Contractor Questionnaire Form

If you are a licensed contractor or a supplier and wish to participate in a project, please register with us by providing the information requested below. Additional information may be needed at a later date for the Prime Contractor’s pre-qualification process Preference will be given to qualified local contractors and suppliers.

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Contact information

First Name*

Last Name*

Telephone number*

Fax number

Email*

Questionnaire

All fields below are optional.

Project

Professional Affiliation

Length of Time Engaged in Business

Name and Location of Bank

Annual Gross Revenue

Bonding Capacity

Percent of Employees Involved in Administration

Percent of Employees Involved in Sales

Percent of Employees Involved in Manufacturing

Percent of Employees Involved in Construction

Union Affiliations: List union affiliations and respective contract renewal dates.

Alcohol and Drug Policy: All contractors providing on site labor will be required to adhere to an alcohol and drug policy. Please describe your policies for: Pre-access testing. Reasonable ground testing, and Post-incident testing.

Department of Transportation Data

Interstate Registrations

Number of Safety Professionals

Worker's Compensation Experience Modification Rate Copy

For the past five years.

Total Recordable Incident Rate

For the past three years.

License Number

Thank you for your interest in Working with us.

Phone

This field is for validation purposes and should be left unchanged.

Contractor Questionnaire Form

Company information

Contact information

Questionnaire