Key Bridge Rebuild ProjectSubcontractor & Supplier Database

Key Bridge Rebuild Project

Subcontractor & Supplier Database

1. Contact First Name*

Please provide first name of preferred company contact

2. Contact Last Name*

Please provide last name of preferred company contact

5. Phone Number*

Phone

6. Street Address*

Please provide main company address

8. State*

Select or enter value

10. If applicable, please provide information for other office locations:

(street address, city, state, and zip code)

12. Company Description:*

14. Please indicate the type(s) of work your company performs:*

Professional Services

Construction

Vendor/Supplier

15. Please provide a brief description of the material/product your company supplies:*

15. Please indicate the scope(s) of work your company provides:*

16. Please provide the NAICS codes your company is currently certified/registered under associated with the materials/services your company provides:

If applicable, please select the appropriate certification/registration classification type below and include the certifying agency and state for each certification/registration held:

Disadvantaged Business Enterprise (DBE)

Please provide the state and certifying agency:

Minority-Owned Business Enterprise (MBE)

Please provide the state and certifying agency:

Women-Owned Business Enterprise (WBE)

Please provide the state and certifying agency:

Small Business Enterprise (SBE)

Please provide the state and certifying agency:

Women-Owned Small Business (WOSB)

Veteran-Owned Small Business (VOSB)

Service-Disabled Veteran-Owned Small Business (SDVOSB)

HUBZone Certified Business

8(a) Certified Business

17. Please list all other small/diverse certifications/registrations held by your company and include certifying agency and state for each:

18. What is your preferred minimum contract size?*

(Please enter dollar amount)

19. What is your preferred maximum contract size?*

(Please enter dollar amount)

Please indicate the scope of work your company performs that is NOT listed above:*

1. Does your firm have experience working with Kiewit?*

Yes

Do you have experience working with the Maryland Transportation Authority (MDTA)?*

Yes

2. Please indicate your company's experience working with the following:*

Please provide the name(s) of the agencies you have experience working with:

Project Experience

Please provide information on 2 projects completed to date:

4. Project Location:

5. Project Owner/Agency:

6. Project Prime Contractor:

7. Total Project Value:

8. Subcontract Value:

9. Was the project completed on schedule?

Yes

10. Was the project completed within budget?

Yes

12. Project Location:

13. Project Owner/Agency:

14. Project Prime Contractor:

15. Total Project Value:

16. Subcontract Value:

17. Was the project completed on schedule?

Yes

18. Was the project completed within budget?

Yes

19. What is the largest project your company has completed?

(Please enter dollar amount)

Technical Assistance and Support

1. Do you have any concerns or challenges that would limit your company's ability to participate on the project, if given the opportunity?*

Yes

Please provide more information about your concerns/challenges that would limit your company's ability to participate on this project:

2. Will you need financing, insurance, or bonding assistance?*

Yes

3. In what ways can Kiewit help your company succeed as a subcontractor/supplier if selected?

4. I would be interested in learning more about:*

Doing business with Kiewit

Diverse business certification

Bonding and insurance

Subcontractor safety requirements

Alternative delivery methods (Progressive Design-Build, Construction Manager at Risk (CMAR), etc.)

Quality management

BuildingConnected bidding platform

Small/Diverse business assistance agencies

Other

Please provide information about other topics you would be interested in learning more about:

Please provide information about how you heard of this opportunity:

Please attach any additional information about your company you would like our team to review:

(ex. capability statement, small/diverse business certifications/registrations, company brochure, pricing sheet (vendors/suppliers only), etc.)

Drag and drop files here or

Send me a copy of my responses

Company Information

Experience

Project Experience

Example Project #1:

Example Project #2:

Technical Assistance and Support