Orange County NC Website
Gilbane Building Company 8 <br /> Prequalification Form for First-Tier Subcontractors under CM at Risk <br /> Orange County Crisis Diversion Facility <br /> 1.3. Licensing Information <br /> Please provide all North Carolina professional licenses and license limit/level required for you to perform your <br /> services on this project. <br /> Has any license ever been denied or revoked? IAYes I]No <br /> If yes, please describe: <br /> 1.4.Type of Work Self Performed on a Regular Basis <br /> Primary Scope of Work: <br /> Secondary Scope of Work: <br /> Other Scope of Work: <br /> D-U-N-S Number(Dun &Bradstreet): <br /> Number of employees? <br /> Has your company participated in a CMAR project before? IAYes EANo <br /> Does your company have BIM (Building Information Modeling) capabilities? DYes ONo <br /> (Prequalification Ratings Matrix: If completely filled in give 1 point. If not,give 0 points.) <br /> 1.5. Bonding-Surety Letter <br /> Attach letter, dated within the last 30 days, from your surety company, signed by their Attorney in Fact,verifying <br /> their willingness to issue sufficient payment and performance bonds for this project, on behalf of your firm and the <br /> dollar limits of that bond commitment, both single and aggregate. Surety company bond rating shall be rated A- <br /> /VII or better under the A.M. BEST Requirements AND listed under the United States treasury dept. <br /> Have you attached a surety letter? IAYes ONo <br /> Gilbane reserves the right to request a Performance& Payment Bond at our discretion. <br /> (Prequalification Ratings Matrix: If surety letter attached give 4 points. If not,give 0 points.) <br /> 1.6. Bonding—Funds Expended by Surety Company <br /> Have any funds been expended by a Surety Company on your firm's behalf? DYes ONo <br /> If yes, explain: <br /> (Prequalification Ratings Matrix: if no funds expended by Surety Company, give 4 points. If yes, give 0 points.) <br /> Page 4 112 <br />