Subcontractor Onboarding Form

**All requests will be reviewed within 7 business days. All fields must be completed to be considered for onboarding.**

Company Name *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Date *

Date

Point of Contact *

First Name Last Name

Phone Number *

Please enter a valid phone number.

Email *

example@example.com

Type of Service

Please check the box if you have the listed documents required *

Business and/or Contractors License W9 Certificate of Liability ($1M minimum) ACH Information Warranty Information Workers Comp Policy

Location *

State Coverage Area

(I.E. Market, Cities ect.)

For the documents listed below, the following requirements need to be met:

Name on the Contractors License needs to match the name on the Ceritificate of Liability
LGCY Power 3333 N Digital Dr. Unit 600 Lehi, UT 84043 Needs to be listed under certificate holder on COI
Commercial General Liability insurance with limits of not less than $1,000,000 per occurrence, $2,000,000 aggregate for products-completed operations, premises liability and personal and advertising injury.
Workers Compensation Policy (Exemptions not approved)

State Business and/or Contractors License *

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Certificate of Liability *

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Workers Compensation

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W-9 *

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ACH/Direct Deposit/Voided Check *

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Pricing Sheet(If Applicable)

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Warranty Information

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List of References with Previous Company Partnerships *

Examples of Work preformed

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