Contractor Application

CONTRACTOR APPLICATION
Name *

First Name Last Name
Date *

Month Day Year
Date
How did you hear of us? *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Company Name *
Specialized Field (GC, Plumber, Electrician, Roofer, etc.) *
Contractor License #: *
Insurance and Experience
Are you Licensed and Insured? *

Yes No
Proof of Insurance *

Click to Browse and Upload Proof of Insurance

Cancel of
Proof of Worker's Comp. Insurance

Click to Browse and Upload Proof of Worker's Comp. Insurance

Cancel of
License Updated *

Yes No
What Type of Insurance? *
How much coverage? *
How long have you been doing business in the area? *
How long have you been running your own crew? *
How many guys are on your crew full time? *
Current Projects and Bidding
How many projects do you have going on right now? *
How many projects have you completed in the past year? *
How many jobs do you typically handle at once? *
What were the scopes of work? *
What are the addresses? *
Can I see the work on one or two recent jobs? *

Yes No
How do you usually bid your work? *
Materials and Labor charged together or separate in your bids? *

Together Separate
Do you give written warrantees for your work? *

Yes No
How long of warranty? *
Sub-Contractors and More Prescreening
Do you use subcontractors? *

Yes No
Are they licensed and insured? *

Yes No
Who is your electrician? *
Who is your plumber? *
Do you belong to the Better Business Bureau or local Chamber of Commerce? *

Yes No
Do you have any certificates/licenses regarding the skills you have? *

Yes No
Have you ever declared bankruptcy? *

Yes No
How often do you communicate with your clients during a job? *
Do you clean the job-site daily? *

Yes No Weekly Every other day
Do you have a problem with signing a lien waiver? *

Yes No
References

Can you provide a list of references; with the names and numbers you have done work for in the past:
Reference No. 1: *
Name/Phone Number/City and State
Reference No. 2: *
Name/Phone Number/City and State
Reference No. 3: *
Name/Phone Number/City and State
Should be Empty:

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CONTRACTOR APPLICATION