Wolverine Fire Protection Co. is currently seeking qualified sub bidders, including certified Disadvantaged Business Enterprises (DBS’s), Minority Business Enterprises (MBE’s), Woman Business Enterprises (WBE’s), and Local Business Enterprises (LBE’s). Completing the form below, including uploading relevant attachments, will add your firm to our corporate database for future consideration of work.

    GENERAL INFORMATION

    .

    Your Name (required)

    Fed. ID

    Address

    City, State, Zip

    Phone (required)

    Fax

    Email (required)

    Website (required)


    CorporationLLCPartnershipSole Proprietor

    TRADE


    GEOGRAPHICAL


    Nationwide Provider, or list areas serviced

    Contractors License


    (1MB Limit)(File Types Allowed: pdf, doc, docx, txt, jpg, png, xls, xlsx)

    BUSINESS INTEREST INFORMATION


    (Please check all that apply, must be at least small/large)

    Minority OwnedWomen OwnedVeteran OwnedHUB ZoneSDVOSB8aSmall BusinessLarge BusinessTribal 8aCertified Local Business Enterprise (LBE)

    If LBE is checked, what LBE Enterprise are you in?

    INSURANCE, BONDING AND OTHER INFORMATION

    Are you an Equal Opportunity Employer?

    YesNo

    Do you currently participate in E-Verify?

    YesNo

    Liability Insurance Carrier (required)

    Worker's Comensation Carrierr (required)

    Are you bondable?

    YesNo

    If yes, name of Surety Company

    Capacity?

    Per Job

    Aggregate


    Please Attach Certificate of Insurance


    (1MB Limit)(File Types Allowed: pdf, doc, docx, txt, jpg, png, xls, xlsx)

    SAFETY INFORMATION

    .


    Year


    EMR


    Year


    EMR


    Year


    EMR


    Please attach EMR Verification Letter


    (1MB Limit)(File Types Allowed: pdf, doc, docx, txt, jpg, png, xls, xlsx)


    Please attach OSHA 300 & 300A Logs for the past 3 years.


    (1MB Limit)(File Types Allowed: pdf, doc, docx, txt, jpg, png, xls, xlsx)


    Do you have a written Safety Policy?

    YesNo


    If yes, please attach Table of Contents.


    (1MB Limit)(File Types Allowed: pdf, doc, docx, txt, jpg, png, xls, xlsx)

    FINANCIAL INFORMATION

    Annual Sales


    Year


    $


    Year


    $


    Year


    $


    Current backlog


    Current number of employees


    Have you ever failed to complete work awarded to you?

    YesNo


    If yes, please comment


    Are you listed in Dunn and Bradstreet?

    YesNo


    If yes, what is your number?


    What is your rating?

    QUALITY CONTROL PROGRAM INFORMATION

    Do you have a written Quality Control Program?

    YesNo


    ISO Registered

    YesNo


    NQA1 Certified

    YesNo


    Other

    YesNo

    Description

    Are you prequalifying for a specific opportunity?

    YesNo

    Opportunity Description