Subcontractor Pre-Qualification Index & Instructions (what is enclosed in this package) Beck Cover Letter describing our Pre-Qualification Process Subcontractor Qualification Statement (SQS) o Must be completed o Send as instructed on page 6 Subcontractor Information Release Authorization o Only to be completed if subcontractor has within the last 12 months been prequalified through SureTec via another General Contractor. Required Attachments o Financial Statements for prior two years o Letter from Surety or Surety Agent (not applicable to Suppliers) o Work in Progress Report (anticipated during the same duration as contemplated project) o Major Projects in the last 5 years o Commitment Report (actual work awarded) Revised October 2008 Page 1 of 7
Re: Subcontractor Risk Management Pre-Qualification Program Dear Subcontractor: For over 94 years of business, HCBeck, Ltd. has consistently strived to treat our subcontracting partners fairly and with respect, a practice we are absolutely committed to continuing. With the growth of our company, we now have less time to devote to the important task of assessing the financial health of our subcontractors. We have therefore decided to outsource this function to SureTec Information Systems Inc. ( SISCO ), the newest member of our company s team of risk management, financial, legal, and surety professionals. We are requesting all of our subcontractors, as a condition of working with us, to demonstrate to us their financial resources and financial capacity, similar to that which they would demonstrate to their own sureties. Once completed, please send directly to SISCO at the address shown on the Questionnaire for their review and analysis. In some cases, they may contact you for clarifications and/or additional information. SISCO will be preparing for Beck a confidential qualification assessment. If within the past 12 months you have provided this information to another general contractor using SISCO s services, they may, with your consent, use the information already held on file. Any questions in that regard should be directed to Bill Alley, or Shelly Mulanex of SISCO at (512) 732-0099. The experience of other general contractors leads us to believe that most of our subcontractors will be cooperative. Some subcontractors are very sensitive about their financials and may choose not to furnish any information, while others are pleased to show their financial strength. Some may provide limited, but not all of the requested financial information. Please note that with limited or no information, SISCO may only be able to qualify you at a lower single or aggregate subcontract size than is necessary for you to work with us, if they are able to qualify you at all. In such cases, we may have to subcontract elsewhere or limit the number of subcontracts we have with your company. We trust that you will view this effort not as an invasion of your company s privacy, but as an effort to make sure that we have assembled a network of the most highly qualified subcontractors available to participate in our projects. We know that you, like Beck, would prefer to compete and work alongside other financially strong and qualified subcontractors. If you have any questions or concerns, please feel free to give me a call. Your assistance in this task is much appreciated. Kind Regards, Project Manager Revised October 2008 Page 2 of 7
Exhibit E Beck Project Name: Project Manager: Beck Project Number: CHECK HERE IF SUPPLIER SUBCONTRACTOR / SUPPLIER QUALIFICATION STATEMENT Name of Business: Street Address: GENERAL INFORMATION City, State, Zip: Phone Number: Contact Name: Email Address: SIC Code: Fed. Employer I.D. No: State Sales Tax No: Company Web Site: Date business started: Type of business: (partner, Corp., etc) County: Fax No: OWNERSHIP Name of Owner & Percent Ownership # of Employees Is your company a M/WBE? Yes / No If Yes, please check. Is your company Union or NonUnion? General Contractors References: Women-owned Business Enterprise Minority Business Enterprise Disadvantaged Minority Disadvantaged Business Enterprise Small Business Enterprise Small Disadvantaged Business Emerging Small Business HUB Zone Veteran Other Revised October 2008 Page 3 of 7
BANK/FINANCIAL INFORMATION Name of primary banking relationship: Contact Name & Phone Location How long with this bank? Do you have a line of credit with this bank? Yes / No If yes, amount of Line $ Expiration / Renewal Date FINANCIAL STATEMENTS FOR PRIOR TWO YEARS (Attach) Audited Financials are preferred Name of Bonding Company: How long with this surety? SURETY INFORMATION (IF YOU ARE A SUPPLIER NO NEED TO COMPLETE THIS SECTION) Name and Address of Agent: Bonding Capacity Single Job Limit $ What percent of your work is bonded? Largest bonded Job $ Aggregate Limit $ Has a payment and performance bond been issued within the last 12 months to Beck? Date of Bond: Project Name: Yes No Letter from Surety or Surety Agent must be attached indicating that you are bondable. Letter must identify single project and aggregate bonding capacity. Revised October 2008 Page 4 of 7
EXPERIENCE List the categories of work that your organization normally performs with its own forces. Total Value of Work in Progress $ Please attached a complete schedule of Work in Progress showing: name of project, owner, architect, contract amount, percent complete, scheduled completion date, and if they are bonded. On a separate sheet, list the five (5) major projects your organization has completed in the past five (5) years, giving the name of the project, owner, architect, contract amount, date of completion, percentage complete, the cost of the work performed with your own forces, and if the project was bonded. State average annual amount of construction work performed during the past five (5) years: $ On a separate sheet, list the construction projects that your organization has committed to work on (include project name, contract amount, city, state and approximate start and end dates). CLAIMS Claims and Suits. (If the answer to any of the questions below is yes, please attach details.) 1. Has your organization ever failed to complete any work awarded to it? No Yes 2. Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers? 3. Has your organization filed any lawsuits or requested arbitration with regard to construction contracts within the last five (5) years? Within the last five (5) years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract? (If yes, please attach details.) No No No Yes Yes Yes Revised October 2008 Page 5 of 7
REFERENCES A. Trade References: B. Bank References: EXPERIENCE MODIFIER RATE (EMR) (IF YOU ARE A SUPPLIER NO NEED TO COMPLETE THIS SECTION) Please provide the last three years of your EMR Year 1 Year 2 Year 3 Rate Rate Rate CONTRACT DOCUMENTS Confirm your company can sign and abide by the following: Beck Subcontractor Agreement Yes No Have not seen Beck Insurance Requirements Yes No Have not seen RELEASE AUTHORIZATION WE CERTIFY THAT ALL INFORMATION IN THIS QUESTIONNAIRE AND THE ATTACHMENTS IS TRUE AND CORRECT. WE HEREBY AUTHORIZE SURETEC INFORMATION SYSTEMS AND ITS REPRESENTATIVES TO INVESTIGATE DIRECTLY WITH THE REFERENCES GIVEN HEREIN, ANY INFORMATION PERTAINING TO THE UNDERSIGNED AND/OR THE INDIVIDUALS INVOLVED THEREIN. WE AUTHORIZE OUR FINANCIAL INSTITUTIONS, PRIOR AND EXISTING SURETIES, CUSTOMERS, CREDITORS AND SUPPLIERS TO RELEASE CREDIT HISTORY AND OTHER UNDERWRITING/QUALIFICATION INFORMATION. Subcontractor Signature: Print Name and Title: Date: PLEASE COMPLETE CAREFULLY, ATTACH REQUESTED INFORMATION AND SUBMIT DIRECTLY TO: Attn: Bill Alley, SureTec 9737 Great Hills Trail, Suite 320 Austin, TX 78759 Phone: 512-732-0099 Fax: 512-732-2663 Email: balley@suretec.com With Copy to: Beck Project Manager at [ ]@beckgroup.com Beck Risk Management at RM@beckgroup.com Revised October 2008 Page 6 of 7
NOTE: This form is utilized when a subcontractor has already been pre-qualified but for a different general contractor, but wants to make the existing pre-qualification report available to Beck. INFORMATION RELEASE AUTHORIZATION This Information Release is made and executed this day of, 200_ by ( Subcontractor ). Whereas Subcontractor has previously provided certain financial information on Subcontractor to ( General Contractor ) for review and evaluation by SureTec Information Systems, Inc. ( SISCO ) for General Contractor; and Whereas Subcontractor desires to make this information available to (your co. name) and SISCO in connection with SISCO s review and evaluation of Subcontractor for (your co. name); Now, therefore, to facilitate (your co. name) pre-qualification of Subcontractor, Subcontractor authorizes SISCO to utilize the information previously furnished to General Contractor in the normal course of its review and evaluation for the benefit of (your co. name). Subcontractor Name By: Its: Revised October 2008 Page 7 of 7