Subtrade Pre-Qualification Form Subtrade Pre-Qualification Form Company Background Company Name and Contact Info. Name:* Street:*City:*Province:*Postal Code:*Website: Phone:Fax: Legal InformationYear Federal:Year Provincial:Province:Year:*NameYear:* Company Partners & Officers. Name:Title:Held Since:Email: Phone:Fax:Name:Title:Held Since:Email: Phone:Fax:Name:Title:Held Since:Email: Phone:Fax: Key Personnel (Other than above) Name:Title:Held Since:Email: Phone:Fax:Name:Title:Held Since:Email: Phone:Fax: Financial Information Banking and Bonding Information Bank:Reference:Phone:Fax:Email: Bonding Company:Bonding Limit:Reference:Email: Phone:Fax:Does your company have any outstanding liens / judgments / disputes?*YesNoHas your company had any major litigation in the last two years?YesNo If you answered yes to the questions above please provide details on separate attachment Insurance Liability Insurance Insurer:Limit:Reference:Email: Phone:Fax:Builder Risk Insurer:Limit:Reference:Email: Phone:Fax:Equipment Insurer:Limit:Reference:Email: Phone:Fax: Business Practices List 3 Supplier References Supplier:Reference:Email: Phone:Fax:Supplier:Reference:Email: Phone:Fax:Supplier:Reference:Email: Phone:Fax: Scope of Work Interested in Performing Division:Scope:Division:Scope:Division:Scope:Division:Scope:Division:Scope:Division:Scope:Division:Scope:Division:Scope: Of the Work listed above, what Work is Sub Contracted Division:Scope:Division:Scope: List approximate Annual Construction Volume in the last 3 years Year:Volume:Year:Volume:Year:Volume: List Preferred Cities / Regions to Perform Work in City/Region:City/Region:City/Region:City/Region:What size of contract are you interested in and capable of performing? Provide Current WCB Information WCB Account No.Current Clearance Date: Are you a Current Member of the Greater Vancouver Home Builders’ Association (GVHBA) ?YesNo Projects and References List 2 Major Projects Completed in the last 5 years Project #1 Project Name and Location:Value:Scope:Start Date: Scope:Completed Date: Scope:Owner:Reference:Email: Phone:Fax:Architect:Reference:Email: Phone:Fax:General Contractor:Reference:Email: Phone:Fax: Project #2 Project Name and Location:Value:Scope:Start Date: Scope:Completed Date: Scope:Owner:Reference:Email: Phone:Fax:Architect:Reference:Email: Phone:Fax:General Contractor:Reference:Email: Phone:Fax: List 3 Current Projects Project #1 Project Name and Location:Value:Scope:Start Date: Scope:% CompleteScope:Owner:Reference:Email: Phone:Fax:Architect:Reference:Email: Phone:Fax:General Contractor:Reference:Email: Phone:Fax: Project #2 Project Name and Location:Value:Scope:Start Date: Scope:% CompleteScope:Owner:Reference:Email: Phone:Fax:Architect:Reference:Email: Phone:Fax:General Contractor:Reference:Email: Phone:Fax: Project #3 Project Name and Location:Value:Scope:Start Date: Scope:% CompleteScope:Owner:Reference:Email: Phone:Fax:Architect:Reference:Email: Phone:Fax:General Contractor:Reference:Email: Phone:Fax: Execution I hereby declare that... SignaturePrint NameTitleDate The information provided is true and correct to the best of my knowledge and authorize Portrait Homes Limited to contact the references.
