You are here

BPPM Example of Statement of Qualification of Subcontractor

The statements herein are confidential and made solely for the information of the New York City Transit Authority in connection with the proposed subcontract with 

_________________________________________________________________________ 
Name of General Contractor 

_________________________________________________________________________ 
Address, City, State, Zip Code 


Under its general Contract No. __________________with the New York City Transit Authority.

General Information

1. Name of proposed subcontractor: 

_________________________________________________________________________ 

2. Address: 

_________________________________________________________________________ 
(principal office) Address, City, State, Zip Code

 

3. If a corporation:

When Incorporated_________________

Vice-President's name ______________

Secretary's name __________________

Treasurer's name __________________

If a partnership:

Date of Organization______________

Names and addresses of partners ___________________

______________________________

______________________________

4. Description of work to be done under proposed subcontract. Indicate clearly whether work involves labor only or labor and material. List principal items of materials, if any to be furnished.

_________________________________________________________________________ 

_________________________________________________________________________ 

_________________________________________________________________________ 

5. Total amount of proposed subcontract: $ ________________________________________

Experience

6. How many years of experience? _____________________________________________

7. Give, briefly, previous experience of directing officers including chief engineer and general superintendent on similar work.

Name

Present Position

Yrs. of Construction Experience

Magnitude and Type of Work

What Capacity

8. List principal contracts completed by present organization.

Location

Contract Price

Class of Work

Percent Completed

Name and Address of Awarding Party

9. List contracts, if any, that present organization has on hand.

Location

Contract Price

Class of Work

Percent Completed

Name and Address of Awarding Party

 

 

 

 

 

 

 

 

 

 

10. Give references of at least two engineers or architects for whom present organization has done similar work.

Name

Telephone Number

Address

Position

11. Give any supplemental information that the undersigned desires to submit. 

_________________________________________________________________________ 

_________________________________________________________________________ 

12. Give any supplemental information that the undersigned desires to submit. 

_________________________________________________________________________ 

_________________________________________________________________________ 

The undersigned agrees to furnish the New York City Transit Authority additional or supplemental information concerning its financial and/or technical qualifications, when and as required.

_____________________________________

_________________

Name

Date

Return to the top of this example document

Updated: Wednesday, March 16, 2016
Submit Feedback >