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Subcontractor Qualification Form
HBW Construction > Subcontractor Qualification Form

HBW Construction - Subcontractor Qualification Form

Step 1 of 3

33%
  • 1. Subcontractor Identity

  • States in which the company is legally qualified to do business:
  • Names and titles of key people in company:
  • Has the company operated under any other name in the past five years?
  • 2. MBE/WBE/SBE CERTIFICATION

  • Is the company a certified Minority Business Enterprise (MBE), Women Business Enterprise (WBE), Small Business Enterprise (SBE), or any other type of certified business enterprise?
  • 3. Financial Information

  • Does the company have a line of credit from any lending institution?
  • Do you have bonding?
  • 4. SAFETY RECORD

  • In the past five years, has your company or any of its key people been investigated for or found to have committed a serious OSHA violation?
  • Please provide your Workman’s Compensation MOD rate for the past 3 years
    Max. file size: 64 MB.
  • Do you have a written employee safety policy and program?
  • Do you have a designated company safety officer?
  • Do you have a hazardous communications program, and are you able to provide SDS for any hazardous products you may use?
  • Do you conduct project safety inspections?
  • Please attach a copy of your most recent OSHA 300 Log.
    Max. file size: 64 MB.
  • Please attach a copy of your most recent Safety Program.
    Max. file size: 64 MB.
  • Are there any other open or aggregate liability claims that would impair your ability to insure any project?
  • 5. OTHER INFORMATION

  • Has your company or any of its Owners been a party to a bankruptcy or reorganization proceeding?
  • During the past five years, have any liens been filed against you by any of your subcontractors or suppliers?
  • Have you ever failed to complete a contract, been defaulted, or had a contract terminated?
  • In the past five years, has your company or any of its key people been involved in any lawsuits arising from construction projects?
  • 6. US CITIZENS

  • We'll need a project reference sheet. Please choose from the following choices:
  • Max. file size: 64 MB.
  • I hereby certify that to the best of my knowledge all of the information on this form is correct
  • PROJECT REFERENCE SHEET

  • Summarize representative projects completed in past 5 years
    Include Name of Project, Scope of Work, Contract Amount, Completion Date, and Contact Name/#
  • Include Name of Project, Scope of Work, Contract Amount, Completion Date, and Contact Name/#
  • List three of your subcontractors or suppliers
    Include Name, Address, Phone Number, Contact Name
  • List three clients
    Include Name, Phone Number, Fax Number, Contact Name
  • How many of your staff are Green Advantage Certified or LEED Accredited? Please list Certified projects where you have provided environmental construction and the level achieved.

Subcontractor Qualification Form

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