Subcontractors

Thank you for your interest in working with Mac’s Construction Company, Inc.

Please fill out our subcontractor pre-qualification form and a member of our team will contact you if any additional information is required.
Email Address *

Company Overview

Company Name *
Full Address
Phone Number
Fax
Company Contact
Contact's Title
Email
Type of Company Sole ProprietorshipPartnershipC CorporationS CorporationLLCLLCother
Any Subsidiaries? YesNo
If yes, please name them.
Is your firm owned or controlled by another organization? YesNo
If yes, what is the name of the organization?
State Sales Tax Registration Number:
State Unemployment Insurance Number
Union?YesNo
Total Number of Current Employees
How many are office personnel?
How many are field supervisors?
How many are average field labor?
Minority Business Enterprise StatusMBEWBEDBESBE
Certifying Agency
Please attach copies of all certifications regarding your
Max File Upload size is 2mb. If your file(s) are too large, please upload them to google drive, dropbox, or other cloud storage site and send the link to the folder to jima@macsconstruction.com
Preferred Project Size $10K - $24K$25K - $50K$1M$2M$5M +
Geographical Areas in which you work:
Trades typically performed by your own force:
What percentage of work is normally subcontracted?

Experience Modification Rate (EMR)

List corporate Worker's Compensation Experience Modification Rate for the most recent 3 years and include any rating worksheet for each year (i.e. NCCI)

2018 [text 2018 placeholder "Your Answer"]
2018 Rating Worksheet
Max File Upload size is 2mb. If your file(s) are too large, please upload them to google drive, dropbox, or other cloud storage site and send the link to the folder to jima@macsconstruction.com
2017 [text 2017 placeholder "Your Answer"]
2017 Rating Worksheet
Max File Upload size is 2mb. If your file(s) are too large, please upload them to google drive, dropbox, or other cloud storage site and send the link to the folder to jima@macsconstruction.com
2016 [text 2016 placeholder "Your Answer"]
2016 Rating Worksheet
Max File Upload size is 2mb. If your file(s) are too large, please upload them to google drive, dropbox, or other cloud storage site and send the link to the folder to jima@macsconstruction.com

OSHA Citations

Has your company received any OSHA citations in the past 3 years? YesNo
If yes, please provide detailed information, including date and type, about the violation, and what has been done to prevent similar situations.

Safety

Do your supervisors hold safety meetings?YesNo
If yes, how often?
Name of company safety professional
Title
Phone Number
Email
Total Number of Full-Time Employees
Total Number of Part-Time Employees

Contractor License States & Numbers

State and License Number
Documentation
Max File Upload size is 2mb. If your file(s) are too large, please upload them to google drive, dropbox, or other cloud storage site and send the link to the folder to jima@macsconstruction.com
State and License Number
Documentation
Max File Upload size is 2mb. If your file(s) are too large, please upload them to google drive, dropbox, or other cloud storage site and send the link to the folder to jima@macsconstruction.com
State and License Number
Documentation
Max File Upload size is 2mb. If your file(s) are too large, please upload them to google drive, dropbox, or other cloud storage site and send the link to the folder to jima@macsconstruction.com
State and License Number
Documentation
Max File Upload size is 2mb. If your file(s) are too large, please upload them to google drive, dropbox, or other cloud storage site and send the link to the folder to jima@macsconstruction.com

Company's Principals

Name & Title
Name & Title
Name & Title
Name & Title
Name & Title
Name & Title
Name & Title
Name & Title
Name & Title
Name & Title
Name & Title

Surety Information

Current Surety Company
Broker Agent Name
Phone Number

Enter Bond Rates

Volume: $100,000 | Bond % Rate
Volume: $500,000 | Bond % Rate
Volume: $1M | Bond % Rate
Volume: $2M | Bond % Rate
Volume: $5M | Bond % Rate
Single Project Bonding Capacity: $
Aggregate Bonding Capacity: $

Litigation

Do you have any active litigation with Owners/General Contractors? * YesNo
If yes, please explain.
Do you have any active litigation with Owners/General Contractors? * YesNo
If yes, please explain.
Do you have any judgements against you? * YesNo
If yes, please explain.
Has your company ever been assessed liquidated damages? * YesNo
If yes, please explain.
Any Labor Law violations? * YesNo
If yes, please explain.
Have you ever been terminated from a contract? * YesNo
If yes, please explain.
Has your license ever been revoked or suspended? YesNo
If yes, please explain.

Reference 1

Company Name
Phone Number
Email

Reference 2

Company Name
Phone Number
Email

Reference 3

Company Name
Phone Number
Email

About Us

Operating in the southeast since 1970, Mac’s is your choice for education, worship, business/commercial, industrial, banking, healthcare and government construction. read more

Contact Us

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6555 Hwy 98 West Hattiesburg, MS 39402
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601-264-8648
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601-268-3805