SEP Form - Ameren.com

Smart Energy Plan Supplier Form

Complete the form if you are a Missouri supplier interested in pre-qualifying for bidding work packages.

The Smart Energy Plan supplier form is not available for Illinois suppliers.

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Company Name*

Main Office Address*

Company Website

Number of Employees*

Annual Revenue*

Percentage of Annual Revenue from Energy Customers*

Directional Boring Services

Is this an area of interest?

Yes

What is your annual revenue in this area?

What is your number of equipment items owned for this area?

How many employees do you have dedicated to this area?

Describe your capabilities to perform the work in this area, if applicable.

Hydro Excavation Services

Is this an area of interest?

Yes

What is your annual revenue in this area?

What is your number of equipment items owned for this area?

How many employees do you have dedicated to this area?

Describe your capabilities to perform the work in this area, if applicable.

Underground Cabling Installation Services

Is this an area of interest?

Yes

What is your annual revenue in this area?

What is your number of equipment items owned for this area?

How many employees do you have dedicated to this area?

Describe your capabilities to perform the work in this area, if applicable.

Underground Duct Bank Installation Services

Is this an area of interest?

Yes

What is your annual revenue in this area?

What is your number of equipment items owned for this area?

How many employees do you have dedicated to this area?

Describe your capabilities to perform the work in this area, if applicable.

Overhead Line Electrical Installation Services

Is this an area of interest?

Yes

What is your annual revenue in this area?

What is your number of equipment items owned for this area?

How many employees do you have dedicated to this area?

Describe your capabilities to perform the work in this area, if applicable.

Quality Information

Describe your Quality Management Program

List any Quality Certifications

Safety Information

List your North American Industry Classification System (NAICS) Code (6 Digit Number on OSHA 300 Log)

Summarize your Safety Management Program

Lost Workdays Away (LWA) Rate

LWAs - 2015

LWAs - 2016

LWAs - 2017

LWA - Comments

Days Away/Restricted or Job Transfer (DART) Rate

DART Rate - 2015

DART Rate - 2016

DART Rate - 2017

DART Rate - Comments

Supplier Information

Business Enterprise Certification(s) - e.g. Minority, Woman, Veteran, LGBT

Client References

Reference 1 - Client Name

Year and Description of Work

Client Contact Information (name, email, phone)

Reference 2 - Client Name

Year and Description of Work

Client Contact Information (name, email, phone)

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Save Money & Energy

Resources & Support

For Business

Our Company

Directional Boring Services

Hydro Excavation Services

Underground Cabling Installation Services

Underground Duct Bank Installation Services

Overhead Line Electrical Installation Services

Quality Information

Safety Information

Lost Workdays Away (LWA) Rate

Days Away/Restricted or Job Transfer (DART) Rate

Supplier Information

Client References