sub-contractor pre-qualification questionnaire for ... - STV Group, Inc.

ev. 6.12.20138. Within the past five (5) years, or the period stated below has the applicant, its owners, officers, principals or related companies:(a) been cited for violations of Labor Law 220 or Davis Bacon Wage violations? Yes No(b) been cited by OSHA or other safety violations including fatalities? Yes No(c) been defaulted on any contract? Yes No(d) engaged in any claims, litigation or alternate dispute resolutionYes Noproceedings in the last 5 years? If yes, explain in detail.(e) are there presently any judgements, suits, claims, arbitration matters,Yes Noor similar actions outstanding against the Applicant, its officers, principalsor related companies? If yes please explain in detail.(e) has Applicant commenced any claims, litigation, or alternate disputeYes Noresolution proceedings against a Client, Owner, or Construction Managerwith regard to construction contracts/projects in the last 5 years? If yesplease explain in detail.(f) are there presently any liens for labor or materials filed against the Applicant?Yes No(g) Has Applicant, any related firm, or any other firm with which Applicant’sYes Noowners or principals were substantially involved in the past 5 years, everfailed to complete any work awarded or been terminated for cause? If yes,provide details.(h) Has a surety ever finished one of your construction projects? If yes, provideYes Nodetails.(i) been suspended, disqualified, or barred from bidding with any Yes Noowner / agencies?(j) been subject to any changes in ownership, control or management ? Yes No(k) ever failed in business, , petitioned in bankrupcy , compromised withYes Nocreditors, defaulted on a contract or cause a loss to a surety?(l) ever been held in violation of of any local, satate or federal licensing orYes Noother regulation violations?If answered 'yes' to any of the above questions, please attach full explanation and details.Provide a response to all questions. Attach additional sheet(s) of paper to this application as needed to respond fully to all questions.Page 10 of 14