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Subcontractor Questionnaire

Connected. Committed. Constructors.

Name *

First

Last

Company Name *

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Website / URL *

Checkboxes *

Professional services
Construction
Vendor/Supplier

Primary Scope/services provided *

Does your company have a current DBE certification from TXDOT? *

Yes
No
No. However, we are eligible for certification.

Please indicate the work classifications included on your DBE certifications currently held (if any): *

NAICS Code (North American Industry Classification System)
TxDOT: TxDOT Work Categories
Not Applicable

Provide your DBE by TXDOT Certification Number and Expiration Date: *

Have you worked with South-Point Connectors JV partners (Kiewit, Austin, or AECOM) before? *

Yes
No

• Do you have TXDOT (or other highway/DOT) experience? *

Yes
No

Firm description (Optional) (Max 100 words)

Please list 3 projects completed to date:

Project 1

Project name

Owner/agency

Location

Total project value

Prime contractor

Subcontract value

Prime contractor reference name

Prime contractor reference phone

Completed on schedule?

Completed on budget?

Project 2

Project name

Owner/agency

Location

Total project value

Prime contractor

Subcontract value

Prime contractor reference name

Prime contractor reference phone

Completed on schedule?

Completed on budget?

Project 3

Project name

Owner/agency

Location

Total project value

Prime contractor

Subcontract value

Prime contractor reference name

Prime contractor reference phone

Completed on schedule?

Completed on budget?

Comment

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