Sub Contractor Questionnaire
Full Business Name
*
Owner Name
*
First Name
Last Name
Owner Name
First Name
Last Name
Federal Tax Classification
*
Individual Sole Proprietor
C Corporation
S Corporation
Partnership
Trust/estate
Limited Liability Company
How long as your company been in operation?
*
Is this a woman owned company?
*
Yes
No
State of Orgin
*
Number of Employees
*
Hourly rate range for your employees
*
Are your employees W2 or 1099
*
Please Select
W2
1099
Both
Can all your employees pass a national background check?
*
Yes
No
If no please explain below.
Do your employees hold U.S. citizenship, or are they authorized to work in the U.S. under a foreign national status (e.g., Green Card holder, visa holder, etc.)
*
Yes
No
If no please explain below.
Do you hire additional subcontractors for specific tasks (electrical, structural work?)
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Yes
No
If you hire additional subcontractors how do you vet them?
What insurance do you hold?
*
Workers Comp
General Liability
None
What kind of jobs have you and your team worked on?
*
Private
Schools
Government
Municipalities
None of the above
Are you and your team willing to travel?
*
Please Select
Yes
No
If you are willing to travel please explain below how far and if there are any restrictions.
Are you fully licensed and registered to operate in your professional trade
*
yes
no
If so please list the states you are licensed and registered in
If applicable please list your license number
What certificates do you hold? (Ex. Safety, manufacturer etc.) Please list below.
*
Do you have the ability to bond a job?
*
Yes
No
What type of bonding capacity?
Aggregate Bonding Capacity
Single Bonding Capacity
Do you or anyone on your team have experience completing certified payroll?
*
Yes
No
If you do not have any experience are you willing to complete it for jobs that its required? If not please explain
Do you have your own equipment? If so please list below what you have?
*
What is your safety record for the past 3-5 years? Please include any incidents or accidents and how they were handled
*
Do you ensure that all employees and subcontractors use appropriate safety equipment and follow safety protocols while working?
*
Yes
No
Do you have a written safety plan for roofing projects?
*
Yes
No
Please upload a copy of your safety plan if available (Please upload a PDF)
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Are you HUB certified?
*
Yes
No
If you are HUB certified please upload your certification (Please upload a PDF)
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Please list at least 5 jobs you have previously worked on in the last 3 years
*
Lead contact & accounting/finance contact (Phone number and email)
*
Upload photos of your previous work
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Provide at least five professional references including their names and phone numbers
*
Upload your COI (Please upload a PDF)
*
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Upload your W9 (Please Upload a PDF)
*
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Signature
*
Date signed
*
-
Month
-
Day
Year
Date
Submit
Submit
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