Post on 28-Nov-2021
Name of Firm:_______________________________________ Page 1 of 4 Form Rev. 20160217
New Line Structures 512 7th Avenue 6th Floor New York, NY 10018 Tel (212) 280-3019
SUBCONTRACTOR
PREQUALIFICATION FORM –
PART A (GENERAL INFO)
To assist in our review of your company’s qualifications to provide construction services on
our projects, please provide the information requested below, and return it to us as soon as
possible. Please send unsolicited forms to data@newlinestructures.com; otherwise, this form
(Part A) should be returned directly to the New Line Structures individual who requested it
with a cc: to data@newlinestructures.com. There is a blank page at the end of this document
should you need additional space to write down your responses.
Thank you and please do not hesitate to contact us with any questions or comments. Both Parts
A and B must be returned to New Line Structures to complete the prequalification application.
A1. Business Information
a. Exact Legal Name of Firm, incl. DBAs:
b. Type of Work Performed (also please fill out the attached Trade checklist):
c. Contact Name:
d. E-mail Address:
e. Firm Address:
f. Phone:
g. Fax:
h. State of Incorporation:
i. Year Started:
j. Tax ID:
k. Contractor License #:
l. Type of Business i.e. C-Corp, LLC:
m. Whether business is a MBE/WBE/SBE/DBE/US8(a) status:
n. List any subsidiaries, affiliates or parents:
A2. Officer Information
a. List the corporate officers, partners, or proprietors of your firm:
b. Describe the role and tenure of the above list with the company:
c. Please describe whether there have been any changes to the company or structure
within the past 5 years. If so, provide details:
Name of Firm:_______________________________________ Page 2 of 4 Form Rev. 20160217
New Line Structures 512 7th Avenue 6th Floor New York, NY 10018 Tel (212) 280-3019
SUBCONTRACTOR
PREQUALIFICATION FORM –
PART A (GENERAL INFO)
A3. Business details:
a. Please provide resumes of key personnel.
b. Has you firm or any of its principals ever petitioned for bankruptcy or defaulted on
a project? If so, please explain.
c. Is your firm or any of its owners or officers currently involved in any litigation? If
so, please attach explanation.
d. What percentage of the firm’s work is normally subcontracted to others?
e. What trades do you normally subcontract?
f. Is your company bondable?
g. If yes, name of bonding company and how long you have been with them:
h. Previous bonding companies? Reasons for leaving?
i. Bonding capacity per project:
j. What is the largest job you have completed in the last 3 years?
k. What was your largest uncompleted backlog? Amount____ Year______
l. What is your current backlog?
m. What was your backlog last year?
n. What is the largest job you are currently performing?
o. What is the largest backlog expected next year?
p. What is your expected annual volume?
q. What was your volume last year and what is your projected volume next year?
A4. Financial Information
a. Average annual volume (3 Years): $_______________
b. Largest contract completed in last three (3) years: $____________________
c. Percentage of work normally subcontracted: _________ %
d. Name of CPA Firm:
e. Contact Name:
Name of Firm:_______________________________________ Page 3 of 4 Form Rev. 20160217
New Line Structures 512 7th Avenue 6th Floor New York, NY 10018 Tel (212) 280-3019
SUBCONTRACTOR
PREQUALIFICATION FORM –
PART A (GENERAL INFO)
A5. Experience and References (Attach Separately)
a. List five (5) of your largest contracts complete within the past 3 years including Job
Name, Contract Price, Completion date, whether bonded
b. List five (5) of your major suppliers: Name, Phone Number, Contact
c. List five (5) contractors or clients (i.e. references) that you have worked as do
business with including Name, Phone number and Contact
d. Use copies of the attached “NEW LINE STRUCTURES’ PAST PERFORMANCE
QUESTIONNAIRE” sheet to fill out a form for each of the five references above.
A6. Insurance:
a. List coverages and limits currently in force – as well as expiration dates
b. Workers Comp EMR’s for past 3 years
c. Have you had any OSHA fines or fatalities during the past 3 years
d. Please provide a copy of the past 3 years’ worth of OSHA 300 logs
A7. Legal
a. Does your company have any active claims?
b. Any active liens?
c. Any judgements/suits brought against you?
d. Ever failed to complete any work awarded? If yes, explain:
e. Filed any lawsuits or requested arbitration/mediation within the last 3 years?
A8. Operations
a. Do you have an in-house engineering department?
b. List your BIM capabilities:
c. Do you have a full time Safety rep?
d. Does this person perform safety inspections at all your projects?
e. Do you have a written Safety program?
f. Do you have a full time Quality rep?
g. Do you have a written QAQC program?
Name of Firm:_______________________________________ Page 4 of 4 Form Rev. 20160217
New Line Structures 512 7th Avenue 6th Floor New York, NY 10018 Tel (212) 280-3019
SUBCONTRACTOR
PREQUALIFICATION FORM –
PART A (GENERAL INFO)
Please use the blank space below to complete your responses, as needed (reference the item #):
Form Rev. 20160217
New Line Structures 512 7th Avenue 6th Floor New York, NY 10018 Tel (212) 280-3019
SUBCONTRACTOR
PREQUALIFICATION FORM –
PART B (FINANCIAL DOCS)
This is Part B of the prequalification application – Financial Documents.
Name of Firm:_______________________________________
B1. Please attach a copy of the last fiscal financial statement including work in progress &
completed contracts schedule including any interim statements
B2. Please attach a copy of the current financial statement for all indemnitors
B3. Please attach a copy of the Bank Line of Credit agreement
B4. Please attach a copy of the Surety capacity letter.
Both Parts A and B must be returned to New Line Structures to complete the prequalification
application. Please send the information requested above in this Form B directly to Sal
Bousleiman, sbousleiman@newlinestructures.com with a cc to the company Controller, Maria
Caba, mcaba@newlinestructures.com. Be assured that the information provided will be kept in
the strictest confidence.
Thank you and please do not hesitate to contact us should you have any questions or concerns.
Sincerely,
Sal Bousleiman, PE, CCP
Project Executive, Director of Project Controls New Line Structures 512 Seventh Ave, 6th Floor, New York, NY 10018 Office: (212) 280-3019, Direct: (646) 571-1175 sbousleiman@newlinestructures.com
New Line Structures, 512 Seventh Ave, 6th Floor, New York, NY 10018. Tel: (212) 280-3019 Page 1 Form Rev. 20160217
NEW LINE STRUCTURES’ PAST PERFORMANCE QUESTIONNAIRE
Contractor: please fill out a copy of this form for each reference and return with Part A (ref. item A5.d)
CONTRACT INFORMATION
1. Contractor Information
Firm Name:
Address:
Phone Number:
Email Address:
Point of Contact: Contact Phone Number:
2. Work Performed as: Contractor Sub Contractor Joint Venture Other (Explain)
Percent of project work performed:
If subcontractor, who was the prime (Name/Phone #):
3. Contract Information Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):
Contract Title:
Contract Location:
Award Date (mm/dd/yy):
Contract Completion Date (mm/dd/yy):
Actual Completion Date (mm/dd/yy):
Explain Differences:
Original Contract Price (Award Amount):
Final Contract Price (to include all modifications, if applicable):
Explain Differences:
4. Project Description: Complexity of Work High Med Routine
How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements,
conditions, etc.)
REFERENCE COMPANY INFORMATION (OWNER/CLIENT)
5. Reference Company (Owner/ Client)
Firm Name:
Name:
Title:
Phone Number:
Email Address:
6. Describe the Client’s role in the project:
- Please fill out and return this form with Prequalification Form Part A (ref. item A1.b) -
PLEASE CHECK OFF THE APPLICABLE TRADE
Trade Description Comments
Standard Foundations and Slab on Grade
Special Foundations
Basement Excavation
Basement Walls
Concrete Superstructure (incl. Conc. Stairs)
Structural Steel Framing
Structural Stainless Steel Framing
Structural Aluminum Framing
Wire, Rod, and Cable Assemblies
Structural Wood Framing
Canopies
Spray-On Fireproofing
Precast and Tilt-Up Concrete Walls, Precast Specialties
Façade Restoration and Cleaning
Masonry Façade, Stucco, and Parging
Perimeter Drywall (Framing, Sheething)
Weather Barriers (vapor/air)
Finish Carpentry
EIFS Exterior Insulation and Finish Systems
Panels and Siding
Sealants and Expansion Joint Cover Assemblies
Exterior Painting and Coatings
Exterior Stonework
Exterior Louvers, Screens, and Fencing
Balcony Walls and Handrails
Exterior Shutters, Storm Panels, and Sun Control
Windows
Curtain Walls
Storefronts
Translucent Wall and Roof Assemblies
Revolving and Overhead Doors
Other Doors and Entrances (Exterior)
Roof Shingles, Tiles, and Panels
Green Roof (Natural Roof Coverings)
Built-Up and Membrane Roofing
Roof Specialties and Accessories
Roof Pavers
Skylights
SUBSTRUCTURE
SHELL
Name of Firm: . 2/17/2016, Page 1 of 8
- Please fill out and return this form with Prequalification Form Part A (ref. item A1.b) -
PLEASE CHECK OFF THE APPLICABLE TRADE
Trade Description Comments
Masonry Partitions
Metal Fabrications (Excluding Decorat. Stairs & Railings)
Decorative Metal
Misc. Metals (General)
Rough Carpentry (Misc.)
Finish Carpentry and Architectural Woodwork
Firestopping
Joint Protection
Drywall
Wire Mesh Partitions
Demountable and Retractable Partitions
Interior Balustrades and Screens
Interior Windows and Storefronts
Misc. Glazing and Mirrors
Doors, Frames, and Hardware
Interior Hatches and Access Doors
Coiling Doors and Grilles
Special Doors
Louvers and Vents
Information Specialties (Signage)
Corner Guards, Wall and Door Protection
Fabricated Compartments and Cubicles
Fabricated Toilet Partitions
Toilet, Bath, and Laundry Accessories
Shower Doors
Fireplaces and Stoves
Safety Specialties (Defibrillators, Fire Extinguishers)
Lockers
Postal Specialties
Storage Assemblies
Wardrobe and Closet Specialties
Flags and Banners
Security Mirrors and Domes
Scales
Casework (Cabinets / Vanities)
Countertops
General Fittings
Precast Concrete Stairs
Metal Stairs
Metal Stair Treads and Nosings
Decorative Stairs and Railings
Interior Restoration and Cleaning
Waterproofing
Plaster and Gypsum Board (Stucco, Kadex)
Tiling (Ceramic, Stone, etc.)
Acoustical Ceilings
Specialty and Textured Ceilings
Self Leveling Concrete
Flooring Treatment
INTERIORS
Name of Firm: . 2/17/2016, Page 2 of 8
- Please fill out and return this form with Prequalification Form Part A (ref. item A1.b) -
PLEASE CHECK OFF THE APPLICABLE TRADE
Trade Description Comments
Concrete Finishing (Polished, Stamped, Colored, etc.)
Specialty Flooring
Masonry Flooring (Brick, Stone)
Terrazzo Flooring
Wood Flooring
Ceiling Finishes
Resilient Flooring and Carpeting
Fluid-Applied Flooring
Access Flooring
Wall Finishes (Wallpaper, Carpeting, Surfacing, etc.)
Acoustic Treatment
Interior Painting, Staining, and Coatings
Decorative Paint Finishing (Textured/Faux/Multicolor)
Intumescent Painting
Name of Firm: . 2/17/2016, Page 3 of 8
- Please fill out and return this form with Prequalification Form Part A (ref. item A1.b) -
PLEASE CHECK OFF THE APPLICABLE TRADE
Trade Description Comments
Dumbwaiters
Elevators
Escalators & Moving Walks
Lifts
Turntables
Suspended Scaffolding
Rope Climbers
Elevating Platforms
Powered Scaffolding (Window Washing)
Laundry and Linen Chutes
Trash Chutes
Pneumatic Tube Systems
Other Conveying Systems
Plumbing Fixtures
Plumbing
Domestic Water Distribution
Sanitary Waste
Rain Water Drainage
Special Plumbing Systems
HVAC
Heat Generating Systems
Cooling Generating Systems
Distribution Systems
Terminal & Package Units
Controls & Instrumentation
Special HVAC Systems & Equipment
Systems Testing & Balancing
HVAC Equipment
Fire Protection & Sprinkler Systems
Stand-pipe & Hose Systems
Fire Protection Specialties
Special Fire Protection Systems
Electrical Services & Distribution
Electrical Equipment
Lighting & Branch Wiring
Lighting Equipment
Fire Alarm Systems
Telecommunications Systems
Security & Detection Systems
Low Voltage Systems
Special Electrical Systems
MEPF Coordination and BIM
BIM
SERVICES
Name of Firm: . 2/17/2016, Page 4 of 8
- Please fill out and return this form with Prequalification Form Part A (ref. item A1.b) -
PLEASE CHECK OFF THE APPLICABLE TRADE
Trade Description Comments
Commercial Equipment
Foodservice Equipment (Kitchens)
Educational and Scientific Equipment
Security, Detention, and Banking Equipment (Safes)
Entertainment Equipment (Stages, Theaters)
Healthcare Equipment
Vehicle and Pedestrian Equipment
Other Equipment
Residential Appliances
Athletic Equipment
Recreational Equipment
Play Field Equipment and Structures
Solid Waste Handling Equipment
Art (Murals, Walls Decorations, Sculptures, Glass)
Window Treatments
Entrance Floor Mats, Frames, Grilles, Gratings
Furniture, Furnishings and Accessories, Rugs
Multiple Seating
Booths and Tables
Interior Planters
Tubs and Showers
EQUIPMENT & FURNISHINGS
Name of Firm: . 2/17/2016, Page 5 of 8
- Please fill out and return this form with Prequalification Form Part A (ref. item A1.b) -
PLEASE CHECK OFF THE APPLICABLE TRADE
Trade Description Comments
Swimming Pools and Tubs
Fountains
Aquariums
Amusement Park Structures & Equipment
Ice Rinks
Special Structures
Kennels and Animal Shelters
Controlled Environment Rooms (Walk-In Freezers)
Planetariums
Special Activity Rooms (Saunas, Steam, Athletic)
Storm Shelter Rooms
Vaults (Fire, Security)
Athletic and Recreational Special Construction
Other Special Purpose Rooms (Lobbies & Entrances, etc.)
Fabric Structures
Space Frames
Geodesic Domes
Fabricated Engineered Structures
Glazed Structures (Sunrooms)
Grandstands and Bleechers
Towers
Building Modules
Modular Mezzanines
Radiation Protection
Special Controls and Instrumentation
Building Elements Demolition
Hazardous Components Abatement
Concrete Repairs (Cracks, Spalls) and Coatings
Structural Upgrades, Post Tensioning
Carbon Fiber Reinforcement (CFRP)
Pressure Injection and Grouting
Corrosion Mitigation
SPECIAL CONSTRUCTION & DEMOLITION
Name of Firm: . 2/17/2016, Page 6 of 8
- Please fill out and return this form with Prequalification Form Part A (ref. item A1.b) -
PLEASE CHECK OFF THE APPLICABLE TRADE
Trade Description Comments
Site Clearing
Site Demolition and Relocations
Site Earthwork
Hazardous Waste Remediations
Roadways
Parking Lots
Pedestrian Paving
Site Development
Fences & Gates
Landscaping
Water Supply (Site Mechanical Utilities)
Storm & Sanitary Sewer (Site Mechanical Utilities)
Heating Distribution (Site Mechanical Utilities)
Cooling Distribution (Site Mechanical Utilities)
Fuel Distribution (Site Mechanical Utilities)
Other Site Mechanical Utilities (Site Mechanical Utilities)
Electrical Distribution (Site Electrical Utilities)
Site Lighting (Site Electrical Utilities)
Site Communication & Security (Site Electrical Utilities)
Other Site Electrical Utilities (Site Electrical Utilities)
Service & Pedestrian Tunnels
Other Site Systems
Scaffolding and Hoisting
Temporary Protection
Rough Carpentry, OSHA, Shanties
Temporary Roofing
Temporary Heat, Tarps, Salamanders, etc.
Temporary Power and Temporary Service (Temporary Utilities)
Temporary Plumbing (Temporary Utilities)
Trucking
Cranes and Rigging
Generators
Construction Equipment Rentals
General Contracting
BUILDING SITEWORK
GENERAL REQUIREMENTS
Name of Firm: . 2/17/2016, Page 7 of 8
- Please fill out and return this form with Prequalification Form Part A (ref. item A1.b) -
PLEASE CHECK OFF THE APPLICABLE TRADE
Trade Description Comments
Rubbish Removal
Security Costs
Utilities (Electricity bill only)
Pest Control
Parking
Safety
Field Offices & Sheds
Field Office Fit-Out
Temporary First Aid Facilities
Temporary Signage
Temporary Offices
Temporary Toilets
Temporary Protection
Temporary Power
Temporary Water
Temporary barriers/fencing
Miscellaneous Tools
Misc General Expenses
Equipment Rental
Messenger Service
Postage/Overnight
Xerox Copies
Job Office Supplies
Travel
Vehicles
Telephones/cell phones
Radios/Nextel
Computers/software, Fax & Copy Machines
Internet Service
Lodging
Meeting lunches & Entertainment
Blueprints
Cleaning Supplies
Interior Cleaning
Fuel for On Site Equipment
Consultant
Field Engineering, Testing Labs
Surveys
Violations
DOT Permits (every 90 days)
Permits
Miscellaneous Contracts
Legal
Project Signs
Progress Photos
Site Safety Manager
Inspection
TR-8 Energy Compliance Inspections
Window Testing Lab (Chamber Test, Mockup, etc.)
GENERAL CONDITIONS
Name of Firm: . 2/17/2016, Page 8 of 8