Your Information

Name*
E-mail*

Client Information

Name*
Contact Number*
E-mail
Account/Company Name*
Company Location*

Project Information

Opportunity Name*

Type of Account:* —Please choose an option—Existing/Past AccountNew

Project Address:

Project Location:*

County:

Project Size:*

Submission Type:* QualificationsPriceQualifications and PriceTBD

RFP Release Date:*

Pre-Submittal Meeting Date:

Estimated Budget*

Contract Start Date:*

ROM/Proposal Due Date: (if applicable):

Close Date:*

Desired Construction Start Date:*

Construction Completion Date:

Estimated Project Duration*

Stage

Early Lead (RFP/Solicitation 6 or more months out)Qualifying (Awaiting go/no-go decision in order to advance)Preparing Proposal (Go decision has been made)

Other?

Scope of Interests

Construction Manager/General ContractorDesign-BuildHard BidSubcontractorPre-Construction ServicesSteel Building

Has the Client/Owner done this kind of project before?Not SureYesNo

Is the Client also the Owner? Not SureYesNo

Any Known Competitors Bidding On This Project?

Does the Client already have a Designer?Not SureYesNo

Have We Worked With This Client Before?Not SureYesNo

Description of Scope: Description of Scope

If the stage is in Preparing Proposal fill in the following

RFP Received? —Please choose an option—YesNo

Is Legal Review required? —Please choose an option—YesNo

Is Risk Review required? —Please choose an option—YesNo

If Legal or Risk Review is required, what is the deadline to submit the RFI?

Is a Bid Bond required? —Please choose an option—YesNo

Estimator Contact Name (if available)

Special Requirements

If Legal/Risk Review required fill in the following

Lemartec Entity (select one) Corp (US)USVIPR

Review Comments allowed to be submitted (select one) No Markup- No redlinesRedlines in the contract for Approval and Critical issues onlyComprehensive- Full redlines

Other:

Document(s) to review (select one or more) RFP/IFB/RDBSContract/ MCC/MSA/ PSR/Work OrderSubcontract and Prime ContractInsurance requirements only - No contract available

Other

Any professional engineering or design work? YesNo

Any use of watercraft? YesNo

Any work in, on, over, or near navigable water? YesNo

Any use of drones in scope of work? YesNo

Any use of aircraft in scope of work? YesNo

Any work to be done within 50 feet of railroads? YesNo

Any aerial work on or adjacent to electrical lines? YesNo

Any right-of-way clearing, beyond site prep? YesNo

Any ongoing vegetation management, beyond site restoration? YesNo

Other PCAF Fields:

Project Owner (if different from client)

Project Owner Address

Retainage Terms

Payment & Performance Bond Required? —Please choose an option—YesNo

If so, amount:

Payment Terms (select one): —Please choose an option—Net 15Net 30Net 45Net 60Other
Other if other, state here

Billing Frequency (select one): —Please choose an option—MonthlyWeeklyOther
Other if other, state here

Contract Type: —Please choose an option—MSAFixed-PriceLNTPFinal ContractSubcontractOther
Other if other, state here

Δ