Subcontractor Prequalification Form

The Commercial Interiors / TN Ward Joint Venture (CI/TNW JV) has been awarded the Construction Management contract for the construction of the Maryland Live Casino and Parking Garage at Arundel Mills Mall in Anne Arundel County, Maryland. The project will consist of an eight (8) story Precast Parking Garage, Cast-In-Place Concrete Footings, Slab on Metal Deck, Precast Topping and Structural Steel. The Casino will be comprised of approximately 300,000 GSF of Casino Gaming Floor, Restaurants and Back of House Space to be constructed in two (2) phases.

The CI/TNW JV is currently pre-qualifying subcontractors to perform work on this project under contract with the Joint Venture. If you are interested in being prequalified please provide the following information.

Minority and Women owned businesses are encouraged to respond.

This form is also AVAILABLE FOR DOWNLOAD and can be submitted through email or fax.
Click here to download PDF

ORGANIZATION

* Company:
Address 1:
Address 2:
City:
State:
Zip Code:
Phone:
Fax:
Web Site::
Contact Person:
* Your Email Address:
How many years has your organization been in business as a contractor?
List jurisdictions and trade categories in which your organization is legally qualified to do business, and indicate registration or license numbers, if applicable:

Minority Business Enterprises

Please check all that apply to your company:	Minority Business Enterprise Woman Business Enterprise Disadvantage Business Enterprise LSDBE
Is your company MDOT Certified MBE? If so, please list certification number:
Applicable NAICS Codes:

EXPERIENCE

Type of work to be performed:
Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers?
Filed any lawsuits/arbitration with regard to construction contracts within the past 5 years?

List 3 completed projects of similar size and work type as this project.
Provide the following information for each project listed

FIRST PROJECT
Project name:
Project location:
Type and size of work performed:
Owner contact name:
Owner phone number:
General Contractor/CM name & contact person and phone
Company:
Contact name :
Phone:

SECOND PROJECT
Project name:
Project location:
Type and size of work performed:
Owner contact name:
Owner contact number:
General Contractor/CM name & contact person and phone
Company:
Company contact:
Company phone:

THIRD PROJECT
Project name:
Project location:
Type and size of work performed:
Owner contact name:
Owner phone number:
General Contractor/CM name & contact person and phone
Company:
Company contact:
Company phone:

For the last 5 years, please provide the following information:

Largest 5 projects based on Value performed
Project 1:
Value:
Project 2:
Value:
Project 3:
Value:
Project 4:
Value:
Project 5:
Value:

Largest project based on Gross Square Footage of your work in the last 5 years
Project 1:
Value:
Project 2:
Value:
Project 3:
Value:
Project 4:
Value:
Project 5:
Value:

Largest crew size on any one project:

Average crew size per job
2010:
2009:
2008:

Average number of field employees during
2010:
2009:
2008:
Have you ever failed to complete a project:
If yes please explain:

Annual volume of contract work performed
2010:
2009:
2008:
2007:

BONDING CAPACITY

Is your company bondable?:
Provide single project limit:
Aggregate limit:
Surety: Provide name of your bonding company:

SAFETY

Does your company have a safety program?
What is your experience modification rate?

SIGNATURE

Dated on:
Name of organization:
Signed by:
Title:
	* required fields

* Construction Division:

* Company:
Address 1:
Address 2:
City:
State:
Postal/Zip Code:
Phone:
Fax:
Web Site::
* Primary Contact Person:
* Primary Contact Email Address:
Secondary Contact Email:
Secondary Contact Person:

Minority Business Enterprise

Please check all that apply:	MBE LDSBE WBE Veteran DBE Other
Is your company an MDOT Certified MBE? If so please list certification number:

Work Performance

Type of work to be performed:
	* required fields