COMPANY GENERAL INFORMATION List the project you wish to quote or list all to be put on master subcontrator list Company First Name Last Name Street Address City State/Province: Zip/Postal Code Office Phone Office Fax Office Hours Website COMPANY DESCRIPTION Supplier: Labor Only: Supply Install: Project Types: Affordable Housing/HUD Hospitality Office/Office Build-Out Retail Condominiums/Private Residence Industrial/Manufacturing Recreational Senior Housing Health Care K-12 Religious Student Housing Higher Education Market-Rate Apartments Restaurants Other If Other: COMPANY STRUCTURE Corporate Officers Corporate Officer 1: Position/Title: Cell Phone: Ownership%: Email Address: Corporate Officer 2: Position/Title: Cell Phone: Ownership %: Email Address: Financial Contacts Financial Contact: Position/Title: Phone Number: Cell Phone: Email Address: Bid Contacts Bid Contact 1: Position/Title: Phone Number: Cell Phone: Email Address: Bid Contact 2: Position/Title: Phone Number: Cell Phone: Email Address: Type of Business: Corporation WBE LLC Individual Non-Union MBE Sole Proprietor Veteran DBE DDB Edge Partnership Section 3 CBE Union Union - Local #: Years in Business: Number of Full Time Associates: Number of Part Time Associates: Number of Office associates: Number of Field associates: Does your company bid Prevailing Wage projects?:--None--Yes No Does your company bid Davis Bacon Wage projects:--None--Yes No Federal Tax Id #: Contractor License #: DIVISIONS OF WORK Select CSI Divisions of work your perform (select all that apply) : 00 00 00 Professional Services 00 00 01 General Contractors 01 30 00 Ground Penetrating Radar 01 56 00 Temporary Barriers and Enclosures 01 50 00 Temporary Facilities and Controls 01 72 00 Geotechnical and Surveying 01 74 19 Construction Waste Management & Disposal 01 74 23 Cleaning 02 01 00 Maintenance of Existing Conditions 02 08 00 Commissioning of Existing Conditions 02 20 00 Assessment 02 30 00 Subsurface Investigation 02 41 00 Demolition 02 50 00 Site Remediation 02 60 00 Contaminated Site Material Removal 02 70 00 Water Remediation 02 80 00 Facility Remediation 02 82 00 Asbestos Abatement 02 87 13 Mold Remediation 03 00 00 Cast In Place Concrete 03 01 00 Maintenance of Concrete 03 08 00 Commissioning of Concrete 03 10 00 Concrete Forming and Accessories 03 20 00 Concrete Reinforcing 03 30 00 Cast-in-Place Concrete 03 40 00 Precast Concrete 03 40 00 Demolition and Structure Moving 03 50 00 Cast Decks and Underlayment 03 54 13 Cementitious Underlayment (Gypcrete) 03 60 00 Grouting 03 70 00 Mass Concrete 03 80 00 Concrete Cutting and Boring 04 00 00 Masonry 04 01 00 Maintenance of Masonry 04 08 00 Commissioning of Masonry 04 20 00 Unit Masonry 04 40 00 Stone Assemblies 04 50 00 Refractory Masonry 04 60 00 Corrosion-Resistant Masonry 04 70 00 Manufactured Masonry 05 01 00 Maintenance of Metals 05 08 00 Commissioning of Metals 05 10 00 Structural Metal Framing 05 12 00 Structural Steel 05 20 00 Metal Joists 05 30 00 Metal Decking 05 40 00 Cold-Formed Metal Framing 05 50 00 Metal Fabrications 05 52 00 Metal Railings 05 70 00 Decorative Metal 05 73 13 Glazed Decorative Metal Railings 06 01 00 Maintenance of Wood, Plastics, and Composites 06 08 00 Commissioning of Wood, Plastics, and Composites 06 10 00 Rough Carpentry 06 20 00 Finish Carpentry 06 40 00 Architectural Woodwork 06 50 00 Structural Plastics 06 60 00 Plastic Fabrications 06 70 00 Structural Composites 06 80 00 Composite Fabrications 07 01 00 Operation and Maintenance of Thermal and Moisture Protection 07 08 00 Commissioning of Thermal and Moisture Protection 07 10 00 Dampproofing and Waterproofing 07 20 00 Thermal Protection 07 21 00 Insulation 07 21 16 Blanket Insulation 07 24 00 EIFS 07 27 00 Air Barrier 07 30 00 Steep Slope Roofing 07 31 13 Asphalt Shingle 07 40 00 Roofing and Siding Panels 07 46 00 Siding 07 50 00 Membrane Roofing 07 60 00 Flashing and Sheet Metal 07 61 13 Standing Seam Roof 07 70 00 Roof and Wall Specialties and Accessories 07 71 23 Gutters and Downspouts 07 74 11 Metal Wall Panels 07 80 00 Fire and Smoke Protection 07 81 00 Applied Fireproofing 07 90 00 Joint Protection 07 92 00 Joint Sealants 08 01 00 Operation and Maintenance of Openings 08 08 00 Commissioning of Openings 08 10 00 Doors and Frames 08 26 00 Overhead Doors 08 30 00 Specialty Doors and Frames 08 34 56 Security Gates 08 40 00 Entrances, Storefronts, and Curtain Walls 08 43 13 Storefront/Automatic Entrances 08 50 00 Windows 08 60 00 Roof Windows and Skylights 08 62 00 Skylights 08 70 00 Hardware 08 80 00 Glazing 08 90 00 Louvers and Vents 09 01 00 Maintenance of Finishes 09 08 00 Commissioning of Finishes 09 20 00 Plaster and Gypsum Board 09 20 00 Drywall and Acoustical 09 24 00 Portland Cement Plastering (Stucco) 09 30 00 Tiling 09 50 00 Ceilings 09 60 00 Flooring 09 62 53 Synthetic Turf 09 64 66 Wood Athletic Flooring 09 67 23 Resinous Flooring 09 70 00 Wall Finishes 09 80 00 Acoustic Treatment 09 90 00 Painting and Coating 10 01 00 Operation and Maintenance of Specialties 10 08 00 Commissioning of Specialties 10 10 00 Information Specialties 10 11 00 Visual Display Surfaces 10 11 30 Audio-Visual Equipment 10 14 00 Signage 10 20 00 Interior Specialties 10 21 13 Toilet Compartments 10 22 13 Wire Mesh Partitions 10 22 16 Folding Gates 10 22 23 Portable Partitions, Screens, Panels 10 22 26 Operable Partitions 10 26 13 Corner Guards 10 28 13 Toilet Accessories 10 30 00 Fireplaces and Stoves 10 40 00 Safety Specialties 10 44 16 Fire Extinguishers 10 50 00 Storage Specialties 10 51 00 Lockers 10 55 23 Mailboxes 10 56 00 Storage Shelving 10 70 00 Exterior Specialties 10 73 13 Awnings 10 73 16 Canopies 10 74 23 Cupolas 10 75 00 Flagpoles 10 80 00 Other Specialties 11 01 00 Operation and Maintenance of Equipment 11 08 00 Commissioning of Equipment 11 10 00 Vehicle and Pedestrian Equipment 11 13 00 Loading Dock Equipment 11 14 13 Pedestrian Gates 11 16 16 Safes 11 20 00 Commercial Equipment 11 23 00 Laundry Equipment 11 30 00 Residential Equipment 11 31 00 Residential Appliances 11 40 00 Foodservice Equipment 11 41 23 Walk-In Cooler 11 50 00 Educational and Scientific Equipment 11 60 00 Entertainment Equipment 11 65 00 Athletic & Recreational Equipment 11 68 00 Play Field Equipment & Structures 11 70 00 Healthcare Equipment 11 80 00 Collection and Disposal Equipment 11 90 00 Other Equipment 12 01 00 Operation and Maintenance of Furnishings 12 08 00 Commissioning of Furnishings 12 10 00 Art 12 20 00 Window Treatments 12 30 00 Casework 12 32 00 Cabinets and Tops 12 36 61 Solid Surfaces 12 40 00 Furnishings and Accessories 12 48 13 Entrance Mats 12 50 00 Furniture 12 60 00 Multiple Seating 12 66 00 Telescoping Seats 12 90 00 Other Furnishings 12 93 00 Site Furnishing 13 01 00 Operation and Maintenance of Special Construction 13 08 00 Commissioning of Special Construction 13 10 00 Special Facility Components 13 11 00 Swimming Pools 13 12 00 Fountains & Water Features 13 20 00 Special Purpose Rooms 13 21 00 Controlled Environment Rooms 13 21 26 Cold Storage Rooms 13 30 00 Special Structures 13 31 00 Fabric Structures 13 34 13 Glazed Structures 13 34 19 Pre-engineered Metal Buildings (PEMB) 13 34 23 Portable and Mobile Buildings 13 40 00 Integrated Construction 13 50 00 Special Instrumentation 14 01 00 Operation and Maintenance of Conveying Equipment 14 08 00 Commissioning of Conveying Equipment 14 10 00 Dumbwaiters 14 20 00 Elevators 14 30 00 Escalators and Moving Walks 14 40 00 Lifts 14 43 13 Inclined Wheelchair Lift 14 70 00 Turntables 14 80 00 Scaffolding 14 90 00 Other Conveying Equipment 14 91 82 Trash Chute 21 00 00 Fire Suppression 21 01 00 Operation and Maintenance of Fire Suppression 21 07 00 Fire Suppression Systems Insulation 21 08 00 Commissioning of Fire Suppression 21 09 00 Instrumentation and Control for Fire-Suppression Systems 21 10 00 Water-Based Fire-Suppression Systems 21 20 00 Fire-Extinguishing Systems 21 30 00 Fire Pumps 21 40 00 Fire-Suppression Water Storage 22 00 00 Plumbing 22 01 00 Operation and Maintenance of Plumbing 22 05 19 Metering for Plumbing 22 07 00 Plumbing Insulation 22 08 00 Commissioning of Plumbing 22 09 00 Instrumentation and Control for Plumbing 22 10 00 Plumbing Piping and Pumps 22 30 00 Plumbing Equipment 22 40 00 Plumbing Fixtures 22 41 19 Tub Refinishing 22 50 00 Pool and Fountain Plumbing Systems 22 60 00 Gas and Vacuum Systems for Laboratory and Healthcare Facilities 23 00 00 HVAC 23 01 00 Operation and Maintenance of HVAC Systems 23 07 00 HVAC Insulation 23 08 00 Commissioning of HVAC 23 09 00 Instrumentation and Control for HVAC 23 10 00 Facility Fuel Systems 23 20 00 HVAC Piping and Pumps 23 30 00 HVAC Air Distribution 23 40 00 HVAC Air Cleaning Devices 23 50 00 Central Heating Equipment 23 60 00 Central Cooling Equipment 23 70 00 Central HVAC Equipment 23 80 00 Decentralized HVAC Equipment 25 01 00 Operation and Maintenance of Integrated Automation 25 08 00 Commissioning of Integrated Automation 25 10 00 Integrated Automation Network Equipment 25 30 00 Integrated Automation Instrumentation and Terminal Devices 25 50 00 Integrated Automation Facility Controls 25 90 00 Integrated Automation Control Sequences 26 00 00 Electrical 26 01 00 Operation and Maintenance of Electrical Systems 26 08 00 Commissioning of Electrical Systems 26 09 00 Instrumentation and Control for Electrical Systems 26 10 00 Medium-Voltage Electrical Distribution 26 20 00 Low-Voltage Electrical Transmission 26 30 00 Facility Electrical Power Generating and Storing Equipment 26 40 00 Electrical and Cathodic Protection 26 41 00 Lightning Protection 26 50 00 Lighting 27 00 00 Communications 27 01 00 Operation and Maintenance of Communications Systems 27 08 00 Commissioning of Communications 27 10 00 Structured Cabling 27 20 00 Data Communications 27 30 00 Voice Communications 27 40 00 Audio-Video Communications 27 50 00 Distributed Communications and Monitoring Systems 27 51 19 Sound Masking 27 60 00 Wireless Transceivers 28 00 00 Electronic Safety & Security 28 01 00 Operation and Maintenance of Electronic Safety and Security 28 08 00 Commissioning of Electronic Safety and Security 28 10 00 Electronic Access Control and Intrusion Detection 28 20 00 Electronic Surveillance 28 23 00 Video Surveillance 28 30 00 Electronic Detection and Alarm 28 40 00 Electronic Monitoring and Control 31 00 00 Earthwork 31 01 00 Maintenance of Earthwork 31 08 00 Commissioning of Earthwork 31 09 00 Geotechnical Instrumentation and Monitoring of Earthwork 31 10 00 Site Clearing 31 20 00 Earth Moving 31 23 19 Dewatering 31 25 00 Erosion & Sedimentation Control 31 25 34 Retention Measures for Erosion & Sediment Control 31 30 00 Earthwork Methods 31 31 16 Termite Control 31 35 00 Slope Protection 31 40 00 Shoring and Underpinning 31 50 00 Excavation Support and Protection 31 60 00 Special Foundations and Load-Bearing Elements 31 70 00 Tunneling and Mining 32 01 00 Operation and Maintenance of Exterior Improvements 32 08 00 Commissioning of Exterior Improvements 32 10 00 Bases, Ballasts, and Paving 32 12 16 Asphalt Paving 32 13 13 Site Concrete 32 14 00 Unit Paving 32 18 00 Athletic & Recreational Surfacing 32 30 00 Site Improvements 32 31 00 Fence 32 32 00 Retaining Walls 32 39 13 Manufactured Metal Bollards 32 70 00 Wetlands 32 80 00 Irrigation 32 90 00 Planting 32 90 00 Landscaping 33 01 00 Operation and Maintenance of Utilities 33 08 00 Commissioning of Utilities 33 09 00 Instrumentation and Control for Utilities 33 10 00 Water Utilities 33 20 00 Wells 33 30 00 Sanitary Sewerage Utilities 33 40 00 Storm Drainage Utilities 33 50 00 Fuel Distribution Utilities 33 60 00 Hydronic and Steam Energy Utilities 33 70 00 Electrical Utilities 33 80 00 Communications Utilities 34 01 00 Operation and Maintenance of Transportation 34 08 00 Commissioning of Transportation 34 10 00 Guideways/Railways 34 20 00 Traction Power 34 40 00 Transportation Signaling and Control Equipment 34 50 00 Transportation Fare Collection Equipment 34 70 00 Transportation Construction and Equipment 34 80 00 Bridges 40 10 00 Gas and Vapor Process Piping 40 20 00 Liquids Process Piping 40 30 00 Solid and Mixed Materials Piping and Chutes 40 40 00 Process Piping and Equipment Protection 40 80 00 Commissioning of Process Systems 40 90 00 Instrumentation and Control for Process Systems 41 01 00 Operation and Maintenance of Material Processing and Handling Equipment 41 08 00 Commissioning of Material Processing and Handling Equipment 41 10 00 Bulk Material Processing Equipment 41 12 00 Bulk Material Conveying Equipment 41 20 00 Piece Material Handling Equipment 41 21 00 Conveyors 41 22 00 Cranes 41 30 00 Manufacturing Equipment 41 40 00 Container Processing and Packaging 41 50 00 Material Storage 41 60 00 Mobile Plant Equipment 41 62 00 Trucks 42 01 00 Operation and Maintenance of Process Heating, Cooling, and Drying Equipment 42 08 00 Commissioning of Process Heating, Cooling, and Drying Equipment 42 10 00 Process Heating Equipment 42 20 00 Process Cooling Equipment 42 30 00 Process Drying Equipment 43 01 00 Operation and Maintenance of Process Gas and Liquid Handling, Purification, and Storage Equipment 43 08 00 Commissioning of Process Gas and Liquid Handling, Purification, and Storage Equipment 43 10 00 Gas Handling Equipment 43 20 00 Liquid Handling Equipment 43 30 00 Gas and Liquid Purification Equipment 43 40 00 Gas and Liquid Storage 45 00 00 Manufacturing Equipment Companies 00 00 00 Professional Services 01 72 00 Geotechnical and Surveying 01 74 19 Construction Waste Management & Disposal 01 74 23 Cleaning 02 01 00 Maintenance of Existing Conditions 02 08 00 Commissioning of Existing Conditions 02 20 00 Assessment 02 30 00 Subsurface Investigation 02 41 00 Demolition 02 50 00 Site Remediation 02 60 00 Contaminated Site Material Removal 02 70 00 Water Remediation 02 80 00 Facility Remediation 02 82 00 Asbestos Abatement 02 87 13 Mold Remediation 03 00 00 Cast In Place Concrete 03 01 00 Maintenance of Concrete 03 08 00 Commissioning of Concrete 03 10 00 Concrete Forming and Accessories 03 20 00 Concrete Reinforcing 03 30 00 Cast-in-Place Concrete 03 40 00 Precast Concrete 03 40 00 Demolition and Structure Moving 03 50 00 Cast Decks and Underlayment 03 54 13 Cementitious Underlayment (Gypcrete) COMPANY SAFETY RECORD Experience Modification Ratings(EMR) Current Year(2021) Experience Modification Ratings(EMR) Last Year(2020) Number of work-related injuries and illnesses(2021): Prior Year (2020): Second Prior Year (2019): Has your company had any OSHA fines or jobsite fatalities in the past 3 years?:--None--Yes No If Yes , Number: If Yes, please explain: Do you have a qualified person responsible for safety within your Comapny? --None--Yes No Please describe his/her qualifications: Does this person do safety inspections on all of your Project:--None--Yes No Frequency:--None--NA.None Daily Weekly Monthly Quarterly Does your company have a current Written Safety Policy and will you provide copies if requested?:--None--Yes No Does your company have a Drug Free Workplace Program?:--None--Yes No If Yes, please check which are included in the policy:--None--Pre-Hire/Initial Employment Cause Post-Accident/Incident Random Periodic INSURANCE Agent Broker: Contact: Phone: FINANCIAL ASSURANCE Is your company capable of securing a bond if requested? --None--Yes No Bonding Company (not agent): Aggregate Bonding Capacity: Single Job Capacity: Surety Company’s AM Best Rating:--None--+A A -A +B B -B +C C Dunn & Bradstreet #: DUNS Rating: Name of Bank: Credit Line: Is your Company or any of its Owners, officers or major stakeholders currently involved in any arbitration or litigation?--None--Yes No If involved , please expalin: Number of Claims/Litigations in past 5 years?: Any Current Claims:--None--Yes No Has your Company or any of its principals ever petitioned for bankruptcy,failed in business,defaulted or been terminated on a contract awarded to you?--None--Yes No If Yes, please explain: Have any of the Owners, officers or major stockholders or your Company ever been indicted or convicted of any felony or other criminal conduct? --None--Yes No If Yes, please explain: Has your Company or any Owners, officers or major stockholders ever been suspended, disbarred or otherwise precluded from pursuing public work or ever been found to be non-responsive by a public agency?:--None--Yes No If Yes, please explain: TRADE REFERENCES Company: Contact: Phone: Company: Contact: Phone: Company: Contact: Phone: CURRENT/RECENT PROJECTS Enter the values for Volumes and Years as a Number with no special characters or spaces(i.e. One Million=1000000). What is your expected annual volume this year: Number of projects: What was the average annual volume of work performed over the past 5 years: Year: Volume: Year: Volume: Year: Volume: Year: Volume: Year: Volume: List your 5 largest projects in the last 3 years Project Name: Project Location:--None--Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Contract Value:--None--$0 - $25,000 $25,000-$ - $100,000 $100,000 - $200,000 $200,000 - $300,000 $300,000 - $400,000 $400,000 - $500,000 $500,000 - $1,000,000 $1,000,000 - $5,000,000 over $5,000,000 % Complete:--None--0 - 10% 10% - 30% 30% - 50% 50% - 70% 70% - 90% 100% Project Name: Project Location:--None--Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Contract Value:--None--$0 - $25,000 $25,000-$ - $100,000 $100,000 - $200,000 $200,000 - $300,000 $300,000 - $400,000 $400,000 - $500,000 $500,000 - $1,000,000 $1,000,000 - $5,000,000 over $5,000,000 % Complete:--None--0 - 10% 10% - 30% 30% - 50% 50% - 70% 70% - 90% 100% Project Name: Project Location:--None--Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Contract Value:--None--$0 - $25,000 $25,000-$ - $100,000 $100,000 - $200,000 $200,000 - $300,000 $300,000 - $400,000 $400,000 - $500,000 $500,000 - $1,000,000 $1,000,000 - $5,000,000 over $5,000,000 % Complete:--None--0 - 10% 10% - 30% 30% - 50% 50% - 70% 70% - 90% 100% Project Name: Project Location:--None--Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Contract Value:--None--$0 - $25,000 $25,000-$ - $100,000 $100,000 - $200,000 $200,000 - $300,000 $300,000 - $400,000 $400,000 - $500,000 $500,000 - $1,000,000 $1,000,000 - $5,000,000 over $5,000,000 % Complete:--None--0 - 10% 10% - 30% 30% - 50% 50% - 70% 70% - 90% 100% Project Name: Project Location:--None--Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Contract Value:--None--$0 - $25,000 $25,000-$ - $100,000 $100,000 - $200,000 $200,000 - $300,000 $300,000 - $400,000 $400,000 - $500,000 $500,000 - $1,000,000 $1,000,000 - $5,000,000 over $5,000,000 % Complete:--None--0 - 10% 10% - 30% 30% - 50% 50% - 70% 70% - 90% 100% Have you ever failed to complete a construction contract?:--None--Yes No If Yes, please explain: AUTHORIZED SIGNATURE Name: Title: Email address for confirmation: I acknowledge that Atmos Solutions, Inc. will be relying on the accuracy of the above information to assist them in determining whether my organization may be a selected bidder for work with Atmos Solutions, Inc. and authorize my bank, bonding company, and trade suppliers to discuss our business relationship.
