Subcontractor Intake Form

Successful construction projects begin with a GC/Subcontractor relationship that is beneficial for both parties. We’re excited to begin our partnership with you! Please take a few moments to complete our initial contact and partnership evaluation form. If you have any questions, please feel free to contact us at any time. Thank you!

Company Information *

Name *

First

Last

Address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Number of Full Time Employees

Year Founded

Phone

Fax

Trades

Website / URL

Hours of Operation

Point Person - Who should receive bid invitations? *

First

Last

Title & Department *

Phone

Email *

Phone

Accounting Contact - Lien waivers, invoicing, etc *

First

Last

Email *

Has your company or owners ever petitioned for bankruptcy?

• Yes
• No

Is your company currently involved in any legal actions?

• Yes
• No

Has your company had any OSHA violations in the last 5 years?

• Yes
• No

If you answered YES to items 1-3 please explain

Please confirm by checking each box that you can provide current documentation of the following:

• Certificate of Insurance
• Letter Confirming Bonding Capacity
• Letter Confirming Credit Line

Industry References #1 Company Name

Contact Person, Title *

Phone

Email *

Industry References #2 Company Name

Contact Person, Title *

Phone

Email *

Industry References #3 Company Name

Contact Person, Title *

Phone

Email *

Submit