Subcontractor Questionnaire

First Name

Last Name

Company Name

Phone Number

Address

Website / URL

Type of Work

Does your company have a current DBE certification from ADOT?

Yes

No. However, we are eligible for certification

Please provide the NAICS codes your company is certified in (if any):

Have you worked with Kiewit-Fann JV partners (Kiewit / Fann) before?

Yes

Do you have ADOT (or other highway/DOT) experience?

Yes

Firm description (max 100 words):

Please attach capability statement if available:

Drop your files here

Please select all scopes you are interested in bidding:

multiple selections can be applied

Past Project Experience

Please provide information on 2 projects completed to date:

Project 1 Details:

Project name:

Location:

Owner/Agency:

Prime contractor:

Total project value:

Subcontract value:

Completed on schedule?

Yes

Completed on budget?

Yes

Project 2 Details: