Subcontractor Application

Blanton Construction Surcontracter/ Supplier Qualifications List:

If your company would like to become part of our bid list, please fill out the following & submit.
Name
First Last
Company Information
Company Name
Contact Name
Address
Street Address City State ZIP Code
Phone
Fax
Email
Are you a Supplier or Contractor
- Supplier
- Contractor
Trade or Type of Work (list all applicable divisions and sections)
How many years has your organization been in business under its present business name?
Are you AFL-CIO affiliated?
- Yes
- No

Company Experience & HIstory
List the categories of work that your organization normally performs with its own forces.
Does your company possess Design/Build capabilities?
- Yes
- No
Has your organization ever failed to complete any work awarded to it?
- Yes
- No
Explain
Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your company?
- Yes
- No
Explain
Has your company filed any lawsuits or requested arbitration with regard to construction contracts within the last five years?
- Yes
- No
Explain
List projects your company has in progress or in the pipeline.
Name of Project
General Contractor
Architect
Owner
Contract Amount
Percent Complete
Scheduled Completion Date
MM slash DD slash YYYY
Untitled
What has been your annual volume over the past three years?
List the quantity of key individuals of your organization. *Note: Not applicable if supplier only.
Owners
Officers
Manager
Engineers
Superintendents
Foreman
Field Labor
Administrative
Other

Safety History
Experience Modification Rating: Indicate your (EMR) for the current year and the two previous years.
Current Year
Previous Year
2nd Previous Year
Have you been cited by Federal or State OSHA for serious violations?
- Yes
- No
Explain
Do you have a written safety program?
- Yes
- No

References & Financial Information
List at least three references (general contractor, owner, supplier or subcontractor).
Reference Type
Phone
Untitled
List bank references
List name, address, phone, and contact of your bonding company/agent
Name
First Last
Address
Street Address City State ZIP Code
Phone
Contact
What is your bonding capacity?
Confirmation of Information
Name
First Last
Title

Company Information