Subcontractor Prequalification Form

I. COMPANY INFORMATION

Primary Business Address

Contact Information


II. BUSINESS LICENSING & CERTIFICATIONS


III. INSURANCE INFORMATION

IRONCORE CONSTRUCTION'S MINIMUM INSURANCE REQUIREMENTS

Employer's Liability
    $1,000,000 – Each Occurrence
    $2,000,000 – General Aggregate
    $1,000,000 – Products/Completed Operations Aggregate

Commercial General Liability
    $1,000,000 – Each Occurrence
    $2,000,000 – Aggregate
Including Products/Completed Operations and Contractual Liability

Commercial Auto Liability
    $2,000,000 – Each Person for Bodily Injury
    $2,000,000 – Each Accident for Bodily Injury
    $2,000,000 – Each Occurrence for Property Damage
Including Bodily Injury and Property Damage

Worker's Compensation Insurance
    $1,000,000 – Each Accident
    $1,000,000 – Each Employee
    $1,000,000 – Policy Limit

(Please attach a copy of your Insurance Certificate.)

General Liability Insurance

Workers' Compensation Insurance

Professional Liability / Errors & Omissions

Vehicle Insurance


IV. OPERATIONAL CAPACITY

Number of Employees

Key Personnel


V. PROJECT EXPERIENCE

Project History

Project 1


VI. SAFETY & COMPLIANCE

IRONCORE CONSTRUCTION'S MINIMUM SAFETY REQUIREMENTS

A safety, health, and accident prevention program which includes:

  • A program to ensure safety and health issues are pre-planned into each project and work operation
  • An accident/incident investigation procedure
  • A safety and health-training program
  • New employee/project orientation
  • Weekly toolbox meetings
  • Daily job briefings
  • Supervisor safety training
  • Task-specific training and OSHA required training

OSHA Safety Record

Consent and Acknowledgment Statement

The following consents are required for us to process your submission. Without these consents, we will be unable to proceed with your application.

By submitting this form, you acknowledge and agree to the following:

By clicking ‘SUBMIT,’ you confirm that you have read and understood this Consent and Acknowledgment Statement and that you are authorized to act on behalf of your company.