Skip to content
  • MV Investment
  • Partners & Vendors Resources
Miller-Valentine Group logo
  • Expertise
    • Expertise
    • Delivery Methods
    • Integrated Project Delivery
    • Design-Build
    • Our Process
  • Principles
    • Principles
    • Lean
    • Safety
    • Diversity & Inclusion
    • Operational Excellence
  • Projects
  • Who We Are
    • Who We Are
    • Our History
    • Our Team
    • Community Involvement
  • Careers
    • Careers
    • Career Paths
    • Best-in-class Benefits
    • Career Opportunities
  • News & Insights
  • Contact

Bid Application

 

Step 1 of 4

25%

General Information

Date of Response(Required)
Main Office Address(Required)
Do you employ more than 10 employees?(Required)

What is the average number of employees on your payroll for the last three years?

Please enter a number from 11 to 9999.
Please enter a number from 11 to 9999.
Please enter a number from 11 to 9999.
Ownership(Required)

Please enter a number from 1900 to 2021.

Main Office Contact

Officer 1 Name
Officer 1 Position
Officer 1 Email
Officer 1 Phone
Officer 1 Fax
Officer 2 Name
Officer 2 Position
Officer 2 Email
Officer 2 Phone
Officer 2 Fax

Geographic Work Areas - Local Area Name

Work Scope

Safety Information

Current experience modifications rate (EMR) (Obtained from insurance carrier) rates

Please enter a number from 1900 to 2021.
Please enter a number from 1900 to 2021.
Please enter a number from 1900 to 2021.

OSHA 300 Log Information

Please enter a number from 0 to 999.
Please enter a number from 0 to 9999.
Please enter a number from 0 to 999.
Please enter a number from 0 to 999.
Please enter a number from 0 to 999.
Please enter a number from 0 to 999.
Please enter a number from 0 to 9999.
Please enter a number from 0 to 999.
Please enter a number from 0 to 999.
Please enter a number from 0 to 999.
Please enter a number from 0 to 999.
Please enter a number from 0 to 9999.
Please enter a number from 0 to 999.
Please enter a number from 0 to 999.
Please enter a number from 0 to 999.

OSHA 30 certified personnel

OSHA 100 certified personnel

Safety Questionnaire

Does your company have a qualified person responsible for safety within yoru company?(Required)
Does this person do safety inspections on all of your projects?(Required)
How often are these inspections?(Required)
Has your company ever implemented 100% fall protection?(Required)
If requested, can you provide us with a site-specific program addressing the fall hazards in your company's work?(Required)
Does your company have a written company safety policy and program and will you provide copies if requested?(Required)
Does your company require documented safety meetings for your employees?(Required)
How often are these safety meetings?(Required)
Does your company provide safety training for all employees?(Required)
Does your company set annual safety training goals?(Required)
Does your company have a program recognizing your employees for safety excellence?(Required)
Does your company have a disciplanary program in place for safety violations?(Required)
Does your company conduct accident/incident investigations?(Required)
Does your company have a substance abuse policy?(Required)
Please indicate which are included in your policy(Required)
Does your company have a return to work/light duty program?(Required)

Insurance Information

Does your carry workers' compensation insurance?(Required)
What is the expiration date?(Required)

Signature

We have attempted to answer all questions in a full and complete manner to assure that our answers are not in any respect misleading, either by expressing ourselves in a misleading or ambiguous manner or omitting information. We recognize that MV Commercial Construction will be relying on the accuracy of the information and our responses in this questionnaire in deciding whether to permit us to bid and in awarding work to our Company.

Date(Required)
info@millervalentine.com US Toll Free: 877 684 7687
  • Expertise
  • Principles
  • Projects
  • Careers
  • News
  • Contact
© Miller Valentine Construction 2023
  • Privacy Policy
  • Terms of Use