Subcontractor Pre-Qualification Form for PSCO Sign Group Website Submissions

Subcontractor Pre-Qualification Form for PSCO Sign Group Website Submissions

If you are looking to have your company added to our Approved Vendor Listing, please fill out the form below. This is the first step. If your company meets all requirements, then we will add you to our system.

Company

Company Name*

DBA

Payment Terms*

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Vendor Class*

Please select the category that applies to your business.

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What are your receiving hours?*

Do you have a dock or forklift?*

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Billing Address

Billing Address 1*

Billing City*

Billing State*

Billing Zip*

Shipping Address

Shipping Address*

Shipping City*

Shipping State*

Shipping Zip*

Contact Information

Contact Full Name*

Contact Phone*

Contact Mobile*

Contact Email*

Licenses and Certifications

Does your company have a contractor's license?*

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If so, is it held:

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License Number

Expiration Date

License Type

What area does it cover?

Do you have any additional licenses

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Capabilities

Please select all that apply to your business

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Equipment

Please select all that apply to your business

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Is your company union?

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Trade References

These can be owners, architects, subcontractors, or sureties. Include company and contact name, address, and phone number. Applications that do not include trade references will not be processed.

Company Name*

This will be your Trade Reference 1

Contact Full Name*

Phone Number*

Provide Company Address*

Please include the Street Address, City State, Zip

Email Address*

Company Name*

This will be your Trade Reference 2

Contact Full Name*

Provide Company Address*

Please include the Street Address, City, State, Zip

Email*

Include any additional information, notes, or comments that you want to have considered with this application.

Safety

Does your company have a safety program?*

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Are daily inspections made of all cranes/trucks?

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Are the inspections documented?

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Do you abide by all local/county/state/fed OSHA and regulatory agencies?*

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Number of OSHA violations in the last 3 years*

Number of OSHA violations in the past year*

Please indicate your insurance safety rating (DART*

How often are safety meetings conducted?

Cranes required to be certified?*

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How often?

File Upload All Paperwork Here

Select Your Vendor Minority Status*

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Do you have any welding certifications?

NOTE: You will need to provide a copy of the welding certification for each certified employee. You will also need to provide copies of all licenses for all individual employees and for all governing entities. See upload section below.

Please identify the documents you are providing.

This is a multi-select, you can select more than 1 option.

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File Upload Center - Upload all documents listed below

Required Documents(You will not be considered without these items)

File Upload*

Required Documents(You will not be considered without these items)

W-9 Document

COI (Certificate of Insurance with Philadelphia Sign listed as Additional Insured)

Service/Install Coverage Map

Photos

Optional Documents

Minority Certificate

Welding Certification (Optional)

Drag and drop files here or

Answer Yes or No for the following:

Did you upload a W9?*

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Did you upload a COI (Certificate of Insurance)*

The Certificate of Insurance must include Philadelphia Sign listed as Additional Insured. See example

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Photos and Documentation*

PSCO requires photos and documentation of your previous work for review prior to approval as our vendor.

Provide the following:

Photo of behind the wall for remote channel letters.
Weld photos from a multi---stage structure.
You must provide progression photos, showing plug welds, cap ring, and flange welding.

Did you provided this information?

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Coverage Area*

Did you provide a map of the area serviced. Note “Installation” and “Service” if different.

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Insurance Coverage*

Insurance coverage. Please attach, or forward, a copy of your insurance certificate. PSCO’s requirements are:

Commercial General Liability (occurrence-based form) - $1,000,000 Each Occurrence / $2,000,000 General Aggregate.
Automobile liability:$1,000,000
Worker’s comp:$500,000

In addition, you must show that excess/umbrella liability limits are carried. You must provide a copy that shows the additional insured certificate holder as Philadelphia Sign Company; the certificate must have a cancellation clause of 30 days minimum written notice.

Does your company meet these requirements?

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PSCO requires that:

OSHA

All work shall be performed in accordance with all applicable laws and regulations regarding employee health and safety. It is the contractor’sresponsibility to determine if the state has an OHSA approved state plan for the work being performed and to determine which portions of the state plan apply.

Overview

Philadelphia Sign Company (PSCO) has several policies regarding the recycling, reuse, and disposal of all sign components along with internal environmental office policies that at all times are fully comply with the standards and regulations set forth by the United States Environmental Protection Agency, the Occupational Safety and Health Administration and all other federal, state and local agencies in regards to all company operations. The list, while extensive, includes the proper disposal of any and all signs (whether damaged or reusable) along with all sign components. PSCO understands that disposing of these items must be done in an appropriate and environmentally conscious manner that allows our company to have a limited negative impact on our environment and to comply with the laws of sustainability. The practice of sustainability is a tremendous asset to our customers, clients, and employees alike and it is our company’s policy that all of our employees follow the policies and practices outlined in this document.

Environmental

All materials provided and work furnished shall be in compliance with all federal, state, and local laws and regulations regarding the environment, including but not limited to the Federal Clean Air Act, Resource Conservation and Recovery Act, Toxic Substances Control Act, and the Safe Drinking Water Act, and all applicable materials recycled.

Our Environmental Policy Synopsis

Philadelphia Sign Company is committed to operating a businessin an ethical,safe and environmentally friendly manner. We work very closely with our suppliers, vendors, clients, and employees to ensure that our products and services are of the highest quality, the most cost---effective and the highest regard for sustainability and environmental consciousness.

Company Procedures for Disposal, Recycling, and Reuse of signage, sign components and other materials

Procedure for handling all returned, old, damaged, or unused signs and sign components: PSCO requires that all signage removed from a job site must follow one of the procedures below for proper disposal or reuse:

Any damaged or old signs that can no longer be used must be taken down so that each component (illumination, electrical, metals, plastics, etc.) can be properly disposed of or reused.

Any component or sign deemed reusable will be stored at our shop for reuse when applicable and will be fully inspected again before any re---use to ensure that all safety and environmental controls are met.

Any component that cannot be repaired or reused due to their physical condition, due to a safety issue/concern issue, or due to regulatory compliance (local, state, or federal) must be handled in the appropriate manner and disposed of correctly.

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above.*

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