Subcontractor Qualification Form

Subcontractors

Click here to enter AMC's planroom

Subcontractors that have received an invitation to bid can click here to visit the iSqFt.com site and login to proceed.

If you would like to be added to our subcontractor database, please use the form below to prequalify with Anderson-Moore Construction.

Please fill out the form below. We will review your information and have a representative contact you.

Date

Company Name

Company Address

City

State

Zip

Email Address For Bid Invitations

(this account should be checked regularly)

Company Phone Number

Fax Number

Type of Work Performed and/or Specialty

Company Email Address

Contractors License Number

Tax Number

Type of Company

Sole Proprietorship Corporation Partnership

Names and Titles of Key Personnel

Does Your Company Have Safety Program? (Yes/No)

If so please provide copy (PDF Version Perferred)

Is Your Company SBE/ WBE/ MBE (Yes/No)

(If so please provide documentation)

Current Mod Rate

Geographic Areas of Interest by County

Preferred Project Size

Years In Operation

# Of Employees In Office

Field

% Of Work Performed by Own Forces

Value of Work Under Contract

Value of Work Completed Last Year

Average Annual Sales Last (3) Years

Value Of Work Presently Bonded

Total Aggregate Bonding Capacity

Per Job

Bonding Surety Firm

Phone

Bonding Rate

Insurance Requirements

$1,000,000 General Liability and Auto Insurance and State of Florida minimum required Workers

****Compensation (a copy of this must be included when returning form)****

Has Firm:

Ever Failed To Complete a Contract? (Yes/No)

Been Involved in Bankruptcy or Reorganization? (Yes/No)

Had Any Pending Judgements, Claims or Suits? (Yes/No)

If Yes, Please Explain

**** PLEASE ATTACH (3) CURRENT AND (3) PAST REFERENCES****

	Mailing Address		Phone Numbers
Anderson-Moore Construction Corp. 1568 Watertower Road. Lake Park, FL 33403		Office: 561.753.7400 Fax: 561.840.9779