519-896-9009Celebrating 15 years of building across Waterloo Region
Jackman Ltd.
Jackman Construction team reviewing work on an active project site

Vendor quotes & estimates

Contractor Qualification Statement

We invite qualified trade contractors to submit a Contractor Qualification Statement. Our team will review your information and follow up when appropriate.

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Please complete every section in full. If a section does not apply, indicate “N/A.” Additional details may be appended where space is insufficient. All information will be treated as confidential.

Fields marked with * are required.

A. Firm identification

B. Company background & legal structure

Legal structure
Workforce

C. Scope of services & geographic coverage

Select all that apply.

Select all that apply.

Select all that apply.

Select all that apply.

D. Current workload

Include project / owner, contract value, % complete, and expected completion for each project.

E. Key personnel

Include name, title / position, and years with firm / industry (e.g. Principal-in-Charge, Project Manager, Estimator, Safety Manager).

F. Health, safety & environmental

Updated H&S program
Form 100 WSIB
Asbestos certification
Hazmat certification
Certificate of insurance
Recycling programs

G. Principal projects — last five (5) years

Project 1

Project 2

Project 3

I. Litigation & performance disclosure

Select all that apply.

J. Declaration & authorized signature

The undersigned certifies that the information provided in this Contractor Qualification Statement is true, accurate, and complete to the best of their knowledge. The undersigned authorizes and agrees to verification of all information provided herein, including financial, banking, surety, and reference checks, by Jackman Construction Ltd.

A copy will be sent to the email address provided above when this option is selected.