Hewes Subcontractor Form

This form is being submitted to Hewes & Company, LLC by:
Main Contact Name:	*
Company Name:	*
Address:	*
Address:	*
City:	*
State:	*
Zip:	*
Phone:	*
Fax:
eMail:	*

Describe Your Scope of Work:	*
Type Of Business:	*	Corporation Partnership Individual Other
If Other, Please Explain:
Years in business as a contractor under this business name: *
Contractor License Number
Click here to attach a copy of your license to this online form. If you are unable to attach a copy of your license, please fax your license to (850) 983-6698 after submitting this online form.
Attach License:
Click here if you are faxing your license instead of uploading it:

Please indicate the size of your company by completing the number of employees in each category below. Please do not count the same employee more than once. If you do not have employees in a category, please put "0" next to the category.
Estimating:	*
Accounting:	*
Management:	*
Field Supervision:	*
Clerical:	*

Is your organization a registered MBE/WBE contractor:	*	Yes No
Is your organization currently registered with Dunn & Bradstreet?	*	Yes No
If yes, what is your D&B Number?
Has your firm ever failed to complete a contract? *
Has your firm had any subcontractors fail to complete a contract in last five years?	*	Yes No
Are there any judgments, claims or suits pending or outstanding against your firm?	*	Yes No
Has your firm been a party to any lawsuits or requested arbitration with regard to construction projects in the last five years?	*	Yes No
Does your company have a dedicated Safety Director?	*	Yes No
If you answered yes to any of the above questions, please explain:

Please list four different general contractors and owners for whom you have performed similar scopes of work regarding similar facilities.
Project:
Name of Owner or Owner's Representative:
Owner or Owner's Rep Phone Number:
General Contractor:
GC Phone Number:
Approximate Value:

Project:
Name of Owner or Owner's Representative:
Owner or Owner's Rep Phone Number:
General Contractor:
GC Phone Number:
Approximate Value:

Project:
Name of Owner or Owner's Representative:
Owner or Owner's Rep Phone Number:
General Contractor:
GC Phone Number:
Approximate Value:

Project:
Name of Owner or Owner's Representative:
Owner or Owner's Rep Phone Number:
General Contractor:
GC Phone Number:
Approximate Value:

Five Largest Projects Completed In The Last Five Years:
Project:	*
General Contractor:	*
GC Phone Number:	*
Contract Amount:	*

Project:	*
General Contractor:	*
GC Phone Number:	*
Contract Amount:	*

Project:	*
General Contractor:	*
GC Phone Number:	*
Contract Amount:	*

Project:	*
General Contractor:	*
GC Phone Number:	*
Contract Amount:	*

Project:	*
General Contractor:	*
GC Phone Number:	*
Contract Amount:	*

Average annual billing for last five years:	*
Last year's billing:	*

Major Projects Under Contract:
Project:	*
Percent Complete:
Completion Date:
Contractor:
Contract Amount:

Project:	*
Percent Complete:
Completion Date:
Contractor:
Contract Amount:

Project:	*
Percent Complete:
Completion Date:
Contractor:
Contract Amount:

Project:	*
Percent Complete:
Completion Date:
Contractor:
Contract Amount:

Project:	*
Percent Complete:
Completion Date:
Contractor:
Contract Amount:

Total projects under contract: (Be sure to include those not listed above):	*
Percent negotiated projects under contract:	*

Current Projects for which Your Firm is a Candidate for contract award (indicate size and schedule):
Project Description 1 (indicate size & schedule):
Project Description 2 (indicate size & schedule):
Project Description 3 (indicate size & schedule):
Project Description 4 (indicate size & schedule):
Project Description 5 (indicate size & schedule):

Can your organization provide a payment and performance bond?
What is your bond rate for this project?

Please list the names of your bonding agent and surety
Bonding Agent:
Street Address:
City:
State:
Zip:

Surety:
City:
State:
Zip:

Single Project Bonding Limit:
Aggregate Bonding Limit:

BY COMPLETING AND SUBMITTING THIS FORM, YOU SUBMIT THAT ALL OF THE ANSWERS TO THE FOREGOING QUESTIONS AND ALL STATEMENTS HEREIN CONTAINED ARE TRUE AND CORRECT.	*
Completed by:
For Company Name:
Title:
Date:
Upon hitting submit, a copy of this form will be sent to Hewes & Company, LLC.