Contractor Prequalification Application (Prequal <$1M)

This application is for contractors interested in bidding as a prime on construction projects estimated under $1M. Contractors who are already prequalified with the District (prime or MEP through PlanetBids, painting, JOC), do not need to complete this application.

For more information regarding District prequalification, please click here: https://www.sandiegounified.org/contractor-prequalification

Firm Name, including DBA

Firm's Contractor State License Board (CSLB) Number

Firm's CSLB license(s)

For example, A, B, C-10, C-39, etc.

Firm's Department of Industrial Relations (DIR) Number

Point of Contact for Contractor

Point of Contact's Email Address

Point of Contact's Phone Number

GENERAL QUESTIONNAIRE

Answering "No" to certain questions or "Yes" to certain questions may be grounds for denying the prequalification application

1. Does your firm currently hold, or is able to obtain, a liability insurance policy with a policy limit of at least $2,000,000 per occurrence and $4,000,000 aggregate?

Yes

2. Does your firm currently have a workers' compensation insurance policy as required by the Labor Code or is legally self-insured pursuant to Labor Code section 3700 et seq.? (Select Not Applicable if your company has no employees.)

Yes

Not Applicable

3. In the last 5 years, have any of your firm’s Contractors State License Board (CSLB) licenses been revoked?

Yes

4. In the last 5 years, has your firm, or any of its owners or officers been convicted of a crime involving the awarding of a contract of a government construction project, or the bidding or performance of a government contract?

Yes

5. In the last 5 years, has a surety completed a contract on your behalf, paid for completion because your firm was in default, or the contract was terminated for cause by the project owner?

Yes

6. In the last 5 years, has your firm ever been unable to obtain bond coverage by a surety company or has there ever been a period of time when your firm had no surety bond in place during a public construction project when one was required?

Yes

7. Is your firm currently ineligible to bid on or be awarded any public works contract, or perform as a subcontractor on a public works contract in accordance with Section 1777.1 or 1777.7 of the California Labor Code?

Yes

8. Has your firm, or any of its personnel, ever been found guilty in a criminal action for making any false claim or material misrepresentation to any public agency or entity?

Yes

9. Has your firm or any of its owners, officers, or partners ever been convicted of a federal or state crime of fraud, theft, or any other act of dishonesty?

Yes

10. In the last 5 years, has your firm, or any RME or RMO employed by or associated with your firm, ever been convicted of a crime involving any federal, state or local law related to construction, including acts of dishonesty?

Yes

11. In the last 5 years, has your firm, or any firm associated with your firm's owners, officers, or partners been debarred, disqualified, removed or other prevented from bidding on, or completing, any government agency or public works contract for any reason?

Yes

12. In the last 5 years, has your firm been denied an award of a public works contract based on a finding by a public agency that your firm was not a responsible bidder?

Yes

13. Has your firm, or any Person, ever been found liable in a civil action for making any false claim or material misrepresentation to any public agency or entity?

Yes

14. Is your firm currently the debtor in a bankruptcy case?

Yes

15. In the last 5 years, was your firm in bankruptcy at any time?

This question refers only to a bankruptcy action that was not described in in the question above.

Yes

16. In the last 5 years, has any surety company made any payments, on your firm's behalf, to satisfy any claims made against a performance or payment bond issued in connection with a construction contract, either public or private?

Yes

17. In the last 5 years, has CAL OSHA cited and assessed penalties against your firm for any “serious”, “willful” or “repeated” violations of its safety or health regulations?

Note: If you have filed an appeal of a citation and the Occupational Safety and Health Appeals Board has not yet ruled on your appeal, you need not include information about it.

Yes

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