Assurance Screening - Screening Criteria Checklist

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Assurance Screening - Screening Criteria Checklist

  1. 1. Screening Criteria ChecklistCompany Name:    Contact Name:    Date of Checklist:    Email:    Phone:    With Assurance Screening’s customizable screening parameters, your organization can have the peace of mind knowing that yoursubcontractors and trade partners have the right insurance, bonding capacity, licenses, or other types of credentials required to workwith your organization.Please review the options below and select the type and frequency of each criteria required for your organization. Utilize the custom-izable options to allow Assurance Screening to collect and verify additional information specific to your firm. Assurance Screeningwill confirm back with your team if these additional requests can be added. Documentation Collections Screenings & Verifications ___ Insurance certificate collection and agency verification ___ Business entity verification ___ 1x ___ Quarterly ___ The Experian™ Business Profile Report ___ Monthly ___ 1x ___ Other ___ Quarterly ___ Monthly ___ Prequalification Statement collection ___ Other Professional/trade license collection & verification ___ Bankruptcy/Tax Lien & Judgments check ___ 1x ___ 1x   ___ Quarterly ___ Quarterly ___ Monthly ___ Monthly ___ Other ___ Other ___ MBE/DBE certification collection and verification ___ 5-year OSHA citation/violation/fine search ___ 1x ___ W9 collection and record search ___ Quarterly ___ Monthly ___ Bonding reference letter collection and verification ___ Other ___ 1x ___ Semi-annually ___ Project reference verifications ___ Quarterly (3 references. Up to 5 attempts) ___ Other ___ Supplier payment verifications ___ Banking reference letter collection (3 suppliers. Up to 3 attempts) ___ 3 year EMR collection and verification ___ Other ___ 1x ___ Other ___ Quarterly ___ 1x ___ Monthly ___ Quarterly ___ Other ___ Monthly ___ Other ___ Other ___ 1x ___ Quarterly ___ Monthly ___ Other www.assurancescreening.com ©2012Assurance Screening, LLC

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