CLICK HERE to download and complete our Prequalification Application.

A Certificate of Insurance is required to be submitted with the Prequalification Application verifying that the Contractor Maintains Comprehensive General Liability, Umbrella Liability, Workers Compensation and Comprehensive Automotive Liability as indicated below. Waiver of Subrogation shall apply to all policies and a 30-Day Notice of Cancellation provision will be required.

The following minimum coverage and limits are required of all vendors unless required by bid documents to be greater:

• General Liability, including Products Liability & Completed Operations - $1,000,000 per occurrence/$2,000,000 aggregate
• Excess and/or Umbrella Liability - $5,000,000 aggregate $5,000,000 each occurrence
• Employers Liability - $1,000,000 each accident/$1,000,000 injury by disease/$1,000,000 injury by disease aggregate (Only required if the Contractor will be delivering the product(s) to our building).
• Auto Liability - $1,000,000 combined single limit (Only required if the Contractor will be delivering the product(s) to our building.
• Worker’s Compensation and Employer’s Liability:
  • $500,000 Each Accident
  • $500,000 Policy Limit
  • $500,000 Each Employee

Experience Modification Rate (EMR for past three (3) years)

*Attach Insurance Broker/NCCI verification of most current EMR. *If current EMR is above 1.00, attach letter of explanation.

• Audited financial statements for last 3 years
• Surety bonding confirmation letter
• Sample insurance certificate
• Insurance broker / NCCI verification of EMR

* Upon clicking Submit, you will be prompted to select what type of e-mail you are using; Desktop E-mail Application (i.e., Microsoft Outlook, Eudora, etc.) or Internet E-mail Application (i.e., Yahoo, MSN, Hotmail, etc.)

If you are still having trouble, please save this completed form to your computer, create a new e-mail to Sasha Raab sraab@HESSconstruction.com and manually attach the file and required attachments.

Thank you.
HESS Estimating Department