Bid Room - Wolverine Building Group - Wolverine Building Group

Subcontractor/Vendor Prequalification Statement
Name of Company*
Street Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Use Street Address as Mailing Address?*
- Yes
- No
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
The above address is the
- Main Office
- Regional Office
- Branch Office
Company Phone Number*
Company Fax Number
Contacts

First Contact
First Contact Name*
First Last
First Contact Office Phone*
First Contact Cell Phone
First Contact Email*
Second Contact
Second Contact Name
First Last
Second Contact Office Phone
Second Contact Cell Phone
Second Contact Email

Parent Company
Parent Company Name
Parent Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Year Company Started
Type of Company
- Corp.
- Partnership
- Proprietorship
- Sub. S. Corp.
State of Incorporation
Date of Incorporation
Month
Day
Year
Contractor's License Number
State of Licensing
Expiration
Federal ID Number

Stockholders

List the corporate officers, partners, proprietors, members and shareholders of more than 5% of the stock of your Company
How many people does your Company presently employ?
Home Office
Field Supervisory
Tradespeople
Your company's certifications
- MBE
- WBE
- DBE
MBE/WBE/DBE Certified by:
MBE/WBE Participation in work which you subcontract (average participation for last 3 years)
MBE %
WBE %
Minority/Female workforce participation (average percentage utilization for last 3 years)
Minority %
Female %

What is the largest contract your Company has completed?
Amount
Year
Project name and scope
What is the largest dollar volume job you expect to do during this year?
Amount
Project name and scope
What was the average annual volume of work performed over the past 5 years?
Year/Volume
Year/Volume
Year/Volume
Year/Volume
Year/Volume
Please list two current major projects giving name of project, address, owner, architect, general contractor, contract amount, scope of work and scheduled completion. (Include contact people and phone numbers)
Project 1
Project Name
Project Owner
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name
Project Contact
First Last
Phone
Project Contact - phone
Architect
Name
Architect Contact
First Last
Phone
Architect Contact - phone
General Contractor
Name
General Contractor Contact
First Last
Phone
General Contractor - phone
Contract Amount
Scheduled Completion
Scope of Work
Project 2
Project Name
Project Owner
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name
Project Contact
First Last
Phone
Project Contact - phone
Architect
Name
Architect Contact
First Last
Phone
Architect Contact - phone
General Contractor
Name
General Contractor Contact
First Last
Phone
General Contractor - phone
Contract Amount
Scheduled Completion
Scope of Work
File
Please attach letter(s) of reference from a major completed project(s).
Drop files here or

Accepted file types: doc, pdf, Max. file size: 3 MB, Max. files: 5.

List three of your major suppliers:
Supplier 1
Name
Name
Contact
First Last
Phone
Supplier 2
Name
Name
Contact
First Last
Phone
Supplier 3
Name
Name
Contact
First Last
Phone
List three contractors with whom you do business
Contractor 1
Name
Name
Contact
First Last
Phone
Contractor 2
Name
Name
Contact
First Last
Phone
Contractor 3
Name
Name
Contact
First Last
Phone
Please list any litigation brought against your Company’s Owners in the past five (5) years.
Please list any litigation brought against your Company in the past five (5) years.
Please describe the outcomes of any litigation described above.
Trade Association Memberships:
List local or national accredited training programs in which you participate (craft or management training):

We recognize that Wolverine Building Group will be relying on the accuracy of the information and our responses in this questionnaire in deciding whether to permit us to bid and in awarding work to our Company. We have attempted to answer all questions in a full and complete manner to assure that our answers are not in any respect misleading, either by expressing ourselves in a misleading or ambiguous manner or by omitting information.
Name of Company*
Completed by (must be an officer of the Company)*
Title*
Electronic Signature*

Bidders & Subs