Construction Company Questionnaire Form PDF Details

In the pursuit of establishing strong and reliable partnerships within the construction industry, the Construction Company Questionnaire form serves as a pivotal tool for Hoffman Construction Company based in Portland, Oregon. This comprehensive form, meticulously designed, gathers essential information from subcontractors and vendors aiming to collaborate on various projects. It ensures that only the most competent and compatible partners are selected for bidding on projects, thereby maintaining the high standards Hoffman is known for. The questionnaire spans several crucial areas, such as general company information, licenses, organizational structure, legal background, and financial health, amongst others. It demands details on previous and ongoing projects to assess the experience and capability of the potential partners. Further, it delves into labor relations, highlighting the importance of safety and ethics in operations. Moreover, it provides insight into the subcontractor's bidding interests, including the types of work and geographic areas preferred, thus aligning project needs with subcontractor expertise. By requiring this detailed submission, which needs to be updated annually or upon significant company changes, Hoffman Construction ensures transparency, reliability, and quality in its partnerships, underpinning successful project completions.

QuestionAnswer
Form NameConstruction Company Questionnaire Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesWashington, construction questionaire, SBA, Prequalification

Form Preview Example

 

 

Return to:

 

SUBCONTRACTOR / VENDOR

Hoffman Construction Company

 

805 SW Broadway, Suite 2100

 

QUESTIONNAIRE

 

Portland, OR 97205

 

 

Tel 503/221-8811 - Fax 503/221-8888

 

 

Email: bids@hoffmancorp.com

Sections 1, 2, 3, 4 & 8 required to receive bid invitations.

A completed Questionnaire (all Sections) must be submitted with your bid unless it was submitted in the previous

12 months and there have been no significant changes in ownership or operations.

1. General Information

Name of Business: ____________________________________________________________________________

Street Address: ____________________________________________________________________________

City, State, Zip: ____________________________________________________________________________

Mailing Address: ____________________________________________________________________________

Telephone: ______________________________________ Fax: _________________________________________

Website:______________________________________________________________________________________

Contact for Bidding: ______________________________ E-mail: _______________________________________

E-mail Address for bid invitations (if desired): _______________________________________________________

2. Licenses

Type of License or Number

Federal or State

Number

Federal Employer Identification Number

Federal EIN

 

OR Construction Contractors Board License

Oregon (CCB)

 

WA Construction Contractors Registration

Washington (L&I)

 

Other:

 

 

3. Organization

[] C-Corporation [ ] S-Corporation [ ] LLC [ ] Partnership [ ] Joint Venture [ ] LLP [ ] Sole Proprietor Where incorporated or formed? _________________________ Date founded? _____________________________

Previous business names and years operated? ________________________________________________________

Name of parent company, if any, and headquarters location? ____________________________________________

Other businesses owned or controlled by your firm, its officers or principals? ______________________________

Owners, Officers and Principals:

Name and Title

Years with

Percent

Company

Ownership

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Small Business Concern as defined by the SBA? [ ] Yes [ ] No (Visit www.sba.gov/size for Small Business Size Standards.)

Currently MBE, WBE, DBE, or ESB Certified? [ ] Yes [ ] No

Certification number(s) and agency(ies)/other certifications?: ____________________________________________

4. Legal Information

Has your firm, its officers or principals been involved in any bankruptcy or reorganization proceedings, failed to complete any work awarded to them, defaulted, or had a contract terminated for cause within the last five years?

If yes, explain: _________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

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HOFFMAN CONFIDENTIAL WHEN COMPLETED

Page 1 of 5

HOFFMAN USE ONLY: Date Rec’d: ____________________ [ ] AXIS [ ] ITB

Are there any judgments, claims, lawsuits, arbitration or mediation proceedings currently pending or outstanding against your firm, its officers or principals? If yes, explain: ____________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Has your firm, its officers or principals filed any claims, lawsuits, arbitration or mediation proceedings with regard to construction contract within the last five years? If yes, explain: _______________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

5. Revenue

Projected revenue for this year and next year? 20__ $ ____________________ 20__ $ _____________________

Revenue for the last three years?

20__ $ ___________________________ 20__ $ _____________________ 20__ $ _____________________

Largest individual contract completed in each of the last three years?

20__ $ ____________________ Contracted with/Description _________________________________________

20__ $ ____________________ Contracted with/Description _________________________________________

20__ $ ____________________ Contracted with/Description _________________________________________

Are key supervisory personnel on these projects still with your firm? [ ] Yes [ ] No – Attach explanation Preferred contract size? $ _________________________ Current Backlog? $ _____________________________

6. Experience

Attach a list of your Current (Work In Progress) major contracts. Provide project name, location, owner, general contractor, contract amount, scope of work, start date and scheduled completion date. Include contact names and telephone numbers.

Attach a list of Completed (within last 5 years) major contracts. Provide project name, location, owner, general contractor, contract amount, scope of work, start date and completion date. Include contact names and telephone numbers.

Contracts with Hoffman within the last five years, if any? ______________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Identify contract and building types your firm has worked with:

[

] Athletic

[

] Correctional

[

] Cultural/Museum

[

] Destination/Hotel

[

] Government

[

] Healthcare

[

] High Tech/Labs

[

] Industrial

[

] Parking Facilities

[

] Renovation

[

] Residential

[

] Transportation

[

] Design Assist

[

] Design/Build

[

] Guaranties Maximum Price

 

 

[] Educational

[] Office

Describe your firm’s design and/or in-house engineering capabilities, if any: _______________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

7. Employees & Labor Relations

Number of Employees:

 

Current Year & 3 Year Average

 

Total

 

Field

Shop

Office

 

Current Year: 20__

 

 

 

 

 

 

 

 

 

Average of previous 3 Years

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Labor unions your firm is signatory with, if any?

[ ]

None

 

[ ]

Below

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Union Name and Local Number

Expires

If non-union, describe your firm’s labor acquisition methods and programs: ________________________________

_____________________________________________________________________________________________

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8. Bidding Interest

What work do you normally perform with your own forces? ____________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

What geographical regions are you interested in bidding? _______________________________________________

_____________________________________________________________________________________________

North American Industrial Classification 2002 (NAICS), (e.g., 238210) ___ ___ ___ ___ ___ ___

(Visit www.census.gov/epcd/naics02/ for Classification)

Mark CSI Codes below to receive Invitations to Bid future work (F to Furnish and/or I to Install)

 

CSI

Description

 

 

CSI

Description

F

 

I

Code

 

F

 

 

I

Code

 

 

 

 

 

 

 

 

 

 

 

01 45 23

Tests and Inspection

 

 

 

 

09 64 00

Wood Flooring

 

 

 

01 74 23

Construction Cleaning

 

 

 

 

09 65 00

Resilient Flooring & Carpeting

 

 

 

01 35 53

Site Temporary Security Services

 

 

 

 

09 66 00

Terrazzo

 

 

 

02 41 00

Demolition

 

 

 

 

09 69 00

Access Flooring

 

 

 

02 45 00

Sawcutting

 

 

 

 

09 72 00

Wall Coverings

 

 

 

02 60 00

Contaminated Soils Removal

 

 

 

 

09 90 00

Painting

 

 

 

02 80 00

Hazardous Abatement

 

 

 

 

09 96 00

High Performance/Special Coatings

 

 

 

03 20 00

Reinforcing Steel

 

 

 

 

10 11 00

Visual Display Boards

 

 

 

03 30 00

C-I-P & Structural Concrete

 

 

 

 

10 14 00

Signage

 

 

 

03 40 00

Precast Concrete

 

 

 

 

10 21 00

Metal Toilet Compartments

 

 

 

04 00 00

Masonry

 

 

 

 

10 22 00

Operable Partitions

 

 

 

04 40 00

Stone

 

 

 

 

10 26 00

Wall and Corner Guards

 

 

 

05 10 00

Structural Steel

 

 

 

 

10 28 00

Toilet and Bath Accessories

 

 

 

05 30 00

Metal Deck & Joists

 

 

 

 

10 44 00

Fire Extinguishers and Cabinets

 

 

 

05 50 00

Metal Fabrications

 

 

 

 

10 51 00

Lockers

 

 

 

05 70 00

Ornamental Metals

 

 

 

 

11 13 00

Loading Dock Equipment

 

 

 

06 10 00

Rough Carpentry

 

 

 

 

11 23 00

Laundry Equipment

 

 

 

06 40 00

Finish Carpentry / Arch Woodwork

 

 

 

 

11 40 00

Food Service Equipment

 

 

 

06 60 00

Plastic Fabrications

 

 

 

 

11 52 00

Projection Screens & A-V Equip

 

 

 

07 10 00

Waterproofing

 

 

 

 

12 20 00

Window Treatment

 

 

 

07 21 00

Insulation

 

 

 

 

12 36 00

Countertops

 

 

 

07 24 00

Exterior Insulation & Finish System

 

 

 

 

13 34 00

Metal Building Systems

 

 

 

07 40 00

Metal Roofing and Siding

 

 

 

 

14 20 00

Elevators

 

 

 

07 50 00

Roofing

 

 

 

 

21 00 00

Fire Suppression

 

 

 

07 60 00

Flashing & Sheet Metal

 

 

 

 

22 00 00

Mechanical - Plumbing

 

 

 

07 70 00

Roof Specialties and Accessories

 

 

 

 

23 00 00

Mechanical - HVAC

 

 

 

07 80 00

Fireproofing

 

 

 

 

23 05 93

Testing, Adjusting and Balancing

 

 

 

07 84 00

Firestopping

 

 

 

 

25 00 00

Integrated Automation/Controls

 

 

 

07 90 00

Sealants & Caulking

 

 

 

 

26 00 00

Electrical

 

 

 

07 95 00

Expansion Joint Cover Assemblies

 

 

 

 

27 00 00

Communications

 

 

 

08 11 00

Steel Doors and Frames

 

 

 

 

28 00 00

Safety and Security

 

 

 

08 14 00

Wood Doors

 

 

 

 

31 00 00

Earthwork

 

 

 

08 33 00

Coiling & Overhead Doors

 

 

 

 

31 60 00

Piling, Shoring, Caissons

 

 

 

08 40 00

Alum Entrances & Storefronts

 

 

 

 

32 12 16

Asphaltic Concrete Paving

 

 

 

08 60 00

Skylights

 

 

 

 

32 13 00

Site Concrete

 

 

 

08 71 00

Door Hardware

 

 

 

 

32 14 00

Unit Pavers

 

 

 

08 80 00

Glass and Glazing

 

 

 

 

32 17 00

Pavement Markings & Bumpers

 

 

 

08 90 00

Louvers and Vents

 

 

 

 

32 30 00

Fences & Gates

 

 

 

09 20 00

Lath and Plaster

 

 

 

 

32 90 00

Landscaping and Planting

 

 

 

09 20 00

Drywall

 

 

 

 

33 00 00

Utilities

 

 

 

09 30 00

Tile

 

 

 

 

 

 

 

 

 

09 50 00

Acoustical Ceilings

 

 

 

 

 

 

What percent of your work do you normally subcontract to others? ___________%

What work do you normally subcontract to others? ___________________________________________________

_____________________________________________________________________________________________

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9. Safety

Workers’ Compensation Experience Modification Rate (EMR) for the last five (5) years?

20___ EMR:______ 20___ EMR:_______ 20___ EMR: ______ 20___ EMR:______ 20___ EMR:________

If any EMR above is greater than 1.00, explain cause and remedial action implemented: _____________________

_____________________________________________________________________________________________

Who is responsible for safety at your firm? __________________________________________________________

Their title, qualifications and experience? ___________________________________________________________

Do you have a written safety program? ______ Do you require yours subs to have a written safety program? _____

What does senior management do to actively promote your safety program? _______________________________

_____________________________________________________________________________________________

Any OSHA (Federal or State) Serious, Willful, and/or Repeat violations within last five (5) years? If yes, explain:

_____________________________________________________________________________________________

Any EPA (Federal or State) violations within last 5 years? If yes, explain: ________________________________

Provide the following information (similar to OSHA Form 300A) for the last five (5) years:

 

 

 

 

 

Number of Cases

Number of Days

 

 

 

Number

Days

Job

Other

Days

Job

 

Average

Total

of

Away

Transfer or

Recordables

Away

Transfer or

 

Deaths

from

Restriction

 

from

Restriction

Year

Number of

Hours

 

 

Work

 

 

Work

 

 

Employees

Worked

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(G)

(H)

(I)

(J)

(K)

(L)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. References

Banking – Bank Name & Branch ______________________________________________ Since? _____________

City, Sate, Zip _________________________________________________________________________________

Contact Person _________________________________________ Telephone ______________________________

Credit Line Amount $ ______________ Amount Available $ ________________ Expiration Date _____________

UCC Filing? ______________________ How is credit secured? _________________________________________

Bonding – Bonding Company _________________________________________________ Since? _____________

Surety Broker/Agent ________________________________________________________ Since? _____________

Contact Person __________________________________________ Telephone _____________________________

Bonding Capacity – Per Project $ ___________________________ Aggregate $ ____________________________

Last Bond Issued – Date __________, Amount $ ______________ Type ____________________, Rate _______%

Persons or entities that provide indemnification to Surety _______________________________________________

Insurance – General Liability Carrier ____________________________________________ Since? ____________

Insurance Broker/Agent ______________________________________________________ Since? ____________

Contact Person __________________________________________ Telephone _____________________________

Dun & Bradstreet – D&B Number ____________________ D&B Rating __________ Date of Rating __________

Suppliers

A. Supplier Name & Location ____________________________________________________________________

Contact Person __________________________________________ Telephone __________________________

B. Supplier Name & Location ____________________________________________________________________

Contact Person __________________________________________ Telephone __________________________

C. Supplier Name & Location ____________________________________________________________________

Contact Person __________________________________________ Telephone __________________________

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Contractors:

A. Contractor Name & Location ___________________________________________________________________

Contact Person __________________________________________ Telephone __________________________

B. Contractor Name & Location ___________________________________________________________________

Contact Person __________________________________________ Telephone __________________________

C. Contractor Name & Location ___________________________________________________________________

Contact Person __________________________________________ Telephone __________________________

11. Financial Information

**** IMPORTANT NOTE****

Provide COMPLETE copy of your firm’s latest Audited or Reviewed year-end Financial Statements (Balance Sheet, Income Statement, Cash Flow Statement, etc.) with Accountants’ Report including all footnotes.

Prequalification and/or evaluation of your firm can not be completed without this information. Access to your firm’s financial information will be restricted to Hoffman personnel directly involved with the prequalification and/or evaluation of your firm.

12. Additional Information

Provide any additional information that you feel will help us determine your qualifications: ____________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

What plan centers, publications, or other bid information sources does your firm utilize? ______________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

___________________________________________________________________________________________

The undersigned warrants and represents that the information provided herein is complete and accurate in all respects and explicitly authorizes the references identified herein to provide any additional information requested by Hoffman that it may require to complete its prequalification and/or evaluation process.

Company Name: ______________________________________________________________________________

Prepared By: _________________________________________ Title: __________________________________

(must be an officer or principal of the Company)

Signature: __________________________________________ Date: __________________________________

Reminders!

Have you attached List of Current and Completed Projects? (Section 6)

Have you provide all required Safety Information? (Section 9)

Have you attached COMPLETE Financial Statement including Accountants’ Report with footnotes? (Section 11)

Required explanations, if any?

Rev 11/1/10

HOFFMAN CONFIDENTIAL WHEN COMPLETED

Page 5 of 5

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1. The Hoffman necessitates particular information to be inserted. Be sure that the next blank fields are finalized:

Writing section 1 in Prequalification

2. The third stage is usually to submit the following blanks: Previous business names and years, Name of parent company if any and, Other businesses owned or, Owners Officers and Principals, Name and Title, Years with Company, Percent, Ownership, and Small Business Concern as defined.

The way to prepare Prequalification portion 2

3. Your next stage is usually hassle-free - fill in every one of the blanks in Small Business Concern as defined, and Rev HOFFMAN CONFIDENTIAL WHEN to finish this process.

Prequalification conclusion process shown (portion 3)

4. Filling out Are there any judgments claims, Has your firm its officers or, Projected revenue for this year, Revenue for the last three years, Largest individual contract, Contracted withDescription, Contracted withDescription, Contracted withDescription, Are key supervisory personnel on, and Preferred contract size Current is vital in this fourth part - make certain that you devote some time and take a close look at every single empty field!

Prequalification conclusion process shown (stage 4)

Regarding Largest individual contract and Projected revenue for this year, be sure you do everything correctly in this current part. The two of these could be the most important fields in the PDF.

5. And finally, this last subsection is what you'll have to complete prior to closing the PDF. The blanks at issue are the next: general contractor contract amount, Contracts with Hoffman within the, Correctional Athletic, Identify contract and building, DestinationHotel Industrial, DesignBuild, Educational Office, Number of Employees, Current Year Year Average, Total, Field, Shop, Office, Current Year, and Average of previous Years.

Filling in segment 5 of Prequalification

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