Vendor Management The Pre-Qualification Package and You! Section 1 – General Info Touch the spacebar on your keyboard or click your mouse pointer anywhere on the screen to advance the slideshow.

City of Fort Saskatchewan Safety Qualification Form The focus of this particular slideshow is Section 1 – “General Information” City of Fort Saskatchewan Safety Qualification Form Thank you for choosing to work with the City of Fort Saskatchewan! This slide show is intended to help walk you through filling in the form and providing examples of what attachments will be required.

Section 1: General Information What is the legal name of the company? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 This may be a numbered company or it may simply just be a name. What does the Provincial Certificate of Incorporation name the company as?

Section 1: General Information What is the physical location of a main office? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 1122 Boogie Woogie Ave NW

Section 1: General Information What is the City in which that main office resides? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 1122 Boogie Woogie Ave NW Funkytown

Section 1: General Information What is the Province/State where the City is? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 1122 Boogie Woogie Ave NW Funkytown Alberta

Section 1: General Information What is the Postal/Zip code for the physical location? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 1122 Boogie Woogie Ave NW Funkytown Alberta T0T 0T0

Section 1: General Information What is the name in which the company is commonly known? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 SNF Dancefloor Repair 1122 Boogie Woogie Ave NW Funkytown Alberta T0T 0T0

Section 1: General Information Where does the mail go if different from physical location of the main office? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 SNF Dancefloor Repair 1122 Boogie Woogie Ave NW 2001 Odyssey Street Travoltaville Alberta T0T 0T1 Funkytown OR… Alberta T0T 0T0

Section 1: General Information Where does the mail go if different from physical location of the main office? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 SNF Dancefloor Repair 1122 Boogie Woogie Ave NW Same as Street Address Funkytown Alberta T0T 0T0

Section 1: General Information Is there a central switchboard or primary number that can be called? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 SNF Dancefloor Repair 1122 Boogie Woogie Ave NW Same as Street Address Funkytown Alberta T0T 0T0 780 867-5309

Section 1: General Information What is the number for a facsimile machine? If there isn’t one, print “None” 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 SNF Dancefloor Repair 1122 Boogie Woogie Ave NW Same as Street Address Funkytown Alberta T0T 0T0 780 867-5309 780 992-0001

Section 1: General Information Who is the manager or supervisor who will be responsible for any projects? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 SNF Dancefloor Repair 1122 Boogie Woogie Ave NW Same as Street Address Funkytown Alberta T0T 0T0 780 867-5309 780 992-0001 John Dance

Section 1: General Information What is the phone number where direct contact can be made to the primary? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 SNF Dancefloor Repair 1122 Boogie Woogie Ave NW Same as Street Address Funkytown Alberta T0T 0T0 780 867-5309 780 992-0001 John Dance 780 992-0002

Section 1: General Information What is the email address that goes direct to the primary? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 SNF Dancefloor Repair 1122 Boogie Woogie Ave NW Same as Street Address Funkytown Alberta T0T 0T0 780 867-5309 780 992-0001 John Dance 780 992-0002 dance@snf.ca

Section 1: General Information Who is the person internal to the company that can answer HSE questions? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 SNF Dancefloor Repair 1122 Boogie Woogie Ave NW Same as Street Address Funkytown Alberta T0T 0T0 780 867-5309 780 992-0001 John Dance 780 992-0002 dance@snf.ca Safety Dance

Section 1: General Information What is the phone number where direct contact can be made to the HSE representative? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 SNF Dancefloor Repair 1122 Boogie Woogie Ave NW Same as Street Address Funkytown Alberta T0T 0T0 780 867-5309 780 992-0001 John Dance 780 992-0002 dance@snf.ca Safety Dance 780 992-0003

Section 1: General Information What is the email address that goes direct to the HSE representative? 1. GENERAL INFORMATION Company Name: Operates as: Street Address: Mailing Address: City: Province: Postal Code: Bus Telephone: ( ) Fax: ( ) Contact Information Name Primary Phone Email Primary Contact   HSE Contact AB 123456789 SNF Dancefloor Repair 1122 Boogie Woogie Ave NW Same as Street Address Funkytown Alberta T0T 0T0 780 867-5309 780 992-0001 John Dance 780 992-0002 dance@snf.ca Safety Dance 780 992-0003 safety@snf.ca

Vendor Management The Pre-Qualification Package and You! Section 1 – General Info If you still have questions, please contact your City of Fort Saskatchewan representative. Thanks for viewing!