Contractor Inquiry Form COMMUNITY OPPORTUNITY Contractor/Supplier Inquiry Form To inquire about contracting services or supplier opportunities, please fill out the following form and click “Submit”. Required field denoted by an asterisk (*). General company information Company name * Company address * City * State * Zip code * Website Headquarters information (if different from above) Address City State Zip Code Contact Information Name* Phone* Email* Fax Other information Number of full time employees?* DUNS Number Does the company have a written HSE management program?NAYesNo [group hsse_management] Does the HSE management program include: Personal Protective Equipment program?YesNo Fit For Duty program that includes a Drug and Alcohol policy?YesNo Site/Safety Training?YesNo [/group] 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? *—Please choose an option—8(a)C CorpGovernmentIndividualLLCNon-ProfitPartnershipS CorpSole ProprietorSubsidiaryOther 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, please specify: 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 Please leave this field empty.