PRINT, COMPLETE, & FAX This Form to Ron Ellis 407.880.9009 HOLMES CONSTRUCTORS, INC. GENERAL CONTRACTORS  CONSTRUCTION MANAGERS    COMPANY NAME __________________________________________, A CORPORATION, PARTNERSHIP, OR PROPRIETORSHIP OUR PRINCIPAL SPECIALTY / TRADE IS_______________________________________________________________________ PHYSICAL ADDRESS _________________________________CITY, STATE, ZIPCODE __________________________________ MAILING ADDRESS (IF DIFFERENT) _____________________ CITY, STATE, ZIPCODE __________________________________ PHONE NUMBER ____________________________________ FAX NUMBER __________________________________________ PRINCIPAL OF COMPANY _____________________________ PRINCIPAL'S TITLE _____________________________________ MOBILE NUMBER ___________________________________ EMAIL ADDRESS _______________________________________ ESTIMATING CONTACT ______________________________ TITLE _______________________________________________ MOBILE NUMBER ___________________________________ EMAIL ADDRESS ______________________________________ YEARS IN BUSINESS UNDER PRESENT NAME ___________ YEARS EXPERIENCE PERFORMING WORK SPECIALTY ________ % OF WORK PERFORMED BY OWN FORCES _____________ WORK NOW UNDER CONTRACT ($) ________________________ WORK IN PLACE LAST YEAR ($) ______________________ AVERAGE ANNUAL SALES FOR LAST THREE YEARS ($) ________ AVERAGE PROJECT SIZE ($) __________________________ MAXIMUM PROJECT SIZE ($) _____________________________ NUMBER OF TRADESMEN ON PAYROLL ________________ WHAT TRADES DO YOU SELF-PERFORM? __________________ WHAT TRADES WILL YOU SUBLET? _________________________________________________________________________ YOUR COMPANY'S LABOR TYPE?  OPEN SHOP, UNION, BOTH. ___________________________________________________ IS YOUR COMPANY A CERTIFIED MINORITY BUSINESS ENTERPRISE?    MBE,   WBE,   LDBE ___________________________ ATTACH COPY OF CURRENT CERTIFICATE OF WORKMANS COMP & LIABILITY INSURANCE BONDING COMPANY ______________________________________________________________________________________ AGENT'S NAME ____________________________________  AGENT'S PHONE NUMBER  ______________________________ BONDING COMPANY BEST RATING ____________________  VALUE OF WORK PRESENTLY BONDED ($) _________________ BONDING CAPACITY ($)  _____________________________  BONDING RATE _______________________________________ BANK REFERENCE _______________________________________________________________________________________ BANK ADDRESS  ________________________________________________________________________________________ BANK OFFICER HANDLING YOUR ACCOUNT  ____________________________  OFFICER'S PHONE NUMBER  _____________ HAVE YOU EVER FAILED TO COMPLETE ANY WORK AWARDED TO YOU? ________________ HAVE YOU EVER BEEN INVOLVED IN BANKRUPTSY OR REORGANIZATION?  ______________ DO YOU HAVE ANY PENDING JUDGEMENTS, CLAIMS, OR SUITS AGAINST YOU?   __________ IF YES TO ANY OF THE THREE QUESTIONS ABOVE, SUBMIT DETAILS ON SEPARATE PAPER SUBMIT A COPY OF AUDIT OR CERTIFIED BALANCE SHEET & CURRENT OPERATING STATEMENT FOR CORPORATION OR FINANCIAL STATEMENTS AND GUARANTEES OF PRINCIPALS IN PRIVATELY OWNED BUSINESSES.  STATEMENTS SHOULD CONTAIN REASONABLY CURRENT DATA AND REFLECT CURRENT FINANCIAL CONDITION OF YOUR FIRM, PLUS CURRENT ASSETS AND LIABILITIES. LIST CREDITORS AND VENDORS ON SEPARATE PAPER DOES YOUR FIRM HAVE A WRITTEN SAFETY PROGRAM?  ________ IN THE LAST THREE (3) YEARS, HAS YOUR FIRM BEEN CITED FOR A SERIOUS VIOLATION AS DEFINED BY OSHA? ________ IF YES, SUBMIT DETAILS ON SEPARATE PAPER LIST PROJECT & LOCATION, ARCHITECT, CONTRACTOR & VALUE, COMPLETION DATE, CONTACT & PHONE NUMBER FOR: A)  LIST ON SEPARATE PAPER PROJECTS COMPLETED IN THE LAST SIX (6) YEARS  B)  LIST ON SEPARATE PAPER PROJECTS PRESENTLY UNDER CONSTRUCTION LIST NAMES OF YOUR KEY PERSONNEL ON SEPARATE PAPER AND ATTACH RESUMES ____________________________________________________________ SIGNATURE OF OFFICER OF YOUR COMPANY ____________________________________________________________ PRINTED NAME & TITLE