Sauer Incorporated

Subcontractor Prequalification Form

Please fill out the following form to begin qualifying to be a Sauer subcontractor or vendor. If you would like to use a printable version click here.

SUBCONTRACTOR IDENTITY
Company Name:
Street:
City:
State:    Zip:
Phone #:
Fax #:
Contact Name:
E-mail Address:
Federal Tax ID:
Type of Company
Date Formed:
# of Employees:
Salaried: Hourly:
Average work in place during last 5 years: $
Average work under contract during last 5 years: $
Average project size during the last year: $
Average uncompleted backlog during the last year: $
Size of Projects Preferred: $
Location of Projects Preferred:
Does the company have offices, plants or
warehouses at other locations?
If yes, list addresses:
TRADE(S) OF WORK
TRADE(S) OF WORK
Union Affiliation:
BONDING CAPACITY
Are you able to bond projects?
Bonding Rate:
%
Single Project Limit: Aggregate Limit:
Bonding Company Address:
Agent Name / Phone #:
INSURANCE INFORMATION
Workers' Compensation Experience Modifier:
Current Experience Modifier: %
Effective Date:

You are required to verify your current workers' compensation experience modifier. If your experience modifier is .90 or higher, you may be asked to provide a copy of additional information for up to the past four (4) years.
General Liability Limits: $ per occurance $ Aggregate
Insurance Company / Address:
Agent Name / Phone:
BANK REFERENCE
Does the company have a line of credit?
Amt. of Credit Outstanding Bal. Lender's Name/Address Lending Officer's Name/Phone#
MBE/WBE/SBE/DBE/DVBE CERTIFICATION
Is the company certified?
Certifying Agency(s):
COMPLETED PROJECTS

List four(4) representative projects completed in the last five(5) years.
Project Name Contracting Company Contact Name/Phone Contract Amt. Completion Date
CURRENT PROJECTS

List four(4) representative projects currently under construction.
Project Name Contracting Company Contact Name/Phone Contract Amt. % Complete
TRADE REFERENCES

List three(3) of your subcontractors or suppliers.
Company Name Address Phone # Contact Name
CLIENT REFERENCES

List three(3) of your clients.
Company Name Address Phone # Contact Name
COMPANY'S COMMITMENT TO MITIGATING THE ENVIRONMENTAL IMPACTS OF CONSTRUCTION
Does the company...
have an environmental mission statement and/or policy?
have a waste reduction and recycling program?
educate employees and vendors about this program?
participate in the salvage and/or reuse of waste materials?
utilize recycled content construction materials?

Give details for any "Yes" answer.
OTHER INFORMATION
In the past five(5) years, has the company...
operated un any other name?
had any liens filed against it by any of its subcontractors or suppliers?
ever failed to complete a contract, been defaulted, or had a contract terminated?
had liquidated damages assessed against it upon completion of a project?
or any of its key people been a party to a bankruptcy or reorganisation proceeding?
or any of its key people been involved in any lawsuit arising from a project?
or any of its key people been investigated for or found to have committed a violation of any labor laws?
or any of its key people been investigated for or found to have committed a serious OSHA violation?
or any of its key people been investigated for or found to have committed a violation of state/federal/local laws?

Give details for any "Yes" answer.
Sub Pre Qual Form
Subcontractor/Vendor
Prequalification Form
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