Subcontractors

Eleven Western Builders understands that our reputation rests squarely on the performance of the subcontractors that we work with. These individuals become an extension of our project team and each person plays an essential role in creating a rewarding experience for our clients. It is with this in mind that Eleven Western Builders has committed to working solely with the finest subcontractors.

Eleven Western Builders always welcomes the addition of qualified subcontractors to our bid list. Please complete the online form or packet depending on your preference. Be sure to upload or attach all required documents. Incomplete packets will not be reviewed.

Complete the forms online or print, complete and return the forms to our Estimating Department at estimating@ewbinc.com.

Sample Subcontractor Agreement

This form is extensive. If you would prefer to download, print and complete a paper version of this form and send it to us, you may do so here. If you choose to complete the electronic version of this form, please make sure you review the form completely and have the required information and documents ready to upload at the bottom of the form. This form cannot be saved mid-process. You will need to complete the entire form prior to submitting. Thank you.

General Information

Company Name *

Location of Principal Office *

Address *

Apt, suite, etc.

Country

City

State

Zip code

Phone Number *

Fax Number

Website *

Name of Person Completing Form *

Email Address of Person Completing Form *

Name of Estimating Contact *

Email Address of Estimating Contact *

List all other names under which your firm has conducted operations

Is your firm owned or controlled by a parent company or any other organization? If so, please describe. *

Type of Company *

Subcontractor (Install Only)

Subcontractor (Furnish & Install)

Supplier (Materials Only)

General Description of Trade(s) *

How many office people does your firm presently employ? *

How many trades people does your firm presently employ? *

How many field supervisory people does your firm presently employ? *

How many other people does your firm presently employ? *

Last Year's % Residential *

Last Year's % Non-Residential *

Are you union affiliated? *

Yes

If you answered yes to the previous question, please list all affiliations below

Do you perform prevailing wage work? *

Yes

Contractor License Information

For the states selected above, please provide your license number and the abbreviation for that state. *

Briefly describe the geographic areas that you work: *

Certifications: Check all that apply and include copy of the certification and expiration date by adding the attachments below. *

None

DBE (Disabled Business Enterprise)

DVBE (Disabled Veteran Business Enterprise)

LGBTBE (Lesbian, Gay, Bisexual, Transgender Business Enterprise)

MBE (Minority Owned Business Enterprise)

SBE (Small Business Enterprise)

WBE (Women Owned Business Enterprise)

Bonding, Contract and Insurance Information

Are you able to provide a Payment and Performance Bond? If Yes, please attach a letter from your bonding agency. *

Yes

Please review Eleven Western Builders standard Subcontract Agreement, as provided in Attachment A, and confirm that your company takes no exceptions to the provisions or attach a separate sheet listing exceptions. *

We have no exceptions

We have attached a list of exceptions

Please note that revisions to the contract will be considered for your inclusion on future bid lists and no future proposed modifications or clarifications will be considered.

Please review the insurance requirements, as provided in Attachment B, and confirm that your company is able to comply.

Yes, we can comply.

No, we cannot comply.

Please include a General Liability Insurance Certificate (including additional insured attachments), Automobile Liability Insurance Certificate, and Workers’ Compensation (including Waiver of Subrogation)

Safety

Please review the safety requirements, as provided in Attachment C, and confirm that your company is able to comply.

Yes, we will comply.

No, we will not comply.

Have there been any employee deaths at your company in the past three (3) years? *

Yes

If yes, please provide a brief description of the circumstances.

Do you have a qualified person or company who is responsible for Safety at your company? *

Yes

If yes, please provide a brief description of their qualifications below

Does this person do safety inspections on all of your projects?

Yes

Does your company provide safety training for all employees? *

Yes

If yes, please provide a list of training provided:

Provide a letter stating your Workers’ Compensation EMR (experience modification rate) for the previous three (3) years from your insurance carrier (on their letterhead).

If for any reason you do not have an EMR rating, please provide a letter from your insurance stating this.

Provide a copy of your most recent OSHA Form 300A.

If you do not complete an annual OSHA Form 300A, provide a letter explaining why this does not apply.

Experience and References

Attach a list of the major projects (6-21) your firm has completed in the last three (3) years including:

Project name, location, owner, architect or engineer, contract amount, completion
date, scope of work, general contractor, and contact person with telephone number and email address.

Attach a list of the major projects (3-12) your firm currently has underway including:

Project name, location, owner, architect or engineer, contract amount, scheduled completion date, percentage complete, scope of work, general contractor, and contact person with telephone number and email address.

What is your average job size (contract value, in dollars)? *

Largest job ever completed (name, value, & year completed)? *

Has your firm or any other organization with which your officers or owners were involved during the past three (3) years, ever failed to complete any work awarded or been terminated for cause? *

Yes

Are there any judgments, claims, arbitration proceedings, or suits pending/outstanding against your firm and/or its officers or principals? *

Yes

Has your firm or any other organization with which your officers or owners were involved during the past three (3) years ever been in bankruptcy or engaged in a voluntary or involuntary reorganization? *

Yes

Has your surety ever finished one of your construction projects? *

Yes

Has your firm ever been suspended or debarred from work with the federal government, or any other entity? *

Yes

Has your firm ever been subject to any false claims act investigations? *

Yes

*If you answered “yes” on the previous 7 yes or no questions, please provide complete explanation on separate sheet.

Provide three (3) trade and/or vendor references with whom you have worked with in the last year. Include company name, address, contact person, phone number, and email address.

Provide three (3) general contractors with whom you have worked with in the last year. Include company name, address, contact person, phone number, and email address.

The submitter of this prequalification form authorizes any of the references given on this form and further authorizes each of those representatives to disclose any and all information the reference may have regarding the submitter.

In addition, the submitter certifies that the information provided herein is true and sufficiently complete as not to be misleading.

Signature of Officer

Reset Signature

*If signed by any individual other than an officer, provide Letter of Authorization.

Name and Title of Officer *

Company: *

Date *

Phone *

Please submit all required documents by using the file upload feature below.

File Upload