business insurance financial - hsse world · 2020-02-23 · comprehension supporting documents...

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The following is a checklist of major sections and sub-section headings for your prequalification questionnaire. Each sub-section typically has multiple questions. Business Business Attributes Corporate Officers and/or Shareholders/Partners/Proprietor Parent, Affiliate and/or Subsidiary Companies Employees Operations Equipment Litigation/Bankruptcy/Judgments Insurance Contact for Insurance Information Insurance Information Surety Relations Financial Job History Largest Contracts Capacity Anticipated Annual Volume References Banking Relations List three (3) major suppliers List three (3) General Contractors for whom you have worked in the last three (3) years

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Page 1: Business Insurance Financial - HSSE WORLD · 2020-02-23 · Comprehension Supporting Documents Certificate of Insurance OSHA 300 log NCCI letter (EMR) Contractor General Conditions

The following is a checklist of major sections and sub-section headings for your prequalification questionnaire. Each sub-section typically has multiple questions.

Business

Business AttributesCorporate Officers and/or Shareholders/Partners/Proprietor Parent, Affiliate and/or Subsidiary Companies EmployeesOperationsEquipmentLitigation/Bankruptcy/Judgments

Insurance

Contact for Insurance InformationInsurance InformationSurety Relations

Financial

Job HistoryLargest Contracts CapacityAnticipated Annual Volume

References

Banking RelationsList three (3) major suppliers List three (3) General Contractors for whom you have worked in the last three (3) years

Page 2: Business Insurance Financial - HSSE WORLD · 2020-02-23 · Comprehension Supporting Documents Certificate of Insurance OSHA 300 log NCCI letter (EMR) Contractor General Conditions

BiddingInterests

Add Bidding Interests

SafetyStatistics

Experience Modification RatingWorkers CompensationOSHA RecordkeepingSafety Performance HistoryRegulatory

SafetyPrograms &Procedures

Written Safety and Health ProgramWritten Safety Program Administrative ProceduresSite-Specific Safety planPoliciesSubstance Abuse PolicyRespiratory ProtectionManagementUtilize ServicesMedicalBenefitsAccident Investigation Procedure

Safety InspectionsPPE, Equipment Inspections, AuditsMeetingsSubcontractorsSafety Training/OrientationTraining RecordsSafety Orientation Program for Newly Hired or Promoted Foremen/SupervisorsOSHA Construction Safety CoursesCraft TrainingComprehension

SupportingDocuments

Certificate of InsuranceOSHA 300 logNCCI letter (EMR)Contractor General Conditions AgreementOther desired documents