PipelineSuite Form

Company Name

Address

City

State

Zip

Contact First Name

Contact Last Name

Phone

Fax

Cell

Email

Website

Union Affiliation

Trades Performed

01326: Land Surveyor

01545: Scaffolding

01564: Fences

01741: Progress Cleaning

01748: Final Cleaning

02050: Demolition

02080: Asbestos Abatement

02200: Earthwork

02360: Piles

02600: Drainage & Containment

02700: Pavement Markings

02800: Site Improvements

02830: Fences & Gates

02900: Landscaping

03050: Concrete Materials

03200: Reinforcing Materials

03300: Cast-In-Place Concrete

03345: Concrete Finishing

03380: Concrete Sawcutting

03400: Precast Concrete

03420: Concrete Restoration

03500: Flatwork

03540: Gypcrete Subflooring

04200: Unit Masonry

04435: Masonry Supplies

04900: Masonry Restoration & Cleaning

05120: Structural Steel

05500: Metal Fabrications

05900: Metal Restoration & Cleaning

06100: Rough Carpentry

06110: Framing Materials

06200: Finish Carpentry

06400: Millwork

06900: Wood Restoration

07000: Roofing

07100: Waterproofing

07200: Insulation

07240: EIFS

07400: Siding Labor

07410: Metal Panel Siding

07460: Siding Material

07500: Membrane Roofing

07600: Flashing & Sheet Metal

07700: Roof Specialties & Accessories

07810: Fireproofing

07900: Joint Sealants

08050: D/F/H National Vendors

08100: Doors, Frames & Hardware

08360: Overhead Door

08400: Automatic Door Equipment

08610: Wood Windows

08800: Window Film

08810: Glass & Glazing

09250: Gypsum Board

09510: Acoustical Ceilings

09550: Specialty Flooring

09600: General Flooring

09642: Athletic Flooring

09650: Epoxy Flooring

09900: Painting

10000: Speciaties

10100: Visual Display Boards

10250: Operable Wall Partition

10270: Access Flooring

10400: Sign Allowance

10800: Toilet & Bath Accessories

11160: Loading Dock Equipment

11400: Kitchen Equipment

12000: Furnishings & Equipment

12300: Lab Casework

12500: Window Treatments and Tinting

13121: Preengineered Buildings

13185: Kennels & Animal Shelters

13850: Fire Alarm & Detection

14200: Elevators

15300: Fire Protection

15400: Plumbing

15500: HVAC

15980: Controls Instrumentation

16000: Electrical

16200: Electrical Service & Equipment

16400: Electrical Service & Distribution

16700: Tel/Data & Security

How many years have you been in business?

Annual Volume? (in dollars)

What trades, if any, do you normally subcontract?

ACELLA INSURANCE REQUIREMENTS:

A job specific certificate will be required and it must reference the Project Name and Complete Address on the certificate.

1. Commercial General Liability: coverage with a minimum of:

a. $1,000,000 per occurrence
b. $100,000 damage to rented premises per occurrence
c. $1,000,000 personal & adv. Injury
d. $2,000,000 general aggregate
e. $2,000,000 products-comp/OP AGG

2. Autombile Liability $1,000,000

3. Excess Liability/Umbrella: All subcontractors must provide a minimum of $2,000,000 Excess Liability coverage.

4. Workers Compensation Coverage Provides statutory benefits, including employers liability coverage with minimum limits of:

$100,000/$500,000/$500,000

Subcontractor Qualification Form