Contractor Inquiry Form

Company name ^*

Company address ^*

City ^*

State ^*

Zip code ^*

Website

Address

City

State

Zip

Code

Name^*

Phone^*

Email^*

Fax

Number of full time employees?^*

DUNS Number

Does the company have a written HSE management program?NAYesNo

Does the company have a full time HSE representative?NAYesNo

Does the company establish annual performance expectations related to HSE?NAYesNo

Are the current HSE metrics part of established annual performance expectations and targets?NAYesNo

Does the company require all incidents be reported through an established system?NAYesNo

Does the company have an environmental protection policy?NAYesNo

Does the company have a written quality management plan?NAYesNo

Have you done business with NextDecade?NAYesNo

Are you currently doing business with NextDecade?NAYesNo

Are you registered/licensed to perform work in Texas?NAYesNo

Are you registered/licensed to supply goods in Texas?NAYesNo

What type of entity do you represent? *

What type of goods or services do you provide? *Blasting/PaintingCateringCathodic ProtectionConstruction ServicesConsulting ServicesCrane RentalsDomestic Services (Catering, Cleaning, Uniforms)Environmental Clean-upEquipment RentalFabric MaintenanceLaboratory servicesMaintenance ServicesProfessional / Certified Engineering ServicesProfessional PlacementQA/QA Certified InspectorsSafety ProfessionalsSecurity ServicesScaffoldingShelf Item GoodsSpecialty GoodsSurveyingTelecommunicationsWaste Management ServicesWildlife ManagementOther

What certification(s) does your company possess? (if any)ISO 9001 CertificationState Certified EngineersCommercial Building InspectorCommercial Electrical InspectorCommercial Mechanical InspectorCommercial Plumbing InspectorCommercial Combination InspectorCommercial Insulation InspectorOther

Which labor unions / organizations is your company affiliated with? (if any)ATU - Transit UnionBBF - BoilermakersBSOIW - Iron WorkersCJA - CarpentersCWA - Communications WorkersIAM - MachinistsIBEW - Electrical WorkersILA - Longshoremens ASNIUOE - Engineers, OperatingLIUNA - LaborersOPCMIA - Plasterers & Cement MasonsPPF/UA - PlumbersUSW - SteelworkersUTU - Transportation UnionOther

Questions / Comments

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Does the HSE management program include: