);

subcontractors

Competent | Committed | Consistent

In an effort to better understand your company’s qualifications to perform work for Ducere
Construction Services, we request that all subcontractors and suppliers complete the form below.

Company Information

If YES to any of the preceding, submit details on a separate sheet.

Trade References (Contact Name, Address, Phone Number)

List three projects with the same scope of work that you are applying for that were completed by the company (not a previous company orentity) within the past three years

List three Construction Managers that your company has performed the same scope of work for which you are applying. Provide the nameof the firm, a contact, telephone number, and address.

List two of your MOST SIGNIFICANT project currently UNDER construction which are the same in scope and contract value to the workbeing contemplated for this project.

If no, please list the subcontractor(s) performingthe work and the value of the contract

If no, please list the subcontractor(s) performingthe work and the value of the contract

I hereby certify that the above information is true and complete to the best of my knowledge. I understand that the CM has the sole discretion basedon the information provided in this application and past experience to approve or deny a company's ability to bid on the project.

Company Information

If YES to any of the preceding, submit details on a separate sheet.

Trade References (Contact Name, Address, Phone Number)

List three projects with the same scope of work that you are applying for that were completed by the company (not a previous company orentity) within the past three years

List three Construction Managers that your company has performed the same scope of work for which you are applying. Provide the nameof the firm, a contact, telephone number, and address.

List two of your MOST SIGNIFICANT project currently UNDER construction which are the same in scope and contract value to the workbeing contemplated for this project.

If no, please list the subcontractor(s) performingthe work and the value of the contract

If no, please list the subcontractor(s) performingthe work and the value of the contract

I hereby certify that the above information is true and complete to the best of my knowledge. I understand that the CM has the sole discretion basedon the information provided in this application and past experience to approve or deny a company's ability to bid on the project.

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