Elevator Installation Subcontractor Prequalification Form
Company Information
Company Name
Year Established
Address
City
State
ZIP Code
Phone
Email
Website
Company Details
Legal Structure
Corporation
Partnership
Sole Proprietorship
LLC
Other
Federal Tax ID
License Number
License State(s)
Experience
Types of Elevators Installed
Years of Elevator Experience
Notable Projects or References
Safety
OSHA Recordable Incidents (last 3 years)
EMR (Experience Modification Rate)
Describe safety program or training procedures
Insurance
General Liability Insurance Carrier
Policy Number
Coverage Amount
Additional Information
Other relevant information