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Subcontractor Qualification Form
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* Indicates required question
Email
*
Your email
Company Name
*
Your answer
Company Address
*
Your answer
Point of Contact, Phone and Email
*
Your answer
Primary Trades
*
Your answer
Region(s) of Work
*
Your answer
Are you 100% PnP Bondable?
*
YES
No
What is your bonding capacity?
*
Your answer
Bonding Company (Name of Surety)
*
Your answer
Insurance Contact (Local) and Phone number
*
Your answer
Bank Name, Contact Reference and Phone Number
*
In Process...
Current Work Backlog Monetary Amount
Your answer
Type of Business (Corporation, Partnership, Sole Proprietor, and other)
Your answer
Number of Employees
Your answer
Classification if Applicable
WBE
MBE
DBE
SBE
Priority 1
Priority 2
Clear selection
Annual Average
Volume of Work
Your answer
Average Project Size
Your answer
Largest Job Completed ($$, Project Name, City/Location)
Your answer
Written Safety Program (Including Hazard Communications)? If "Yes" Briefly Describe the Scope:
Your answer
Do your employees complete OSHA 10 hour, 30 hour or other OSHA training? If other please explain:
Your answer
What other type of safety training is given to your employees?
Your answer
Do you document certifications given to your employees?
Your answer
EMR (Experience Modification Rate) for the last 3 years
Your answer
Are safety inspections and enforcement in-house or by insurance company? If in house, by whom and how often?
Your answer
Are incident/accident reports distributed to upper management?
Your answer
Any drug testing program if so please describe.
Your answer
Company safety director or other safety contact and info.
Your answer
Insurance company representative and contact info
Your answer
Any history of OSHA non-compliance citations and their corresponding amounts?
Your answer
Union or non-union?
Union
Non-Union
Clear selection
Signatory to any bargaining agreements? If so, what is the name and number of the local union? Please date your current collective bargaining agreement expiration date.
Your answer
At what level of documentation are you comfortable providing a GMP?
Your answer
Do you provide errors and omissions insurance for for design build contracts?
Your answer
Please describe your approach to pre-construction services:
Your answer
Please provide Bitco Corp with your most recent OSHA 300 log.
Your answer
Pease provide insurance carrier's certified letter of experience modification rating for each of the previous 3 years.
Your answer
Please provide a copy of QA/QC Program and Designated QA/QC person.
Your answer
Please provide references from other General Contractors, Suppliers, Architects/Designers, etc.
Your answer
Please provide LEED experience if any.
Your answer
Financials: Provide your most recent audited financial statement balance sheet.
Your answer
Send me a copy of my responses.
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