Subcontractors | Stevens Construction

Subcontractor Prequalification

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Step 1 of 17

Welcome to Stevens Construction, Inc. Prequalification form!

Please have the following documents ready to upload prior to beginning the form:

Any Licenses

COI with Stevens Construction, Inc. as a certificate holder, additionally insured documents, and endorsement documents

Stevens Construction Inc.

14541 Hope Center Loop, Suite 200

Fort Myers, Florida 33912

OSHA 300 Log / Safety Manual / Drug Policy

EMR (if you have one)

If you experience any issues, please do not hesitate to Contact Us at:

info@StevensBuilds.com

Office: 239-936-9006

Introduction

Company Name*

Address*

Street Address Address Line 2 City State ZIP Code

Would you like to add a second location?*

Yes

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Website

Business Type*

Labor Type*

What percentage of your work is commercial construction?

What percentage of your work is normally subcontracted?

Scope Of Work

What scopes of work do you perform?

Consultant

Building Information Modeling (BIM)

Photo and Video Documentation

Trailers and Storage

Temporary Toilets

Equipment Rental

Hoists

Temporary Cranes

Temporary Scaffolding

Dumpsters

Construction/Final Cleaning

Disaster Response

Surveying

Scanning Services

Hazardous Materials

Geotechnical Engineering

Material Testing

Demolition

Structure Moving

Pest Control

CIP Concrete

Tilt-Up Concrete

Post-Tensioned Concrete

Masonry

Stained Concrete

Structural Precast Concrete

Hollow Core

Precast Specialties

Glass Fiber Reinforced Concrete (GFRC)

Gypsum Underlayments

Shotcrete

Structural Restoration

Architectural Precast Concrete

Stone Cladding

Structural Steel

Cold-Formed Metal Framing Systems

Cold-Formed Metal Trusses

Unistrut System

Decorative And Ornamental Metals

Rough Carpentry

Heavy Timber Construction

Wood Trusses

Finish Carpentry

Architectural Woodwork

Manufactured Casework

Lab Casework

Countertops

Waterproofing

Joint Sealants

Expansion Joints

Spray Foam Insulation

Building Insulation

Metal Roofing

Shingle Roofing

Tile Roofing

Built-Up and Membrane Roofing

Light Weight Insulated Concrete

Green Roofs

Roof Pavers

Gutters

Soffits

Vinyl Siding

Hardie Siding

Rainscreens and Wall Panels

Fireproofing

Firestopping

Doors, Frames & Hardware

Overhead Doors And Grilles

Translucent Roof Assemblies

Skylights

Windows

Storefront

Curtain Wall

Folding Glass Partitions

Automatic Sliding Entrances

Auto Operators

Framing and Drywall

Stucco

EIFS

Plastering

Ceilings

Resilient Flooring

Hardwood and Engineering Flooring

Tiling

Precast Terrazzo

Poured Terrazzo

Fluid Applied Flooring

Access Flooring

Wall Coverings

Acoustical Treatments

Painting

Toilet Accessories

Fire Extinguishers

Wall Protection

Flag Poles

Lockers

Projection Screens

Visual Display Boards

Cubicle Curtains And Tracks

Postal Specialties

Site Furnishings

Interior Signage

Monument and Building Signage

Operable and Folding Partitions

Fireplaces

Storage Assemblies

Screens and Shutters

Flood Barriers

Awnings and Canopies

Cupolas and Spires

Vehicle Service Equipment

Parking Equipment

Loading Dock Equipment

Banking and Detention Equipment

Appliances

Foodservice Equipment

Library Equipment

Athletic and Recreational Equipment

Window Treatments

Furniture

Multiple Seating

Swimming Pools

Spas

Fountains

Premanufactured Clean Rooms

Saunas and Steamrooms

Space Frames

Greenhouses

Metal Building Systems

Portable and Mobile Buildings

Modular Construction

RF Shielding

Elevators

Escalators And Moving Walks

Lifts

Facility Chutes

Pneumatic Tube Systems

Fire Suppression Systems

Plumbing

Medical Gas

Water Filtration

HVAC

Chilled Water

Fume Hoods

Fuel Systems

LP Gas & Piping

Electrical

Fire Alarm

Solar Panels

Structured Cabling

AV Equipment

Nurse Call

Bi-Directional Antenna (BDA)

Security Systems

Lightning Protection

Earthwork

Site Utilities

Asphalt Paving

Concrete Paving

Site Concrete

Special Foundations

Micro/Helical Piles

Precast Concrete Piles

Wood Piles

Auger Piles

Caissons

Unit Pavers

Athletic Courts

Artificial Turf

Temporary Fencing

Fences and Gates

Barrier and Retaining Walls

Bridges and Boardwalks

Landscaping

Irrigation

Wells

Traffic Signals

Marine Construction

Docks

Wood and Composite Decks

Process Piping

Fixed Cranes and Hoists

AHCA Experience

(Please check all that apply.)

Ownership/Business Structure

Corporation Type*

State of Incorporation*

State

Date of Incorporation*

Month

Day

Year

Has your company ever done business under a different name?*

Yes

Other Company Name*

DBA Information

Is your company owned or controlled by a parent company?*

Yes

Provide Parent Company Information*

Employees

Estimators

Number Employed

Field Supervisors

Number Employed

Tradespeople

Number Employed

Clerical/Accounting

Number Employed

Other

Number Employed

Total

Number Employed

Owners/Officers of Your Company

Name (Owner/Officer)*

First Last

Email*

Phone*

Would you like to add additional Officers? (You may add up to four.)*

Yes

Owners/Officers of Your Company

Name (Owner/Officer)*

First Last

Email*

Phone*

Company Contacts

Name of who should be sent Invites to Bid (ITBs)?*

What is the email address of your ITB contact?*

Name of who should be sent Billing and Invoices?*

What is the email address of your Billing contact?*

Name of who should be sent Release Requests?*

What is the email address of your Release Request contact?*

Name of who should be sent Contracts, Change Orders, Etc.?*

What is the email address of your Contracts contact?*

Licensing

(Please Provide License #, Classification, Issuing Agency, And State For Each License)

License Number

Classification

Issuing Agency

State Issued

State

License Number

Classification

Issuing Agency

State Issued

State

License Number

Classification

Issuing Agency

State Issued

State

Certified Business Enterprises Certifications

Please select Enterprise type

Disadvantaged Business Enterprise (DBE)

Small Business Enterprise (SBE)

Minority Business Enterprise (MBE)

Women Business Enterprise (WBE)

Other

N/A

Other Enterprise type*

Health and Safety

Does your company have a safety program?*

Yes

Please upload a copy of your safety program.

Max. file size: 256 MB.

Does your company have a safety officer or department?*

Yes

Safety Officer*

First Last

Safety Officer Email*

Safety Officer Phone*

Please list your workers compensation Experience Modification Rate (EMR)for the last (3) years:

Please attach your Insurance Agent's EMR Verification Letter:

Max. file size: 256 MB.

Does your company have a substance abuse program?*

Yes

Please upload your company's substance abuse program.

Max. file size: 256 MB.

Has your company had any OSHA citations or jobsite fatalities within the last (5) years?*

Yes

Please explain the incident*

Bonding & Surety

Are you able to provide bonding for projects?*

Yes

Please attach your bond/ surety letter

Max. file size: 256 MB.

Insurance

Name of your insurance company?*

Agency Contact Name*

Agency Phone

Agency Email

Would you like to add an additional company and contact?*

Yes

Name of your additional insurance company?*

Additional Agency Contact Name*

Additional Agency Phone

Additional Agency Email

Is your company a surveying or testing company?*

Yes

Attach your Omissions Professional and Liability Insurance Certificate*

Max. file size: 256 MB.

General Liability

Attach your Commercial General Liability Insurance Certificate*

Max. file size: 256 MB.

Workers Compensation

Attach your Worker's Compensation Insurance Certificate*

Max. file size: 256 MB.

Automobile

Attach your Commercial Automobile Liability Insurance Certificate*

Max. file size: 256 MB.

Financials

Attach your latest IRS W-9 Form.*

Max. file size: 256 MB.

Are there any outstanding debts or loans that exceed 20% of your company's net worth?*

Yes

What was your estimated revenue for last year?

What is your average project size?

What is the maximum contract size your company is comfortable performing?*

What is the minimum contract size your company is comfortable performing?*

Projects

Current Projects

Please list 3 major projects your company currently has under contract.

Project Name, Client, Contract Value, and Completion Date

Completed Projects

Please list 3 major projects your company has completed in the last three years.

Project Name, Client, Contract Value, and Completion Date

References

Please list 3 references with whom you have performed work prior.

Name, Company, Email, and Phone Number

Legal

Has your company, its owners, or officers been involved in litigation regarding a construction contract within the last (3) years?

Yes

Has your company failed to complete a construction contract, defaulted, or been terminated for cause within the last (3) years?

Yes

Has your company had any safety or environmental related citations from authorities in the last (3) years?

Yes

Has a complaint ever been filed with a licensing agency against your firm?

Yes

Has a surety ever finished one or more of your construction projects?

Yes

Has your firm ever been assessed liquidated damages on a project?

Yes

Are there any remaining issues or conflicts of interest that would have material effect on your company, its owner, or officers, in their operation, financial structure, or ability to perform work for Stevens Construction?

Yes

If you answered yes to any of the questions above, in the legal section, please explain.

Would you like to provide any additional information you feel would help Stevens Construction determine your company's qualifications and expertise?

Yes

Additional Information