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American Integrated Services, Inc.
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  • Home
  • About
    • Our Team
    • Safety
    • Equipment
    • Markets & Clients
    • Testimonials
  • Services
    • Environmental Remediation & Construction
    • Industrial Demolition & Abatement
    • Specialty Transportation
    • Waste Management
    • Industrial Services
    • Emergency & Disaster Response
    • Civil Construction
  • Case Studies
  • News & Events
  • Careers
  • Contact

Subcontractor Prequalification Questionnaire

* AIS will request updated financial and health and safety information annually.

    1.0 Subcontractor Information

    Max file size: 20MB

    2.0 Contractor's Licenses

    Max file size: 20MB

    3.0 Surety Information

    Max file size: 20MB

    4.0 Insurance Information

    Max file size: 20MB

    5.0 Credit References


    6.0 Project References - Project must have completed within last 3 years




    Max file size: 20MB

    7.0 Claims


    7.1 Health and Safety Statistical Information

    List your company’s Worker’s Compensation (WC) Experience Modification Rate (EMR) for the three (3) most recent year. Provide a letter from your WC insurance carrier certifying the below EMRs. If your firm does not qualify for OSHA or EMR reporting, please provide Loss Run and EMR Exemption documentation.
    Max file size: 20MB
    Please consolidate your firm’s injury and illness data for the last 3 years and complete the table below. The information provided must be for your company as a whole, not an individual office location. For U.S. operations, provide copies of your OSHA 300 and 300A logs for the last 3 years.
    Max file size: 20MB
    C. Number of cases that involved days away from work, or cases with job transfer or restriction, or both.

    8.0 Health and Safety Performance



    Max file size: 20MB





    9.0 Field Health and Safety











    10.0 Training




    10.4 Does your firm training program include work practices and procedures such as:


    Attachments
    • MBE Certifications 
    • Contractors License 
    • Evidence of Insurance 
    • Surety Letter 
    • Most Recent Audited/Reviewed Financial Statement 
    • EMR Documentation 
    • Health & Safety Policy or Table of Contents of H&S Plan 

Submit
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