Subcontractor Pre-Qualification – TB Industrial

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Subcontractor Pre-Qualification

Subcontractor Pre-Qualification

Subcontractor Pre-Qualificationntegrityit2025-03-20T08:37:48-06:00

Company Information

Company Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Point of Contact Name(Required)

Point of Contact Title(Required)

Point of Contact Phone(Required)

Point of Contact Email(Required)

Year Established(Required)

UEI Number(Required)

Cage Code(Required)

Company Specialties/Type of Work(Required)

NAICS Code(s)(Required)

LICENSES

Licenses

License Number

Classification

Issuing State Agency

SAFETY

Please provide OSHA 300 forms for last three years

OSHA 300 Logs(Required)

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 512 MB, Max. files: 3.

EMR Ratings for last three years:(Required)

Interstate: Year

Rating

Has your company had any OSHA violations in the past three years?(Required)

Yes

No

If any, please provide a brief explanation(Required)

Has your company had any fatalities in the past three years?(Required)

Yes

No

Do you have a written Accident Prevention Plan?(Required)

Yes

No

Do you have a Safety Manager?(Required)

Yes

No

Safety Manager's Name(Required)

QUALITY

Do you have a written Quality Control (QC) Plan?(Required)

Yes

No

Do you have a QC Manager?(Required)

Yes

No

QC Manager's Name(Required)

Has your company even been Terminated for Default from a project?(Required)

Yes

No

If yes, please provide date and a short description(Required)

BONDS/INSURANCE/CERTIFIED PAYROLL

Do you currently have bonding capacity?(Required)

Yes

No

Total bonding capacity(Required)

Bonding capacity per project(Required)

Does your company currently carry the following insurance policies?(Required)

(check all boxes that apply)

Commercial General Liability

Workers Compensation

Business Auto Insurance

PROJECT REFERENCES

Provide references for three major clients for projects performed in the past three years to include.

List

Project Name/Location

Contract Value

Client Reference Name

Title

Phone

Email

SIGNATURE

By submitting this form, I represent that the information provided is complete and accurate as of the date of this submission.

Authorized Company Representative(Required)

Comments

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

TB-Industrial-Logo-100

Office

27514 Ranch Bluff
Boerne, TX. 78006

Contact Us

P : 832.326.5172
E: Email Us

Govt Codes

Cage Code: 0QDB1
UEI: MF4HANH566U3

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TB-Industrial-Logo-100

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