COMPANY * CORPORATION PARTNERSHIP SOLE PROPRIETORSHIP UNIQUE QUALITIES OF SENIOR STAFF NO. OF EMPLOYEES * ADDRESS * Address 1 Address 2 City State/Province Zip/Postal Code Country OFFICE PHONE NUMBER * (###) ### #### CELL PHONE NUMBER * (###) ### #### FAX NUMBER * WEBSITE EMAIL * CONTRACTORS AGREEMENT * GEOGRAPHIC AREA OF INTEREST * SERVICES AND PRODUCTS OFFERED LIST NAICS CODES WORK SPECIALTY AND YEARS PERFORMING SPECIALTY * YEARS IN BUSINESS UNDER PRESENT NAME * DOLLAR VALUE OF WORK UNDER CONTRACT $ DOLLAR VALUE OF WORK IN PLACE LAST YEAR $ DOLLAR VALUE OF WORK PRESENTLY BONDED * $ TOTAL AGREGATE BONDING CAPACITY * $ SINGLE PROJECT BONDING CAPACITY * $ SURETY COMPANY * BONDING AGENT * First Name Last Name BONDING AGENT PHONE (###) ### #### INSURANCE AGENT * First Name Last Name INSURANCE AGENT PHONE * (###) ### #### List Important Industry Credentials, Clearances, Certifications and Contracting Vehicles (8(a), SDB, WOB, BPA, Purchase Order, GSA Schedule, etc.) * Is the Firm a Florida State Certified M/WBE YES NO IF YES, GIVE CERTIFICATE NUMBER COMPANY INFORMATION CONTINUED Is the Firm in Compliance with EEO Requirements YES NO Will employees of this company perform the scope of work being applied for, or will it be subcontracted to others? EMPLOYEES SUBCONTRACTORS If any scope of work is to be subcontracted, provide name(s) of subcontractor(s) and background information on each subcontractor that will be utilized on these project. Total Number of Permanent Staff: OFFICE STAFF FIELD PERSONNEL Average Work Force over the Past Five Years: Does the Company have a Safety Program? YES NO What is the Company’s EMR (Experience Modifier Ratio)? Has the company or any company related to the current ownership of the company ever: Failed to Complete a Contract Been Involved in Bankruptcy or Reorganization Had Pending Judgment Claims or Suits Against it Been Assessed Liquidated Damages on Any Project What was your Revenue for 2022, 2023 and Projected for 2024? Does the Company have a D&B Rating? (if so, Please Provide your D&B Number) Trade References (Contact Name, Address, Phone Number) (At Least Three) List of Subcontracting Projects (List Value of Project, Your Dollar Value of Project and a Full Description of the Projects/Contracts) List Government Projects/Contracts List Private Industry Projects/Contracts Last 3 Projects/Contracts (Give Dates & Dollar Amounts) List Three Projects with the Same Scope of Work that you are Applying for that were Completed by the Company Within the Past Three Years List two of your Most Significant projects currently under construction, which are the same in scope and contract value to the work being contemplated for this project. (Project Name, Location (City, State), Scope of Work, Contractor, Contact, Telephone Number, Contract Amount, Completion, Is the work being Self-Performed (if no, please list the subcontractors performing the work and the value of the contract), Contract Amount. Acknowledgement I hereby certify that the above information is true and complete to the best of my knowledge. I understand that the CM has the sole discretion based on the information provided in this application and past experience to approve or deny a company’s ability to bid on a project. Thank you!
