Subcontractor Intake
We look forward to working with you, please fill in all required fields. This information will help expedite our project set-up and ensure overall accuracy for billing, and commencement of our work. Please contact us at office@jmrexcavation.com if you have any questions completing the requirements.
Contractor Name
*
First Name
Last Name
Contractor Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Main Contact & Title
*
Type of Business
*
Please Select
Contractor
Supplier
Owner/operator
Other
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Please upload the following required documents. Any missing documents can delay your approval and payments.
W9
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of
Certificate Of Insurance (Include General Liability/Worker's Comp/Disability)
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Choose a file
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of
NYS DOL Certificate of Contractor Registration
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of
Signature
*
Thank you for filling out and uploading the required information. Upon submission you'll be redirected to read and sign the JRM Subcontractor Agreement.
To complete this agreement please ensure JMR Excavation has been provided a copy of your Certificate of Insurance (COI), Workers Compensation Certificate, Disability Certificate, W9 & NYS DOL Registration Certification.
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