PREQUALIFICATION APPLICATION REQUIREMENTS

Size: px
Start display at page:

Download "PREQUALIFICATION APPLICATION REQUIREMENTS"

Transcription

1 PREQUALIFICATION APPLICATION REQUIREMENTS To be eligible to bid and contract work with Webcor, subcontractors are required to be prequalified annually. If you have any questions, please contact Webcor s Prequalification Team at [email protected]. SUPPORTING DOCUMENTATION... 2 SUBCONTRACTOR INSURANCE REQUIREMENTS... 3 SAMPLE APPLICATION FOR PREQUALIFICATION... 4 April 28, 2015 Page 1 of 9

2 SUPPORTING DOCUMENTATION APPENDIX A ADDITIONAL COMPANY INFORMATION (Optional) APPENDIX B CURRENT BACKLOG BREAKDOWN (Required) APPENDIX C GL INSURANCE CERTIFICATE (Required) See the Subcontractor Insurance Requirements section. APPENDIX D WORKERS COMPENSATION INSURANCE CERTIFICATE (Required) See the Subcontractor Insurance Requirements section. APPENDIX E CURRENT FINANCIAL STATEMENT (Required) The statement should represent a period ending within the last ninety (90) days. This can be an internally generated balance sheet, income statement, or P&L statement and does not need to be audited or reviewed. APPENDIX F AUDITED FINANCIAL STATEMENT (Required) Auditor s statement with the most recent audited financial statement APPENDIX G BANK CREDIT AVAILABILITY LETTER (Required) A letter from your bank, indicating credit line availability, issued within the last six (6) months APPENDIX H SURETY CAPACITY LETTER (Required) A letter from your surety broker, indicating your aggregate and per-project bonding capacity, available bond capacity, and current bond rate, issued within the last six (6) months APPENDIX I BUSINESS CLASSIFICATION CERTIFICATES (Conditionally Required) Federal, state, and/or local Disadvantaged Business Enterprise (i.e. SBC, DBE, DVBE, LBE) classification certification(s). Required if you indicate anything in the DBE section of the Webcor Application for Subcontractor Prequalification. APPENDIX J INJURY, ILLNESS, AND PREVENTION PLAN / CODE OF SAFE PRACTICES (Required) APPENDIX K EMR LETTER OF VERIFICATION, OSHA 300 FORMS, CORRECTIVE ACTION PLAN (Required) A letter from your insurance company or agent indicating your Worker s Compensation Experience Modification Rate (EMR) history for the last three (5) years. If your current year EMR is greater than 1.0, provide a Corrective Action Plan (CAP). OSHA 300 reports for the last three (5) years If your company has been cited by OSHA in the last five (5) years, include a brief description of each citation, the citation number, and a Corrective Action Plan (CAP). APPENDIX L QUALITY CONTROL MANUAL (Optional) APPENDIX M CURRENT CONTRACTOR'S LICENSE(S) (Required) Provide your current contractor s pocket licenses for states that you wish to be considered for work. APPENDIX N CURRENT W9 (Required) A signed copy of your company s Form W-9, indicating your current legal name and addressed, signed within the last ninety (90) days. APPENDIX O PUBLIC WORKS CONTRACTOR REGISTRATION (Conditionally Required) Required if you wish to be considered for publicly funded projects. This refers to Contractor Registration with the Department of Industrial Relations (DIR), also known as DIR 854 Contractor Registration - For Registering/Renewing: ; For checking Registration: Should you have questions regarding any of the above Appendices, please do not hesitate to contact [email protected] April 28, 2015 Page 2 of 9

3 SUBCONTRACTOR INSURANCE REQUIREMENTS Excerpted from Webcor Builders Long Form Subcontract Agreement Version 5, dated August 30, 2013 SECTION 16. INSURANCE 16.1 Casualty Insurance. Subcontractor shall, at its expense, procure and maintain insurance on all of its operations, in insurance companies with a Best's Insurance Rating of A- or better and Class VI or better or otherwise acceptable to Contractor as follows: Workers' Compensation and Employer's Liability Insurance. Workers' Compensation Insurance shall be provided as required by any applicable law or regulation. Employer's Liability insurance shall be provided in amounts not less than: $1,000,000 each accident for bodily injury by accident $1,000,000 policy limit for bodily injury by disease $1,000,000 each employee for bodily injury by disease If there is an exposure of injury to Subcontractor's employees under the U.S. Longshoremen's and Harbor Workers' Compensation Act, the Jones Act or under laws, regulations or statutes applicable to maritime employees, coverage shall be included for such injuries or claims General Liability Insurance. Subcontractor shall carry Comprehensive General Liability or Commercial General Liability insurance, provided on the ISO CGL Form No. CG or equivalent, covering all operations by or on behalf of Subcontractor providing insurance for bodily injury liability and property damage liability of the limits of liability indicated below and including coverage for: (a) premises and operations; (b) products and completed operations maintained for a period of ten (10) years following completion of construction or the applicable statutory period for which Subcontractor is liable for its Work, whichever is greater; (c) contractual liability insuring the obligations assumed by Subcontractor in this Agreement; broad form property damage (including completed operations); (d) explosion, collapse and underground hazards; (e) personal injury liability (with deletion of the exclusion for liability assumed under contract); and, (f) Independent contractors If Subcontractor carries a Comprehensive General Liability policy, the limits of liability shall be not less than a Combined Single Limit for bodily injury, property damage and personal injury liability of: $1,000,000 each occurrence $1,000,000 in aggregate If Subcontractor carries an Occurrence form Commercial General Liability policy, the limits of liability shall be not less than: $1,000,000 each occurrence (combined single limit for bodily injury and property damage) $1,000,000 for personal injury only $2,000,000 aggregate for products-completed operations $2,000,000 general aggregate Please note that project specific insurance requirements may differ from those above. April 28, 2015 Page 3 of 9

4 SAMPLE APPLICATION FOR PREQUALIFICATION IMPORTANT NOTE: If you are an existing Business Partner with Webcor Builders (We sent you a renewal reminder or a password reset) you will NOT be able to Edit the information in the Company Headquarters Section or the Branch Offices. Please send an to [email protected] with the changes and we can apply them for you. You may choose from an existing Union or type in your own. If you chose to type in your own union, please follow this naming convention, start with the union name, followed by your local, then location. (e.g. Laborers - Local 324 (Fairfield, CA)) April 28, 2015 Page 4 of 9

5 April 28, 2015 Page 5 of 9

6 This is where we are requesting your Bonding Rate April 28, 2015 Page 6 of 9

7 April 28, 2015 Page 7 of 9

8 April 28, 2015 Page 8 of 9

9 Please do not hesitate to contact us should you have any questions or would like examples of any of the Appendix items. Thank you! April 28, 2015 Page 9 of 9

PREQUALIFICATION APPLICATION REQUIREMENTS

PREQUALIFICATION APPLICATION REQUIREMENTS PREQUALIFICATION APPLICATION REQUIREMENTS To be eligible to bid and contract work with Webcor, subcontractors are required to be prequalified annually. If you have any questions, please contact Webcor

More information

CALIFORNIA DEPARTMENT OF TRANSPORTATION CONTRACTOR LIABILITY INSURANCE

CALIFORNIA DEPARTMENT OF TRANSPORTATION CONTRACTOR LIABILITY INSURANCE CALIFORNIA DEPARTMENT OF TRANSPORTATION CONTRACTOR LIABILITY INSURANCE The following are excerpts from Caltrans 2010Standard Specifications. Specifications are subject to change so refer to the project

More information

INSURANCE GUIDE I - MINOR CONTRACTS FOR SERVICE

INSURANCE GUIDE I - MINOR CONTRACTS FOR SERVICE INSURANCE GUIDE I - MINOR CONTRACTS FOR MEETING GUIDE I SPECIFICATIONS DURATION: Project will not exceed 30 calendar days COST: Project cost will not exceed $50,000 RISK: Low, No unusual or high hazards

More information

1. Subcontractor Prequalification Questionnaire a. Please complete with assistance from your insurance agent(s)

1. Subcontractor Prequalification Questionnaire a. Please complete with assistance from your insurance agent(s) 3208 Tazewell Pike, Suite 103 Tel: 865.688.1335 / Fax: 865.688.9291 www.creativestructuresinc.com Attention: Prospective Subcontractors Re: Prequalification Applications Creative Structures, Inc., appreciates

More information

EXHIBIT B CITY OF PHILADELPHIA AND PHILADELPHIA HOUSING DEVELOPMENT CORPORATION INSURANCE REQUIREMENTS

EXHIBIT B CITY OF PHILADELPHIA AND PHILADELPHIA HOUSING DEVELOPMENT CORPORATION INSURANCE REQUIREMENTS EXHIBIT B CITY OF PHILADELPHIA AND PHILADELPHIA HOUSING DEVELOPMENT CORPORATION INSURANCE REQUIREMENTS The Recipient will procure and maintain during the entire period of the contract, the types of insurance

More information

Items 1-7 above shall not be subject to any of the following limiting or exclusionary endorsements:

Items 1-7 above shall not be subject to any of the following limiting or exclusionary endorsements: Page 1 of 5 Supplier's Insurance. Before commencing the Work, and as a condition of any payment due under this Subcontract, Supplier shall, at its own expense, procure and maintain insurance on all of

More information

MATTCON GENERAL CONTRACTORS, INC. INSURANCE SPECIFICATIONS EXHIBIT B INSURANCE Subcontractor shall obtain insurance of the types and in the amounts

MATTCON GENERAL CONTRACTORS, INC. INSURANCE SPECIFICATIONS EXHIBIT B INSURANCE Subcontractor shall obtain insurance of the types and in the amounts MATTCON GENERAL CONTRACTORS, INC. INSURANCE SPECIFICATIONS EXHIBIT B INSURANCE Subcontractor shall obtain insurance of the types and in the amounts described below. The insurance shall be written by insurance

More information

Required Insurance Language for PRF Construction Contracts

Required Insurance Language for PRF Construction Contracts Required Insurance Language for PRF Construction Contracts When working with legal counsel to affect a construction contract for new construction or for build-outs the Purdue Risk Management Department

More information

ARTICLE 11. INSURANCE AND BONDS

ARTICLE 11. INSURANCE AND BONDS Provide submittals to Architect / Engineer that are required by any governing body or other authorities. Upon receipt of the Contractor s list, the Architect will make an inspection to determine whether

More information

Schedule Q (Revised 1/5/15)

Schedule Q (Revised 1/5/15) Schedule Q (Revised 1/5/15) CONSTRUCTION CONTRACTOR INSURANCE REQUIREMENTS Section 0.0 Introduction of the Owner-Controlled Insurance Program The City of Oakland (City) has implemented an Owner-Controlled

More information

ATTACHMENT A.6 INSURANCE REQUIREMENTS ROUTINE CONSTRUCTION, MAINTENANCE AND REPAIR PROJECTS

ATTACHMENT A.6 INSURANCE REQUIREMENTS ROUTINE CONSTRUCTION, MAINTENANCE AND REPAIR PROJECTS ATTACHMENT A.6 INSURANCE REQUIREMENTS ROUTINE CONSTRUCTION, MAINTENANCE AND REPAIR PROJECTS Contractor shall obtain insurance of the types and in the amounts listed below. A. COMMERCIAL GENERAL AND UMBRELLA

More information

SECTION 00 73 16 INSURANCE REQUIREMENTS

SECTION 00 73 16 INSURANCE REQUIREMENTS SECTION 00 73 16 INSURANCE REQUIREMENTS PART 1 GENERAL 1.01 SECTION INCLUDES 1.02 Insurance Requirements 1.02 INSURANCE REQUIREMENTS A. The successful Contractor shall procure and maintain for the duration

More information

ADDENDUM A1. Subcontractor Insurance Requirements

ADDENDUM A1. Subcontractor Insurance Requirements ADDENDUM A1 Subcontractor Insurance Requirements Certificates and endorsements must be received and approved prior to the start of any work. No payments will be released until all insurance documents are

More information

Gordon L. Mountjoy & Associates, Inc.

Gordon L. Mountjoy & Associates, Inc. INSURANCE REQUIREMENTS CHECKLIST Submit an Acord 25 form and the endorsements as required below. Your insurance must be in compliance immediately after you sign your subcontract and before you start work.

More information

SUBCONTRACTOR PREQUALIFICATION FORM

SUBCONTRACTOR PREQUALIFICATION FORM SUBCONTRACTOR PREQUALIFICATION FORM Instructions: Please fill out the following information and return via email to [email protected] or mail to Norcon, Inc. 661 W. Ohio Street, Chicago, IL 60654, Attention

More information

Delaware State University

Delaware State University Delaware State University University Area(s) Responsible: Office of Enterprise Risk Management Policy Number & Name: 7-33: Insurance Requirements for Vendors, Contractors and Service Providers Approval

More information

EXHIBIT B. Insurance Requirements for Construction Contracts

EXHIBIT B. Insurance Requirements for Construction Contracts EXHIBIT B Insurance Requirements for Construction Contracts Contractor shall procure and maintain for the duration of the contract, and for x years thereafter, insurance against claims for injuries to

More information

-1- -2- -3- -4- -5- INSURANCE REQUIREMENTS FOR DEVELOPER EXTENSION AGREEMENTS 1.1 The developer shall obtain and keep in force during the term of the contract, Commercial General Liability insurance policies

More information

SAMPLE CONSTRUCTION INSURANCE REQUIREMENTS

SAMPLE CONSTRUCTION INSURANCE REQUIREMENTS SAMPLE CONSTRUCTION INSURANCE REQUIREMENTS A. In General The shall purchase and continuously maintain in full force and effect for the policy periods specified below the insurance policies specified in

More information

Liability Insurance Guidelines For Water Restoration and Mold Contractors April 2013

Liability Insurance Guidelines For Water Restoration and Mold Contractors April 2013 Liability Insurance Guidelines For Water Restoration and Mold Contractors April 2013 Disclaimer: The following is a draft of suggested language for incorporation into construction insurance specifications.

More information

Appendix F. A. Conditions Applicable to Insurance. All policies of insurance required by this Contract must meet the following requirements:

Appendix F. A. Conditions Applicable to Insurance. All policies of insurance required by this Contract must meet the following requirements: Appendix F Contractor s Insurance Requirements The Contractor shall procure at its sole cost and expense, and shall maintain in force at all times during the term of this Contract, policies of insurance

More information

Insurance Requirements for Contractors (Without Construction Risks)

Insurance Requirements for Contractors (Without Construction Risks) Insurance Requirements for Contractors (Without Construction Risks) Contractor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to

More information

Insurance Requirements for the City of Oshkosh

Insurance Requirements for the City of Oshkosh Insurance Requirements for the City of Oshkosh Revised: May 12, 2014 Revised: April 14, 2014 Revised: October 23, 2013 Revised: July 16, 2012 Revised: May 25, 2012 Revised: May 9, 2012 Revised: December

More information

LMCIT Service Contract Insurance Recommendations

LMCIT Service Contract Insurance Recommendations LMCIT Service Contract Insurance Recommendations The type and amount of insurance should be determined on a case-by case basis dependent upon various factors such as the scope of work and the potential

More information

Exhibit 1 to Part 3 Project-Specific Terms

Exhibit 1 to Part 3 Project-Specific Terms Exhibit 1 to Part 3 Project-Specific Terms (Date of Standard Exhibit 1 to Part 3: May 2014) Part 3 (2013 Lump Sum Agreement Between Department and Design-Builder), Part 4 (2013 General Conditions of Contract

More information

GENERAL INSTRUCTIONS AND REQUIREMENTS

GENERAL INSTRUCTIONS AND REQUIREMENTS CHICAGO TRANSIT AUTHORITY INSURANCE AND BOND REQUIREMENTS [FOR CONSTRUCTION RELATED CONTRACTS rev. 12/04/02] REQUISITION NUMBER: SPECIFICATION NUMBER CTA: PART I. GENERAL INSTRUCTIONS AND REQUIREMENTS

More information

Exhibit B (Incorporated into Construction Purchase Order Terms and Conditions) CONSTRUCTION CONTRACT INSURANCE REQUIREMENTS

Exhibit B (Incorporated into Construction Purchase Order Terms and Conditions) CONSTRUCTION CONTRACT INSURANCE REQUIREMENTS Exhibit B (Incorporated into Construction Purchase Order Terms and Conditions) CONSTRUCTION CONTRACT INSURANCE REQUIREMENTS 1.1. Contractor shall maintain insurance underwritten by solvent insurance companies

More information

Honeywell Energy Services Group

Honeywell Energy Services Group Honeywell Energy Services Group Minnesota State Colleges and Universities Riverland Community College Guaranteed Energy Savings Program (GESP) Project Request for Qualifications (RFQ) Phase 3 Lighting

More information

How To Insure A Project In The United States

How To Insure A Project In The United States Recommended Liability Insurance Guidelines For Custom Applicators and Certified Crop Advisors May 2015 Disclaimer: The following is a draft of suggested language for incorporation into services procurement

More information

SECTION 3 AWARD AND EXECUTION OF CONTRACT

SECTION 3 AWARD AND EXECUTION OF CONTRACT SECTION 3 AWARD AND EXECUTION OF CONTRACT 3.01 CONSIDERATION OF BIDS: After the Proposals are opened and read, the approximate estimated quantity of each item multiplied by the unit price bid for that

More information

On behalf of the Sussex Development Team, thank you for your interest in doing business with us. We look forward to learning more about your company.

On behalf of the Sussex Development Team, thank you for your interest in doing business with us. We look forward to learning more about your company. Subj: Prequalification Application Dear Future Team Member: On behalf of the Sussex Development Team, thank you for your interest in doing business with us. We look forward to learning more about your

More information

MINNESOTA STATE COLLEGES AND UNIVERSITIES General Insurance Requirements for Contractors & Vendors

MINNESOTA STATE COLLEGES AND UNIVERSITIES General Insurance Requirements for Contractors & Vendors Certificate of Liability Insurance, Form ACORD25: Following are the insurance requirements of the State of Minnesota acting through its Board of Trustees of the Minnesota State Colleges and Universities,

More information

Subcontractor / Vendor / Professional Services PREQUALIFICATION FORM

Subcontractor / Vendor / Professional Services PREQUALIFICATION FORM Subcontractor / Vendor / Professional Services PREQUALIFICATION FORM Company Name Address GENERAL INFORMATION Date / / If Corporate Office check here Primary Contact Phone Fax Email Corporate Headquarters

More information

INSURANCE REQUIREMENTS (A) This insert applies to the following State Contracts:

INSURANCE REQUIREMENTS (A) This insert applies to the following State Contracts: INSURANCE REQUIREMENTS (A) This insert applies to the following State Contracts: General Conditions of the Construction Contract Design/Bid/Build (SC-6.23), or Contractors Agreement Design/Bid/Build (SC-6.21),

More information

PREQUALIFICATION QUESTIONNAIRE

PREQUALIFICATION QUESTIONNAIRE PREQUALIFICATION QUESTIONNAIRE BAW&G/WHW/JWF/172861.2 Revision Date: 01-14/14 1 Contractor Prequalification Package CONTACT INFORMATION Firm Name: Check One: Corporation (as it appears on license) Partnership

More information

INSURANCE REQUIREMENTS FOR MASTER AGREEMENT CONTRACTORS

INSURANCE REQUIREMENTS FOR MASTER AGREEMENT CONTRACTORS INSURANCE REQUIREMENTS FOR MASTER AGREEMENT CONTRACTORS Without limiting CONTRACTOR's indemnification of COUNTY, and in the performance of this Contract and until all of its obligations pursuant to this

More information

OCIP III Insurance Procedures and Enrollment Manual

OCIP III Insurance Procedures and Enrollment Manual Owner Controlled Insurance Program OCIP III Insurance Procedures and Enrollment Manual This Manual is a Contract Document 1 TABLE OF CONTENTS Section 1 Section 2 Section 3 Section 4 Section 5 Section 6

More information

Bid/Contract Insurance Requirements (Insurance Manual)

Bid/Contract Insurance Requirements (Insurance Manual) The Regents of the University of California University Controlled Insurance Program (UCIP) Bid/Contract Insurance Requirements (Insurance Manual) for the [CAMPUS] [PROJECT] Construction Project Need a

More information

EXHIBIT B-1 INSURANCE REQUIREMENTS FOR CONSTRUCTION CONTRACTS ABOVE $30,000

EXHIBIT B-1 INSURANCE REQUIREMENTS FOR CONSTRUCTION CONTRACTS ABOVE $30,000 INSURANCE REQUIREMENTS F CONSTRUCTION CONTRACTS ABOVE $30,000 Indemnity To the fullest extent allowed by law, the Contractor shall indemnify, defend, and hold harmless the County of Santa Clara (hereinafter

More information

December 1, 2015. Dear Valued Brannan Companies Subcontractor,

December 1, 2015. Dear Valued Brannan Companies Subcontractor, December 1, 2015 Dear Valued Brannan Companies Subcontractor, As another construction season winds down, the time has come to submit your annual Statement of Qualifications renewal. Please complete the

More information

Memorandum of Understanding

Memorandum of Understanding Memorandum of Understanding between Name of Company: Owner/Principal: As a Solar Santa Monica Preferred Contractors And the Solar Santa Monica Program of the City of Santa Monica (Last edited July 2, 2015)

More information

WASHINGTON SUBURBAN SANITARY COMMISSION

WASHINGTON SUBURBAN SANITARY COMMISSION APPENDI B WASHINGTON SUBURBAN SANITARY COMMISSION PROCUREMENT OFFICE INSURANCE AND BONDING CONTRACT NO. 1. INSURANCE REQUIREMENTS A. INSURANCE: The Contractor shall be required to maintain insurance for

More information

Document A141 TM. 2004 Exhibit C. Insurance and Bonds. for the following PROJECT:

Document A141 TM. 2004 Exhibit C. Insurance and Bonds. for the following PROJECT: Insurance and Bonds Document A141 TM 2004 Exhibit C for the following PROJECT: University of Minnesota Project Name: University of Minnesota Project No.: Design and construction of THE OWNER: Regents of

More information

INSURANCE REQUIREMENTS FOR ALL CITY CONTRACTS

INSURANCE REQUIREMENTS FOR ALL CITY CONTRACTS INSURANCE REQUIREMENTS FOR ALL CITY CONTRACTS 1. GENERAL PROVISIONS A. Indemnification. The Contractor shall indemnify and save harmless the City of Lincoln, Nebraska from and against all losses, claims,

More information

How To Insure Construction Contracts In Northern California Schools Insurance Group

How To Insure Construction Contracts In Northern California Schools Insurance Group NORTHERN CALIFORNIA SCHOOLS INSURANCE GROUP Cover Note to NCSIG Members & Their Architects/Engineers Insurance Recommendations for Construction Contracts Applicable to New Construction & Modernization/Remodeling

More information

SAMPLE VERBIAGE OF SUBCONTRACT AGREEMENT INSURANCE REQUIREMENTS (PLEASE REFER TO YOUR STRUCTURE HOME SUBCONTRACT AGREEMENT)

SAMPLE VERBIAGE OF SUBCONTRACT AGREEMENT INSURANCE REQUIREMENTS (PLEASE REFER TO YOUR STRUCTURE HOME SUBCONTRACT AGREEMENT) SAMPLE VERBIAGE OF SUBCONTRACT AGREEMENT INSURANCE REQUIREMENTS (PLEASE REFER TO YOUR STRUCTURE HOME SUBCONTRACT AGREEMENT) INSURANCE REQUIREMENTS A. COVERAGE: Subcontractor and its subcontractors and

More information

Attachment 4: Insurance Requirements

Attachment 4: Insurance Requirements The prospective awardee shall be required to procure, at its sole cost and expense, all insurance required by this Section and, unless otherwise required by this Section, provide proof of the same within

More information

2 nd Notice AHCCCS Insurance Requirements ACTION REQUIRED September 29, 2014 Page 1 of 5

2 nd Notice AHCCCS Insurance Requirements ACTION REQUIRED September 29, 2014 Page 1 of 5 Dear Providers and Staff: 2 nd Notice ACTION REQUIRED September 29, 2014 Page 1 of 5 We distributed a blast fax communication to you on July 16 explaining that effective October 1, 2013 AHCCCS updated

More information

GENERAL INSTRUCTIONS AND REQUIREMENTS

GENERAL INSTRUCTIONS AND REQUIREMENTS CHICAGO TRANSIT AUTHORITY INSURANCE AND BOND REQUIREMENTS [Short Form rev. 12/04/02] REQUISITION NUMBER: SPECIFICATION NUMBER CTA: PART I. GENERAL INSTRUCTIONS AND REQUIREMENTS A. WAYS TO COMPLY WITH CTA

More information

Shook Subcontractor Prequalification Form

Shook Subcontractor Prequalification Form Email [email protected] with any questions. The undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading. Section 1 -

More information

Wrap Up Insurance Manual

Wrap Up Insurance Manual Los Angeles Department of Water and Power Silver Lake Complex Storage Replacement Project (Silver Lake Reservoir) Wrap Up Insurance Manual Date: 11/5/2012 (Revised: 01/24/2013) This Manual is part of the

More information

State of North Carolina Prequalification Form for Prime Contractor

State of North Carolina Prequalification Form for Prime Contractor Pursuant to the statute, this form gathers information about the contractors seeking to qualify for the work and provides a general format for the prequalification criteria. Completing this questionnaire

More information

EXHIBIT 1 SEMINOLE ELECTRIC COOPERATIVE, INC. (SECI) CONTRACTOR S INSURANCE REQUIREMENTS

EXHIBIT 1 SEMINOLE ELECTRIC COOPERATIVE, INC. (SECI) CONTRACTOR S INSURANCE REQUIREMENTS EXHIBIT 1 SEMINOLE ELECTRIC COOPERATIVE, INC. (SECI) CONTRACTOR S INSURANCE REQUIREMENTS Acceptable certificate(s) of insurance and policy endorsements, as specified below, showing that Contractor s insurance

More information

MASTER TEXT COPY CONSENSUSDOCS 221 CONTRACTOR'S STATEMENT OF QUALIFICATIONS FOR A SPECIFIC PROJECT

MASTER TEXT COPY CONSENSUSDOCS 221 CONTRACTOR'S STATEMENT OF QUALIFICATIONS FOR A SPECIFIC PROJECT CONSENSUSDOCS 221 CONTRACTOR'S STATEMENT OF QUALIFICATIONS FOR A SPECIFIC PROJECT This document was developed through a collaborative effort of entities representing a wide cross-section of the construction

More information

H. The Contractor shall not begin work under the contract until the required insurance has been obtained and approved by the Contracting Agency.

H. The Contractor shall not begin work under the contract until the required insurance has been obtained and approved by the Contracting Agency. Insurance Requirements (1) General Requirements A. The Contractor shall obtain the insurance described in this section from insurers approved by the State Insurance Commissioner pursuant to RCW Title 48.

More information

Department of Purchasing & Contract Compliance

Department of Purchasing & Contract Compliance Department of Purchasing & Contract Compliance Fulton County, GA August 8, 2014 Re: 14RFP070714K-NH 2015 STANDBY ENGINEERING SERVICES Dear Vendors: Attached is one (1) copy of Addendum 2, hereby made a

More information

D3 Bus Wash Rehabilitation AC Transit Contract #2016-1372 SECTION 007316 INSURANCE REQUIREMENTS

D3 Bus Wash Rehabilitation AC Transit Contract #2016-1372 SECTION 007316 INSURANCE REQUIREMENTS SECTION 007316 INSURANCE REQUIREMENTS PART 1 - INSURANCE REQUIREMENTS 1.01 GENERAL A. Any person, firm or corporation Contractor authorizes to work upon the Property, including any subcontractor, shall

More information

SUBCONTRACTOR Pre-Qualification Form

SUBCONTRACTOR Pre-Qualification Form Please complete the form below and email (form and all attachments) to [email protected] or fax to 602-266-7070. If all information is not provided and all attachments are not submitted this will

More information

Subcontractor Prequalification Form

Subcontractor Prequalification Form Policy: Gordon Prill's Policy is to prequalify potential subcontractors with whom we have not worked previously. All potential subcontractors must obtain prior approval before they may bid to Gordon Prill.

More information

INFORMATION FOR VENDORS CITY OF ALLENTOWN PENNSYLVANIA

INFORMATION FOR VENDORS CITY OF ALLENTOWN PENNSYLVANIA INFORMATION FOR VENDORS CITY OF ALLENTOWN PENNSYLVANIA BETH ANN STROHL PURCHASING AGENT JUDY SNYDER BUYER MARGARET WELLS BUYER KEITH PUDLINER PURCHASING CLERK City of Allentown Purchasing Office 435 Hamilton

More information

Subcontractor Insurance & Licensing Requirements Please provide the items below

Subcontractor Insurance & Licensing Requirements Please provide the items below Subcontractor Insurance & Licensing Requirements Please provide the items below Commercial General Liability Limits of Insurance $2 Million dollars General Aggregate (Per Project) $2 Million dollars Product/Completed

More information

CCIP Insurance Manual. Turner Construction Company

CCIP Insurance Manual. Turner Construction Company Turner Construction Company Contractor Controlled Insurance Program (CCIP) Learned Hall, Engineering Expansion Phase Two (LEEP2) 1520 E 15 th Street, Lawrence, KS 66045 CCIP Insurance Manual This Manual

More information

SUBCONTRACTOR / VENDOR PRE-CONTRACT QUALIFICATION FORM

SUBCONTRACTOR / VENDOR PRE-CONTRACT QUALIFICATION FORM SUBCONTRACTOR / VENDOR PRE-CONTRACT QUALIFICATION FORM Thank you for your interest in Palmisano Contractors. In order to develop a more complete knowledge of your Company and better match future Palmisano

More information

Exhibit C-2 Insurance Terms

Exhibit C-2 Insurance Terms Exhibit C-2 Insurance Terms INSURANCE. The insurance requirements specified in this exhibit shall apply to Permittee and any subcontractors, suppliers, temporary workers, independent contractors, leased

More information

W.E. O NEIL CONSTRUCTION CO. OF COLORADO INSURANCE REQUIREMENTS. Project Name Project Address City, State Zip

W.E. O NEIL CONSTRUCTION CO. OF COLORADO INSURANCE REQUIREMENTS. Project Name Project Address City, State Zip W.E. O NEIL CONSTRUCTION CO. OF COLORADO INSURANCE REQUIREMENTS Project Name Project Address Subcontractor SHALL NOT COMMENCE WORK at the site until it has obtained and provided all insurance required

More information

W.E. O NEIL CONSTRUCTION CO.

W.E. O NEIL CONSTRUCTION CO. W.E. O NEIL CONSTRUCTION CO. INSURANCE REQUIREMENTS Project Name Project Address Subcontractor SHALL NOT COMMENCE WORK at the site until it has obtained and provided all insurance required by the Contract

More information

A. Commercial and General Liability Insurance

A. Commercial and General Liability Insurance Acceptable Insurance Providers: Insurance providers must be authorized by subsisting certificates of authority by the Department of Financial Services of the State of Florida, or (II) an eligible surplus

More information

SAN BERNARDINO MOUNTAINS COMMUNITY HEALTHCARE DISTRICT

SAN BERNARDINO MOUNTAINS COMMUNITY HEALTHCARE DISTRICT SAN BERNARDINO MOUNTAINS COMMUNITY HEALTHCARE DISTRICT CONTRACTOR PRE-QUALIFICATION QUESTIONNAIRE 1 PRE-QUALIFICATION QUESTIONNAIRE 000 CONTACT INFORMATION Firm Name: Check One: Corporation (as it appears

More information

INSURANCE REQUIREMENTS FOR CONSTRUCTION CONTRACTS ABOVE $25,000

INSURANCE REQUIREMENTS FOR CONSTRUCTION CONTRACTS ABOVE $25,000 Page 1 of 9 DOCUMENT 00850 INDEMNIFICATION AND INSURANCE REQUIREMENTS EXHIBIT B-1 INSURANCE REQUIREMENTS FOR CONSTRUCTION CONTRACTS ABOVE $25,000 Indemnity The Contractor shall indemnify, defend, and hold

More information

Morgan Hill Unified SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE FOR PROSPECTIVE BIDDERS. October 19, 2015

Morgan Hill Unified SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE FOR PROSPECTIVE BIDDERS. October 19, 2015 Morgan Hill Unified SCHOOL DISTRICT PREQUALIFICATION QUESTIONNAIRE FOR PROSPECTIVE BIDDERS October 19, 2015 The Morgan Hill Unified School District ( District ) has determined that contractors on future

More information

REQUEST FOR QUALIFICATIONS PROFESSIONAL ARCHITECTURAL SERVICES

REQUEST FOR QUALIFICATIONS PROFESSIONAL ARCHITECTURAL SERVICES City of McHenry REQUEST FOR QUALIFICATIONS FOR PROFESSIONAL ARCHITECTURAL SERVICES FOR THE City of McHenry Aquatics and Recreation Center Page 1 REQUEST FOR QUALIFICATIONS FOR PROFESSIONAL ARCHITECTURAL

More information

SCHEDULE 17. Insurance Requirements. Part 1 Insurance Requirements applicable to the Phase 2 Work

SCHEDULE 17. Insurance Requirements. Part 1 Insurance Requirements applicable to the Phase 2 Work SCHEDULE 17 Insurance Requirements Part 1 Insurance Requirements applicable to the Phase 2 Work Capitalized terms used in this Schedule which are not otherwise defined shall have the meanings given to

More information

Subcontractor Prequalification Statement

Subcontractor Prequalification Statement To: NUNN CONSTRUCTION, INC. 925 ELKTON DRIVE COLORADO SPRINGS, CO 80907 (719) 599-7710, FAX (719) 599-4744 From: Firm Name: GENERAL INFORMATION Subcontractor Prequalification Statement Company Name Address

More information

Bonding and Insurance Workshop. Presented by Ingrid Merriwether, President & CEO

Bonding and Insurance Workshop. Presented by Ingrid Merriwether, President & CEO Bonding and Insurance Workshop Presented by Ingrid Merriwether, President & CEO 1 What is to Be Gained? Practical Knowledge of insurance and bonding How insurance and bonding protects you and others How

More information

Comprehensive Automobile Liability: (Including owned, non-owned, leased and Hired automobiles): $1,000,000 Per Occur.

Comprehensive Automobile Liability: (Including owned, non-owned, leased and Hired automobiles): $1,000,000 Per Occur. INSURANCE ATTACHMENT A Insurance Requirements: Workers' Compensation and Emploer's Liabilit insurance: As required b statute No exclusions for partners, proprietors or executive officers. New York Shall

More information

CITY OF CORNING REQUEST FOR PRICE QUOTES PAVEMENT MARKINGS

CITY OF CORNING REQUEST FOR PRICE QUOTES PAVEMENT MARKINGS CITY OF CORNING REQUEST FOR PRICE QUOTES PAVEMENT MARKINGS Quotes for the installation of pavement markings for the City of Corning will be received by the City of Corning at the office of the Department

More information

Attachment 04 Contractor s Insurance Requirements

Attachment 04 Contractor s Insurance Requirements GROUP 31503 BITUMINOUS CONCRETE Page 1 of 5 Attachment 04 Contractor s Insurance Requirements The prospective awardee shall be required to procure, at its sole cost and expense, all insurance required

More information

SUBCONTRACTOR / VENDOR PREQUALIFICATION QUESTIONNAIRE

SUBCONTRACTOR / VENDOR PREQUALIFICATION QUESTIONNAIRE Return to: Phone: 1-208-323-4500 1. General Information Name of Business: SUBCONTRACTOR / VENDOR PREQUALIFICATION QUESTIONNAIRE Petra, Inc. 1097 North Rosario St. Meridian, ID 83642 1-208-323-1147 E-Mail:

More information

The West Lafayette Engineering Department is requesting quotes for sidewalk repairs needed in the Barbarry Subdivision.

The West Lafayette Engineering Department is requesting quotes for sidewalk repairs needed in the Barbarry Subdivision. May 19th, 2016 RE: REQUEST FOR QUOTES 2016 Sidewalk Replacement The West Lafayette Engineering Department is requesting quotes for sidewalk repairs needed in the Barbarry Subdivision. The enclosed Quote

More information

INDEMNIFICATION AND INSURANCE REQUIREMENTS FOR LOS ANGELES COUNTY SERVICE AGREEMENTS

INDEMNIFICATION AND INSURANCE REQUIREMENTS FOR LOS ANGELES COUNTY SERVICE AGREEMENTS INDEMNIFICATION AND INSURANCE REQUIREMENTS FOR LOS ANGELES COUNTY SERVICE AGREEMENTS Include Section I and Section II.(A. - F.) in all County service agreements. I. Indemnification: Contractor shall indemnify,

More information

Attachment 4. Contractor Insurance Requirements

Attachment 4. Contractor Insurance Requirements GROUP 33700 FINE & COARSE AGGREGATES Page 1 of 7 Attachment 4 Contractor Insurance Requirements The prospective awardee shall be required to procure, at its sole cost and expense, all insurance required

More information

ADDENDUM TO SUBCONTRACT [Contractor s Consolidated Insurance Program]

ADDENDUM TO SUBCONTRACT [Contractor s Consolidated Insurance Program] ADDENDUM TO SUBCONTRACT [Contractor s Consolidated Insurance Program] The Subcontract Agreement between LAYTON CONSTRUCTION COMPANY, INC., a Utah corporation ( Contractor ) and, a ( Subcontractor ) dated

More information

EXHIBIT D. Insurance and Bond Requirements

EXHIBIT D. Insurance and Bond Requirements EXHIBIT D Insurance and Bond Requirements A. General Requirements YMCA shall forward certificates of insurance with the endorsements required below to the City as verification of coverage within 5 calendar

More information

CURRENT SPECIAL PROVISIONS FOR LIABILITY INSURANCE

CURRENT SPECIAL PROVISIONS FOR LIABILITY INSURANCE CURRENT SPECIAL PROVISIONS FOR LIABILITY INSURANCE NDOR Projects The special provision which begins on the following page ---- (A-55-0611) --- became effective beginning with projects let in the letting

More information

SUBCONTRACTOR PREQUALIFICATION STATEMENT Name of Company: Street Address:

SUBCONTRACTOR PREQUALIFICATION STATEMENT Name of Company: Street Address: LEEDing the way in electrical construction Weifield Group Contracting Pre-Qualification Form Send completed form to: Weifield Group Contracting Attn: Seth Anderson 146 Yuma Street Denver, CO 80223 Phone:

More information

K YROUS R EALTY G ROUP, I NC.

K YROUS R EALTY G ROUP, I NC. K YROUS R EALTY G ROUP, I NC. 263 West 38 th Street Suite 15E New York, NY 10018 Phone: 212.302.1500 Fax: 212.302.3855 500 Greenwich Street Condominium-Alteration Policy The following documents must be

More information

REQUEST FOR PROPOSALS

REQUEST FOR PROPOSALS THE JOB COUNCIL REQUEST FOR PROPOSALS PROFESSIONAL PROPERTY/CASUALTY AND WORKERS COMPENSATION INSURANCE BROKER OF RECORD The purpose of the Request for Proposal is to select the broker best qualified to

More information

IMPORTANT! - Please use the attached Application for Payment. All payment requests must be submitted on our form. Thank you!

IMPORTANT! - Please use the attached Application for Payment. All payment requests must be submitted on our form. Thank you! ` SUBCONTRACTOR: PHONE PROJECT: LOCATION: Page 1 of 6 SUBCONTRACT (SHORT FORM) JOB NO.: COST CODE: PRICE: This agreement is made and effective, by and between SUN CONSTRUCTION & FACILITY SERVICES, INC.

More information

PITTSBURG UNIFIED SCHOOL DISTRICT

PITTSBURG UNIFIED SCHOOL DISTRICT PITTSBURG UNIFIED SCHOOL DISTRICT New Construction and Modernization Projects PRE-QUALIFICATION PROGRAM QUESTIONNAIRE FOR PROJECTS $20 MILLION AND OVER TABLE OF CONTENTS PAGE NO. GENERAL INFORMATION.......i

More information