Partner with Performance Contractors

Get Pre-qualified to work with Performance

We love working with companies who share our passion for delivering work beyond what the industry expects. To get pre-qualified and partner with Performance, start by creating an account via the form below.

General

First Name

Last Name

Company

work Address

City

State

Zip

Work Phone Number

Web Address

Your Info

Best Phone Number to Reach You

Requested by (Performance Contact, if applicable)

Referred to us by (if applicable)

Project Reference (If applicable)

Bidding and Pricing

contact First Name

Contact Last Name

Direct Phone Number

Email Address

Company Info

Legal Company Name (as seen on Federal tax form)

Years in Business Under this Name

Parent Company

Name of Parent Company (if applicable)

Address (parent company)

City

State

Zip

Country

Phone Number (Parent Company)

Web Address (Parent Company)

EMR

2023: Experience Modification Rate

2022: Experience Modification Rate

2021: Experience Modification Rate

OSHA 300 Logs/Safety Records

2024

YTD Number of Fatalities

2023

Number of Lost Workday Cases

Number of Restricted Workday Cases

Number of Medical Treatment Only Cases

Number of Fatalities

Total Recordable Incident Rate

Total Hours Worked

2022

Number of Lost Workday Cases

Number of Restricted Workday Cases

Number of Medical Treatment Only Cases

Number of Fatalities

Total Recordable Incident Rate

Total Hours Worked

2021

Number of Lost Workday Cases

Number of Restricted Workday Cases

Number of Medical Treatment Only Cases

Number of Fatalities

Total Recordable Incident Rate

Total Hours Worked

Has your company received any OSHA citations in the past 5 years? If yes, please list and explain the incident(s).

Has your company entered into litigation for a safety-related incident in the past 5years? If yes, please explain.

Do you have a written Safety program?

Do you have a company-wide drug, alcohol and contraband policy?

Do you have a formal safety training program?

Do you have an orientation program for new hires?

Do you conduct toolbox or tailgate meetings?

Describe your incident investigation requirements including reporting, documentation,and post-incident and alcohol testing.

Describe your safety auditing requirements, including documentation and frequency.

Does your company have a full-time safety professional?

Company History

Are there any judgements, claims or suits pending or outstanding against the company?

Is the company now or has the company been involved in any bankruptcy or reorganization proceedings?

Has the company ever failed to complete any contract work?

Has the company received any citation(s) in the last three years from any regulatory agency, specifically OSHA?

Has the company been involved in any prior litigation/arbitration in connection with projects?

Type of organization

Type of work of service performed 1

Type of work of service performed 2

Type of work of service performed 3

List additional work or service

State in which company is licensed to do business 1

State in which company is licensed to do business 2

State in which company is licensed to do business 3

List additional states

Company Project Size

Minimum $

Maximum $

Thank you for your interest in working with us!

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Partner with Proven Leaders in industrial construction

Get Pre-qualified to work with Performance

General

Your Info

Bidding and Pricing

Company Info

Parent Company

EMR

OSHA 300 Logs/Safety Records

2024

2023

2022

2021

Company History

Company Project Size

Thank you for your interest in working with us!

Questions?