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 Name

Address

STREET ADDRESS

Street Address Line 2

CITYSTATE, ZIP

Bidding Contact

Contact Title

Phone

Mobile

Email Address

example@example.com

Web Site Address

Type of Project

Size of Project (Total Construction Cost)

LOCATION OF PROJECTS YOU ARE INTERESTED IN BIDDING. Check all that apply.

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

What are the types and percentages of work you contract to others?

Has your company ever defaulted on or failed to complete a project?

If yes, please explain:

Type of Company (check all that apply)

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?

Number of Employees

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

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

Does your firm have a substance abuse policy?

Does your firm conduct project site safety inspections?

Does your firm have a full-time Safety Manager?

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)?

If yes, please explain

Insurance Broker Firm:

Insurance Broker Contact:

Insurance Broker Phone:

Total Credit Available:

Total Credit Against:

1. Bank Name:

Contact Name and Title:

Contact Phone:

2. Bank Name:

Contact Name and Title:

Contact Phone:

Is your company bondable?

If yes, please fill out the following:

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

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

Major Projects Currently Under Contract

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

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:

Is there a specific project you're interested in? If so, what is the name of the project?

If yes, Comparable Experience of similar size and scope

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

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?

If yes, please explain:

In the last five years, has your current company or any predecessor organization had any judgments made against it?

If yes, please explain:

Please verify that you are human

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