Roofing Restoration Subcontractor Prequalification Questionnaire
Company Information
Company Name
Phone Number
Address
Email
Website
Year Established
Type of Organization
Corporation
Partnership
Sole Proprietor
LLC
Licensing & Insurance
Contractor License Number
License State(s)
Insurance Carrier
Policy Number
Worker's Compensation
Yes
No
Liability Coverage Amount
Experience & Capabilities
Primary Roofing Systems Installed
Number of Employees
Average Project Size ($)
Geographical Area of Operation
Years Experience in Roofing Restoration
References
Client Reference 1 (Name & Contact)
Client Reference 2 (Name & Contact)
Client Reference 3 (Name & Contact)
Safety
Do you have a written safety program?
Yes
No
OSHA Recordables (last 3 years)
EMR (Experience Modification Rate)
Additional Information
Comments or Notes
Prepared By
Date