Trade Partnerships

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1. General Company Information
2. Company Name: 
3. Business License Number:
4. Physical Address:
5. Mailing Address:
6. Business Phone:
7. Authorized Signer(s):
8. Type of Work Performed:
9. Years in business with associated license number:
10. If less than 5 years, list previous license information: 
11. Number of Employees:
12. Any contract limitations:
13. Incorporation information (Name, State, Year):
14. Names of Officers:

Name: 

Title:

Name: 

Title:

Name: 

Title:

1. List (4) General Contractor references with contact information:

Contractor:

Phone:

Email:

Contractor:

Phone:

Email:

Contractor:

Phone:

Email:

Contractor:

Phone:

Email:

1. Provide (3) of your largest suppliers

Supplier:

Contact:

Phone:

Supplier:

Contact:

Phone:

Supplier:

Contact:

Phone:

1. In the past 5 years, has the company or any affiliate been a party to a bankruptcy or reorganization proceeding? 

Financials 

Federal Tax ID:

Dunn & Bradstreet Number: 

Amount of Work Currently Under Contract:

Past (3) Years of Earned Revenue:

Year:

Revenue:

Year:

Revenue:

Year:

Revenue:

Past (3) Largest, Single Contract Amounts Performed:

Amount:

Project:

General Contractor/Owner:

Amount:

Project:

General Contractor/Owner:

Amount:

Project:

General Contractor/Owner:

Bonding Information

Surety Company:

Contact Person:

Broker:

Broker Contact:

*A bonding letter from surety containing your current bonding capacity and amount available must be submitted

Banking Information

Name of Bank:

Address:

Contact Person:

Contact Phone:

Line of Credit Available:

Unused Portion:

Expiration: 

Safety

List your past (3) years of experience modification rate:

Has your company received any citations or OSHA fines in the past 5 years:

Does your company maintain a written safety program:

Do your employees have OSHA Lead Action Level Training:

Do your employees have OSHA Asbestos Awareness Training:

Does your company enforce a drug/alcohol policy:

• Contact for the person in your company responsible for the safety program: