Subcontractor Information Form

Subcontractor Information Form
Thank you for your interest in submitting bids to FCI Constructors, Inc. Please fill out this form completely and accurately. If you have questions while filling out this form, please contact the procurement department in the FCI Office closest to you. Click here for office locations.
COMPANY INFORMATION
Company Name*
Address*

STREET ADDRESS

Street Address Line 2

CITYSTATE, ZIP

Postal / Zip Code
Bidding Contact*
Contact Title*
Phone*
Mobile
Email Address*
example@example.com
Web Site Address
TYPE AND SIZE OF PROJECTS YOU ARE INTERESTED IN BIDDING

Check all that apply
Type of Project*

AllOffice or BankingEducational (K-12 or Higher Ed)Industrial or ManufacturingMedical or HealthcareMunicipal or CorrectionsRecreationResidential (Multi-Family, Assisted Living)Site DevelopmentOther
Size of Project (Total Construction Cost)*

Less than $1,000,000$1,000,001 to $5,000,000$5,000,001 to $10,000,000$10,000,0001 to $20,000,000$20,000,001 to $30,000,000Over $30,000,000
LOCATION OF PROJECTS YOU ARE INTERESTED IN BIDDING. Check all that apply.*

Arizona NE (Page/Flagstaff)Arizona NW (Williams/Las Vegas NV area)Arizona SE (Tucson)Arizona SW (Yuma)Arizona - Phoenix MetroColorado Central Mountain (Vail Valley/Roaring Fork)Colorado Four Corners AreaColorado Front RangeColorado Western Slope (Grand Jct/Montrose/Glenwood Springs)Colorado Gunnison/Buena Vista/SalidaColorado NW (Rangely/Meeker/Craig)Colorado SouthernMontana EasternNew Mexico Central (Albuquerque/Santa Fe)New Mexico EasternNew Mexico Four Corners (Farmington)New Mexico Northern Central (Taos/Espanola)New Mexico SouthernNew Mexico Western (Gallup)North DakotaOklahoma CentralTexas Western (Lubbock/Midland/Odessa)Utah South EasternWyoming Southern (Cheyenne/Laramie)Wyoming Central (Casper/Riverton)Wyoming Western (Pinedale/Jackson)Other
Please describe the types of products and services you are able to provide.*
What CSI Divisions do you typically perform within? Check all that apply*

Division 00 — Procurement and Contracting RequirementsDivision 01 — General RequirementsDivision 02 — Existing ConditionsDivision 03 — ConcreteDivision 04 — MasonryDivision 05 — MetalsDivision 06 — Wood, Plastics, and CompositesDivision 07 — Thermal and Moisture ProtectionDivision 08 — OpeningsDivision 09 — FinishesDivision 10 — SpecialtiesDivision 11 — EquipmentDivision 12 — FurnishingsDivision 13 — Special ConstructionDivision 14 — Conveying EquipmentDivision 21 — Fire SuppressionDivision 22 — PlumbingDivision 23 — Heating, Ventilating, and Air Conditioning (HVAC)Division 25 — Integrated AutomationDivision 26 — ElectricalDivision 27 — CommunicationsDivision 28 — Electronic Safety and SecurityDivision 31 — EarthworkDivision 32 — Exterior ImprovementsDivision 33 — UtilitiesDivision 34 — TransportationDivision 35 — Waterway and Marine ConstructionDivision 40 — Process InterconnectionsDivision 41 — Material Processing and Handling EquipmentDivision 42 — Process Heating, Cooling, and Drying EquipmentDivision 43 — Process Gas and Liquid Handling, Purification and Storage EquipmentDivision 44 — Pollution and Waste Control EquipmentDivision 45 — Industry-Specific Manufacturing EquipmentDivision 46 — Water and Wastewater EquipmentDivision 48 — Electrical Power Generation
What are the types and percentages of work you contract to others?*
Has your company ever defaulted on or failed to complete a project?*

YesNo
If yes, please explain:
Type of Company (check all that apply)*

CorporationPartnershipSole ProprietorshipMBEWBESBEDBEOther
Years in business under current company name*
Company Officers - Names and Titles
Do you use third-party staffing? If so, list staffing firms
Is your firm a member of ISNetworld?

YesNo

Number of Employees

Rows	Management	Field Supervision	Pre-Construction/ Estimating	Administrative	Tradespeople
Employee Count

Does your firm have a written field-based safety program?

YesNo
Does your firm have a substance abuse policy?

YesNo
Does your firm conduct project site safety inspections?

YesNo
Does your firm have a full-time Safety Manager?

YesNo
If yes, name of Safety Manager, and Phone Number

Safety Statistics, last five years

Rows	Current	1 year ago	2 years ago	3 years ago	4 years ago
EMR
OSHA Citations
RIC
LTIC
Fatalities

Has your firm incurred significant or repeated violations of Federal Safety Regulations (OSHA)?

YesNo
If yes, please explain
Insurance Information
Insurance Broker Firm:*
Insurance Broker Contact:
Insurance Broker Phone:
Line of Credit
Total Credit Available:
Total Credit Against:
Bank Information
1. Bank Name:
Contact Name and Title:
Contact Phone:
2. Bank Name:
Contact Name and Title:
Contact Phone:
Bonds
Is your company bondable?*

YesNo

Annual Volume for the Past 4 Years

Rows	Answer
Surety Company Name
Brokerage Firm Name
Agent Name and Phone
Bonding Capacity - Single Project
Bonding Capacity - Aggregate
Current Capacity Available
Current Bond Rate %

Annual Volume for the Past 4 years

Rows	Most Recent FYE	One year prior FYE	Two years prior FYE	Three years prior FYE
Volume

Largest Completed Projects:

Largest Completed Projects

Rows	Name of Project	Contract Value	Client Name	Client Contact	Client Phone
1
2
3
4
5

Major Projects Currently Under Contract:

Major Projects Currently Under Contract

Rows	Name of Project	Contract Value	Client Name	Client Contact	Client Phone
1
2
3
4
5

Project Size and Backlog
Highest Dollar Project Awarded in the Last 3 Years:
Average Project Size in the Last 3 Years:
Average Backlog in the Last 3 Years:
Current Backlog:
PROJECT INFORMATION
Is there a specific project you're interested in? If so, what is the name of the project?

LEGAL INFORMATION
In the last five years, has your current company or any predecessor organization been involved in any litigation or a legal dispute with an Owner, Architect or General Contractor?*

YesNo
If yes, please explain:
In the last five years, has your current company or any predecessor organization had any judgments made against it?*

YesNo
If yes, please explain:
Please verify that you are human*
Should be Empty:

Subcontractor Information Form

COMPANY INFORMATION

TYPE AND SIZE OF PROJECTS YOU ARE INTERESTED IN BIDDING

Insurance Information

Line of Credit

Bank Information

Bonds

Annual Volume for the Past 4 Years

Largest Completed Projects:

Major Projects Currently Under Contract:

Project Size and Backlog

PROJECT INFORMATION

LEGAL INFORMATION