Subcontractors

Overview

At Boblits Enterprises we recognize the value of creating long-term relationships with our subcontractors. We understand that how we treat our subcontractors has a major effect on how successful a project will be for everyone involved. We hold our subcontractors to high standards. In turn, subcontractors can expect a well-run project where they will receive timely payment for fulfilling their responsibilities. 

Subcontractor Pre-Qualification Form

    Date:

    COMPANY:

    Company Name:

    Address:

    Phone Number:

    Contact Name:

    Contact Email:

    Type of company:

    Date Formed:

    Federal tax ID#:

    LABOR:

    Does the company have any union agreements? YesNo

    MBE/WBE/SBE/DBE CERTIFICATION:

    Is your firm certified? YesNo

    If yes, please check all that apply:MBEWBESBEDBEDVBELSDBEOTHER

    Certifying Agency (s):...............Certification Number (s)


    BONDING CAPACITY:

    Are you able to bond projects?: YesNo

    Bonding Rate:

    Single project limit:

    Aggregate limit:

    Bonding company address:

    Agent name:

    Agent phone number:

    SAFETY:

    Experience Modification Rate (EMR) for the past three years:

    Current Year:

    1st prior year:

    2nd prior year:

    Does the company have a written safety program and/or policies?YesNo
    Does the company have a written drug policy?YesNo
    Does the company employ a full-time safety professional?YesNo
    In the last three years has the firm been cited for any serious (defined by OSHA) Violations?YesNo

    INSURANCE:

    Acknowledge you have the following minimum coverage: YesNo

    Workers Compensation Insurance: Statutory Coverage in state where work is being done.
    100,000 each accident
    100,000 disease each employee
    500,000 disease policy limit

    General Liability:
    1,000,000 each occurrence.
    2,000,000 aggregate.
    1,000,000 products and completed operations.

    Auto:
    1,000,000 any auto, hired and non owned.

    Umbrella or Excess Liability:
    1,000,000 each occurrence
    1,000,000 aggregate

    Insurance company address:

    Agent Name:

    Agent phone:

    Plan Room

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    Boblits Enterprises

    301-274-5555