Subcontractor Information Sheet
YOUR COMPANY NAME
/FEIN:
COMPANY ADDRESS:
TELEPHONE NUMBER(S):
office:
cell:
STATE OF INCORPORATION/ORGANIZATION:
NAMES OF COMPANY OFFICERS/MEMBERS:
YOUR NAME:
/SSN:
YOUR EMAIL ADDRESS:
YOUR ADDRESS: [if different from company]
TELEPHONE NUMBER(S):
home:
cell:
TYPE(S) OF WORK YOU DO:
TYPE(S) & AGE OF EQUIPMENT:
[designate ‘owned’ or ‘leased’]
EXPERIENCE & PRIOR JOBS:
NUMBER OF EMPLOYEES:
NUMBER OF SUBCONTRACTORS USED:
NUMBER OF CREWS AVAILABLE:
EARLIEST DATE AVAILABLE:
ARE YOU WILLING TO TRAVEL?
Yes
No
STATES IN WHICH YOUR COMPANY IS LICENSED TO WORK:
SUBCONTRACTORS MUST OBTAIN & MAINTAIN SPECIFIC TYPES & LIMITS OF INSURANCE. DOES COMPANY HAVE THE ABILITY TO FULFILL OUR INSURANCE REQUIREMENTS?
Yes
No
ON YOUR EMPLOYEES/PERSONNEL, DO YOU: PROPERLY COMPLETE I-9 FORMS
Yes
No
CONDUCT BACKGROUND CHECKS
Yes
No
REQUIRE DRUG TESTS
Yes
No
HOW DID YOU FIND OUT ABOUT ECC?
**Acceptance of this form by Ervin Cable Construction, LLC is not a guarantee of future work. No expectation of future work is created by filling out this form and submitting it to Ervin Cable Construction, LLC. Ervin Cable Construction, LLC is an equal opportunity company. Ervin Cable Construction, LLC does not discriminate on the basis of race, creed, color, gender, age, ethnicity, national origin, religion, physical handicap or disability.
Ervin Cable Construction, LLC © 2006
Sitemap
Disclaimer
