Subcontractor Informational Form

CET Management Solution LLC

Subcontractor Information

Company Information
Company Name
Parent Company
If applicable
Subsidiaries & Divisions
Company Type
Year Founded
Classification
Business Website
https://
State Formed
Owner Changed in 12 Months

YesNoOther
If yes, please explain
Business Address

Street Address

Street Address Line 2

CityState

Zip Code

Primary Points of Contacts
Representative Name

TitleFirst NameLast Name
Business Email*
example@example.com
Work Phone*

Area CodePhone Number
Work Cell Number

Area CodePhone Number
Work Fax Number

Area CodePhone Number
Union Affiatiate

YesNO
How many employees
Federal Employee ID
Contractor Lic #

Safety Information
Number of Accidents
Over the last three years
Any OSHA incidents

YesNo
If yes, please explain

Financial Information
Current Year Projection
Dunn & Bradstreet #
Revenue $
Back Log $
Average Contract Dollar $
Largest Contract $
36 Months
Line of Credt
Bank
Name of Primary Bank
Accountant Firm
Audit to / Outside
Any law suites or judgements

YesNo
If yes, please explain
Bankruptcy

YesNo
If yes, please explain

Surety & Bonding Section
Surety Company
Bond Agent
Phone Number

Area CodePhone Number

Performance Information
Had a project terminated?

YesNo
If yes, please explain
Had a Project Fail?

YesNo
If yes, please explain

Submission Section
Please verify that you are human*
You agree and understand the Subcontractors Policiyes, Procedures and Regulations which includes insurance requirements, safety standards, subcontractor requirements, payment procedures, lien waiver requirements and a subcontractor qualifier form. Please reference our polices page that govern the function, procedures, and safety requirements of CET Management Solution LLC
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