Company Information
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Company Name * |
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Company Address |
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Street 1 |
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Street 2 |
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City |
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State/Region |
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Postal Code |
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Country |
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Company Phone * |
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Company Fax |
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Company Website |
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Contact Person Information
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Contact Person First Name * |
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Contact Person Last Name * |
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Contact Person Title |
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Contact Person Phone Number * |
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Contact Person Email |
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Scope of Work
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Plumbing |
HVAC |
Electrical |
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Company Qualifications
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Distance from Home Office |
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Crew Size |
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Traveled |
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Have you ever failed to complete a Contract, been defaulted, or had a contract terminated? |
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If you have failed to complete a control, please provide details of failed to complete |
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Experienced with Certified Payroll and Davis Bacon Wage Rates |
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Current/Past Projects
Within the last 2 years, Include name of project, scope of work, contract amount, and completion date |
Current/Past Project 1 |
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Current/Past Project 2 |
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Current/Past Project 3 |
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Current/Past Project 4 |
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Mark all the states your company is licensed to work in:
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Experience
Check all types of work your company is experienced in: |
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Insurance Requirements
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General Liability Insurance |
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Workers Compensation |
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Project-Specific Requirements
Due to the requirements on some of our projects, it may be necessary to provide additional documentation for your company. Could you and/or your crew meet the following requirements if needed? Note: The answers to the following questions will not eliminate the possibility or being used by our company, but they will help us to know what projects your company could be eligible to work on. |
Drug Screening |
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I-9 Verification |
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Criminal Background Check |
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