Subcontractor Qualification Form - ARCO Murray Construction Company

Company Name

Division and Type of work performed

What region(s) do you perform work within?

Estimating Contact Name

Who should we send bids to?

Estimating Contact Job Title

Office Phone Number

Estimating Mobile Phone Number

Estimating Contact Email

Company Address

Company Website

Accounting Contact Name:

Accounting Contact Email:

Administrative Contact Name:

Administrative Contact Email:

Can you provide us with insurance on a per project basis for general liability, worker's compensation, excess liability, and automobile liability? We can email you a full list of our requirements if requested.

Yes
No

Currently, we require the following on most projects: - $500,000 WC - $1,000,000 Commercial General Liability per occurrence - $1,000,000 Auto Liability per accident - $2,000,000 Excess/Umbrella per occurrence Additional insured & Waiver of Subrogation will also be needed to cover ARCO Murray and our clients

Can you provide us with a copy of your contractor license if required for your trade?

Yes
No

Beginning in June 2024, we will require subcontractors to submit for payment via Textura. Are you willing to receive payment via this method?

Yes
No

There is a small cost for subcontractors to use Textura.

Can you provide us with a copy of your W9?

Yes
No

How many years has your company been in business?

What is your average yearly revenue over the past 3 years?

What is your average project size ($/project)?

What is the dollar value of the largest project successfully completed by your company?

What percentage of your work is performed using your own forces?

Are there any pending or outstanding claims, arbitration or lawsuits against your firm?

Yes
No

Has your company ever failed to complete any work awarded during the past five (5) years?

Yes
No

Does your firm qualify with any of the following?

Please provide your Experience Modification Rate (EMR) for the previous 4 years.

Your insurance provider can provide you this information.

Have you received any regulatory (EPA, OSHA, etc.) citations within the past 5 years?

Yes
No

Does your company have a dedicated (no additional duties) safety director, safety manager, or safety representative?

Yes
No

Do you have a written Safety & Health Program?

Yes
No

Please email us a representative list of General Contractors that you have worked for to [email protected]. Provide a contact name/phone number at each company.

Please email us a pdf of your company profile to [email protected].