Subcontractor/Vendor Prequalification Form

In order to complete this online application, please have ready electronic copies of your company’s:

  • Federal W-9 Form
  • Certificate of Insurance
  • State Contractor’s License(s)
  • OSHA 300A Forms from the past three years

It can take 2-3 weeks to process this application. Keep in mind that to protect AEC’s interest, we require that your Certificate of Insurance is in hand before any subcontractors begin work on the job site.

Administrative

  • Authorized Company Representive

  • Person to Appear on Planholders List

  • Please list all states in which you are currently licensed to perform construction work, and provide all applicable license numbers and expiration dates.

 

Company Details

 

Health & Safety

 

NON-COLLUSION

 

SUPPLEMENTAL QUESTIONS

  • a) the circumstances behind any violation, including the amount(s) not paid
    b) whether the amount(s) have now been paid
    c) the reasons for the violation
    d) all efforts undertaken to ensure that future violations will not occur
  • a) the circumstances behind any violation, including the amount(s) not paid
    b) whether the amount(s) have now been paid
    c) the reasons for the violation
    d) all efforts undertaken to ensure that future violations will not occur
 

Other Attachments

 

AUTHORIZATION STATEMENT

  • By submitting this application, the individual named the Authorized Company Representative guarantees the truth and accuracy of all answers, statements and any additional information submitted to process this application.

    I hereby certify that the foregoing statements and information provided in all sections of this application are correct and true as of the date of this application, and that I am authorized to bind this company contractually. I further certify that any additional information requested by Anderson Environmental Contracting, LLC to process this application will be true and correct, and I further agree to supply additional documentation upon request to support the contents of this application.
 

Verification