TABLE OF CONTENTS - The Beck Group
Subcontractor PRe-Qualification Index& instructionsWhat is enclosed in this packageNovember 25, 2019TABLE OF CONTENTSBeck Cover Letter describing our Pre-Qualification ProcessSubcontractor Qualification Statement (SQS)Must be completed If any questions is not applicable to your business, please state n/a.Subcontractor Information Release AuthorizationOnly to be completed if subcontractor has within the last 12 months been pre-qualified through SureTec via another General Contractor.Required AttachmentsFinancial Statements for prior two years (must be submitted in order to be prequalified for working with Beck.)Letter from Surety or Surety Agent (not applicable to Suppliers)Work in Progress Report (anticipated during the same duration as contemplated project)Major Projects in the last 5 yearsCommitment Report (actual work awarded)Attach OSHA 300 Log for the last three years.Sample of your insurance certificateRe: Subcontractor Risk Management Pre-Qualification ProgramDear Subcontractor:For over 100 years of business, HCBeck, Ltd. has consistently strived to treat our subcontracting partners fairly and with respect, a practice we are absolutely committed to continuing.With the growth of our company, we now have less time to devote to the important task of assessing the financial health of our subcontractors. We have therefore decided to outsource this function to SureTec Information Systems Inc. (“SISCO”), the newest member of our company’s team of risk management, financial, legal, and surety professionals.We are requesting all of our subcontractors, as a condition of working with us, to demonstrate to us their financial resources and financial capacity, similar to that which they would demonstrate to their own sureties. Once completed, please send directly to SISCO at the address shown on the Questionnaire for their review and analysis. In some cases, they may contact you for clarifications and/or additional information.SISCO will be preparing for Beck a confidential qualification assessment. If within the past 12 months you have provided this information to another general contractor using SISCO’s services, they may, with your consent, use the information already held on file. Any questions in that regard should be directed to Shelly Sullivan of SISCO at (972) 265-8313. The experience of other general contractors leads us to believe that most of our subcontractors will be cooperative. Some subcontractors are very sensitive about their financials and may choose not to furnish any information, while others are pleased to show their financial strength. Some may provide limited, but not all of the requested financial information. Please note that with limited or no information, SISCO may only be able to qualify you at a lower single or aggregate subcontract size than is necessary for you to work with us, if they are able to qualify you at all. In such cases, we may have to subcontract elsewhere or limit the number of subcontracts we have with your company.We trust that you will view this effort not as an invasion of your company’s privacy, but as an effort to make sure that we have assembled a network of the most highly qualified subcontractors available to participate in our projects. We know that you, like Beck, would prefer to compete and work alongside other financially strong and qualified subcontractors.If you have any questions or concerns, please feel free to give me a call. Your assistance in this task is much appreciated. Kind Regards,Project ManagerExhibit Beck Project Name:Project Manager:Beck Project Number:CHECK HERE IF SUPPLIERSUBCONTRACTOR / SUPPLIER QUALIFICATION STATEMENTGENERAL INFORMATIONName of Business:Street Address:City, State, Zip:County:Phone Number:Fax No:Contact Name:Email Address:SIC Code:Fed. Employer I.D. No:State Sales Tax No:Company Web Site:Date business started:Type of business:(Partner, Corp., etc.)OWNERSHIPName of Owners, Corporate Officers and/or Shareholders-Partners-Proprietor: NameResidence AddressAgePosition / TitleHeld Since% of OwnershipHave there been any changes in the control or management of the company during the last 5 years? YesNoIf yes, please explain:Has your company, or any of its principals, or a company with which they were associated ever failed in business, petitioned for bankruptcy, compromised with creditors, defaulted on a contract or caused a loss to a surety? YesNoIf yes, please explain:# of EmployeesIs your company an M/WBE? Yes / No If Yes, please check and Attach certificate(s).Women-owned Business EnterpriseSmall Disadvantaged BusinessMinority Business EnterpriseEmerging Small BusinessDisadvantaged MinorityHUB ZoneDisadvantaged Business EnterpriseVeteranSmall Business EnterpriseOtherIs your company Union or Nonunion?OPERATIONSIn which geographic area do you normally work?Do you ever work outside this area? YesNoIf yes, where and when?In which states are you licensed?Has a complaint ever been filed with a State License Board against your firm? YesNoIf yes, please describe:Has your license ever been denied or revoked? YesNoIf yes, please describe:What percentage of your work is?%Public% PrivateWhat percentage of your work is usually subcontracted to others? %Number of crews?Do you have a full-time safety representative? YesNoIf yes, how many Corporate and how many in the Field?Corporate#Field#Do you have a formal written Safety Manual/Program? YesNoDo you have a full-time QA/QC representative? YesNoIf yes, how many Corporate and how many in the Field?Corporate#Field#Do you have a formal written Quality Control Manual/Program?YesNoBANK/FINANCIAL INFORMATIONName of primary banking relationship:Contact Name & PhoneLocation How long with this bank?Do you have a line of credit with this bank? Yes / NoIf yes, amount of Line$Amount currently drawn$Expiration / Renewal DateFINANCIAL STATEMENTS FOR PRIOR TWO YEARS (Attach) Audited Financials are preferredSURETY INFORMATION(IF YOU ARE A SUPPLIER – NO NEED TO COMPLETE THIS SECTION)Name of Bonding Company:How long with this surety?Name and Address of Agent:Bonding CapacitySingle Job Limit$Aggregate Limit$What percent of your work is bonded?Largest bonded Job$Has a payment and performance bond been issued within the last 12 months to Beck? YesNoDate of Bond:Project Name:Letter from Surety or Surety Agent must be attached indicating that you are bondable. Letter must identify single project and aggregate bonding capacity.Select the category of work that your organization normally performs with its own forces. Select only two.?NumberName?NumberName?00.50Design Services?11.27Photography & Darkroom Equipment?01.00General Conditions?11.30Residential Appliances?01.40Design Peer Reviews?11.33Retractable Stairs?01.45Testing & Inspecting Services?11.40Food Service Equipment?01.46Building Envelope Testing & Inspecting?11.52Audio-Video Equipment?01.50General Requirements?11.53Laboratory Equipment - General?01.52Field Offices & Facilities?11.54Laboratory Equipment - Specific?01.54Cranes & Hoists?11.61Theater & Stage Equipment?01.57Scaffolding?11.65Athletic & Recreational Equipment?01.71Field Engineering?11.66Scoreboards?01.73Construction Waste Management & Disposal?11.69Playground Equipment & Structures?01.74Final Cleaning?11.70Healthcare Equipment?02.41Demolition?11.78Mortuary Equipment?02.43Structure Moving/Relocation?11.80Solid Waste Handling Equipment?02.60Hazardous Material Remediation - Site?11.91Religious Equipment?02.80Hazardous Material Remediation - Bldg/Site?12.00Furnishings?03.00Turnkey Concrete?12.10Artwork?03.01Concrete Repair, Cleaning & Restoration?12.20Window Treatments?03.10Concrete Form, Place, Finish?12.30Manufactured Casework?03.20Reinforcing Materials?12.31Laboratory Casework?03.21Reinforcing Installation?12.50Turnkey Furniture?03.23Post Tension Material?12.57Industrial Furniture?03.30Concrete Material?12.59Systems Furniture?03.35Concrete Place & Finish?12.60Multiple Seating?03.36Specialty Concrete Finishes?12.61Fixed Audience Seating?03.37Polished/Stained Concrete Finishes?12.66Telescoping Bleachers?03.38Concrete Pumping?12.92Plants?03.41Precast Concrete - Structural?12.99Other Furnishings?03.45Precast Concrete - Architectural?13.00Special Construction?03.47Site Cast / Tilt-Up Concrete?13.11Swimming Pools?03.49Precast Concrete - GFRC?13.12Water Features?03.54Gypcrete & Cementitious Toppings?13.17Therapeutic Pools & Whirlpool Tubs?03.60Grouting / Injection Work?13.18Ice Rink Construction?03.80Concrete Sawcutting & Coring?13.20Audiometric?03.90Concrete General Requirements?13.21Controlled Environment Rooms?04.00Masonry & Stone?13.22Cold Storage Rooms?04.01Masonry Restoration?13.24Sauna & Steam Rooms?05.00Steel?13.27Vaults?05.10Structural Steel Fabrication?13.28Indoor Athletic Room Construction?05.50Miscellaneous Metal Fabrication?13.30Special Structures?05.56Specialty Metal Fabrication?13.31Fabric Structures?05.60Steel Erection?13.32Glazed Structures?05.70Ornamental Metals Fabrication?13.33Bleachers?06.00Wood, Plastics & Composites?13.34Pre-Engineered Metal Buildings?06.10Rough Carpentry?13.35Specialty Pre-Fab Buildings/Rooms/Booths?06.20Finish Carpentry & Millwork?13.38Observatories?06.60Plastic Fabrications?13.40Pre-Fab Rooms?07.10Waterproofing & Joint Sealants?13.42Pre-Fab Detention Modules?07.20Insulation?13.48Sound, Vibration & Seismic Control?07.21Sprayed Insulation?13.49Radiation Protection?07.24EIFS?13.99Other Special Construction?07.42Metal Panels?14.00Conveying?07.50Roofing?14.10Dumbwaiter Systems?07.72Roof Accessories?14.20Elevators?07.81Spray Fireproofing?14.40Lift Systems?07.84Firestopping Systems?14.91Chute Systems?08.10Frames, Doors, Hardware?14.92Pneumatic Tube Systems?08.15Door & Hardware Installation?21.00Fire Suppression Systems?08.30Access Doors?22.00Plumbing?08.32Overhead Doors?23.00HVAC?08.33Overhead Coiling Smoke Curtains?23.05Test & Balance?08.34Special Function Doors?23.08Commissioning?08.40Glass?23.10Facility Fuel Systems?08.47Revolving Door Entrances?24.00Mechanical?08.50Windows?25.00Controls?08.51Pass Windows?26.00Electrical?08.53Radiation Shielding Windows?27.00Communications?08.54Security Windows?27.40Audio-Video Systems?08.57Historic Window Replication?27.50Intercom, Paging & Sound Masking?08.60Skylights?27.54Nurse Call Systems?08.74Security & Access Control Door Hardware?28.00Security Systems?08.82Electronically Switchable Glass?28.30Fire Alarm Systems?08.84Interior Glass Systems?31.00Earthwork?08.87Glazing Films?31.23Geofoam?08.88Ballistics-Resistant Glazing?31.25Erosion Control?08.90Louvers & Vents?31.31Termite Control?09.22Drywall & Acoustical?31.40Excavation Retention Systems?09.23Plastering?31.60Drilled Piers, Piles, Deep Foundations?09.25Specialty Plastering?31.66Helical Foundation Piles & Anchors?09.27GFRG, GFRP, GFRS?31.70Tunneling & Mining?09.30Tile?32.17Striping & Signing?09.60Flooring?32.18Track & Field Construction?09.63Specialty Flooring?32.20Tennis & Basketball Court Construction?09.64Wood Flooring?32.31Fence & Gates?09.66Terrazzo?32.32Retaining Walls?09.67Fluid-Applied Flooring?32.37Site Structures?09.68Rubber Athletic Flooring?32.39Site Specialties & Site Furnishings?09.69Access Flooring?32.80Landscaping & Irrigation?09.83Specialty Acoustical Plaster?32.96Tree Transplanting & Tree Maintenance?09.84Acoustical & Fabric Panels?33.00Site Utilities?09.85Stretched-Fabric Systems?33.16Storage Tanks?09.90Painting & Wall Coverings?33.50Dry Utilities (Electrical, Comm., Gas)?09.97Special Coatings?33.56Fuel Storage Tanks?10.00Specialties?34.00Transportation?10.11Visual Display Boards?34.41Traffic Signals?10.14Signage?34.43Airfield Signaling & Control Equipment?10.20Partitions & Accessories?34.72Railway Construction?10.22Wire Mesh Partitions?34.73Airfield Construction?10.23Demountable & Modular Partitions?34.77Passenger Loading Bridges?10.24Operable Partitions?34.78Baggage Handling Equipment?10.26Wall/Door Protection Systems?35.00Waterway & Marine Construction?10.30Fireplaces?40.00Process Integration?10.40Fire Protection & Emergency Cabinets?40.40Process Piping & Equipment Protection?10.45Photoluminscent Exit Systems?40.90Instrumentation & Control for Process Sys.?10.50Lockers?41.00Material Processing & Handling Equip.?10.55Postal Specialties?41.30Manufacturing Equipment?10.56Storage Systems?41.52Bulk Material Storage?10.57Closet Specialties?45.00Industry-Specific Manufacturing Equip.?10.73Carports, Canopies, Awnings?46.00Water & Wastewater Equipment?10.75Flagpoles?48.00Electrical Power Generation?10.80Other Specialties?48.14Solar Power Systems?10.81Pest & Bird Control Devices????10.88Scales????11.11Vehicle Service Equipment????11.12Parking Control Equipment????11.13Dock Equipment????11.14Turnstiles, Security & Pedestrian Control Equip.????11.16Vaults & Safes????11.19Detention Equipment????11.20Floor & Wall Cleaning Equipment????11.21Mercantile & Service Equipment????11.22Refrigerated Display Equipment????11.23Laundry Equipment????11.24Maintenance & Window Washing Equip.???EXPERIENCENumber of contracts in progress_____________Total Contract Value of Current Jobs $ Current Backlog $Please attached a complete schedule of Work in Progress showing: name of project, owner, architect, contract amount, percent complete, scheduled completion date, and if they are bonded.On a separate sheet, list the five (5) major projects your organization has completed in the past five (5) years, giving the name of the project, owner, architect, contract amount, date of completion, percentage complete, the cost of the work performed with your own forces, and if the project was bonded.State average annual amount of construction work performed during the past five (5) years:$On a separate sheet, list the construction projects that your organization has committed to work on (include project name, contract amount, city, state and approximate start and end dates).CLAIMSClaims and Suits. (If the answer to any of the questions below is yes, please attach details.)1.Has your organization ever failed to complete any work awarded to it? FORMCHECKBOX No FORMCHECKBOX Yes2.Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers? FORMCHECKBOX No FORMCHECKBOX Yes3.Has your organization filed any lawsuits or requested arbitration with regard to construction contracts within the last five (5) years? FORMCHECKBOX No FORMCHECKBOX YesWithin the last five (5) years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract? (If yes, please attach details.) FORMCHECKBOX No FORMCHECKBOX YesOSHA Citations / OSHA 300 Log1.Has your organization received any OSHA Citations in the last five (5) years? If the answer is yes, please attach details. FORMCHECKBOX No FORMCHECKBOX Yes2.Has your organization had any jobsite fatalities in the last five (5) years? If the answer is yes, please attach details. FORMCHECKBOX No FORMCHECKBOX Yes3. Attach OSHA 300 Log for the last three years.REFERENCESA.Trade References:B.Bank References:EXPERIENCE MODIFIER RATE (EMR)(IF YOU ARE A SUPPLIER – NO NEED TO COMPLETE THIS SECTION)Please provide the last three years of your EMRYear 1Year 2 Year 3RateRateRateCONTRACT DOCUMENTSConfirm your company can sign and abide by the following:Beck Subcontractor Agreement YesNoNot ReviewedBeck Insurance Requirements YesNoNot Reviewed(please attached a sample of your insurance certificate)RELEASE AUTHORIZATIONWE CERTIFY THAT ALL INFORMATION IN THIS QUESTIONNAIRE AND THE ATTACHMENTS IS TRUE AND CORRECT. WE HEREBY AUTHORIZE SURETEC INFORMATION SYSTEMS AND ITS REPRESENTATIVES TO INVESTIGATE DIRECTLY WITH THE REFERENCES GIVEN HEREIN, ANY INFORMATION PERTAINING TO THE UNDERSIGNED AND/OR THE INDIVIDUALS INVOLVED THEREIN. WE AUTHORIZE OUR FINANCIAL INSTITUTIONS, PRIOR AND EXISTING SURETIES, CUSTOMERS, CREDITORS AND SUPPLIERS TO RELEASE CREDIT HISTORY AND OTHER UNDERWRITING/QUALIFICATION INFORMATION. Subcontractor Signature:Date:Print Name and Title:PLEASE COMPLETE CAREFULLY, ATTACH REQUESTED INFORMATION AND SUBMIT DIRECTLY TO:Attn: Shelly Sullivan, SureTec5905 Legacy Drive Suite 400Plano, TX? 75024972-265-8313 Direct888-716-2663 Toll Free469-241-1683 Direct FaxEmail:prequal@With Copy to:Beck Project Manager at [ ]@Beck Risk Management at RM@ NOTE: This form is utilized when a subcontractor has already been pre-qualified but for a different general contractor, but wants to make the existing pre-qualification report available to Beck. INFORMATION RELEASE AUTHORIZATIONThis Information Release is made and executed this __ day of ____, 20__ by _________________ (“Subcontractor”).Whereas Subcontractor has previously provided certain financial information on Subcontractor to _______________ (“General Contractor”) for review and evaluation by SureTec Information Systems, Inc. (“SISCO”) for General Contractor; andWhereas Subcontractor desires to make this information available to __________(your co. name) and SISCO in connection with SISCO’s review and evaluation of Subcontractor for _________(your co. name); Now, therefore, to facilitate (your co. name) pre-qualification of Subcontractor, Subcontractor authorizes SISCO to utilize the information previously furnished to General Contractor in the normal course of its review and evaluation for the benefit of (your co. name).Subcontractor NameBy:Its: ................
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