Form 209A: Qualifications of General Contractor
Last Updated: March 2026
Instructions: Qualification forms must be completed and electronically submitted by an authorized officer of the appropriate development team's organization. Submit this completed qualification form through the Secure Upload Tool. More information on how to submit the qualification forms can be found on Minnesota Housing’s Partner Login webpage.
Qualification forms and supporting documentation must be updated and submitted annually. Submitted qualification forms are kept on file for 12 months and will expire thereafter. Visit Development Team Qualifications Forms webpage where there is a list of submitted qualification forms and its submission date. 
Minnesota Housing, at its sole discretion, reserves the right to request any additional information, including financial information, deemed necessary to complete its review.
Contact Information
General Contractor (Firm) Full Legal Name:      
General Contractor Street Address:      
General Contractor City, State ZIP Code:      
General Contractor Website:      
General Contractor Telephone Number:      
General Contractor Fax Number (if available):      
General Contractor Contact Person Name:      
General Contractor Contact Person Email Address:      
General Contractor Information
1.	Legal status of firm: 
a.	If other, specify:      
2.	If not an individual, the firm was organized on       [month and year] under the laws of the state of      .
3.	If an out-of-state corporation, is the corporation authorized to do business in Minnesota? 
4.	In the table that follows, list principals of the firm, names and addresses of partners, officers, directors, and those who hold or control 10% or more of any class of stock, directly or indirectly:
Principal Name	Residence Address	Title	% Interest	
     	     	     	     %	
     	     	     	     %	
     	     	     	     %	
     	     	     	     %	
Total Percentage	Cell intentionally left blank	Cell intentionally left blank	100%	
5.	List which construction trades are generally performed directly by the firm's own employees. If none, state.
	     
6.	With respect to any profit or fee to be earned by the firm for construction of the housing development, the undersigned hereby certifies that neither the firm, nor any partner, director, stockholder, officer, employee, or agent associated with the firm, nor any person, firm, or corporation having a financial interest in the affairs of the firm, has agreed, directly or indirectly, or with the firm’s knowledge and consent will agree, directly or indirectly, to give to any other party any part of said profit or fee as a rebate, refund, or commission of any kind or nature, except as disclosed below. If none, state.
	     
7.	Has the firm, or any of its principals, ever started a construction job that was completed by another general contractor? 
a.	If yes, provide details:      
8.	Has the firm, or any of the principals, ever been convicted of any crime or offense except traffic violations? 
a.	If yes, provide details (offender, nature of crime or offense, date, and location):      
9.	Has the firm previously been debarred? 
a.	If yes, provide details:      
10.	In answering the following questions, the term principal also includes any other firm in which such person participated as principal.
a.	Have any of the principals ever filed a petition of involuntary bankruptcy? 
b.	Has there ever been a petition of involuntary bankruptcy filed against the firm and/or any of the principals? 
c.	Has the firm and/or any of the principals ever made an assignment for the benefit of creditors? 
d.	Are there any unsatisfied judgments against the firm and/or any of the principals? 
e.	Has the firm or any of the principals been a party to any litigation within the last five years? 
f.	If yes to any of the questions in #12, provide details:      
11.	Is the general contractor (firm) able to obtain 100% Payment and Performance Bonds for constructing? 
a.	If yes, name of bonding company to be used:      
12.	Does the firm have experience implementing and incorporating Section 3 and federal labor standards/federal cross-cutting requirements? 
a.	Provide details:      

Certification
I,      , hereby certify that the information set forth, and in any supporting attachments, is true, correct, and complete to the best of my knowledge and belief.
     
Name of General Contractor
     	     
Authorized Signatory Printed Name	Title
     	     
Authorized Signature	Date

Multifamily General Construction Experience
Name of General Contractor:      
Instructions: Complete the following table, describing current and completed developments constructed by the firm and/or its principals. If you have the information requested below available in a separate document, you may submit your existing document instead.
Development Name and Address	Developer
Name and Address	# of Units	Construction Cost	Date Completed or % of Construction Complete	Building Types and # of Stories	Type of Financing	Role of Firm and/or Principal