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
Email*
Project of Interest
License #
Number of Employees

Reference 1

Company Name
Contact Name
Mailing Address
City
State
Zip
Phone
Superintendent Name
Superintendent Cell

Reference 2

Company Name
Contact Name
Mailing Address
City
State
Zip
Phone
Superintendent Name
Superintendent Cell

Reference 3

Company Name
Contact Name
Mailing Address
City
State
Zip
Phone
Superintendent Name
Superintendent Cell

Insurance

Broker Name
GL Rate/Carrier Name

Are you able to comply with insurance requirements:

Most current additional insurance coverage
1185 No --> Other
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

Industrial Insurance Experience Modification Rate for the most recent 3 years:
2008: 2009: 2010:
Written Safety Program developed:

General Accident Prevention Yes No

Hazard Communication Yes No

Respiratory Program Yes No
Fall Protection Yes No

Heat Illnes Prevention Program Yes No

Drug Testing Yes No
Documented Safety Orientation program for new hires?

Yes No
Do you hold Jobsite Safety Meetings for/with:

Field Supervisors Yes No Frequency

Employees Yes No Frequency

Other Contractors Yes No Frequency
Who has reponsiblilty for safety on your project jobsites?
Safety Supervisor Superintendent Personnel Foreman
Do you conduct Frequent Jobsite Safety Inspections?
Yes No
Who is the Inspection conducted by:

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

DeNova Homes is honored to support many organizations in our efforts to "build a better community".

©2012 Paradigm Real Estate Solutions. All rights reserved. No part of this advertising material may be reproduced or utilized in any form or by any means electronically or mechanically, including photo copying and recording or by any information storage and retrieval system without permission in writing from Paradigm Real Estate Solutions. For informational purposes only and is not a solicitation and does not constitute an offering. All information is provided from sources deemed reliable.

DRE #01870326