Subcontractors – Application – Green Touch Builders

Company

Name of your business:

TAX ID:

Adddress:

City

State

Zip

Business Type (check one)

Sole Propietor

Partnership

Corporation

LLC

Trade Description

Date Est.

No. Emp.

Phone

Fax

Email

Contact(s)

Primary Contact

Title

Years Exp.

Additional Contact Name

Title

Years Exp.

Additional Contact Name

Title

Years Exp.

Additional Contact Name

Title

Years Exp.

License(s), SIC, NAICS

SIC Code

Additional SIC Code

Please list all applicable licenses (trade/professional)

Type of License

License #

State

Type of License

License #

State

Type of License

License #

State

Has your license ever been denied or revoked?

NO

YES

If yes, please explain:

Has there ever been a complaint filed against your firm to the Contrator's State License board?

NO

YES

If yes, please explain:

Has your company or parent company ever filed for bankruptcy, failed to complete a job, or been termintated from a contract within the last five years?

NO

YES

If yes, please explain:

Are there any jugments, claims, arbitrations, lawsuits outstanding or that have taken place within the last five years?

NO

YES

If yes, please explain:

Has your company ever been suspended or barred from government contracts (local or federal)?

NO

YES

If yes, please explain:

Past Projects

What was your highest contract to date (dollar amount):

Type of Project

Location

Gross Project Bid ($)

Size (SqFt)

Date

List 3 of your most recent projects (completed or in progress):

Project 1 - Name:

Location

Client

Date of Completion

Work Performed

Subcontracted activities performed:

Project 2 - Name:

Location

Client

Date of Completion

Work Performed

Subcontracted activities performed:

Project 3 - Name:

Location

Client

Date of Completion

Work Performed

Subcontracted activities performed:

Insurance Info

Use PDF or Image for Upload

Attach copy of Worker's Compensation Insurance Provider

Does your company have an active safety program? Please provide explanation:

Subcontractors – Application

Green Touch Builders is committed to growing partnerships with

subcontractor + supplier vendors who who share a commitment to excellence.

If you are interested in being part of our team use our online application below.

You may also download or print the Application PDF (click here), complete and Fax to the number below.

LOCATION

PHONE

FAX

E-MAIL

SUBCONTRACTOR APPLICATION

Company

Contact(s)

License(s), SIC, NAICS

Past Projects

Insurance Info

Helpful Links:

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