Subcontractor
Pre-qualification

SanDow Construction, Inc., is a full-service General and Environmental Contractor.

Pre-qualification Form

Name of Company
Office Address
street address
city
state
zip code
Contact Info
telephone
fax
point of contact
email address
Information from the Past Three Years:
2019 Annual Gross Revenue
2018 Annual Gross Revenue
2017 Annual Gross Revenue
2019 Annual Avg #of Employees
2018 Annual Avg #of Employees
2017 Annual Avg #of Employees
Additional Business Information
Describe your type(s) of work performed
EIN
DUNS
NAICS Code(s)
EMR Rating
Do you have a Corporate Safety Program?
Have you been debarred from doing work for the Federal Government?
If yes-please explain
Insurance Requirements:
All subcontractors doing work for SanDow Construction, Inc. are required to have the following insurance coverage:
Comprehensive General Liability including Blanket Contractual Liability:

  • • $1,000,000.00 combined Single Limit for bodily injury and property damage.
  • • $2,000,000.00 Aggregate per project or location.
  • • Contractor shall be added as additional insured. Policy shall NOT contain fungi or bacterial agent exclusion and shall so state on Certificate of Insurance.

Automotive Liability (Owned, leased and non-owned vehicles):

  • • $1,000,000.00 Combined Single Limit for bodily injury and property damage.

Workers Compensation and Employers Liability Coverage:

  • • Statutory Workers Compensation coverage
  • • Employers Liability – $1,000,000.00 each accident/ $1,000,000.00 each employee/ $1,000,000.00 policy limit

Umbrella Liability Coverage Limit of

  • • Liability: $2 million

All Policies shall have:

  • • Thirty (30) day notice of cancellation.
  • • Such insurance Certificates shall be written by companies acceptable to Contractor.
  • • Certificates of Insurance shall be furnished before starting Work.
  • • Additional Insured – Subcontractor shall have all policies, except Workers’ Compensation, endorsed to name Contractor as an Additional Insured with respect to the work to be performed by the Subcontractor. The insurance for additional insureds shall be as broad as the coverage provided for the named insured subcontractor. It shall apply as prima1y insurance before any other insurance or self-insurance, including any deductible, maintained by or provided to, the additional insured.
  • A Waiver of Subrogation in favor of SanDow Construction, Inc. is required. The Subcontractor shall waive all rights against the Contractor and the other Additional Insureds for the recove1y of damages to the extent these damages are covered by any of the policies of insurance maintained pursuant to the Subcontract.
Are you able to comply with all these requirements?
Previous Experience
List three projects you have recently completed at similar facilities (or other facilities, if three projects have not been completed at similar facilities) involving work of a type and complexity like that of the subcontract work. Indicate cost and duration, and name, address and telephone number of the project’s owner and client.
Project 1

Project 2

Project 3

Bonding Capacity
What is your bonding capacity?
What is your bonding rate?
Company References
Reference 1

Reference 2

Reference 3