C3 Certified Staffing Agency/PEO Agency (Live)

C3 Certified Staffing Agency/PEO Agency

For a Contractor or Specialty Contractor, of every tier, who seeks to be fully compliant with C3 principles for its entire craft workforce on all projects.
- Organization Details*
  
  Organization NameWebsite
- Organization Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Employer Tax ID#*
- CSI Division or Scope (You may select more than one option)*
- Number of Craft Worker Employees in your organization (anyone who performs labor on a project)*
- Number of field Supervisors in your organization: *
- Certificate of Insurance*
  
  COI File Attachment Upload
  Cancelof
- ReferralBid RequirementWord of mouthC3 WebsiteOther
- Social ResponsibilityOn a C3 ProjectDifferentiator in marketOther
- Contact Information*
  
  First NameLast Name
- Phone Number
  Please enter a valid phone number.
- Email*
  example@example.com
- YesNo
- Name
  
  First NameLast Name
- Email
  example@example.com
- Other Database Admin Information
  
  First NameLast Name
- Email
  example@example.com
- C3 Project Name (If Applicable):
- Contracted By:
- I have watched the Joining C3 video and have submitted the survey to C3. Find video at https://www.c3.org/survey-363908.htmlAll Craft Workers are paid as employees of the company. All Craft Workers are W-2 earners and do not receive a Form 1099.All Craft Workers are paid overtime, if earned, in accordance with federal overtime laws.Employment taxes, federal tax, and non-tax reporting requirements for all Craft Workers comply with applicable federal/state laws.Workers Compensation Insurance is provided on behalf of all Craft Workers as required by the Texas Workers’ Compensation Act. Certificate of Insurance demonstrating proof of Workers’ Compensation Insurance must be attached. Please make sure to upload proof of your COI located at the end of this form.Incumbent field Supervisors (manager, foreman etc.) will be OSHA 30-hour trained prior to arrival on a C3 Project, or within 18 months of submittal of this application, whichever occurs first. New-hire field Supervisors will be OSHA 30-hour trained prior to arrival on a C3 Project or within 6 months of employment, whichever occurs first.Incumbent Craft Workers will be OSHA 10-hour trained prior to arrival on a C3 Project job site, or within 18 months of submittal of this application, whichever comes first. New-hire Craft Workers will be OSHA 10-hour trained prior to arrival on a C3 Project job site, or within 4 months of employment, whichever occurs first.To participate in C3 Safety Training - 12 Month Modules for Craft Workers if offered on my C3 Project. *Available for individual company useTo record and track safety credentials in the C3 Training Database for all Craft Workers employed by my company. (Link will be sent after approval. Action must be taken within 60 days of approval.)To support craft training by participating in the C3 Craft Training Endorsement Program. *Failure to participate may result in interruption of accreditation and incur an administrative fee for account restoration.To Support the C3 mission with building owners, contractors, and others in the industryTo pay enrollment fee with application and annual renewal fee of $2,000.00 within 30 days of receipt of renewal invoice.To require Specialty Contractors performing labor on a C3 Project on my company’s behalf to submit applications to C3. List company(s) in the field provided below: *if your company will not use sub-tiers, please check box and write “N/A” on line provided to list companies.
- Specialty Contractors
- Signature
  
  Clear
- First NameLast Name
- Officer Title*
- I agree to the following
- I attest that I am the most senior officer/principal of the Division or Location for which this application applies and that this information is accurate. I agree to abide by the conditions set forth in the C3 Accredited Employer Policy and Procedure Manual. I authorize C3 to validate any and all information in this application and conduct due diligence as C3 deems appropriate or necessary in connection with this application. Before my organization sends workers to a C3 Project, or within 30 days of this application's approval by C3, whichever comes first, I agree to enter my organization's workers and their safety credentials into the C3 Training Database. I understand that the email addresses provided will be used by C3 to communicate with your organization, as well as to list in the C3 Directory, but your information will never be shared with others without permission.
  
  Note: The Executive Director will review applications for approval.
  Applicants will be notified in writing of approval. Refer to Policy Manual for Glossary of C3 Terms. Please click Submit to finalize your application.
- Address Invoices To:*
  
  Invoice First NameInvoice Last Name
- Invoice Email
  example@example.com
- Credit CardCheck
- Mail the fee to
  
  Construction Career Collaborative
  
  Attention: Accredited Program
  
  P.O. Box 920920 Houston, Texas 77292
- Should be Empty: