• General Company Information

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  • Is your firm owned or controlled by another organization?*
  • Are there any affiliated subsidiaries?

  • Pre-Qualification Form Completed By

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  • Type of Company*

  • Type of workers you normally employ.*
  • Do you use leased workers or temporary workers from staffing companies or agencies?*

  • Largest project completed within past three years

  • Date of completion*
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  • One major project currently underway

  • Has any parent, subsidiary, brother/sister corporation, or any other company affiliated with your company been involved in any bankruptcy or reorganization processing (e.g. declared bankruptcy, or been placed into bankruptcy, etc.) within the last ten years?*
  • Are there any judgments, claims, arbitration proceedings, or suits pending/outstanding against your firm or its officers or principals?*
  • Has your firm filed any lawsuits or requested arbitration or mediation with regard to contracts within the last three years?*
  • Has your company ever defaulted or failed to complete any contract?
  • Has your company ever been terminated from a contract?*
  • Has your company ever been assessed liquidated damages?*
  • Has your company received any labor law violations (i.e. other than OSHA)?*
  • Has your company ever had a license revoked or suspended?*

  • Surely Information

  • Insurance Information

  • Have you reviewed Axis Builder’s Insurance requirements and fully meet them?*
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  • Safety Information
    Highest ranking company safety professional

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  • Has only safety duties?*
  • Does your company have a written safety and health program?*
  • Does your company perform background checks on the employees that it hires?*
  • Do your company regularly perform safety and health training for its employees as required by regulatory guidelines (e.g. OSHA)?*
  • Does your company have a safety competent person on a project at all times?*

  • OSHA Incidence Rates & Related Information

  • Has your firmed every incurred a fatality?

  • Experience Modification Rate (EMR)

  • OSHA Inspections

  • Has your company been issued any citations within the past 3 years?
  • Has your company had any OSHA inspection within the past 3 years that did not result in citations?

  • Credit References

  • General Contractor/Construction Manager

  • Customer/Client References

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