SUBCONTRACTORS

We value the partnership with our network of skilled subcontractors and appreciate your interest in working with Terra.

Please complete and submit the form below to become one of our preferred vendors and get on our bidders list.

GENERAL INFORMATION & CORPORATE HISTORY

arrow&v
OR
Status of Company (check one box)
arrow&v
List names of company officers, principals, partners or owners.
Certifications
Please list the specifcation section(s) (e.g. 260000) you provide:
Largest Single Project
Five Year Average of Employees
Largest Single Year of Employees
Is your firm in compliance with EEO requirements?
List three (3) supplier references for completed work in the last two (2) years:

FINANCIAL CRITERIA

List Bank Reference
arrow&v
Payroll Taxes & Fringe Benefits Paid to Date
List State & Unemployment Insurance Number
arrow&v
List State & Sales and Use Tax Number
arrow&v

INSURANCE

List carrier of general liability/workers compensation/employer liability insurance.
arrow&v
List name and address of bonding company.
arrow&v

%

SAFETY

Workers compensation Experience Modifier Rate (EMR) for last three years.

WORK EXPERIENCE TECHNICAL ABILITY

List the three (3) most significant projects completed in the last three (3) years.
arrow&v
arrow&v
arrow&v
Does your firm have a company-wide safety program?
List owner references for your three (3) largest projects?
Who will be your supervisor on the project?
Attach Supervisor Resume
Max File Size 15MB
List all signatory union affiliations or typical trades used if not union.

%

Contracts
Has your firm failed to complete a contract?
Has your firm been involved in bankruptcy or reorganization?
Has your firm been involved in claims litigation, arbitration
or had any judgments against it?
If you answered "Yes" to any of the above, please explain.
These are the minimum insurance requirements in our standard subcontract agreement. By bidding projects with Terra Construction, we hereby comply with these requirements. These requirements are subject to change and may be different in specifications for the project. If higher limits are required by the project owner, those limits must be complied with.
Worker's Compensation - Statutory Limits
Employer's Liability
Each Accident - $500,000
Disease (Policy Limit) - $500,000
Disease (Each Employee) - $500,000
Commercial General Liability
General Aggregate (Per Project Aggregate) - $2,000,000
Personal Injury and Advertising Aggregate - $2,000,000
Each Occurrence - $1,000,000
Automotive Liability
CSL/Bodily Injury and Propery Damage - $1,000,000
Umbrella/Excess Liability
Each Occurrence - $1,000,000
Aggregate - $1,000,000

By submitting this form, you agree with the storage and handling of your data by this website.

© 2019 | Terra Construction

  • White Facebook Icon
  • White Twitter Icon
  • White Instagram Icon
  • White LinkedIn Icon