Project Fact Sheet Please enable JavaScript in your browser to complete this form. - Step 1 of 11NameFirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextSave and Resume LaterLayoutBusiness TelephoneContact Person's NameCellFederal Tax IDAccountFaxOfficeEmailBank ReferenceOvernight Carrier: Account #PreviousNextSave and Resume LaterLayoutContract AmountEstimated Start DateContract RetainageContract Execution DateEstimated Completion DateLiquidated DamagesUnion?YesNoPrevailing Wages?YesNoAre you current on Union Dues?YesNoHow much is owed?PreviousNextSave and Resume LaterWhat is the date you actually began working on the project?Project Scope of WorkLocation of ProjectAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCountyPreviousNextSave and Resume LaterProject OwnerFirstLastOwner ContactEmailLayoutPhone NumberFax NumberPreviousNextSave and Resume LaterLayoutAre you the General ContractorYesNoGC Phone NumberNameGeneral Contractor NameFirstLastGC Fax NumberPhone NumberFax NumberPreviousNextSave and Resume LaterWho is the Project Manager/Superintendent for this Project?Are you taking daily project notes on your project?YesNoHave you done work in the past for this GC or Project Owner?YesNoList your most recent Projects LayoutProject NameStart DateContract ValueCompletion Date Contract IDScope of WorkDid the GC or Owner pay on time?YesNoIf there were payment issues, please list reason(s) and resolutions?Was the GC or Owner fair and ethical in their business dealings with you?YesNoDid you have any issues with the GC or Owner?YesNoPlease provide a description of the issue and resolution.PreviousNextSave and Resume LaterHow many years have you performed the contracted skill/trade?How much of the current project are you self-performing Selected Value: 0 How much of the job will be subbed out? Selected Value: 0 What percentage of the current contract is completed? Selected Value: 0 What percentage of retainage is on this job? Selected Value: 0 PreviousNextSave and Resume LaterWho are the subcontractors critical to the job's completion? LayoutCompany AddressTrade/SkillsDate Contact PersonLicense/CredentialsBrief ScopeProject Manager/SIHave you worked with them before?NoYesIf yes, provide ProjectPlease attach your subcontractor's capability statement Click or drag a file to this area to upload. PreviousNextSave and Resume LaterWhat are the main concerns on your Project?Is weather a factor in your project? (If so how?)What is the delivery method of your project?CMC or CM at RiskDesign Build[(selected)]Design Bid BuildCMALump SumPPPOthersWhat type of project is this?FederalPrivate[(selected)]CommercialPublicOthersIs there a minority quota on your project?YesNoWhat is the minority goal for this project? Selected Value: 0 Are you part of the required minority quota?YesNoWho is responsible for meeting this goal?Organization NameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeContact PersonPhoneEmailPreviousNextSave and Resume LaterTitleCompanyDatePreviousSubmitSave and Resume Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link
