Subcontractor Registration

To become a subcontractor or supplier for Ecker Construction, please fill in and submit the Qualification Form. Or click here to download the PDF version. Allow 30 -60 minutes to the complete form.

* Red text denotes required field

1. Type of business:

Contractor

Vendor

2. What divisions of work does your company perform?

01- General

07- Thermal & Moisture

13- Special Construction

02- Site work

08- Doors & Windows

14- Conveying Systems

03- Concrete

09- Finishes

15- Mechanical

04- Masonry

10- Specialties

16- Electrical

05- Metals

11- Equipment

17- Voice & Data

06- Wood & Plastics

12- Furnishings

  

 

3. Business information:

Company Name:

Mailing Address:

Street Address:

City:

State:

Zip:

Telephone:

Fax Number:

Email address:

Web site address:

4. Organization

Corporation

Partnership

Individual

Joint Venture

5. State organized:
 

Date:

6. Federal identification number:
 

7. Is your company bondable?

NO

YES ( If yes please provide the following information:)
     

Bond Rate:

     

Bonding Company:

     

Contact Name:

     

Phone Number:

8. Can your company meet the insurance requirements stated on the Requirements page?

NO

YES

9. What percentage of work does the company self-perform?
 

%

10. What types of work represent the majority of the company’s volume? (Retail, Industrial, Commercial, etc.)
 

11. What is your company’s largest capability for a single project?
 

12. Does your company have a drug free policy?

NO

YES

13. Does your company have a written safety policy?

NO

YES

14. Name and title of officers, owners, and/or partners in organization

Name

Title

% Ownership

15. List parent company name and address (If subsidiary of another company):

16. Length of time in business
 

Under Current Name:

years

Under Other Name:

years

17. Average number of employees:
 

Office:

Field:

18. Method of Operation

Union

Non-Union

19. List state and work categories in which your organization is legally qualified to do business:
 

State(s):

Work Categories :

20. Your Company’s Estimating Contact:
 

Full Name:

Email:

21. Are you or any officers, stockholders, key members, or any related companies involved in any litigation or disputes, or any judgments pending or rendered?

NO

YES
(please explain:

22. Have you failed to complete any work awarded to you?

NO

YES
(please explain:

23. List five (5) major construction projects completed in the last five (5) years with approximately the same contract value.

(1)

Project Name:

Location:
 

Contract Amount:

Owner Name:

 

Architect Name:

G.C. Name:

 

G.C. Contact

G.C. Phone

 

Bid/Negotiated:

 /

Bonded:

Yes No

(2)

Project Name:

Location:
 

Contract Amount:

Owner Name:

 

Architect Name:

G.C. Name:

 

G.C. Contact

G.C. Phone

 

Bid/Negotiated:

 /

Bonded:

Yes No

(3)

Project Name:

Location:
 

Contract Amount:

Owner Name:

 

Architect Name:

G.C. Name:

 

G.C. Contact

G.C. Phone

 

Bid/Negotiated:

 /

Bonded:

Yes No

(4)

Project Name:

Location:
 

Contract Amount:

Owner Name:

 

Architect Name:

G.C. Name:

 

G.C. Contact

G.C. Phone

 

Bid/Negotiated:

 /

Bonded:

Yes No

(5)

Project Name:

Location:
 

Contract Amount:

Owner Name:

 

Architect Name:

G.C. Name:

 

G.C. Contact

G.C. Phone

 

Bid/Negotiated:

 /

Bonded:

Yes No

24. List up to three (3) major construction projects currently in progress.

(1)

Current Project:

Location:
 

Contract Amount:

Owner Name:

 

Architect Name:

G.C. Name:

 

G.C. Contact

G.C. Phone

 

Bid/Negotiated:

 /

Bonded:

Yes No

         

(2)

Current Project:

Location:
 

Contract Amount:

Owner Name:

 

Architect Name:

G.C. Name:

 

G.C. Contact

G.C. Phone

 

Bid/Negotiated:

 /

Bonded:

Yes No

       

(3)

Current Project:

Location:
 

Contract Amount:

Owner Name:

 

Architect Name:

G.C. Name:

 

G.C. Contact

G.C. Phone

 

Bid/Negotiated:

 /

Bonded:

Yes No

       
       

25. List five (5) trade (credit) references:
 

Company Name

Contact

Phone Number

Fax Number

(1)

(2)

(3)

(4)

(5)

26. In the last five (5) years has your company been cited by OSHA for a “serious” or “willful” violation?

NO

YES
(please explain:

27. Use this space to add any other information, references, and/or experience you feel is applicable.
 

28. Information furnished by:
 

Full Name:

Company:
 

Telephone:

Email:

 

Do You Qualify?

Check our Requirements page >>