Subcontractor Prequalification Form

Thank you for your interest in Langston Construction Company. In order to develop a more complete knowledge of your company and better match future Langston opportunities to your company’s capabilities, please submit this form.

Name of Company: *

Phone: *

City: *

State: *

Company Email: *

Estimating Contact: *

Phone: *

Please list the trade(s) that your company is interested in bidding: *

List the geographical areas in which you work: *

Year your company started: *

Type of Company: *

Contractor's License Number: *

State: *

Expiration: *

1. Has your company or any of its principals ever petitioned for bankruptcy, failed in business, defaulted or been terminated on a contract awarded to you? *YesNo

2. Has your company or any owner, officer, or major stockholder ever been suspended, disbarred, or otherwise precluded from pursuing public work or ever been found to be non‐responsive by a public agency? *YesNo

3. Has your company ever had a claim made against it for improper, delayed, defective, or non‐compliant work or failure to meet warranty obligations? *YesNo

4. Is your company or any of its owners, officers, or major shareholders currently involved in any arbitration or litigation? *YesNo

5. Does your company have any outstanding judgments or claims against it? *YesNo

6. Does your Company have a substance abuse policy? *YesNo

If you answered 'Yes' to any of the previous six (6) questions, please provide an explanation:

Please list any litigations that have been brought against your company in the past five (5) years asserting that you failed to make payments to anyone:

What is the average monetary size of the projects you are most competitive in performing? *

Please list the types of projects on which your company has worked: *

What is the largest contract your company has completed? ($ amount) *

Project name and scope: *

What year was this project completed *

*If selected, we may require that you provide a list of current references.

*We may contact you for additional information including your safety program.

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