Subcontractor Information

Qualifications:

Scope of Work Performed:

Has Company or any of its Owners Declared Bankruptcy in last 5 years?—Please choose an option—YesNo

Is the Company Bondable?—Please choose an option—YesNo

Have you ever failed to complete a project?—Please choose an option—YesNo

Have you ever failed to complete a project on time?—Please choose an option—YesNo

Have you had a contract terminated due to performance?—Please choose an option—YesNo

Does your firm have a written safety plan?—Please choose an option—YesNo

Does your firm have a written Hazardous Communications Program?—Please choose an option—YesNo

Has your firm been cited by OSHA for any Serious, Willful or Repeat Safety Violations in the last 5 years?—Please choose an option—YesNo

Have you participated in any legal, arbitration or mediation proceedings in the last 5 years?—Please choose an option—YesNo

References:

Insurance Certificate for both General Liability and Worker’s Compensation Insurance:

9+4=?