QUALIFICATION FORM

POET is committed to providing a safe and healthy workplace for all employees, contractors, vendors and neighbors. Conducting business in a manner that manages environmental issues responsibly is a top priority. All contractors, consultants, and suppliers that are interested in providing POET Design & Construction with materials/equipment or working on projects must complete the following form. This Qualification Form must be completed by a representative of Vendor who is authorized by Vendor to provide the information herein for consideration by POET Design & Construction in its vendor qualification process. Form completion does not guarantee selection for POET projects.

Insurance


All fields are required unless indicated otherwise.


Are you bondable?

 

MINIMUM INSURANCE REQUIREMENTS
for any work completed ON SITE at POET (including start-up and commissioning services)


General Liability: $1,000,000 per occurrence, $2,000,000 in the aggregate

Automobile Liability: $1,000,000 per occurrence, $1,000,000 in the aggregate

Umbrella Liability*: $5,000,000 per occurrence, $5,000,000 in the aggregate
Umbrella Liability must meet "follow form" coverage.

Worker's Comp: $1,000,000 each accident

Additional Insured: "POET LLC and its subsidiaries; POET Plant Management, LLC and POET Biorefining (All Locations), POET Design & Construction are named as an additional insured on all policies."

Waiver of Subrogation: "Waiver of Subrogation in favor of certificate holder on all policies."

Additional Professional Liability or Pollution Insurance may be required based on scope of project or services provided.

Insurance Carrier: Have you read and agree to meet these insurance requirements if awarded on site work?

 



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