TW&M LLC Job Application

Please list three references: (Family Not Applicable)

Por favor enumere tres referencias: (Familia no aplicable)

 

Please list three previous employers

Por favor enumere tres empleadores anteriores

Please review your application. Make sure it is filled out accurately and to the best of your knowledge. If you have any questions please contact Mayra Chico at the office number (806) 250-3669. Please be advised if hired by "TW&M LLC" you will be asked to provide proper identifaction. You will also be asked to fill out an I-9, W-4 Form, Employee Agreement, and Direct Deposit Authorization Form. You will also be required to provide the proper identification. By signing the bottom you are now accepting that this application has been filled out accurately and truthfully. 

Por favor revise su aplicacion. Asegurese que todo este llenado correctamente segun su conocimiento. Si tiene preguntas por favor de comunicarse con Mayra Chico al numero de la oficina (806)-260-3669. Por favor tenga en cuenta que si usted es contratado por "TW&M LLC" usted va ser responsable de llenar las formas I-9, W-4, el acuerdo de Empleo, y Autorizacion de Deposito Directo. Tambien sera requerido que nos presente las identificaciones apriopadas. Al firmar abajo usted acepta que la aplicacion a sido llenada correctamente. 

TW&M Agreement/Acuerdo 

Effective immediately 1/1/2016 when you are your hired and paid road time or mileage be advised that you will be on a 90 day probation period, from the time you were employed know that in this period TW&M has the right to retain from your paycheck ½ of the amount but is not limited to the complete amount in the case of default by employee (includes quitting, no call no show, constant absenteeism, violation of any of our safety rules & our general contractors or any substance abuse) if any of these incidents occur we will dock from employee’s pay the amount already paid to you. If you have already been employed by us if you are paid road time or mileage from or going to a job or home & don’t show up to work you will be docked as well we will have zero tolerance for any of the above mentioned. Last but not least if you have any questions or concerns regarding your pay check (hours, pay rate, address update or ups services) please contact the office directly during business hours we are here to help in any way possible.

Efectivo inmediatamente 01/01/2016 cuando el empleado es  contratado y pagado tiempo de manejo  o millaje tenga en cuenta que usted estará en un período de prueba de 90 días, desde el momento en que fueron empleados saben que en este período TW&M tiene el derecho a retener de su salario ½ de la cantidad pero no se limita a la cantidad completa en el caso de qubrar las siguientes reglas estipuladas por TW&M (incluye dejar el trabajo, no llamar, por ausentismo constante, violación de nuestras reglas de seguridad y los contratistas generales o abuso de cualquier sustancia)  si se presenta cualquiera de estos incidentes TW&M se vera forsado a ejecutar estas reglas. Si ya ha sido empleado por nosotros y a cobrado tiempo de manejo o millaje de ir a un trabajo o a casa y no se presenta al trabajo,  tendremos cero tolerancia para cualquiera de los anteriores mencionados. Por último si tienes alguna pregunta o inquietud con respecto a su cheque de pago (horas, actualización de dirección o servicios de ups) Póngase en contacto con la oficina directamente en horas de trabajo y con gusto le podemos ayudar.

TW&M LLC Agreement

Indemnity. To the fullest extent permitted by law, the Subcontractor/Employee shall defend, indemnify and hold harmless TW&M LLC and its agents, consultants, assigns, employees, insurers, sureties, affiliates, shareholders and members, and third parties to the extent TW&M LLC is obligated to defend, indemnify and/or hold harmless such third parties by the Prime Contract, from and against claims, damages, losses, expenses including, but not limited to, attorney's fees, property damage, bodily injury, and loss of use, to the extent caused by any negligent acts or omissions of the Subcontractor/Employee, its sub-subcontractors, anyone employed directly or indirectly by any of them or anyone for whose acts or omissions any of them may be liable or responsible. This obligation is not intended to require indemnification of an indemnified party for a claim to the extent that is finally determined to be caused by the negligence of that indemnified party. However, this obligation is intended to require the Subcontractor/Employee to defend, indemnify and hold harmless an indemnified party even if that indemnified party is alleged to have contributed to the claim, loss, damage or expense through its own negligence. Such obligation shall not be construed to negate, abridge or otherwise reduce other rights or obligations of indemnity which would otherwise exist for a party or person described in this Paragraph. In claims against any person or entity indemnified under this Paragraph by an employee of the Subcontractor/Employee or anyone directly or indirectly employed by Subcontractor/Employee or anyone for whose acts or omissions Subcontractor/Employee may be responsible, the indemnification obligation under this Paragraph shall not be limited by a limitation on amount or type of damages, compensation or benefits payable under workers' or workmen's compensation acts, disability benefit acts or other employee benefit acts.

 

Project Conduct. Subcontractor/Employee will comply with TW&M LLC’s safety requirements including use of proper safety equipment (hard hats, safety glasses, proper clothing, etc.). Subcontractor/Employee shall take all necessary precautions to protect concrete slabs and other completed work, materials and equipment including elevators, from damage or unreasonable wear and tear. Subcontractor’s/Employee’s personnel shall be replaced at the request of TW&M LLC. Subcontractor’s/Employee’s work area shall be kept clean of all debris and excess materials at all times, and cleaned at least daily. Subcontractor/Employee shall provide for proper illumination and a safe working environment for all Subcontractor’s/Employee’s Work. Subcontractor/Employee shall take all necessary safety precautions with respect to performance of the Subcontractor's/Employee’s Work and shall comply with applicable safety measures and with applicable laws, ordinances, rules, regulations, and orders of public authorities and with the requirements of the TW&M LLC for safety of persons and property. The Subcontractor/Employee agrees and acknowledges that it has assumed full responsibility and liability for safety precautions in connection with the construction means, methods, techniques, sequences, supervision and procedures pertaining to Subcontractor's/Employee’s Work.

 

Disputes. Subcontractor/Employee agrees to meet with TW&M LLC to resolve any disputes or claims upon request. If not able to be resolved at such meeting, the Subcontractor/Employee agrees to mediate, and arbitrate or litigate the dispute as elected by TW&M LLC. Subcontractor/Employee agrees to join in to any dispute process participated in by TW&M LLC which involves Subcontractor’s/Employee’s Work. In any event, except as otherwise agreed by TW&M LLC, Subcontractor/Employee agrees not to pursue any claim until after the Project is completed but before the anniversary date of the Project completion and all other claims are waived and released by Subcontractor/Employee. Subcontractor/Employee hereby waives and agrees that it shall not be entitled to assert any claims for acceleration, interference and delay, anticipatory profit or indirect, special or consequential damages, however caused, quantum meruit, interest on late payments, or any other similar measure of damages. Subcontractor/Employee shall bond over or remove any liens arising out of the Subcontractor’s/Employee’s Work except to the extent caused by TW&M LLC’s payment defaults. In the event of a dispute resolution between the parties, the prevailing party shall be entitled to reimbursement of attorneys’ fees and other dispute resolution costs.

Safety Form Sheet

Slips & Falls

• Walking/working surfaces are inspected to make sure they are clean and dry, if possible.
• Signs are posted to alert workers to wet, icy, greasy or otherwise slippery areas.
• The worksite is cleaned up at day’s end to avoid creating tripping hazards.
• A clear pathway is kept through a work area at all times.
• Ladders and step stools are inspected to ensure that they are in sound working order.
• Workers do not compromise their safety while on a roof or other high area by reaching, leaning, or otherwise being without sure footing.

Ladder Safety

• Ladders are inspected before use to make sure they are clean and undamaged.
• Ladders are only set up on a dry, stable surface.
• Employees are to position ladder so that its feet are approximately one (1) foot from the base of the building for every four (4) feet of the building’s height.
• If there’s any chance the ladder’s feet will slip, dig a small trench for the feet or secure them another way.
• Proper ladder use instruction tell employees to extend the top of the ladder three (3) feet above the top of the roof, or whatever surface it is leaning against.
• Employees tie off the ladder to prevent it from slipping.
• Employees are trained to face the ladder when climbing and keep both hands on the ladder.
• Employees are instructed not stretch or reach while on the ladder—come down and move the ladder to the desired location.
• Employees are instructed to hold the base of the ladder as someone descends. And if someone else is descending without support to assist them.

Material Handlin

• Posters on site remind workers about proper lifting techniques: Bend at the knees, grab an object securely, hold it close to the body.
• Employees are warned to be cognizant of health and ability to handle heavy objects/labor intensive or strenuous tasks and not take on more than they are physically able to handle.
• Employees are instructed when they are transporting heavy/awkward objects to confirm that pathway is clear of debris and safe to walk on.
• Employees are instructed to keep an eye on both ends of long objects like wood beams, ladders, and railings whether carrying them or working near them. They are told not to back up with object in hand without checking for obstacles such as windows, ladders, or people.
• When putting debris from upper levels into dumpsters on the ground, appropriate closed shoots are used.
• Trash is carefully handled to avoid lacerations from glass or contact with other unsafe items within the bag.

Personal Protective Equipment

• Appropriate PPE are provided for each task.
• For any job that requires specific types of PPE, employees are told what they should wear and to make sure they receive the proper PPE and any necessary instruction on how to use the equipment.
• PPE is replaced if its effectiveness is compromised.
• PPE is discarded appropriately; any hazardous material encountered could also be on the equipment.

Hazardous Materials

• Employees are instructed what to do in the event of a mishap.
• Materials are kept in proper containers and labeled properly.
• Gloves, masks or other PPE are provided and worn by employees as appropriate.
• MSDSs are available on the work site; a person is assigned to this task.
• Materials are discarded in appropriate manner—many materials require special disposal and should not be flushed down sinks, poured into the ground, or thrown in the trash.
• Employees are instructed to thoroughly wash hands and work area after handling hazardous materials, even if wearing PPE. There is still the danger of transporting the material to their eyes, mouth, or someone else unless everything is cleaned.

Electrical Safety

• Tools are inspected to make sure they have guards, grounding prongs, and are undamaged.
• Power tools are only used by those trained to operate each specific tool.
• Extension cords are inspected to make sure they are undamaged and are three-pronged.
• Power is turned off before working on lighting or other wiring projects.
• Employees know to watch for overhead power lines when working outside.

Power Tool Safety

• Employees are instructed how to use tools prior to use; only employees trained on a specific tool are allowed to operate that tool.
• Employees check that power cord does not pose a tripping or electrical hazard.
• Employees stay focused on task at hand; no horseplay is allowed on the site.
• Employees do not shoot nails in wood when there are people behind wood beam, check walls for wiring/plumbing before contact, and do not operate anything electrical in the rain.
• Employees avoid wearing loose fitting clothes that could get caught in a tool or machinery.
• Employees are taught to use caution in “wind-down” mode—when most power tool accidents happen.
• Employees are instructed not use cords to hoist or lower tools.
• Employees make sure the tool is in the OFF position before plugging in the cord, passing to another worker, or setting the tool on the ground.

Fire Prevention

• Do not smoke on a work site.
• Be aware of the nearest fire extinguishers on site.
• Employees using gas-powered equipment let engines or motors cool before refueling.
• Electricity and gas are shut off before starting major construction projects.

Water Damage Prevention

• Employees clean up spills immediately after they occur.
• Water is shut off before working on any plumbing job.
• Locate water pipes before beginning major construction (doorway widening, replacing dry wall, installing fixtures or grab bars, replacing appliances, etc.)

Environmental Awareness

• Employees know to check the condition of the floor, steps, or other materials before putting weight on them.
• Employees pay attention to traffic or other neighborhood hazards.
• Sensitive employees know to check for plants such as poison ivy/oak, thorns, or other items that might cause an allergic reaction (bees, pollens, etc.) and carry appropriate medications, such as albuterol and Epinephrine auto-injector.
• Employees watch for tripping hazards inside and out, including pipes, loose bricks, roots, extension cords, hoses and uneven ground.
• Employees use caution when entering/leaving work area in a motor vehicle—check for other cars and people, as well as tools, lumber, or other worksite material that might be in the way.
• When removing tree limbs or beams overhead, employees check what is below that could be damaged by falling materials—including other people.
• Many accidents happen while someone is angry or distracted. Those who stay cool and focus on the job at hand remain safer. Supervisors know when to intercede and tell an employee to take time out and cool down.
• If paint is suspected of being lead-based, proper precautions are used to remove it.
• Proper hardhats, work shoes, gloves, respirators, goggles, face shields are used for the assigned task.

TW&M LLC CONSENT TO EMPLOYEE DRUG AND/OR ALCOHOL TESTING

 

I understand that submission to a Post-Injury Drug And/Or Alcohol Screen is a condition of employment with this employer. I understand that random and annual Drug And/Or Alcohol Screens will also be performed. I understand that, should my testing results be confirmed positive or I refuse to test, I will be subject to the company’s disciplinary action, including possible discharge. I understand that a tampered with or an adulterated specimen will be considered a refusal to test, resulting in possible discharge.

I hereby give my consent to release the results of my blood and/or urinalysis to the person(s) or department(s) or the specified agent of my employer, including my employer’s Workers’ Compensation Insurance Company, for the purpose of determining the presence of alcohol and/or other drugs in my body for the duration of my employment.

I understand that if I am injured during the course and scope of my employment and I test positive for the presence of alcohol and/or drugs, I may forfeit my eligibility for medical and indemnity benefits. I also understand that a refusal to test, a tampered with or an adulterated specimen under this circumstance may also result in forfeiture of my eligibility for medical and indemnity benefits and immediate action, including possible discharge.

By signing this form, I hereby release to TW&M LLC and/or TW&M LLC’s Medical Review Officer the results of the test(s) to which I have consented. I further authorize TW&M LLC to discuss the results with medical personnel / physician collecting the specimen, the testing facility, its directors, officers, agents, and employees responsible for administering the aforementioned test(s) or evaluating the results thereof and any of them herein. I also authorize TW&M LLC to discuss the results with its legal advisors and to use the test results as a defense to any legal action to which I am a party. I further release any testing facility or any physicians who have tested me from any liability arising from a release of any and all results, written reports, medical records, and data concerning my test(s) to the appropriate Employer officials. I agree to have the results released to TW&M LLC and/or TW&M LLC’s Medical Review officer.

W-4 Form

https://www.irs.gov/pub/irs-pdf/fw4.pdf 

 

I-9 Form

https://www.uscis.gov/i-9