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:



 

Date your company was formed:

 

Number of employees:

 
Minority Contractor status, if any:  
Union Affiliations, if any:  
Is your company bondable?   Yes       No   
If Yes, list name of bonding company. If No, type None.
   

CLAIMS AND SUITS
If the answer to any of the following is Yes, enter details in the space below each question:

Has your organization ever failed to complete any work awarded to it?

  Yes       No   
 


 

Are there any judgments, claims, arbitration proceedings
or suits pending or outstanding against your organization or its officers?

  Yes       No   
 

 
Has your organization filed any law suits or requested arbitration with regard to construction contracts within the last five years?

  Yes       No   
 
Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract?

  Yes       No   
 

PROJECT EXPERIENCE
 List the three most significant projects completed by your firm within the past 2 years:

  PROJECT NAME PROJECT
LOCATION		 SIZE CONTRACT VALUE
1.

 

  SF

$
2.

 

  SF

$
3.

 

  SF

$

REFERENCES
List a minimum of three industry references are required for qualification:

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

 

 

 
2.

 

 

 
3.

 

 

 

 

Does your company meet the
following insurance requirements?		   Yes       No    If Yes, list name of insurance carrier. If no, type None:
   

INSURANCE REQUIREMENTS
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.

    
 
 


1111 Military Cutoff Road    |    Suite 191    |   Wilmington, NC 28405    |    (910) 799-2295    |    (910) 799-2072 Fax

Thomas Construction Group, LLC. Copyright 2011. All Rights Reserved.
'USGBC' and related logo is a trademark owned by the U.S. Green Building Council and is used by permission.