Subcontractor Prequalification Formadmin2023-11-23T21:37:23+00:00 1 Step 1 Subcontractor PrequalificationDocument Georgia Green Energy Services 4040 Shirley Drive SWAtlanta, GA 30336 404.334.3323For any additional questions, please email us at vendors@gagreenenergysvc.com Contact Person for Clarification Phone Emailemail Date of Responsedate_range CONTACT INFORMATION Contractor Name Telephone No. Fax No. Emailemail Street Address City State Zip Code Web Address Principal Name Phone Emailemail CFO Name Phone Emailemail Lead Estimator Name Phone Emailemail Under current management since(Date)date_range ESTIMATING CONTACT FOR INVITATIONS TO BID Name Title Email Addressemail BUSINESS TYPE Check One:Sole OwnerPartnershipCorporationLLC State(s) of Electrical License Date of Registrationdate_range Years in Business Other name(s)your company has operated under Parent Company Name Parent Company Information(if Applicable) Telephone No. Street Address City State Zip Code PERSONNEL AND MANAGEMENT TEAM Administration Project Executive Field Supervisor Accounts Payable Others KEY PERSONNEL (CONSTRUCTION, ESTIMATING, SAFETY, ACCOUNTING) 1 Name Position Years with Company Total Years of Relevant Experience Construction Experience 2 Name Position Years with Company Total Years of Relevant Experience Construction Experience 3 Name Position Years with Company Total Years of Relevant Experience Construction Experience 4 Name Position Years with Company Total Years of Relevant Experience Construction Experience DIVERSITY STATUS INFORMATION Please Indicate your company's diversity status (if applicable)MBEWBESBEDBEOther: If so, where is your company registered? City State DIVERSITY, EQUITY, INCLUSION Does your company have a D.E.I. Action Plan?YESNO Does your company include training/orientation on sexual harassment in the workplace?YesNo If yes, briefly explain UNION AFFILIATIONS List any labor organizations which your company may have an agreement with: Labor NumberUnion NameAgreement Expiration×+ Add Row(1) TYPE OF WORK PERFORMED (TRADES) Indicate types of work performed through direct hire and types subcontracted. Types of work (Trade)% Self Perform% Subcontracted×+ Add Row(1) RELEVANT EXPERIENCE/ REFERENCES List three (3) most recently completed contracts. Client Name Address Contact Person Phone No. Type of Work Date Completeddate_range Client Name Address Contact Person Phone No. Type of Contract Type of Work Date Completeddate_range Client Name Address Contact Person Phone No. Type of Contract Type of Work Date Completeddate_range GEOGRAPHIC AREA List the geographic areas in which you work: COMPETITIVE MARKET Indicate the size of project in which you are most competitive. Show in preference order (i.e. 1, 2,3,4...) Under $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 - $1 Million 1 Greater than $1 Million MARKET EXPERIENCE Please Check Type of Work that you can Perform Electrical/LightingLow VoltageEV Charger (EVSE)EV InstallationEV Infrastructure DistributionUnderground ElectricalBranch WiringBoring/TrenchingPainting/Striping Please List EVSE Related Projects that your Firm has completed in the past 5 Years Amount ($) Year Completed Project Name Scope of Work What is your annual volume this year From EV related projects Amount ($) No. of Projects FINANCIAL INFORMATION Annual Dollar Volume for the Past 3 Years (If Applicable - Estimation is OK) 20 --------------------- 20 --------------------- 20 $ --------------------- Largest Job During: The last 3 years $: Total Work in Progress Currently (i.e. Current Contract Value) $ Bank References Bank Name Bank Address Contact Person Contact Person Phone No. Amount of Bank Line Credit ($) SecuredN/AYesNo Surety and Insurance Bonding References Name Address Contact Person Phone No. Total Bonding Capacity ($) Maximum Single Project Bonding Capacity ($) Submit Form keyboard_arrow_leftPrevious Nextkeyboard_arrow_right
