Subcontractor Registration

Thank you for your interest in becoming a qualified Subcontractor for Thomas Construction Group.
Registration is required to ensure project information is conveyed correctly:

Company
Contact
Address
City, St, Zip
E-mail
Telephone		* Include area code
Facsimile		* Include area code

Choose the primary Work Category your company will be bidding:

Enter additional Work Category information in the space provided, separated by commas:

A minimum of three industry references are required for qualification:

	COMPANY NAME	CONTACT PERSON	TELEPHONE (include area code)
1.
2.
3.
4.

Date your company was formed:
Number of employees:
Is your company a Minority Contractor?	Yes No If Yes, list all types that apply:

Is your company bondable?	Yes No If Yes, list name of bonding company:

Does your company meet the following insurance requirements?	Yes No If Yes, list name of insurance carrier:

INSURANCE REQUIREMENTS
In order to complete your registration, subcontractor is required to fax current copy of insurance certificate to 910-799-2072.

The Subcontractor shall purchase and maintain insurance of the following types of coverage and limits of liability on an occurrence basis, from a carrier licensed to do business in the State of North Carolina and acceptable to the Contractor.
The Subcontractor shall list Thomas Construction Group as additional insured.

MINIMUM COMMERCIAL GENERAL LIABILITY COVERAGE:
$2,000,000 Products/Completed Operations Aggregate/General Aggregate
$1,000,000 Any One Occurrence (Coverage A)
$2,000,000 General Aggregate (Coverage B)
$1,000,000 Personal Injury and Advertising
Such policy or policies shall be written without exclusions for underground, collapse, contractual, punitive damages, broad form property damage, or any other non-standard exclusion. Broad form property damage shall include completed operations.

MINIMUM AUTOMOBILE LIABILITY COVERAGE:
$1,000,000 Each Accident

MINIMUM WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY COVERAGE:
Statutory compliance under North Carolina laws
$500,000 Each Accident
$500,000 Each Employee For Injury By Disease
$500,000 Aggregate For Injury By Disease

Coverages on an occurrence basis shall be maintained without interruption from date of commencement of the Subcontractor's Work until date of final payment and termination of any coverage required to be maintained after final payment.