Subcontractors

Welcome to the DeNova Homes, Inc Purchasing and Construction department! At DeNova we consider our trade partners an extension of our team; a team whose work is based on quality, efficiency and integrity. Stellar customer satisfaction is a priority and safety is a must. Our expectations are clear and we have set our standards high. Now we need you to help us meet them. In order to begin our working relationship correctly, we need your assistance to provide information to begin meeting these expectations.

Following is a form we will need completed to be able to place you on our master bidding list. Please fill in all items as listed or we will not be able to process your request.


About Your Company:  
Company Name
Company Description
Trade
Contact Person
Mailing Address
City
State
Zip
Phone
Fax
E-Mail
Project of Interest
License #
Number of Employees

Reference 1:		  
Company Name
Contact Person
Mailing Address
City
State
Zip
Phone
Superintendent Name
Superintendent Cell

Reference 2:		  
Company Name
Contact Person
Mailing Address
City
State
Zip
Phone
Superintendent Name
Superintendent Cell

Reference 3:		  
Company Name
Contact Person
Mailing Address
City
State
Zip
Phone
Superintendent Name
Superintendent Cell

Insurance:
Broker Name
GL Rate/Carrier Name
Are you able to comply with Wrap-up coverage requirements:

Proof of "Off Premises" GL		 Yes       No 

Auto Liability		 Yes       No 

Additional Insured
Endorsement for Auto		 Yes       No 

Workmans Compensation		 Yes       No 

Waiver of Subrogation for
Workmans Compensation		 Yes       No 

Safety Questionnaire:

1. Industrial Insurance Experience Modification Rate for the most recent 3 years:

2004:       2005:       2006:      

2. Written Safety Program developed:

General Accident Prevention		 Yes        No     

Hazard Communication		 Yes        No     

Respiratory Program		 Yes        No      

Fall Protection		 Yes        No      

Drug Testing		 Yes        No      

3. Documented Safety Orientation program for new hires:   Yes         No      

4. Do you hold Jobsite Safety Meetings for / with:

Field Supervisors		 Yes         No       Frequency 

Employees		 Yes        No       Frequency 

Other Contractors		 Yes         No       Frequency 

5. Who has reponsiblilty for safety on your project jobsites?

Safety Supervisor         Superintendent         Personnel         Foreman  

6. Do you conduct Frequent Jobsite Safety Inspections:       Yes         No  

7. Who is the Inspection conducted by:


   

(Please hit Submit only once. It may take few moments to submit your request. Thank you.)