Field Definitions: PC Pre-Qualification In Form
The following is a list of field descriptions for the PC Pre-Qualification In form. Many of the descriptions include links to other topics that provide additional information about or related to the topic.
Vendor
Enter the vendor number of the potential subcontractor if it has already been set up in AP Vendors .
OR
Enter a ‘+’ to create a new potential subcontractor. This will create a new record and automatically assign the next sequential vendor number to the potential subcontractor.
Phone
Enter the vendor’s phone number, up to 20 characters. Dashes must be entered manually.
Company Name
Enter the company name, up to 60 characters.
Sort Name
Enter the sort name for this vendor, up to 15 characters. This field automatically defaults to the first 15 characters of the vendor’s name entered above. Default may be overridden.
Sort name must be unique. If you enter a sort name that is assigned to an existing vendor, a message displays indicating that the sort name is already in use (includes the vendor number) and you will be required to enter a different name. It is recommended that the last characters be changed to make the sort name unique.
Fax
Enter the subcontractor’s fax number, up to 20 characters. Dashes must be entered manually.
Payment Address: Add'l Info
Enter additional information, up to 60 characters, for this subcontractor (e.g. Attention line, etc.).
Payment Address: Address
Enter the street address for this subcontractor, up to 60 characters.
Payment Address: City
Enter the city name, up to 30 characters.
Payment Address: State
Enter a valid state (as defined in HQ States). The system validates the state based on the Default Country specified in HQ Company Setup for the active company. If not valid, an error displays, but entry is allowed. You must then enter a valid country for this state in the Country field.
Payment Address: Zip Code
Enter the zip code, up to 12 characters.
Payment Address: Country
Enter the 2-character country code. Entry in this field is required when the address exists outside the Default Country specified in HQ Company Parameters for the active company. Country must be valid for the specified state (e.g. state, province, territory, etc.) as defined in HQ States.
Payment Address: Add'l Address
Use this field to enter additional address information for this subcontractor (up to 60 characters). For example, if the subcontractor receives mail at a P.O. Box, then you might enter the P.O. Box in the Payment Address field above, and use this field to enter the street address.
Purchase Address: Address
Enter the purchasing address for this subcontractor, up to 60 characters.
Purchase Address: City
Enter the purchasing city for this subcontractor, up to 30 characters.
Purchase Address: State
Enter the purchasing state (as defined in HQ States) for this subcontractor. The system validates the state based on the Default Country specified in HQ Company Setup for the active company. If not valid, an error displays, but entry is allowed. You must then enter a valid country for this state in the Country field.
Purchase Address: Zip Code
Enter the zip code for the purchasing address, up to 12 characters.
Purchase Address: Country
Enter the 2-character country code for the purchasing address. Entry in this field is required when the address exists outside the Default Country specified in HQ Company Setup for the active company. Country must be valid for the specified state (e.g. state, province, territory, etc.) as defined in HQ States.
Purchase Address: Add'l Address
Use this field to enter additional address information for this purchasing address (up to 60 characters).
Vendor Type
Regular– Select this option if this subcontractor, once qualified, will be used when posting POs, Subcontracts, and regular invoices. Regular vendors may be suppliers too.
Supplier– Select this option if this subcontractor, once qualified, will only be used as the 2nd party on 2-party checks.
Enter an email address.
Website
Enter the subcontractor’s website address. The website address can be up to 60 characters.
This field is for informational purposes only.
Organization Established
Enter the date this organization was established.
Organization Type
Specify the organization type of the subcontractor’s company.
Incorporation Country
Specify the 2-character code of the country in which the company was incorporated.
State
Specify the state, up to 4 characters in which the company was incorporated.
Date of Registration
Specify the date company was registered for incorporation.
Federal Tax ID
Enter the company’s federal tax identification number, up to 12 characters. Updates the Tax ID# field in AP Vendors (Add'l Info tab).
Office Type
Specify the office type for the specified company.
Parent Organization: Name
Enter the name of this vendor’s parent organization, up to 60 characters.
Parent Organization: Address
Enter the street address for the parent organization, up to 60 characters.
Parent Organization: City
Enter the city in which the parent organization resides, up to 30 characters.
Parent Organization: State
Enter a valid state (as defined in HQ States). The system validates the state based on the Default Country specified in HQ Company Setup for the active company. If not valid, an error displays, but entry is allowed. You must then enter a valid country for this state in the Country field.
Parent Organization: Zip Code
Enter the zip code, up to 12 characters.
Parent Organization: Country
Enter the 2-character country code for the parent organization. Entry in this field is required when the address exists outside the Default Country specified in HQ Company Setup for the active company. Country must be valid for the specified state (e.g. state, province, territory, etc.) as defined in HQ States.
Parent Organization: Add'l Address
Use this field to enter additional address information for this company (up to 60 characters). For example, if the company receives mail at a P.O. Box, then you might enter the P.O. Box in the Payment Address field above, and use this field to enter the street address.
Other names/DBA's used over the last 5 years
If applicable, enter any other names under which your company has operated/done business in the last 5 years. Up to 200 characters allowed.
Trade Associations
Enter any trade associations (i.e. other businesses with which you associate, such as AGC, CFMA, etc.). Up to 60 characters allowed.
Qualified
Check this box if this subcontractor has met all qualification requirements. When checked, the subcontractor/vendor is flagged as ‘Active’ in AP Vendors.
Leave this box unchecked if this subcontractor has not met all qualification requirements (i.e. has not completed the required paperwork, has not supplied the proper documents, or does not meet the minimum specifications for a qualified sub).
If you qualify this subcontractor and then later determine they no longer meet your qualification requirements, you can uncheck this option; however, unchecking it will not make the vendor inactive—you will need to do that manually in AP Vendors.
The Changed By and Changed Date fields below indicate who last changed this checkbox (i.e. checked/unchecked) and when the change was made.
Qualified: Note
This field is enabled only when you check the Qualified box.
Use this field to enter notes or other qualification information for this subcontractor/vendor. Space is virtually unlimited.
Preferred / Preferred Note
Check the Preferred box if the vendor is a preferred vendor and then enter any notes in the field below.
When setting up a bid package and selecting vendors, you can filter the vendors the search results so that only preferred vendors will display.
Do Not Use on Future Projects
Check this box if you do want to use this subcontractor on future projects. Subcontractor will be excluded from any reports that print qualified subs. In addition, the Notes field below is enabled, allowing you to enter an explanation as necessary.
Leave this box unchecked if this subcontractor is approved to work on future projects.
Do Not Use: Note
Use this field to enter notes or other information about why this vendor should not be used on future projects. Space is virtually unlimited.
This field is enabled only when the Do not use on future projects box is checked.
Executive Management: Present
Enter the number of employees currently in executive management positions.
Executive Management: 3 Year Avg.
Enter the average number of employees in executive management positions in the last three years.
Office Management/Staff: Present
Enter the number of employees currently in office management and/or staff positions.
Office Management/Staff: 3 Year Avg
Enter the average number of employees in office management and/or staff positions in the last three years.
Shop/Equip Mgmt/Staff: Present
Enter the number of employees currently in shop/equipment management and/or staff positions.
Shop/Equip Mgmt/Staff: 3 Year Avg
Enter the average number of employees in shop/equipment management and/or staff positions in the last three years.
Job Site Mgmt/Staff: Present
Enter the number of employees currently in job site management and/or staff positions.
Job Site Mgmt/Staff: 3 Year Avg
Enter the average number of employees in job site management and/or staff positions in the last three years.
Trades People: Present
Enter the number of employees currently in ‘trade’ positions.
Trades People: 3 Year Avg
Enter the average number of employees in ‘trade’ positions for the last three years.
Corporate Owners: Left
Enter the number of corporate owners who have left this company.
Corporate Owners: Joined
Enter the number of corporate owners who have joined this company.
Key Managers: Left
Enter the number of key managers who have left this company.
Key Managers: Joined
Enter the number of key managers who have joined this company.
PM's/Superintendents: Left
Enter the number of project managers or superintendents who have left this company.
PM's/Superintendents: Joined
Enter the number of project managers or superintendents who have joined this company.
Shop Type
Specify the shop type for this company.
Union
Open Shop
Mixed
Accounting/Job Cost System: Software Name
Enter the name of the accounting/job cost software being used by this company. Up to 60 characters allowed.
Accounting/Job Cost System: First Installed
Enter the date the accounting/job cost software was first installed.
Accounting/Job Cost System: Current Version
Enter the current version of the accounting/job cost software. Up to 10 characters allowed.
Accounting/Job Cost System: Operating System
Enter the name of the operating system in use for the accounting/job cost software. Up to 30 characters allowed.
Accounting/Job Cost System: Database
Enter the name of the database being used for the accounting/job cost software. Up to 30 characters allowed.
Project Scheduling System: Software Name
Enter the name of the project scheduling software being used by this company. Up to 60 characters allowed.
Project Scheduling System: First Installed
Enter the date the project scheduling software was first installed.
Project Scheduling System: Operating System
Enter the name of the operating system in use for the project scheduling software. Up to 30 characters allowed.
Project Management System: Database
Enter the name of the database system being used for the project management software. Up to 30 characters allowed.
Project Management System: Software Name
Enter the name of the project management software being used by this company. Up to 60 characters allowed.
Project Management System: First Installed
Enter the date the project management software was first installed.
Project Management System: Current Version
Enter the current version of the project management software. Up to 10 characters allowed.
Project Management System: Operating System
Enter the name of the operating system in use for the project management software. Up to 30 characters allowed.
Project Management System: Database
Enter the name of the database system being used for the project management software. Up to 30 characters allowed.
Document Management System: Software Name
Enter the name of the document management software being used by this company. Up to 60 characters allowed.
Document Management System: First Installed
Enter the date the document management software was first installed.
Document Management System: Current Version
Enter the current version of the document management software. Up to 10 characters allowed.
Document Management System: Operating System
Enter the name of the operating system in use for the document management software. Up to 30 characters allowed.
Document Management System: Database
Enter the name of the database system being used for the document management software. Up to 30 characters allowed.
Job Site Connectivity
Enter the Internet connectivity type for this job site.
Highest Ranking Quality Executive: Name
Enter the name of the highest-ranking quality executive for the company. UP to 60 characters allowed.
Highest Ranking Quality Executive: Title
Enter the title of the highest-ranking quality executive. Up to 30 characters allowed.
Highest Ranking Quality Executive: Phone
Enter the phone number of the highest-ranking quality executive. Up to 20 characters allowed.
Highest Ranking Quality Executive: Fax
Enter the fax number of the highest-ranking quality executive. Up to 20 characters allowed.
Highest Ranking Quality Executive: Certifications
Enter any certifications held by the highest-ranking quality executive. Up to 20 characters allowed.
For New Hires
Check this box if safety meetings are held and documented for new hires. To the right of this field, indicate the frequency with which safety meetings are held.
Leave this box unchecked if safety meetings are not held for new hires.
For Field Supervisors
Check this box if safety meetings are held and documented for field supervisors. To the right of this field, indicate the frequency with which safety meetings are held.
Leave this box unchecked if safety meetings are not held for field supervisors.
For Employees
Check this box if safety meetings are held and documented for employees. To the right of this field, indicate the frequency with which safety meetings are held.
Leave this box unchecked if safety meetings are not held for employees.
For Subs/Vendors
Check this box if safety meetings are held and documented for subcontractors and/or vendors. To the right of this field, indicate the frequency with which safety meetings are held.
Leave this box unchecked if safety meetings are not held for subcontractors and/or vendors.
Frequency
For each of the indicated categories (New Hires, Field Supervisors, Employees, and Subcontractors/Vendors), specify the frequency with which the company holds safety meetings.
Company Safety Programs/Policies
Check the box for each of the following programs/policies that have been implemented at this company.
Leave the box unchecked for each program/policy that has not been implemented at this company.
A safety officer conducts safety inspections on all projects.
Have implemented 100% fall protection.
Can provide a site-specific program addressing fall hazards in your work.
New employee safety training.
Disciplinary program for safety violations
Accident/incident investigations
Workplace sexual harassment training
Affirmative action plan for employees
Review the safety management system of subcontractors
Require employee to be subject to project-specific substance abuse screening
Written safety program/policy
Written disciplinary policy
Annual safety goals
Return to work/light duty program
Pre-Employment
Check this box if you perform pre-employment substance abuse screenings.
Leave this box unchecked if you do not perform pre-employment substance abuse screenings.
Random
Check this box if you perform random substance abuse screenings.
Leave this box unchecked if you do not perform random substance abuse screenings.
Periodic
Check this box if you perform periodic substance abuse screenings.
Leave this box unchecked if you do not perform periodic substance abuse screenings.
Post Accident
Check this box if you perform post-accident substance abuse screenings.
Leave this box unchecked if you do not perform post accident substance abuse screenings.
Reasonable Suspicion
Check this box if you perform substance abuse screenings on reasonable suspicion.
Leave this box unchecked if you do not perform substance abuse screenings on reasonable suspicion.
Year
Enter the 4-digit year to which this OSHA information applies.
Total Staff Hours
Enter the total number of hours worked by staff during the specified year.
Total Trade Hours
Enter the total number of hours worked by Trades people during the specified year.
Lost Days Cases
Enter the total number of lost and/or restricted days claimed for the specified year.
Lost Days Rate
Enter the total lost/restricted workday incidence rate (.000001 – 99.000000) for the specified year.
Injury Rate
Enter the total recordable injury incidence rate (.000001 – 99.000000) for the specified year.
Fatalities
Enter the total number of fatalities that occurred during the specified year.
EMR
Enter the Workers Comp EMR (Experience Modification Rate) for the specified year.
Vehicle Accidents
Enter the total number of vehicle and/or equipment accidents that occurred during the specified year.
Vehicle Accident Cost
Enter the total cost of vehicle/equipment accidents paid by the GL policy for the specified year.
Total Liability Loss
Enter the total general liability losses for the specified year.
OSHA Violations
Enter the total number of OSHA violations that occurred during the specified year.
Willful Violations
Enter the total number of willful violations that occurred during the specified year.
Highest Ranking Quality Executive: Name
Enter the name of the highest-ranking quality executive for the company. UP to 60 characters allowed.
Highest Ranking Quality Executive: Title
Enter the title of the highest-ranking quality executive. Up to 30 characters allowed.
Highest Ranking Quality Executive: Phone
Enter the phone number of the highest-ranking quality executive. Up to 20 characters allowed.
Highest Ranking Quality Executive: Fax
Enter the fax number of the highest-ranking quality executive. Up to 20 characters allowed.
Highest Ranking Quality Executive: Certifications
Enter any certifications held by the highest-ranking quality executive. Up to 20 characters allowed.
Written quality policy
Check this box if this company has written a quality policy.
Leave this box unchecked if this company has not written a quality policy.
Implemented a quality system
Check this box if this company has implemented a quality system.
Leave this box unchecked if this company has not implemented a quality system.
Has LEED AP Employees
Check this box if this company has AP employees that have received LEED (Leadership in Energy and Environmental Design) certification.
Leave this box unchecked if this company does not have any LEED-certified employees.
# of LEED Professionals
This field enabled only if Has LEED AP Employees box is checked.
Enter the number of LEED professionals employed by this company.
Largest Project Ever: $ Value of Work
Enter the dollar value of the largest project ever worked on by this company.
Largest Project Ever: Year
Enter the year (YYYY) in which this project was worked on by this company.
Largest Project Ever: Project Name
Enter the name of the largest project ever worked on by this company. Up to 60 characters allowed.
Largest Project Ever: Customer
Enter the customer for the largest project ever. Up to 60 characters allowed.
Largest Project Ever: Your Scope of Work
Describe your scope of work for this project. Up to 60 characters allowed.
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Largest Project This Year: $ Value of Work
Enter the dollar value of the largest project worked on this year by this company.
Largest Project This Year: Year
Enter the year (YYYY) that represents ‘this year’ for this project.
Largest Project This Year: Project Name
Enter the name of the largest project worked on this year, by this company. Up to 60 characters allowed.
Largest Project This Year: Customer
Enter the customer for the largest project this year. Up to 60 characters allowed.
Largest Project This Year: Your Scope of Work
Describe your scope of work for this project. Up to 60 characters allowed.
Largest Project Last Year: $ Value of Work
Enter the dollar value of the largest project worked on last year by this company.
Largest Project Last Year: Year
Enter the year (YYYY) that represents ‘last year’ for this project.
Largest Project Last Year: Project Name
Enter the name of the largest project worked on last year, by this company. Up to 60 characters allowed.
Largest Project Last Year: Customer
Enter the customer for the largest project last year. Up to 60 characters allowed.
Largest Project Last Year: Your Scope of Work
Describe your scope of work for this project. Up to 60 characters allowed.
Preferred Project Size
Of the following, indicate the five preferred project size ranges for this company, with 1 representing the most preferred and 5 representing the least preferred.
Insurance Agency: Agent/Broker
Enter the name of the insurance agency or brokerage. Up to 60 characters allowed.
Insurance Agency: Agent Name
Enter the name of the insurance agent. Up to 60 characters allowed.
Insurance Agency: Phone
Enter the phone number of the insurance agency. Up to 20 characters allowed.
Insurance Agency: Fax
Enter the fax number of the insurance agency. Up to 20 characters allowed.
Insurance Agency: Contact
Enter the contact for the insurance agency. Up to 30 characters allowed.
Insurance Agency: Add'l Address
Enter the additional address for this insurance agency, up to 60 characters, if applicable. For example, if the agency receives its mail at a P.O. Box, you might enter the P.O. Box in the address field above, and use this field to enter the street address.
Workers Comp and Employers Liability: Policy Form
Select the workers compensation and employer’s liability insurance policy form in use for this company.
Claims Based – Select this option if the insurance policy is claims-based (i.e. you are covered only for claims reported while the policy is in effect).
Occurrence Based – Select this option if insurance policy is occurrence based (i.e. you are covered for any incidents that occurred while policy was in effect, regardless of whether policy is no longer in effect and a claim is made years after the incident).
Workers Comp and Employers Liability: Policy Number
Enter the policy number of this company’s workers compensation and employer’s liability insurance. Up to 60 characters allowed.
Workers Comp and Employers Liability: Policy Period
Enter the beginning and ending date of the workers compensation and employer’s liability insurance policy period.
Each Accident: Current
Enter the current amount allowed per accident on this policy. Up to 17 digits allowed.
Each Accident: Max Obtainable
Enter the max obtainable amount allowed for each accident on this policy. Up to 17 digits allowed.
Disease Limit: Current
Enter the current disease limit amount for this policy. Up to 17 digits allowed.
Disease Limit: Max Obtainable
Enter the max obtainable disease limit for this policy. Up to 17 digits allowed.
Disease/Employee: Current
Enter the current disease limit per employee on this policy. Up to 17 digits allowed.
Disease/Employee: Max Obtainable
Enter the max obtainable disease limit per employee on this policy. Up to 17 digits allowed.
Limit: Current
Enter the current limit for this policy. Up to 17 digits allowed.
Professional Liability Insurance: Carrier
Enter this company’s carrier for professional liability insurance. Up to 60 characters allowed.
Professional Liability Insurance: Policy Form
Select the professional liability insurance policy in use for this company.
Claims Based – Select this option if the insurance policy is claims-based (i.e. you are covered only for claims reported while the policy is in effect).
Occurrence Based – Select this option if insurance policy is occurrence based (i.e. you are covered for any incidents that occurred while policy was in effect, regardless of whether policy is no longer in effect and a claim is made years after the incident)
Professional Liability Insurance: Policy Number
Enter the policy number of this company’s professional liability insurance. Up to 60 characters allowed.
Professional Liability Insurance: Policy Period
Enter the beginning and ending date of the professional liability insurance policy period.
Deductible
Enter the deductible amount for this insurance policy. Up to 17 digits allowed.
Tail Yrs
This field applies to claims-based insurance policies with tail coverage (coverage that extends beyond the policy period).
Specify the tail years (extended reporting period) for this insurance policy.
Project Limit
Enter the limit per project for this insurance policy. Up to 17 digits allowed.
Prior Acts
Check this box if this insurance policy includes prior acts coverage (i.e. coverage for claims that occurred before the beginning of the policy period).
Leave this box unchecked if this policy does not include prior acts coverage.
Commercial General Liability: Carrier
Enter this company’s carrier for commercial general liability insurance. Up to 60 characters allowed.
Commercial General Liability: Policy Form
Select the commercial general liability insurance policy form in use for this company.
Claims Based – Select this option if the insurance policy is claims-based (i.e. you are covered only for claims reported while the policy is in effect).
Occurrence Based – Select this option if insurance policy is occurrence based (i.e. you are covered for any incidents that occurred while policy was in effect, regardless of whether policy is no longer in effect and a claim is made years after the incident).
Commercial General Liability: Policy Number
Enter the policy number of this company’s commercial general liability insurance. Up to 60 characters allowed.
Commercial General Liability: Policy Period
Enter the beginning and ending date of the commercial general liability policy period.
Commercial General Liability: # of Claims Made
Enter the number of claims made against this commercial general liability insurance policy.
Exclusions to Standard CGL
Check this box if there are any exclusions to this commercial general liability insurance policy.
Leave this box unchecked if there are no exclusions to this commercial general liability insurance policy.
General Aggregate: Current
Enter the general aggregate current limit for this policy. Up to 17 digits allowed.
General Aggregate: Max Obtainable
Enter the general aggregate maximum obtainable limit for this policy. Up to 17 digits allowed.
Products Comp/Op: Current
Enter the current limit for products completed and operations coverage. Up to 17 digits allowed.
Products Comp/Op: Max Obtainable
Enter the max obtainable limit for products completed and operations coverage. Up to 17 digits allowed.
Personal Adv/Injury: Current
Enter the current limit for personal and advertising injury coverage. Up to 17 digits allowed.
Personal Adv/Injury: Max Obtainable
Enter the max obtainable limit for personal and advertising injury coverage. Up to 17 digits allowed.
Each Occurrence: Current
Enter the current limit for each occurrence under this policy. Up to 17 digits allowed.
Each Occurrence: Max Obtainable
Enter the max obtainable limit for each occurrence under this policy. Up to 17 digits allowed.
Medical Expense: Current
Enter the current limit for medical expenses. Up to 17 digits allowed.
Medical Expense: Max Obtainable
Enter the max obtainable limit for medical expenses. Up to 17 digits allowed.
Fire Damage: Current
Enter the current limit for fire damage. Up to 17 digits allowed.
Fire Damage: Max Obtainable
Enter the max obtainable limit for fire damage. Up to 17 digits allowed.
Deductible: Current
Enter the current deductible amount for this policy. Up to 17 digits allowed.
Per Project Limit
Check this box if this insurance policy includes a ‘per project’ limit.
Leave this box uncheck if there is no ‘per project’ limit for this insurance policy.
Excess Liability: Carrier
Enter this company's carrier for excess liability insurance. Up to 60 characters allowed.
Excess Liability: Policy Form
Select the excess liability insurance policy form in use for this company.
Claims Based – Select this option if the insurance policy is claims-based (i.e. you are covered only for claims reported while the policy is in effect).
Occurrence Based – Select this option if insurance policy is occurrence based (i.e. you are covered for any incidents that occurred while policy was in effect, regardless of whether policy is no longer in effect and a claim is made years after the incident).
Excess Liability: Policy Number
Enter the policy number of this company's excess liability insurance. Up to 60 characters allowed.
Excess Liability: Policy Period
Enter the beginning and ending date of the excess liability insurance policy period.
Excess Liability: Type
Select the type of excess liability policy in use for this company.
Excess Liability: # of Claims Made
Enter the number of claims made against this excess liability insurance policy.
Aggregate: Current
Enter the aggregate current limit for this policy. Up to 17 digits allowed.
Aggregate: Max Obtainable
Enter the aggregate max obtainable limit for this policy. Up to 17 digits allowed.
Each Occurrence: Current
Enter the current limit for each occurrence under this policy. Up to 17 digits allowed.
Each Occurrence: Max Obtainable
Enter the max obtainable limit for each occurrence under this policy. Up to 17 digits allowed.
Automobile Liability: Carrier
Enter this company's carrier for automobile liability insurance. Up to 60 characters allowed.
Automobile Liability: Policy Form
Select the automobile liability insurance policy form in use for this company.
· Claims Based – Select this option if the insurance policy is claims-based (i.e. you are covered only for claims reported while the policy is in effect).
· Occurrence Based – Select this option if insurance policy is occurrence based (i.e. you are covered for any incidents that occurred while policy was in effect, regardless of whether policy is no longer in effect and a claim is made years after the incident).
Automobile Liability: Policy Number
Enter the policy number of this company's automobile liability insurance. Up to 60 characters allowed.
Automobile Liability: Policy Period
Enter the beginning and ending date of the automobile liability insurance policy period.
Combined Limit: Current
Enter the current combined limit for this policy. Up to 17 digits allowed.
Combined Limit: Max Obtainable
Enter the max obtainable combined limit for this policy. Up to 17 digits allowed.
Bodily Per Accident: Current
Enter the current limit for bodily injury per accident for this policy. Up to 17 digits allowed.
Bodily Per Accident: Max Obtainable
Enter the max obtainable limit for bodily injury per accident for this policy. Up to 17 digits allowed.
Bodily Per Injury: Current
Enter the current limit for per bodily injury for this policy. Up to 17 digits allowed.
Bodily Per Injury: Max Obtainable
Enter the max obtainable limit per bodily injury for this policy. Up to 17 digits allowed.
Property Damage: Current
Enter the current limit for property damage for this policy. Up to 17 digits allowed.
Property Damage: Max Obtainable
Enter the max obtainable limit for property damage for this policy. Up to 17 digits allowed.
D&B Number
Enter the D&B (Dun & Bradstreet) number for this company. Up to 30 characters allowed (typically a nine-digit number).
D&B Rating
Enter the D&B (Dun & Bradstreet) rating for this company. Up to 5 characters allowed.
D&B Pay Record
Enter the D&B (Dun & Bradstreet) pay record (0-255) for this company.
Date of Rating
Enter the date of the D&B (Dun & Bradstreet) rating for this company.
Revenue Year
Enter the revenue year (last year).
Revenue Amount
Enter the total amount of revenue for the specified revenue year. Up to 17 digits allowed.
Net Income
Enter the net income for the specified revenue year. Up to 17 digits allowed.
Net Equity
Enter this company’s net equity. Up to 17 digits allowed.
Working Capital
Enter this company’s working capital. Up to 17 digits allowed.
Average Employees
Enter this company’s average number of employees.
Expected Volume
Enter the expected annual dollar volume for this year. Up to 17 digits allowed.
Expected # Projects
Enter the expected number of projected for this year.
Current Backlog
Enter this company’s current backlog amount. Up to 17 digits allowed.
Liquidated Damages
Check this box if you have been assessed liquidated damages for late completion of a project. Use the Notes text box below to enter dates and/or details.
Leave this box unchecked if you have not been assessed liquidated damages for late completion of a project.
Notes
This field is only enabled if you checked the Liquidated Damages box.
Enter any dates, notes, and/or details regarding assessment of liquidated damages for late completion of a project. Character allowance is virtually unlimited.
Bank Name
Enter the name of this company’s bank. Up to 60 characters allowed.
Branch
Enter the branch name of the specified bank. Up to 60 characters allowed.
Bank Information: Contact
Enter the name of the contact for this bank. Up to 30 characters allowed.
Bank Information: Phone
Enter the phone number of the specified bank. Up to 20 characters allowed.
Bank Information: Fax
Enter the fax number of the specified bank. Up to 20 characters allowed.
Years With Bank
Enter number of years this company has been with the specified bank.
Line of Credit Total
Enter this company’s total line of credit with the specified bank. Up to 17 digits allowed.
Line of Credit Avail
Enter the total line of credit currently available with the specified bank. Up to 17 digits allowed.
Line of Credit Exp
Enter the expiration date of the specified line of credit.
Bank Address: Address
Enter the bank’s address. Up to 60 characters allowed.
Bank Address: City
Enter the city in which the bank resides, up to 30 characters.
Bank Address: State
Enter a valid state (as defined in HQ States). The system validates the state based on the Default Country specified in HQ Company Setup for the active company. If not valid, an error displays, but entry is allowed. You must then enter a valid country for this state in the Country field.
Bank Address: Zip
Enter the zip code, up to 12 characters.
Bank Address: Country
Enter the 2-character country code for the bank. Entry in this field is required when the address exists outside the Default Country specified in HQ Company Setup for the active company. Country must be valid for the specified state (e.g. state, province, territory, etc.) as defined in HQ States.
Bank Address: Add'l Address
Use this field to enter additional address information for this company (up to 60 characters). For example, if the company receives mail at a P.O. Box, then you might enter the P.O. Box in the Payment Address field above, and use this field to enter the street address.
CPA Firm: Firm Name
Enter the name of this company’s CPA firm. Up to 60 characters allowed.
CPA Firm: Contact
Enter the contact for the CPA firm. Up to 30 characters allowed.
CPA Firm: Phone
Enter the CPA firm’s phone number. Up to 20 characters allowed.
CPA Firm: Fax
Enter the CPA firm’s fax number. Up to 20 characters allowed.
Years With CPA
Enter the number of years this company has been with the specified CPA firm.
Financial Statements
Select the financial type.
CPA Address: Address
Enter the address of the specified CPA firm. Up to 60 characters allowed.
CPA Address: City
Enter the city in which the CPA firm resides. Up to 30 characters allowed.
CPA Address: State
Enter a valid state (as defined in HQ States). The system validates the state based on the Default Country specified in HQ Company Setup for the active company. If not valid, an error displays, but entry is allowed. You must then enter a valid country for this state in the Country field.
CPA Address: Zip
Enter the zip code, up to 12 characters.
CPA Address: Add'l Address
Use this field to enter additional address information for this CPA firm (up to 60 characters). For example, if the firm receives mail at a P.O. Box, then you might enter the P.O. Box in the Payment Address field above, and use this field to enter the street address.
CPA Address: Country
Enter the 2-character country code for the CPA firm. Entry in this field is required when the address exists outside the Default Country specified in HQ Company Setup for the active company. Country must be valid for the specified state (e.g. state, province, territory, etc.) as defined in HQ States.
Surety Name
Enter the name of the surety company. Up to 60 characters allowed.
Surety Broker Name
Enter the name of the surety broker. Up to 60 characters allowed.
Surety Company: Contact
Enter the contact for the surety company. Up to 30 characters allowed.
Surety Company: Phone
Enter the phone number of the surety company. Up to 20 characters allowed.
Surety Company: Fax
Enter the fax number of the surety company. Up to 20 characters allowed.
Years With Surety
Enter the number of years this company has been with the specified surety company.
Bonding Capacity
Enter the bonding capacity amount. Up to 17 digits allowed.
Capacity Per Job
Enter the bonding capacity per job. Up to 17 digits allowed.
Last Bond Date
Enter the last bond date.
Last Bond Amount
Enter the last bond amount. Up to 17 digits allowed.
Last Bond Rate
Enter the last bond rate (0.000000 to 99.999999).
Surety Company: Address
Enter the address of the specified surety company. Up to 60 characters allowed.
Surety Company: City
Enter the city in which the surety company resides. Up to 30 characters allowed.
Surety Company: State
Enter a valid state (as defined in HQ States). The system validates the state based on the Default Country specified in HQ Company Setup for the active company. If not valid, an error displays, but entry is allowed. You must then enter a valid country for this state in the Country field.
Surety Company: Zip
Enter the zip code, up to 12 characters.
Surety Company: Country
Enter the 2-character country code for the CPA firm. Entry in this field is required when the address exists outside the Default Country specified in HQ Company Setup for the active company. Country must be valid for the specified state (e.g. state, province, territory, etc.) as defined in HQ States.
Surety Company: Add'l Address
Use this field to enter additional address information for this surety company (up to 60 characters). For example, if the company receives mail at a P.O. Box, then you might enter the P.O. Box in the Payment Address field above, and use this field to enter the street address.
Surety had to finish project(s) - See notes for dates/details
Check this box if the specified surety company had to finish one or more projects for this company within the last five years (of today's date). Use the Explanatory Note field (below) to enter the dates that the projects were finished.
Leave this box unchecked if the specified surety company did not have to finish a project for this company within the last five years.
Explanatory Note
This field is enabled only if you checked the Surety had to finish project(s) - See notes for dates/details box.
Use this field to enter the dates that the surety finished projects for this company, as well as notes explaining why the surety company had to finish projects for this company. Unlimited character allowance.
Indemnity agreement requires personal guarantee
Check this box if the indemnity agreement requires a personal guarantee.
Leave this box unchecked if the indemnity agreement does not require a personal guarantee.
Ownership: Seq
Enter N, New, or + to add a new ownership sequence. The system will automatically assign the next available sequential number.
Ownership: Name
Enter the owner’s name. Up to 60 characters allowed.
Ownership: Role
Enter the role of this owner, up to 60 characters.
Ownership: Birth Year
Enter this owner’s year of birth.
Ownership: Ownership %
Enter this owner’s percent of ownership.
Contacts: Seq
Enter N, New, or + to add a new contact sequence. The system will automatically assign the next available sequential number.
Contacts: Contact Type Code
Enter a valid contact type (from PC Contact Codes) for this contact.
Contact: Name
Enter the contact’s name. Up to 30 characters allowed.
Contact: Title
Enter this contact’s title. Up to 30 characters allowed.
Contact: Company Years
Enter the number of years this contact has been with the company.
Contact: Role Years
Enter the number of years this contact has been in the current role (indicated by contact’s title).
Contact: Phone
Enter the contact’s phone number. Up to 20 characters allowed.
Contact: Cell
Enter the contact’s cell phone number. Up to 20 characters allowed.
Contact: Email
Enter the contact’s email address.
States: Country
Enter a 2-character country code (from HQ Countries). Must be a valid country for the state (e.g. state, province, territory, etc.) being specified to the right.
States: State
Enter a valid state (as defined in HQ States). Must be a valid state for the country specified to the left.
States: License
Enter the license number for this state. Up to 60 characters allowed.
States: Expiration
Enter the expiration date for the specified license.
States: Sales Tax #
Enter this state’s sales tax identification number. Up to 60 characters allowed.
States: Unemployment ID #
Enter this state’s unemployment identification number. Up to 60 characters allowed.
Scope: Seq
Enter N, New, or + to add a new scope sequence. The system will automatically assign the next available sequential number.
Scope: Phase Code
Enter a valid phase code (from JC Phases).
Scope Code
Enter a scope code or press F4 to select one from a list.
Scope codes are created and maintained using PC Scope Codes .
Self Performed
Check this box if this scope of work is self-performed.
Leave this box unchecked if this scope of work is performed by another party.
Scope: Prior Work %
Enter the percent of work you have done in this scope over the last two years.
Scope: No Prior Work
Check this box if you have not previously performed work in this scope, but are willing to do so.
Leave this box unchecked if you have not previously performed work in this scope and/or are not willing to perform work in this scope.
Scope: Planned Work %
Enter the percent of work you expect to do in this scope over the next year.
Region: No Prior Work
Check this box if you have not previously performed work in this region, but are willing to do so.
Leave this box unchecked if you have not previously performed work in this region and/or are not willing to perform work in this region.
Region Code
Enter a valid region code (from PC Region IDs).
Region: Prior Work %
Enter the percent of work you have done in this region over the last two years.
Region: Planned Work %
Enter the percent of work you expect to do in this region over the next year.
Project Type Code
Enter a project type code of press F4 to select one from a list.
Project type codes are created and maintained using PC Project Types .
Proj Types: No Prior Work
Check this box if you have not previously performed work of this project type, but are willing to do so.
Leave this box unchecked if you have not previously performed work of this project type and/or are not willing to perform work of this project type.
Unions: Seq
Enter N, New, or + to add a new unions sequence. The system will automatically assign the next available sequential number.
Unions: Local Number
Enter the union local number. Up to 10 characters allowed.
Unions: Name
Enter the union name. Up to 60 characters allowed.
Unions: Expiration
Enter the expiration date of the union local agreement.
References: Seq
Enter N, New, or + to add a new reference sequence. The system will automatically assign the next available sequential number
Reference Type Code
Enter a valid reference type or press F4 to select one from a list.
Reference types are created and maintained using PC Reference Types . You can open this form by pressing F5 in this field.
References: Contact
Enter the contact name for this reference. Up to 30 characters allowed.
References: Company
Enter the name of the company providing this reference. Up to 60 characters allowed.
References: Address
Enter the address of the specified company. Up to 60 characters allowed.
References: City
Enter the city in which the specified company resides. Up to 30 characters allowed.
References: State
Enter a valid state (as defined in HQ States). The system validates the state based on the Default Country specified in HQ Company Setup for the active company. If not valid, an error displays, but entry is allowed. You must then enter a valid country for this state in the Country field.
Country
Enter the 2-character country code for the CPA firm. Entry in this field is required when the address exists outside the Default Country specified in HQ Company Setup for the active company. Country must be valid for the specified state (e.g. state, province, territory, etc.) as defined in HQ States.
References: Zip
Enter the zip code, up to 12 characters.
References: Phone
Enter the phone number of the specified company. Up to 20 characters allowed.
References: Email
Enter the email address of the specified company.
References: Fax
Enter the fax number of the specified company. Up to 20 characters allowed.
Legal Questions
For each of the following questions, check the box if the answer is ‘Yes’ and then use the space below the question to enter an explanation. Leave the box unchecked if the answer is ‘No’.
Has your company or any if its principals ever petitioned for bankruptcy, failed in business, defaulted, or been terminated on a contract awarded?
Have any of the owners, officers, or major stockholders of your company ever been indicted or convicted of any felony or other criminal conduct?
Has your company or any of the owners, officers, or major stockholders ever been suspended, disbarred, or otherwise precluded from perusing public work or ever been found to be non-responsive to a public agency?
Has your company ever had a claim made against it for improper, delayed, defective, or non-compliant work or failure to meet warranty obligations?
Is your company or any of the owners, officers, or major stockholders involved in any arbitration or litigation?
Does your company have any outstanding judgments or claims against it?
Has your company or any of the owners, officers, or major stockholders ever been investigated for, or charged with, alleged labor law violations including alleged violations of Immigration Control and Reform Act; state or local laws regarding employment of immigrants; prevailing wage laws; wage and hour laws or other federal, local, or state labor laws?
Explanation
This field is only enabled if you answered ‘Yes’ (checked the box) to the specified question.
Use this field to enter any explanatory notes. Character allowance is virtually unlimited.
Certificates: Certificate Type
Enter a valid certificate type (from PC Certificate Types) for this vendor, up to 20 characters.
Certificates: Certificate
Enter the certificate information. Up to 30 characters allowed.
Certificates: Agency
Enter the name of the agency that issued this certificate. Up to 60 characters allowed.