Form
Vendor Registration Form
Thank you for your choosing to work with CR Structures Group, Inc. Vendors are an integral part of our process and help us put together a cohesive team for each project. Please complete and submit this form to start the registration process. If you have any questions, please contact us at (920)733-7305.We look forward to working with you.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Company Name
*
Company Description (Specialties, Trades, Preferences)
*
Company Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Phone Number
*
Please enter a valid phone number.
Company Fax Number
Please enter a valid phone number.
Website
Accounts Payable Contact
*
First Name
Last Name
Accounts Payable Phone Number
*
Please enter a valid phone number.
Accounts Payable Email
*
example@example.com
Accounts Receivable Contact
*
First Name
Last Name
Accounts Receivable Phone Number
*
Please enter a valid phone number.
Accounts Receivable Email
*
example@example.com
Firm Type
*
Corporation
Partnership
Sole Proprietorship
Joint Venture
Is your firm a minority-owned business?
*
Yes
No
If yes to a minority-owned business, which type?
DBE
WBE
MBE
Name(s) of Owner(s) or Major Stockholder(s)
*
Name of the Company President
*
First Name
Last Name
Years in Position (of the Company President)
*
Have there been any changes in ownership or management in the last 5 years?
*
If Yes, please explain
Is your company now, or has it ever been, involved in bankruptcy or reorganization proceedings?
*
Yes
No
Are there any pending judgments, claims, or suits?
*
Yes
No
Current Number of Employees
*
Annual revenue for each of the last (3) years
*
Your Bank Information
*
Name
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Bank's Contact Person
*
First Name
Last Name
Your Bank's Contact Person's Phone
*
Please enter a valid phone number.
Product Line(s)
*
(Brand Name Example: Pella Windows)
Please provide a brief company history
*
Please attach a copy of your company's W9.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please attach a copy of your company's current Certificate of Insurance (COI) with Workers Compensation and Commercial General Liability coverage limits.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How did you hear about CR Structures Group, Inc.?
Type of vendor you are registering as:
*
Subcontractor
Supplier
Service Provider
Consultant
Complete the following for Subcontractors only
Estimator's Name
First Name
Last Name
Estimator's Phone
Please enter a valid phone number.
Estimator's Email
example@example.com
Member of these organizations? (check all that apply)
ABC
Union
Apprenticeship Program
Northeast Wisconsin Construction Alliance
Percent of your work that is Design/Build (check only one)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Percent of your work that is Bid Spec (check only one)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Workman's Comp. Experience Mod Rate Factor (EMR) for the current year
OSHA Recordable Incident Rate for last year
OSHA Recordable Incident Rate for two years ago
OSHA Recordable Incident Rate for three years ago
Do you have any OSHA citations within the last five (5) years? (If Yes, please complete the next field. If No, please skip to Company Description.)
Yes
No
If you do have any OSHA citations within the last five (5) years, please attach an explanation and copies of citations).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
CSI Divisions Bidding (check all that apply)
1 - General Requirements
2 - Existing Conditions
3 - Concrete
4 - Masonry
5 - Metals
5 - Steel (PEMB) Erection Labor
6 - Wood, Plastics or Carpentry
6 - Rough Carpentry Labor
6 - Finish Carpentry Labor
7 - Thermal/Moisture Protection
8 - Openings
9 - Finishes
10 - Specialties
11 - Equipment
12 - Furnishings
13 - Special Construction/PEMB
14 - Conveying Equipment
21 - Fire Suppression
22 - Plumbing
23 - HVAC
26 - Electrical
31 - Earthwork
32 - Exterior Asphalt/ Landscaping/ Fencing/ Curbing
33 - Utilities
Other
Please attach a copy of your OSHA 300 Logs for the last five (5) years if you have more than 10 employees.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Geographic Preferred Work Area (check all that apply):
NE Wisconsin
NW Wisconsin
SE Wisconsin
SW Wisconsin
Midwest United States
Please attach a copy of your company's Comprehensive Safety Program and Safety Manual.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Save
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform