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Subcontractor Prequalification

Subcontractor Prequalification Form

INTRODUCTION

Thank you for your interest in working with Cardinal Construction. Please complete the following form to the fullest extent possible. Upon receipt of submission, a representative from Cardinal will be in touch to review next steps.

I. COMPANY INFORMATION

Address(Required)
Principal Contact:(Required)
Targeted Small Business(Required)

II. SAFETY

List your Company's # of Injuries from your OSHA Logs as follows:
History of any regulatory Agency Citation/ Notice of Violation (last 3 years):(Required)
Max. file size: 256 MB.
Does your Company have a written safety program?(Required)
Does your Company have a have a pre-employment drug screening and physical policy for all employees?(Required)
Does your Company perform safety orientation and training for all employees?(Required)
Does your Company perform continuing safety education for all employees?(Required)

III. CURRENT WORKLOAD

Please note all projects under contract, including those not yet started. Include start and completion dates, and contract values for each. Attach an additional sheet if necessary.
Project Name(Required)
Max. file size: 256 MB.

IV. PROJECT EXPERIENCE

Please provide at least three (3) examples of relevant project experience. Information should include project name and location, a description of scope, initial and final project schedule, initial and final contract value. Please also include the name of the General Contractor or Construction Manager, with contact information (name, title, phone and email) for each project.
Max. file size: 256 MB.
Max. file size: 256 MB.
Max. file size: 256 MB.
Max. file size: 256 MB.

V. PROJECT PERSONNEL

Please provide resumes or brief biographies for key personnel likely to be involved in the procurement and construction aspects of the project.
Max. file size: 256 MB.

VI. FINANCIAL INFORMATION

Submission of financial states is not required at this time. However, we reserve the right to inquire upon receipt of this information. All information will be handled confidentially.
1. At any time during the past five years, has any surety company made any payments on your firm's behalf as a result of a default, to satisfy any claims made against a performance or payment bond issued on your company's behalf, in connection with a construction project, either public or private?(Required)

VII. INSURANCE

1. Does your organization meet Cardinal Construction's Insurance Requirements?(Required)
Max. file size: 256 MB.
2. In the last five years, has any insurance carrier, for any form of insurance, refused to renew an insurance policy for your Company?(Required)

VIII. CLAIMS HISTORY

1. In the last five years, has any claim been filed in court or arbitration against your organization concerning your work on a construction project?(Required)
1. In the last five years, has any claim been filed in court or arbitration by your organization against a separate contractor?(Required)

PLEASE HAVE AN AUTHORIZED COMPANY REPRESENTATIVE SIGN BELOW.

The undersigned declares under penalty of perjury that all the information submitted is true and correct.
Clear Signature