Join Our Subcontractor Network

Subcontractors Form

Company Contact

Name

First Last

Role in Company

Contact Email

Phone

Fax

Second Company Contact

Name(Required)

First Last

Role in Company

Contact Email(Required)

Phone

Fax

Company Employees

Number in Office

Number in Field

Number in Shop

Describe Work Radius

List Trades and State(s) in Which Company Holds Licenses:

State 1

License Number 1

State 2

License Number 2

State 3

License Number 3

State 4

License Number 4

List Five General Contractor References (Contact & Phone):

Contact 1

Phone 1

Contact 2

Phone 2

Contact 3

Phone 3

Contact 4

Phone 4

Contact 5

Phone 5

Projects

List Three Major Projects Presently Under Construction Or Completed:

Project 1

Project Name

Owner

Contact

Phone

Start Date

Finish Date

Contract Amount

Project 2

Project Name

Owner

Contact

Phone

Start Date

Finish Date

Contract Amount

Project 3

Project Name

Owner

Contact

Phone

Start Date

Finish Date

Contract Amount

Have You Been Cited by a OSHA Within the Last Four Years?

Have You Been Cited by a OSHA Within the Last Four Years?(Required)

Explain

Do You Require Your Field Employees to be OSHA 10 Hour Certified?

Untitled(Required)

What Are Your Standard Limits of Insurance Coverage?

General Liability

Limit

Insurance Co

Broker

Phone

Umbrella

Limit

Insurance Co

Broker

Phone

Workers Compensation

Limit

Insurance Co

Broker

Phone

If Bondable, Please Fill Out the Section Below

Surety Co. ($)

Single Job Limit ($)

Aggregate ($)

Broker

Phone

Workers Compensation Modification Rating (EMR for Last Three Years)

Year 1

Year 2

Year 3

What Means Do You Use for Weekly Safety Meetings with Your Staff?

Trade School/Apprenticeship Program

Continuing Education Programs

In House Training Programs(Required)

Gould Institute (ABC)(Required)

Seminars and Workshops(Required)

Do You Have a Written Safety Program?

Untitled(Required)

File

Max. file size: 100 MB.

Do You Qualify as an Approved Disadvantaged Business Enterprise (DBE)?

Untitled(Required)

Attach Certificate if Yes

Max. file size: 100 MB.

Miscellaneous Information

Does Your Company Have Any Specialized Areas of Expertise?

Is Your Firm a Member of Any Trade/Business Associations?

Minimum Size of Job Your Firm Would Like to Perform ($)

Maximum Size of Job Your Firm Would Like to Perform ($)

Submitted By(Required)

Title(Required)

Subcontractors Form

Company Information

Company Contact

Second Company Contact

Company Employees

List Trades and State(s) in Which Company Holds Licenses:

List Five General Contractor References (Contact & Phone):

Projects

Project 1

Project 2

Project 3

Have You Been Cited by a OSHA Within the Last Four Years?

Do You Require Your Field Employees to be OSHA 10 Hour Certified?

What Are Your Standard Limits of Insurance Coverage?

General Liability

Umbrella

Workers Compensation

If Bondable, Please Fill Out the Section Below

Workers Compensation Modification Rating (EMR for Last Three Years)

What Means Do You Use for Weekly Safety Meetings with Your Staff?

Do You Have a Written Safety Program?

Do You Qualify as an Approved Disadvantaged Business Enterprise (DBE)?

Miscellaneous Information

Contact Us

Receive Gator Updates