Janitorial Subcontractor Qualification

Once you complete and submit the qualification form and you meet required criteria,
we will be in contact with you if we have a subcontracting need in your geographic area.

*Date:
*Business Name:
*Contact First Name:			*Last Name:
*Contact Title:
*Address:
*City:		*State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	*Zip:
County:
*Phone:
E-mail:
Fax:
Cell Phone:
Web Site:
* indicates this field is required.

General
1.	*Are you currently or have you in the past provided subcontracting services for OneSource?	Yes No Unsure
2.	*Are you currently providing subcontracting services for another Janitorial Services Company?	Yes No Unsure
	1) If Yes, Have you signed a non-compete agreement?	Yes No Unsure
3.	*Do you have a current business license?	Yes No
4.	*Are you willing and capable of proving pricing for your services within 24 hours after receiving service specs from OneSource?	Yes No
	1) If No, specify reason why:

Operations
5.	*Are you currently or have you in the past provided janitorial service in the banking and/or retail environment?	Yes No Unsure
6.	*Do you have immediate capacity for servicing one or more locations of 500 sq ft to 50,000 sq ft in your area?	Yes No
	1) If No, estimate how long it would take to add resources to handle one additional 5000 sq ft facility:
7.	*How many cleaning employees do you have?
	1) How many route work crews do you have?
8.	*Who supervises your cleaning crews?

Insurance
9.	*OneSource requires its subcontractors to hold certificates of liability insurance for at least two million dollars. This can be a combination of primary and umbrella. Do you meet this criterion?	Yes No
	1) If no, are you willing to obtain the required level of blanket liability insurance?	Yes No
10.	*Do you have Workers Compensation?	Yes No

Administration
11.	*Do those responsible for supervising your cleaning crews have access to a PC with a constant internet connection?	Yes No Unsure
12.	*Do those responsible for supervising your cleaning crews have access to mobile devices such as cell phones?	Yes No Unsure
13.	*Do those responsible for supervising your cleaning crews have 24-hour access to a fax machine?	Yes No Unsure

Associations and Certifications
14. Are you a member of any of the following cleaning industry associations?
Associated Landscape Contractors of America (ALCA)         American Nursery and Landscape Association (ANLA)         The Association of Specialists in Cleaning and Restoration, Inc. (ASCR)         International Cleaning Companies Association (ICCA)         International Facility Managers Association (IFMA)         Institute of Inspection Cleaning and Restoration (IICRC)         International Window Cleaning Association (IWCA)         National Wood Floor Association (NWFA)         Professional Grounds Management Society (PGMS)         Professional Landcare Network (PLANET)         Professional Law Care Association of America (PLCAA)         Professional Retail Store Maintenance (PRSM)         The Irrigation Association (TIA)
15. Are you certified under any of the following classifications?
Minority-Owned	Certified by:
Women-Owned	Certified by:
Disadvantaged-Owned	Certified by:
Disabled Veteran-Owned	Certified by:

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