Vendor Responsibility Questionnaire



|Vendor Name:       |NYS Vendor ID:       |

|Question 3.0: List the ten most recent construction contracts the Business Entity has completed. If less than ten, include most recent subcontracts on projects up to that number: |

|1. |Agency/Owner |Award Date |Amount |Date Completed |

| |      |      |      |      |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| |Contact Person |Telephone No. |Designer Architect and /or Design Engineer |

| |      |      |      |

| |Contract No. |Prime or Sub |Joint Venture (JV) Name, if applicable |EIN of JV, if applicable |

| |      | |      |      |

|2. |Agency/Owner |Award Date |Amount |Date Completed |

| |      |      |      |      |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| |Contact Person |Telephone No. |Designer Architect and /or Design Engineer |

| |      |      |      |

| |Contract No. |Prime or Sub |Joint Venture (JV) Name, if applicable |EIN of JV, if applicable |

| |      | |      |      |

|3. |Agency/Owner |Award Date |Amount |Date Completed |

| |      |      |      |      |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| |Contact Person |Telephone No. |Designer Architect and /or Design Engineer |

| |      |      |      |

| |Contract No. |Prime or Sub |Joint Venture (JV) Name, if applicable |EIN of JV, if applicable |

| |      | |      |      |

|4. |Agency/Owner |Award Date |Amount |Date Completed |

| |      |      |      |      |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| |Contact Person |Telephone No. |Designer Architect and /or Design Engineer |

| |      |      |      |

| |Contract No. |Prime or Sub |Joint Venture (JV) Name, if applicable |EIN of JV, if applicable |

| |      | |      |      |

|5. |Agency/Owner |Award Date |Amount |Date Completed |

| |      |      |      |      |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| |Contact Person |Telephone No. |Designer Architect and /or Design Engineer |

| |      |      |      |

| |Contract No. |Prime or Sub |Joint Venture (JV) Name, if applicable |EIN of JV, if applicable |

| |      | |      |      |

| |

|6. |Agency/Owner |Award Date |Amount |Date Completed |

| |      |      |      |      |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| |Contact Person |Telephone No. |Designer Architect and /or Design Engineer |

| |      |      |      |

| |Contract No. |Prime or Sub |Joint Venture (JV) Name, if applicable |EIN of JV, if applicable |

| |      | |      |      |

|7. |Agency/Owner |Award Date |Amount |Date Completed |

| |      |      |      |      |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| |Contact Person |Telephone No. |Designer Architect and /or Design Engineer |

| |      |      |      |

| |Contract No. |Prime or Sub |Joint Venture (JV) Name, if applicable |EIN of JV, if applicable |

| |      | |      |      |

|8. |Agency/Owner |Award Date |Amount |Date Completed |

| |      |      |      |      |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| |Contact Person |Telephone No. |Designer Architect and /or Design Engineer |

| |      |      |      |

| |Contract No. |Prime or Sub |Joint Venture (JV) Name, if applicable |EIN of JV, if applicable |

| |      | |      |      |

|9. |Agency/Owner |Award Date |Amount |Date Completed |

| |      |      |      |      |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| |Contact Person |Telephone No. |Designer Architect and /or Design Engineer |

| |      |      |      |

| |Contract No. |Prime or Sub |Joint Venture (JV) Name, if applicable |EIN of JV, if applicable |

| |      | |      |      |

|10. |Agency/Owner |Award Date |Amount |Date Completed |

| |      |      |      |      |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| |Contact Person |Telephone No. |Designer Architect and /or Design Engineer |

| |      |      |      |

| |Contract No. |Prime or Sub |Joint Venture (JV) Name, if applicable |EIN of JV, if applicable |

| |      | |      |      |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download