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Estimating Form
Estimating Form
Step
1
of
6
16%
Company
This field is for validation purposes and should be left unchanged.
General Company Information
Legal Company Name
*
Physical Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Mailing address the same as physical address?
Yes
No
Mailing Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Company Website
Email
*
CRA Number
*
Years of Business Inception
*
Business Type
*
Corporation
Limited Partnership
General Partnership
Sole Proprietor
Limited Liablity
Number of Employees
*
1 – 5
6 – 10
11 – 25
26 – 50
51 – 100
100 +
Principals, Directors, Officers and Key Personnel
List all Principals, Directors, Officers and Key Personnel involved
*
Name
Position
# of years in current Position
# of years with Company
Use the + sign to add all required personnel
Primary Contact Information
Estimator Name
*
First
Last
Estimator Phone
Estimator Email
*
HSE Main Contact Name
*
First
Last
Phone
Email
*
Related Work Experience
Describe scope (s) of work performed
*
Does the Subcontractor perform any engineering, design or other professional services?
Yes
No
Is any portion of this work subcontracted to others?
*
Yes
No
If Yes, Provide details:
What percentage of the work is performed in the following industries?
Commercial
Institutional
Industrial
Residential
Geographical Area(s) of Operations
Northern AB
Southern AB
BC
SK
In the past (3) years, how many contracts have been completed within the following thresholds?
< $100K
$100K – $250K
$250K – $500K
$500K – $1M
$1M – $2.5M
$2.5M – $5M
> $5M
Work Experience / Project References
Provide details of the largest contracts that have been completed in the past (3) years.
Project Name
Location
PM Name
PM: Owner or Contractor?
Phone
Email
Contract Value
Date Completed
Use the + sign to add additional completed projects
Health and Safety Program
Do you have a formal Health, Safety & Environmental Program?
*
Yes
No
Date last updated:
MM slash DD slash YYYY
Does the Subcontractor have a valid Certificate of Recognition (COR or SECOR)?
*
Yes
No
Have you ever been cited, charged, issued any OHS Orders or prosecuted for any OHS non-compliance or environmental offenses in the past 5 years?
*
Yes
No
If yes, provide details:
Briefly explain any incidents of loss, damage or injury that resulted in loss time and/or an insurance claim and any steps taken to mitigate the cause of loss, damage or injury:
Hazard Assessments
Are daily and task specific hazard assessments performed on all worksites that identify jobsite health and safety hazards?
*
Yes
No
Are controls developed and implemented immediately?
*
Yes
No
If any of above elements are marked ‘No’, please explain:
Inspections and Audits
Do you conduct health & safety inspections?
*
Yes
No
Frequency?
Are workers involved in the inspection process?
Yes
No
If no, why?
Do you conduct health and safety program audits?
*
Yes
No
Frequency?
Are corrections of the deficiencies documented?
Yes
No
If no, why?
Are inspection reports posted or communicated to workers?
*
Yes
No
If no, why?
If any of above elements are marked ‘No’, please explain:
Please check all applicable training provided to your workers and supervisors?
*
First Aid
Safe Trenching, Excavation and Ground Dist.
CSTS (Construction Safety Training System)
ESTS (Electrical Safety Training System)
Confined Space Entry & Rescue
WHMIS
H2S
Prime Contractor
Principles of Health & Safety Management
Leadership for Safety Excellence
Fall Protection
Emergency Response
Hazard Management
Personal Protective Equipment Use, Care & Maintenance
Asbestos Abatement
Supervisory Roles and Responsibilities
Other
If other, please provide
Quality Control Program
Does the Subcontractor have a formal Quality Control (QA/QC) Program?
*
Yes
No
If ‘No’, please explain:
QAQC Contact Name
Phone
Email
Bonding and Insurance
Does the Subcontractor have a surety facility in place?
*
Yes
No
Name of Surety:
Is a Letter of Reference from the Surety Company available?
Yes
No
Is the facility secured by any financial and / or performance security?
Yes
No
If yes, specify the type of security:
Parent Company Guarantee
Personal Guarantee
Letter of Credit
General Security Agreement
Subordination Agreement
Other
If other, please explain:
Has any claim been made against a bond provided on your behalf?
Yes
No
If yes, provide details:
Has a surety company ever declined to provide a surety bond?
*
Yes
No
If yes, provide details:
Supplier Credit References
List the names of the suppliers that extend credit to the Subcontractor.
*
Supplier Name
Contact Name
Phone
Email
Use the + sign to add additional required references
Has the Subcontractor, its shareholders or any related companies ever become insolvent or filed for bankruptcy?
*
Yes
No
If yes, provide details:
Is the Subcontractor or any affiliated companies involved in any litigation, arbitration or mediation?
*
Yes
No
If yes, provide details:
Have any liens been filed against the Subcontractor in the past (3) three years?
*
Yes
No
If yes, provide details:
Has the Subcontractor or any affiliated companies ever failed to complete work under a contract?
*
Yes
No
If yes, provide details:
Has the Subcontractor or any affiliated companies ever received a notice of default under a contract?
*
Yes
No
If yes, provide details:
Acknowledgement of Information
The undersigned certifies that the information provided herein is true and sufficiently complete so as not to be misleading.
Name
First
Last
Position
Date
MM slash DD slash YYYY
Prequalification Checklist
Health & Safety Program Manual.
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Max. file size: 128 MB.
Certificate of Recognition (COR or SECOR)
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Max. file size: 128 MB.
Quality Control Manual (if applicable)
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Max. file size: 128 MB.
WCB Employer Premium Rate Statement (last 3 years) & WCB Employer Report Card
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Max. file size: 128 MB.
Certificate of Insurance (General Liability and Automobile Insurance)
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Max. file size: 128 MB.
Current company organizational chart indicating project reporting structure
Drop files here or
Select files
Max. file size: 128 MB.