Company name *
Address *
City *
State *
Zip *
Phone *
Estimating contact *
Estimating contact email *
Secondary estimating contact
Secondary estimating contact email
Number of employees *
Number of years in business *
Union affiliation *
Do you qualify as a Minority Business Enterprise (MBE) or a Women-owned Business Enterprise (WBE)? *—Please choose an option—NoMBEWBEBoth
What trades does your company perform? *
What geographic areas do you cover? *
What size projects do you prefer to work on? *
List any predominant markets you work in (residential, healthcare, etc.) *
Do you subcontract any work? *—Please choose an option—YesNo
If yes, what types?
Please list three trade references
Contact name *
Project name *
General contractor *
Contact phone *
Size (sf) *
Value ($) *
Completion *
Project name
General contractor
Contact name
Contact phone
Size (sf)
Value ($)
Completion
Has your company ever failed to complete a contract? *—Please choose an option—YesNo
If yes, please explain
Has your company ever been terminated by a GC? *—Please choose an option—YesNo
Are there any pending lawsuits or claims against your company? *—Please choose an option—YesNo
Current worker’s compensation modifier *
Does your company have a written safety policy? *—Please choose an option—YesNo
Have all field employees received OSHA 10 hour training? *—Please choose an option—YesNo
Does your company have a written drug policy? *—Please choose an option—YesNo
Who manages safety for your company? *
Has your company been cited for safety violations in the past 5 years? *—Please choose an option—YesNo
Please attach a copy of your most recent OSHA 300 log (PDF or Word) *
Name of your surety company *
Bonding capacity *
Bonding rate % *
Proof of insurance is required. Please attach a current certificate showing proof of coverage. Upon request, Kaplan Construction may ask your company to provide proof of bondability (PDF or Word). *
