Attachment A - Appendix A - Contractor Information.pdf
PDF 489 KB Posted
- Solicitation number
- RFP DET 270000000026 2
- Issued by
- Wayne County, Detroit City, Michigan
About this file
This is a Contractor Information Form (Appendix A) for the Pershing High School Bid Pack 2C - Signage and Final Cleaning project in Michigan, to be submitted to Gilbane Building Company. The form requires bidders to provide comprehensive contractor background information including business name, address, years in operation, physical headquarters location, and any previous company names with explanations for changes. Contractors must document their financial standing by providing annual gross sales for the three preceding years, Federal ID Number, and Dun & Bradstreet number, with the understanding that Gilbane Building Company may request financial statements for review. The form also requires disclosure of business structure (corporation, partnership, individual, joint venture, or other), state of incorporation, states where qualified to do business, and all relevant state and local licenses with corresponding license numbers.
The experience section requires contractors to demonstrate relevant project history and disclose any significant issues within the past five years, including failure to complete work, removal from projects, owner bankruptcies, bonding history, and pending judgments or legal proceedings. Contractors must also provide their workers' compensation experience modification rating and disclose any violations of state, federal, or local laws and regulations related to OSHA, prevailing wages, wage and hour requirements, or workers' compensation and unemployment compensation laws. If subcontractors will be used, contractors must identify the specific work segments they will provide. Finally, contractors must provide references listing comparable projects completed within the previous five years to demonstrate capability and experience with similar work.
View the file
Other files
Show all 15
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
APPENDIX A – CONTRACTOR INFORMATION FORM
1. Contractor Information
Contractor Name: __________
Address: ______ _________________ ______
Number of years in business as the Contractor named above ____ ________
Physical Business Headquarters Address: _____________________________________________
Previous Contractor Names: _______________________________________________________
Explanation for Contractor Name Change: _____________________________________________
Phone Number: ____________________ Contact Email: _________________________________
2. Financial
Annual gross sales for last three (3) years:
20__ ______________ 20__ ___________ 20__ ___________ _
Federal ID Number: ________________
Dun & Bradstreet (D-U-N-S) Number: _____________________
Financial statements could be requested by Gilbane Building Company for review.
3. Business Structure
Corporation Partnership Individual Joint Venture Other _________________
State of Incorporation: ___________
States in which qualified to do business: _______________
4. Licenses
Provide all State and local licenses and license numbers held by Contractor:
5. Experience
Years of experience with same type projects as specified? ____________________________
Has the Contractor in the past five (5) years ever?
a. Failed to complete awarded work? __________________________________________
b. Been removed from awarded work? _________________________________________
c. Has the owner/principal(s) of the company ever filed bankruptcy?
d. Has the Contractor ever bonded a job for completion?
e. Are there any judgements, claims, arbitration proceedings, or suits pending or outstanding against the Contractor or its Officers?
6. Safety
In the last five (5) years has the Contractor or subcontractor companies have any violations of state, federal or local laws or regulations, including OSHA/MIOSHA, state of federal prevailing wages, wage and hour laws, workers’ compensation or unemployment compensation laws rules or regulations issued against the Contractor. If yes, explain violation(s).
Provide workman compensation experience modification rating. __________________________
7. Subcontractors
If using subcontractors on this project, provide what segments of work they will provide.
8. References
Provide a list of comparable projects you have completed within the last five (5) years.
File details come from the government source that posted it. Updated .