Subcontractors

Please list four different general contractors and owners for whom you have performed similar scopes of work regarding similar facilities.

Project 1: Name *

Owner's Representative *

Representative's Phone *

General Contractor *

Contractor's Phone *

Approximate Value *

Project 2: Name

Owner's Representative

Representative's Phone

General Contractor

Contractor's Phone

Approximate Value

Project 3: Name

Owner's Representative

Representative's Phone

General Contractor

Contractor's Phone

Approximate Value

Project 4: Name

Owner's Representative

Representative's Phone

General Contractor

Contractor's Phone

Approximate Value

Five Largest Projects Completed in Last Five Years

Project 1: Name *

General Contractor *

Phone *

Contract Amount *

Project 2: Name

General Contractor

Phone

Contract Amount

Project 3: Name

General Contractor

Phone

Contract Amount

Project 4: Name

General Contractor

Phone

Contract Amount

Project 5: Name

General Contractor

Phone

Contract Amount

Average annual billing for last five years *

Last years billing *

Major Projects Under Contract

Project 1: Name *

% Complete *

Completion Date *

Contractor *

Contract Amount *

Project 2: Name

% Complete

Completion Date

Contractor

Contract Amount

Project 3: Name

% Complete

Completion Date

Contractor

Contract Amount

Project 4: Name

% Complete

Completion Date

Contractor

Contract Amount

Project 5: Name

% Complete

Completion Date

Contractor

Contract Amount

Total projects under contract: (including those not listed above) *

Percent negotiated projects under contract *

Current Projects for which Your Firm is a Candidate for Contract Award

(Indicate size and schedule) *

What is your bond rate for this project (as a percentage)? *

Please list the names of your Bonding Agent and Surety

Bonding Agent *

Street Address *

City *

State *

Zip Code *

Surety *

Street Address *

City *

State *

Zip Code *

The answers to the foregoing questions and all statements herein contained are true and correct.

Firm *

Signature *

By *

Date *

Title *

Attest *

* Centerre Construction, Inc reserves the right to request Audited Financials which is defined as a Balance Sheet, an Income Statement, an Auditor's Report, and Footnotes.

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Centerre

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Contact

(303) 220-9400

davehritz@centerre.com

4100 E. Mississippi Avenue