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All Information Furnished Shall Be Considered Confidential
Date Submitted:______________
1. Contractor's legal name and address:
Name:
Address:
Phone No., Fax No., E-Mail:
Contact Name:
Web Site:
Date Incorporated: Tax ID No:
State Registered in:
3. List name(s) of officer and/or partners: Include number of years with the firm.
Name |
Title |
No. of Years with Firm |
4. Permanent Personnel Record: List the number of employees for the past 2 years:
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Maximum |
Minimum |
Current |
Supervisors/
Superintendents: |
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| Foremen: |
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| Estimators: |
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| Engineers: |
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| Clerical: |
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| Technicians: |
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| Other: |
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5. List construction industry experience of supervisory personnel:
Name |
Title |
Years of Construction Experience |
Type of Construction Experience |
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6. Indicate amounts you care to bid on:
Maximum - $_____________ Minimum - $_____________
7. Check counties where you would be available to submit project bids:
8. Please supply the following information on a separate sheet:
- Major equipment presently owned and operated by your company.
9. Has your company ever failed to complete a contract within the past 5 years?
- If yes, reason:
- With who?
10. Have you or your present company ever been involved in litigation within the past 5 years?
11. List several recently completed contracts within the past 2 years to include:
- owner
- description and location
- type of work
- original contract price
- final contract price
- original completion date
- final completion date
12. List type of work you are able to perform:
13. Indicate your present maximum
bonding capacity: $_________
You may provide any additional information about your company on a separate sheet of paper.
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Name of your Company: _______________________
By: _______________________
(Please print and sign)
Title: _________________ Date:________
Please return this completed form to:
Central Hudson Gas & Electric Corporation
Attention Purchasing Division
284 South Avenue
Poughkeepsie, NY 12601
Contract Section Contacts:
Purchasing Department, Supply Chain
845-486-5329
purchasing@cenhud.com
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