SECTION 1 — COMPANY INFORMATION
Legal Company Name (must match W-9)
*
DBA / Trade Name (if applicable)
Business Address
*
City
*
State
*
ZIP Code
*
Company Phone Number
*
Please enter a valid phone number.
Company Email Address
*
example@example.com
SECTION 2 — PRIMARY CONTACT
Primary Contact Name
*
Contact Title / Role
*
Direct Phone Number
*
Please enter a valid phone number.
Direct Email Address
*
example@example.com
SECTION 3 — TRADE & SCOPE
Trade Type
*
Please Select
Masonry
Framing
Roofing
Plumbing
HVAC
Electrical
Insulation
Drywall
Painting
Doors & Trim
Gas / Propane
Other
Brief Description of Your Scope of Work
*
Scope Includes
*
Labor Only
Labor & Materials
SECTION 4 — LICENSING (CONDITIONAL)
Complete this section if your trade requires licensing (Roofing, Plumbing, HVAC, Electrical).
License Number (if applicable)
License Issuing Authority
License Expiration Date
-
Month
-
Day
Year
Date
Upload Copy of License
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SECTION 5 — INSURANCE
Insurance Carrier Name
*
Policy Number(s)
*
Insurance Policy Expiration Date
*
-
Month
-
Day
Year
Date
Coverage Provided
*
General Liability
Workers’ Compensation
Auto Liability (if vehicles on site)
Upload Certificate of Insurance (COI)
*
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of
I acknowledge Alexander2 Construction LLC must be listed as Additional Insured
*
I acknowledge Alexander2 Construction LLC must be listed as Additional Insured
SECTION 6 — TAX & PAYMENT
Payment Entity Name (must match W-9)
*
EIN or SSN
*
Remittance Address (if different from above)
Preferred Payment Method
*
ACH
Check
Upload Completed W-9
*
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SECTION 7 — PROJECT CONFIRMATION
Project Address
Acknowledgements (check all that apply)
*
I have reviewed and understand my subcontract scope
I understand lien waivers are required for payment
I understand no work may begin without written Notice to Proceed
I understand all change orders must be approved in writing
SECTION 8 — DOCUMENT UPLOADS
Upload Signed Subcontract Agreement
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of
Upload Conditional Lien Waiver (Progress Payment)
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of
Upload Additional Supporting Documents (if any)
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Submit
Should be Empty: