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Water Feature Design / Build Specialist
Contractor Information and Experience Questionnaire
Section A:Orgnaizational Background
1. Type of Organization (check one):
Sole Proprietorship  Partnership  Corporation  Limited Liability  Other:
2. Date of Organization / Incorporation:
3. Dunn & Bradstreet Number:
4. Principal place (s) of business:
   
   
5. Partners / Principal / Owners / (owning 10% or more):
    
    
    
6. Officers:
    President:  
    Vice President:  
    Secretary:  
    Treasurer:  
7. How many years has the business been operating under it present name?
     a) under what other names has the business operated?
         
     b) If the answer to any of the following questions is "yes", please complete the Section A7b following the next 4           questions.
          Yes   No
              Has the business ever defaulted, declared bankruptcy, or undergone reorganization procedures?
              Has a predecessor of the business defaulted, declared bankruptcy, or undergone reorganization                           procedures?
              Are there presently any outstanding claims pending against the business?
              Has the businhess been involved in litigation within the past 5 years or is it currently involved in litigation?
Section A7b:
Details of yes answers for question 7b:
   
List of Creditors Amount Owed Amounts Repaid Resolution of Proceedings
Section B: Construction Experience
1. How many years of experience in construction work has the business had?
    As a general contractor:              As a subcontractor:
2. What types of work does the business normally perform?
     
3. Has the business or any owner, officer, partner, or member of the business:
    Yes    No
        Ever failed to complete a construction contract, forfeited a bid bond / proposal guaranty, had liquidated
                    damages withheld from its total compensation due on a contact, or refused to enter into contract for work
                    awarded to it?
   If yes, give details in Section B3-1 including name of project, contract amount, type of work, name and address of project    engineer, contractor, and owner. When, where and why.
   Section B3-1:
     
     Yes    No
         Ever been cited or convicted for violation of any OSHA or State safety law / regulations?
   If yes, give details in Section B3-2 including project name, project engineer, owner, when, where, governing agency,
   and final disposition of citation or conviction.
   Section B3-2:
    
4. In Section B4, list the largest 5 projects with construction cost greater than $25,000-$100,000 that the business has
    completed within the last 5 years in the local area. Include name of project, amount, type of work, percentage
    subcontracted, schedule completion date, location (city, county, state), name, address, telephone number of:
    project engineer, contractor (if subcontractor), owner
   Section B4:
    
    
    
    
    
5. In Section B5, list major construction projects the busienss has in process, including name of project, amount, type of
    work, percentage completed, schedule completion, location (city, county, state) name, address and number of project
    engineer, contractor (if subconstractor) owner.
   Section B5:
   
   
   
   
     
   
   
   
   
   
6. In Section B6, list construction experience of the principal individuals of your organization (include not only officers
    and principals of the organization, but also field superintendents who will be in charge of the work. Send resumes of
    each person to: Contractor Administrator, Greenscape Pump Services, Inc., 1425 Whitlock Lane, Suite 108, Carrollton,  
    Texas 75006.   
    Section B6:
    Name Current Position Years w/Company Years Experience
Section C: References
1. List all banks with which the Contractor has done business during the past 5 years. List the current bank first.
Bank Name Address Contact Telephone
2. Provide the following information regarding payment, performance, and maintenance bonds:
    a) Name and address of Surety Company:
    b) Authorized to do businesss in the state where the site is located?   Yes     No 
    c) Maximum amount of bond authorized to issue:  
3. Send business financial statements, including most recent income statement and balance sheet. If most recent
     information available is unaudited, but businesss has audited statements available from an earlier period, include
     unaudited as well as audited statements. Send to Contract Administrator, Greenscape Pump Services, Inc., 1425
     Whitlock Lane, Suite 108, Carrollton, Texas 75006.
4. Send a sample of our Certificate of Insurance form to Contract Administrator, Greenscape Pump Services, Inc., 1425
    Whitlock Lane, Suite 108, Carrollton, Texas 75006.
5. Provide 3 Business Trade references. List company name, contact, address, telephone and fax numbers.
    
    
    
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For more information, email info@greenscapepump.comor call 972-446-0037. 2006 Greenscape Pump Services, Inc.