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Home / Subcontractors / Subcontractor Pre-qualification

Subcontractor Pre-qualification

Step 1 of 6

16%

Company Information
Company Name*
Company Physical Address*
Street Address Address Line 2 City State ZIP Code
Primary Contact
Primary Contact*
First Last
Primary Contact Phone
Primary Contact Email*
Estimating Contact
Estimating Contact Name*
First Last
Estimating Contact Phone
Estimating Contact Email*

Scopes of Work
List scopes of work you self-perform
Additional Business Information
Additional Business Information
Please check any of the following that apply to your organization and attach documentation from any local, state, or federal agency that has certified you as such:
- African American Owned
- Asian American (incl. Pacific Islander and Middle Eastern) Owned
- DBE (Disadvantaged Business Enterprise)
- Hispanic Owned
- HUB (Historically Underutilized Business) Contractor
- LDB (Local Developing Business)
- Native American Owned
- Service Disabled Veteran Owned
- Woman Owned
- Veteran Owned
- None Apply
- Other
Certification Documentation
If any additional business information checked above, please attach certification
Drop files here or

Max. file size: 300 MB.
Robins & Morton Contact
Robins & Morton Project
Have you worked with JMT before?*
- Yes
- No
If so, what project?*
Federal ID Number
Year Business Started
General Information
Contractor's License Information
Contractor's License State
Contractor's License Number
Contractor's License Expiration Date
Contractor's License State
Contractor's License Number
Contractor's License Expiration Date
Contractor's License State
Contractor's License Number
Contractor's License Expiration Date
Union?*
- Yes
- No
Provide number of:
Office Staff
Field Supervisors
Average Field Labor
Average Shop Labor

Safety
OSHA Record
Has your firm had any OSHA citations, fines, or jobsite fatalities within the most recent three (3) years?*
- Yes
- No
Incident descriptions
If you answered yes to the above question, please attach a detailed description of the incident (include - location, date, type or inspection, standard(s) cited, violation type (other, serious, repeat, willful), current status and steps taken to prevent a recurrence.)
Drop files here or

Max. file size: 300 MB.
Workers' Compensation
Please list your firm's workers' compensation experience modification rate (EMR) for the last three (3) years and attach written documentation from your insurance broker confirming these rates.
Year
Rate
Year
Rate
Year
Rate
Employee hours worked the last three years
OSHA 300 Log Information
(List the last three years of information shown below)
Year
Year
Year
Number of Fatalities
Number of Fatalities
Number of Fatalities
No. of Cases Days Away From Work (Column H)
No. of Cases Days Away From Work (Column H)
No. of Cases Days Away From Work (Column H)
No. of Job Transfer or Restriction (Column I)
No. of Job Transfer or Restriction (Column I)
No. of Job Transfer or Restriction (Column I)
No. of Other Recordable Cases (Column J)
No. of Other Recordable Cases (Column J)
No. of Other Recordable Cases (Column J)
Please list the PRIMARY categories of work your firm performs.
Preferred contract size
- Up to $250K
- Up to $500K
- Up to $1M
- Up to $5M
- $5M+

Experience
Geographic Areas of Work
Please check only those states where you will do work.
- Charlotte
- Boone
- Raleigh-Durham
- Asheville
- Fayetteville
- Greensboro
- Winston-Salem
- High Point
- Wilmington
- New Bern
- Elizabeth City
- Greenville-Spartanburg, SC
- Florence, SC
- Myrtle Beach, SC
Contract Method
Please indicate the percentage of your work load for each contract method.
Competitive Bid
Negotiated/Design Assist
Design Build
IPD
Bonding
Bonding Company
Surety Broker / Agent
Contact Person
Phone
Time with Bonding Co?
Bond Capacity per Project
Aggregate
Bond Co. Rating
Last Bond Issued
MM slash DD slash YYYY
Amount
Rate %
Attach formal letter from bonding
Max. file size: 300 MB.
Bonding and Construction Capacity Information
Current bond amount - Aggregate:
Value of work in place last year:
Value of largest contract completed:
List the minimum job value for which you prefer to perform work:
List the maximum job value for which you prefer to perform work:
Percent (%) of work performed by own forces:
Total number of permanent staff presently employed by your firm:
Insurance
General Liability Carrier
Effective
MM slash DD slash YYYY
Expiration
MM slash DD slash YYYY
Limit
Insurance Broker / Agent
Phone
Please provide Dunn & Bradstreet Number
Attach current copy of insurance certificate
Max. file size: 300 MB.

Legal
Legal Information
Are there any judgements, claims, arbitration proceedings or suits pending/outstanding against your firm, its officers, or principals?
- Yes
- No
Please attach a complete explanation
Max. file size: 300 MB.
Has your company filed any lawsuits or requested arbitration or mediation with regard to construction contracts within the last three (3) years?
- Yes
- No
Please attach a complete explanation
Max. file size: 300 MB.
Has your company or any organization with which your officers were involved during the last three (3) years ever been in bankruptcy or a voluntary or involuntary reorganization?
- Yes
- No
Please attach a complete explanation
Max. file size: 300 MB.
Litigation / Claims History
Has your firm ever failed to complete any work awarded to it?
- Yes
- No

Additional References Information
List three (3) contractor or owner references:
Reference #1
Company Name:
Contact Name:
Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Reference #2
Company Name:
Contact Name:
Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Reference #3
Company Name:
Contact Name:
Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
CAPTCHA

NC General Contractor License #474

1002 E. Chatham Street
Cary, NC 27511
(919) 851-1611
(919) 859-9583
Monday - Friday: 8:00 a.m. - 5:00 p.m.
P.O. Box 33066 Raleigh, NC 27636
info@jmthompson.com
estimating@jmthompson.com

Our foundation is rooted in excellence; construction has been in our family for generations. It’s who we are. It’s what we know. We are JMT.

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