Contractor Questionnaire Form

If you are a licensed vendor, contractor, or supplier and wish to participate in a project, please register with us by providing the information requested below. Additional information may be needed at a later date for the pre-qualification process. Preference will be given to qualified local vendors, contractors, and suppliers.

"*" indicates required fields

Person information

First Name*

Last Name*

Telephone number*

Fax number

Email*

Questionnaire

All fields below are optional.

Project

How did you hear about the project?

Length of Time Engaged in Business

Name and Location of Bank

Annual Gross Revenue

Bonding Capacity

Percent of Employees Involved in Administration

Percent of Employees Involved in Sales

Percent of Employees Involved in Manufacturing

Percent of Employees Involved in Construction

Union Affiliations: List union affiliations and respective contract renewal dates.

Alcohol and Drug Policy: All contractors providing on site labor will be required to adhere to an alcohol and drug policy. Please describe your policies for: Pre-access testing. Reasonable ground testing, and Post-incident testing.

Department of Transportation Data

Interstate Registrations

Number of Safety Professionals

Worker's Compensation Experience Modification Rate Copy

For the past five years.

Total Recordable Incident Rate

For the past three years.

License Number

Note: Funding will not be provided to individuals, political parties, associations or candidates, religious organizations, or organizations that discriminate against any race, gender, ethnicity or sexual orientation.

Name

This field is for validation purposes and should be left unchanged.

Contractor Questionnaire Form

Company information

Person information

Questionnaire