BPPM Example of Statement of Qualification of Subcontractor
The statements herein are confidential and made solely for the information of the New York City Transit Authority in connection with the proposed subcontract with
_________________________________________________________________________
Name of General Contractor
_________________________________________________________________________
Address, City, State, Zip Code
Under its general Contract No. __________________with the New York City Transit Authority.General Information
1. Name of proposed subcontractor:
_________________________________________________________________________
2. Address:
_________________________________________________________________________
(principal office) Address, City, State, Zip Code
3. If a corporation:
When Incorporated_________________
Vice-President's name ______________
Secretary's name __________________
Treasurer's name __________________
If a partnership:
Date of Organization______________
Names and addresses of partners ___________________
______________________________
______________________________
4. Description of work to be done under proposed subcontract. Indicate clearly whether work involves labor only or labor and material. List principal items of materials, if any to be furnished.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
5. Total amount of proposed subcontract: $ ________________________________________Experience
6. How many years of experience? _____________________________________________
7. Give, briefly, previous experience of directing officers including chief engineer and general superintendent on similar work.
Name
Present Position
Yrs. of Construction Experience
Magnitude and Type of Work
What Capacity
8. List principal contracts completed by present organization.
Location
Contract Price
Class of Work
Percent Completed
Name and Address of Awarding Party
9. List contracts, if any, that present organization has on hand.
Location
Contract Price
Class of Work
Percent Completed
Name and Address of Awarding Party
10. Give references of at least two engineers or architects for whom present organization has done similar work.
Name
Telephone Number
Address
Position
11. Give any supplemental information that the undersigned desires to submit.
_________________________________________________________________________
_________________________________________________________________________
12. Give any supplemental information that the undersigned desires to submit.
_________________________________________________________________________
_________________________________________________________________________
The undersigned agrees to furnish the New York City Transit Authority additional or supplemental information concerning its financial and/or technical qualifications, when and as required.
_____________________________________
_________________
Name
Date