Trade Information

Please fill in the form below:

 

Company Name (required):

Company Contact (required):

Address (required):

County (required):

Phone Office(required):

Phone Fax (required):

Phone Cell (required):

Phone Home (required):

Phone Pager (required):

Website (required):

Email (required):

Organization Type (required):

Numbers of Houses Worked on Last Year (required):

Numbers of Houses Worked on Highest Ever(required):

Numbers of Houses Worked on Current Capacity (required):

Numbers of Workers Employed Min This Year (required):

Numbers of Workers Employed Highest Ever (required):

Numbers of Workers Employed Currently (required):

Are your tradesman employees or subcontractors? (required):

Do you subcontract any portions of your work? (required):

When on the job, is your foreman present? (required):

Other business involvements? (required):

Federal Tax ID# (required):

State Tax ID# (required):

Employee Sec# (required):

Liability Insurance Company (required):

Liability Insurance Company Agent (required):

Liability Insurance Company Phone (required):

Liability Insurance Company Policy# (required):

Liability Insurance Company Policy Exp Date (required):

Workers Compensation Insurance Company (required):

Workers Compensation Insurance Company Agent (required):

Workers Compensation Insurance Company Agent Phone (required):

Workers Compensation Insurance Company Policy# (required):

Workers Compensation Insurance Company Policy Exp Date (required):

Bank Reference Name (required):

Bank Reference Phone Number (required):

Are You Bonded? (required):

If Bonded Company Name:

If Bonded Company, how much?:

Material or Equipment Suppliers that you use (Please list Name, Address & Phone) (required):

Material or Equipment Suppliers that you use (Please list Name, Address & Phone) (required):

Will materials be shipped to the jobsite direct from the suppliers (Mat'l Waiver Req'd) or will you bring them? (required):

Please list 3 jobs you are presently working on or have completed (Job1) (please list Builder, Address, Contact, phone) (required):

Please list 3 jobs you are presently working on or have completed (Job2) (please list Builder, Address, Contact, phone) (required):

Please list 3 jobs you are presently working on or have completed (Job3) (please list Builder, Address, Contact, phone) (required):

Describe your corporate safety policy and philosophy (required):

Have you ever been cited by OSHA for any violations, accidents, Injuries (Describe) (required):

Describe your policy on customer service (required):

Service work contact (required):

Service work phone (required):

Emergency Warranty Work Contact (required):

Emergency Warranty Work Phone (required):

Any additional comments:

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