Vendor & Employment Form

Trading Name of Company*
Registered Vendor Name*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Telephone
Fax
Email
Commercial Contact
First Last
Technical Contact
First Last
Ownership
Names of Principals, Officers, and Owners (name, position)
Expertise
Nature of Business
Length of Time Engaged in Business
Professional Affiliations
Name and Location of Bank
Annual Gross Revenue
Bonding Capacity
Are there any material suits or judgments against the business or principals in progress?
- Yes
- No
Has either the company or owners been involved in receivership or bankruptcy?
- Yes
- No
If you answered "Yes" to either of the above questions please provide a description
Percentage of employees involved in administration
Please enter a number from 1 to 100.
Percentage of employees involved in sales
Please enter a number from 1 to 100.
Percentage of employees involved in manufacturing
Please enter a number from 1 to 100.
Percentage of employees involved in construction
Please enter a number from 1 to 100.
Union Affiliations
List union affiliations and respective contract renewal dates.
Quality Assurance
State if the company has a Certified Quality Assurance Program in place and if so, state levels and details.
Experience and Reference
Outline recent past experience. Provide for each reference the following: a) Project Name and location. b) A brief description of work. c) Approximate contract value. d) Company name, person and phone number to contact.
Safety
Unless granted an exemption, all contractors will be required to subscribe to "ISNetworld" (ISN) and submit the information requested by ISN.

Are you currently in the ISN system?
- Yes
- No
Alcohol and Drug Policy
All contractors providing on-site labor will be required to adhere to an alcohol and drug policy. Please describe your policies for pre-access testing, reasonable ground testing, and post-incident testing.

If you are a licensed contractor or a supplier and wish to participate in the Old Jackson Solar project, please register with us by providing the information requested below.

Additional information may be needed at a later date for the Prime Contractor’s pre-qualification process. Preference will be given to qualified local contractors and suppliers.

Crystal River Solar 1 & 2