Holland Customer Project Information Sheet

Project Intake Form

Please complete all fields as applicable in order for us to get started on your project.
Holland Sales Rep*
Holland Customer Information
Organization Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
3. Business Phone*
Format: (000) 000-0000.
General Contractor/PrimeSubcontractor
Prime Contractor Company Name
Prime Contractor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Prime Contractor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Prime Contract Upload

Cancelof
Subcontractor Company Name
Subcontractor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Subcontractor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
- Surety Company Name (if applicable)
- Surety Company Address (if applicable)
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Surety Phone Number (if applicable)
  Please enter a valid phone number.Format: (000) 000-0000.
- Project Information
- PrivateFederalPublic
- Customer Project Name*
- CRM ID*
  This is located on your Holland Proposal or Contract (ex. P -12345)
- Customer Project Number*
- 3. Customer Contract Contact*
  
  First NameLast Name
- YesNo
- Customer Purchase Order/Contract Number (if applicable)
- Preferred Project Start Date (Holland's portion of project)*
  
  MonthDayYear
  Date
- Preferred Project Completion Date (Holland's portion of project)*
  
  MonthDayYear
  Date
- Project Location*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Project Manager Name/Local Project Contact*
  
  First NameLast Name
- Project Manager Phone*
  Format: (000) 000-0000.
- Project Manager Email*
  example@example.com
- The following should receive copies of Production Reports:
- YesNo
- Copy of ChartsCopy of Weld CertificationsCopy of Weld ChartsSpecifications
- The following should receive copies of Reports:
- Project Accounting Information
- Customer AP Contact Information
  
  First NameLast Name
- Email
  example@example.com
- Phone
  Format: (000) 000-0000.
- Customer Invoice Contact Information
  
  First NameLast Name
- Email
  example@example.com
- Phone
  Format: (000) 000-0000.
- 6. Certificate of Insurance Contact Information*
  
  First NameLast Name
- Email*
  example@example.com
- Phone*
  Format: (000) 000-0000.
- 8. Certified Payroll Contact Information
  
  First NameLast Name
- Email
  example@example.com
- Phone
  Format: (000) 000-0000.
- 9. Certified Payroll Requirements (if applicable)
- YesNo
- If marked ‘Yes,’ please upload Template or list any special requirements.
- Partial Lien Waiver Upload
  
  Cancelof
- YesNo
- If marked ‘Yes,’ please upload Template or list any special requirements.
- Final Lien Waiver Upload
  
  Cancelof
- YesNo
- If marked ‘Yes,’ please provide name and upload a copy of Prime Contract.
- YesNo
- If marked ‘Yes,’ please provide a copy of the bond or list amount.
- Bond Upload
  
  Cancelof
- Should be Empty:

Project Intake Form

Holland Customer Information

Project Information

Project Accounting Information