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Trade Partners
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Lunacon Trade Partner Prequalification Form

Step 1 of 5 - CONTACT INFORMATION

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CONTACT INFORMATION
Company Name
Company Email
Contact Person
Title
This field is hidden when viewing the form
Tag
Phone Number
Address
Street Address City State ZIP Code
Suite No.:

EXPERIENCE
Please check the CSI Codes applicable to your business:
- 02 00 00 Existing Conditions
- 02 20 00 Assessment
- 02 30 00 Subsurface Investigation
- 02 40 00 Demolition And Structure Moving
- 02 50 00 Site Remediation
- 02 60 00 Contaminated Site Material Removal
- 02 70 00 Water Remediation
- 02 80 00 Facility Remediation
- 03 00 00 Concrete
- 03 10 00 Concrete Forming And Accessories
- 03 20 00 Concrete Reinforcing
- 03 30 00 Cast-In-Place Concrete
- 03 40 00 Precast Concrete
- 03 50 00 Cast Decks And Underlayment
- 03 60 00 Grouting
- 03 70 00 Mass Concrete
- 03 80 00 Concrete Cutting And Boring
- 04 00 00 Masonry
- 04 20 00 Unit Masonry
- 04 40 00 Stone Assemblies
- 04 50 00 Refractory Masonry
- 04 60 00 Corrosion-Resistant Masonry
- 04 70 00 Manufactured Masonry
- 05 00 00 Metals
- 05 10 00 Structural Metal Framing
- 05 20 00 Metal Joists
- 05 30 00 Metal Decking
- 05 40 00 Cold-Formed Metal Framing
- 05 50 00 Metal Fabrications
- 05 70 00 Decorative Metal
- 06 00 00 Wood, Plastics, And Composites
- 06 10 00 Rough Carpentry
- 06 20 00 Finish Carpentry
- 06 40 00 Architectural Woodwork
- 06 50 00 Structural Plastics
- 06 60 00 Plastic Fabrications
- 06 70 00 Structural Composites
- 06 80 00 Composite Fabrications
- 07 00 00 Thermal And Moisture Protection
- 07 10 00 Waterproofing
- 07 20 00 Thermal Protection
- 07 25 00 Weather Barriers
- 07 30 00 Steep Slope Roofing
- 07 40 00 Roofing And Siding Panels
- 07 50 00 Membrane Roofing
- 07 60 00 Flashing And Sheet Metal
- 07 70 00 Roof And Wall Specialties
- 07 80 00 Fire And Smoke Protection
- 07 90 00 Joint Protection
- 08 00 00 Openings
- 08 10 00 Doors And Frames
- 08 30 00 Specialty Doors And Frames
- 08 40 00 Curtain Walls
- 08 50 00 Windows
- 08 60 00 Roof Windows And Skylights
- 08 70 00 Hardware
- 08 80 00 Glazing
- 08 90 00 Louvers And Vents
- 09 00 00 Finishes
- 09 20 00 Plaster And Gypsum Board
- 09 30 00 Tiling
- 09 50 00 Ceilings
- 09 60 00 Flooring
- 09 70 00 Wall Finishes
- 09 80 00 Acoustic Treatment
- 09 90 00 Painting And Coating
- 10 00 00 Specialties
- 10 10 00 Information Specialties
- 10 20 00 Interior Specialties
- 10 30 00 Fireplaces And Stoves
- 10 40 00 Safety Specialties
- 10 50 00 Storage Specialties
- 10 70 00 Exterior Specialties
- 10 80 00 Other Specialties
- 11 00 00 Equipment
- 11 10 00 Vehicle And Pedestrian Equipment
- 11 15 00 Security, Detention & Banking Equip.
- 11 20 00 Commercial Equipment
- 11 30 00 Residential Equipment
- 11 40 00 Food Service Equipment
- 11 50 00 Educational And Scientific Equipment
- 11 60 00 Entertainment Equipment
- 11 65 00 Athletic And Recreational Equipment
- 11 70 00 Healthcare Equipment
- 11 80 00 Collection And Disposal Equipment
- 11 90 00 Other Equipment
- 12 00 00 Furnishings
- 12 10 00 Art
- 12 20 00 Window Treatments
- 12 30 00 Casework
- 12 40 00 Furnishings And Accessories
- 12 50 00 Furniture
- 12 60 00 Multiple Seating
- 12 90 00 Other Furnishings
- 13 00 00 Special Construction
- 13 10 00 Special Facility Components
- 13 20 00 Special Purpose Rooms
- 13 30 00 Special Structures
- 13 40 00 Integrated Construction
- 13 50 00 Special Instrumentation
- 14 00 00 Conveying Equipment
- 14 10 00 Dumbwaiters
- 14 20 00 Elevators
- 14 30 00 Escalators And Moving Walks
- 14 70 00 Turntables
- 14 80 00 Scaffolding
- 14 90 00 Other Conveying Equipment
- 21 00 00 Fire Suppression
- 21 10 00 Water-Based Fire-Suppression Systems
- 21 20 00 Fire-Extinguishing Systems
- 21 30 00 Fire Pumps
- 21 40 00 Fire-Suppression Water Storage
- 22 00 00 Plumbing
- 22 10 00 Plumbing Piping And Pumps
- 22 30 00 Plumbing Equipment
- 22 40 00 Plumbing Fixtures
- 22 50 00 Pool And Fountain Plumbing Systems
- 22 60 00 Gas And Vacuum Systems
- 23 00 00 HVAC
- 23 10 00 Facility Fuel Systems
- 23 20 00 HVAC Piping And Pumps
- 23 30 00 HVAC Air Distribution
- 23 40 00 HVAC Air Cleaning Devices
- 23 50 00 Central Heating Equipment
- 23 60 00 Central Cooling Equipment
- 23 70 00 Central HVAC Equipment
- 23 80 00 Decentralized HVAC Equipment
- 25 00 00 Integrated Automation
- 26 00 00 Electrical
- 26 10 00 Medium Voltage Electrical Dist.
- 26 20 00 Low Voltage Electrical Distribution
- 26 30 00 Electrical Power Generating
- 26 40 00 Electrical & Cathodic Protection
- 26 50 00 Lighting
- 27 00 00 Communications
- 27 10 00 Structured Cabling
- 27 20 00 Data Communications
- 27 30 00 Voice Communications
- 27 40 00 Audio-Video Communications
- 27 50 00 Distributed Communications
- 28 00 00 Electronic Safety And Security
- 28 10 00 Electronic Access Control
- 28 20 00 Electronic Surveillance
- 28 30 00 Electronic Detection And Alarm
- 28 40 00 Electronic Monitoring & Control
- 31 00 00 Earthwork
- 31 10 00 Site Clearing
- 31 30 00 Earthwork Methods
- 31 40 00 Shoring And Underpinning
- 31 50 00 Excavation Support & Protection
- 31 60 00 Special Foundations
- 31 70 00 Tunneling And Mining
- 32 00 00 Exterior Improvements
- 32 10 00 Bases, Ballasts, And Paving
- 32 30 00 Site Improvements
- 32 70 00 Wetlands
- 32 80 00 Irrigation
- 32 90 00 Planting
- 33 00 00 Utilities
- 33 10 00 Water Utilities
- 33 20 00 Wells
- 33 30 00 Sanitary Sewerage Utilities
- 33 40 00 Storm Drainage Utilities
- 33 50 00 Fuel Distribution Utilities
- 33 60 00 Hydronic & Steam Energy Utilities
- 33 70 00 Electrical Utilities
- 33 80 00 Communications Utilities
- 34 00 00 Transportation
- 34 10 00 Guideways/Railways
- 34 20 00 Traction Power
- 34 50 00 Fare Collection Equipment
- 34 80 00 Bridges
Please list Licenses & License Numbers you hold:
License Type: License Number: State:
Check the building type and size your company has experience with:
Less than $100,000 Over $250,000 Over $500,000
Federal
Airports
Healthcare
Educational
Office
Retail
Please indicate the highest construction value your company wishes to be considered for (Keep in mind you must be able to bond the amount indicated below)
- $0,00 - $25,0000
- $150,000 - $250,000
- $25,000 - $50,000
- $250,000 - $500,000
- $50,000 - $150,000
- Over $500,000
List the 3 most important projects your company has completed in the past 3 years
Project Name Cost End Date Owner
List the 3 most important projects your company has in progress at the moment:
Project Name Cost End Date % Complete Owner
Indicate the Total $ Amount of Uncompleted work:

CORPORATE & FINANCIAL INFO
How long has your company been in operations?
- 0 - 5 years
- 5 - 10 years
- over 10 years
How is your company organized:
- Sole Proprietorship
- Partnership
- Corporation
- Joint Venture
If applicable, State of Incorporation:
What is your Federal Tax ID Number:
List the names of the 3 top officers in your company:
Name Title
Does your company operate under any other name:
Is your company affiliated with any other company?
Name
Address
Phone Number
Relationship
Surety Information
Surety Company
Bonding Agent
Name
Phone Number
Single Capacity
Aggregate Capacity
Insurance Information
Insurance Company
Insurance Agent
Name
Phone Number
Check your Company’s Areas of Operations:
- South Florida
- Central Florida
- All Florida
- South East US
- Other
Other Company’s Areas of Operations
Check the Categories that Apply to your firm:
- Large Business
- Small Business
- 8(a)
- HUB Zone
- Women-Owned Business
- Service-Disabled Veteran
- Alaska-Native
- MDC CSBE Level 1
- MDC Level 2
- CSBE Level 3
- Florida DBE
- Other
Other Categories that Apply to your firm
Please indicate which type of work does your firm Self-Perform:
- Electrical
- Mechanical
- Fire Protection
- Sheet Metal
- Roofing
- Earthwork
- Demolition
- Asphalt
- Masonry
- Drywall
- Painting
- Other
Other Self-Perform
What percentage of the work do you typically Self-Perform:
Please indicate the number of people your company currently employs:
Office Field
Have you ever failed to complete any project awarded to you?
- Yes
- No
Indicate the yearly volume of work awarded to your firm for the past 3 years
2019 2020 2021
Please include the following Financial Information
Date of Statement
Retained Earnings
Current Assets
Net Worth
Current Liabilities

REFERENCES
List 3 Trade References
Contact Name/Title Company Phone Number E-mail Address
Provide 1 Banking Reference
Contact Name/Title Bank Name Phone Number E-mail Address

SAFETY RECORD & PROGRAM
Indicate you EMR (Experience Modification Rate) for the past 3 years:
2020 2021 2022
Do you conduct Safety Inspections?
- Yes
- No
Who conducts the safety inspections?
How Often?
Do you have a written Safety Program?
- Yes
- No
Do you have a safety orientation program for new employees in place?
- Yes
- No
Do you have a Drug & Alcohol Policy in place?
- Yes
- No
Do you conduct “Toolbox” Safety Meetings?
- Yes
- No
How Often?
Consent
All information submitted is held in strict confidence. By clicking in the box you hereby certify that all the foregoing statements contained herein are true and correct.

Trade Partner Prequalification Form

Step 1 of 7

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Trade & Capability

+ Add Division

Are you registered in BuildingConnected?(Required)

Yes

No

No, but I would like to be added

Experience Snapshot

Major Completed Projects (Last 5 Years)

Please download the Trade Partner Pre-Qualification Form – Project Experience and complete all required sections under Major Completed Projects (Last 5 Years) and Major Projects Currently in Progress. Once finished, please upload the completed form for review.

Click here to download the form.

File(Required)

Accepted file types: pdf, Max. file size: 200 MB.

Total Uncompleted Work (Current Backlog)

Total Dollar Amount of Uncompleted Work(Required)

Financial & Bonding

Single Project Limit: $

Aggregate Limit: $

Bonding Company Name

Insurance Confirmation

Do you carry the following minimum coverage?

Workers Compensation

General Liability

Automobile Liability

General Liability Coverage Amount

I acknowledge that a Certificate of Insurance (COI) and W-9 will be required upon request.(Required)

Yes

Diversity

Are you certified as any of the following?

MBE

WBE

SBE

DBE

Other

Other, please specify

Agreement

I certify the information provided is accurate.(Required)

I agree

I understand submission does not guarantee inclusion on bid lists.(Required)

I agree

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+ (786) 293 0035
sales@lunaconcorp.com

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	Less than $100,000	Over $250,000	Over $500,000
Federal
Airports
Healthcare
Educational
Office
Retail

License Type:	License Number:	State:

Project Name	Cost	End Date	Owner

Project Name	Cost	End Date	% Complete	Owner

Name	Title

Lunacon Trade Partner Prequalification Form

Step 1 of 5 - CONTACT INFORMATION

CONTACT INFORMATION

EXPERIENCE

CORPORATE & FINANCIAL INFO

Is your company affiliated with any other company?

Surety Information

Insurance Information

Please include the following Financial Information

REFERENCES

SAFETY RECORD & PROGRAM