Subcontractor Application "*" indicates required fields Step 1 of 3 – Applicant Information 33% NameThis field is for validation purposes and should be left unchanged.General InformationCompany Name*Company Structure* Sole Proprietorship Partnership Corporation Other Company Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Company Phone*Number of Years in Business*Trade or Services Provided*Owner's Name*Estimator Contact*Estimator Email* Project Manager ContactProject Manager Email A/R ContactA/R Email Project ReferencesPlease list at least three project references. Click the + button to add additional rows.List*Project NameClientValue of Your WorkList*Project NameClientValue of Your WorkList*Project NameClientValue of Your Work Add RemoveHave you ever failed to complete a project?:* Yes No If yes, please explain:*Have you ever been removed from a project prior to completion?:* Yes No If yes, please explain:*Have the Owner(s) and/or principals of the company ever filed for bankruptcy or reorganization?:* Yes No If yes, please explain:*Are there any lawsuits or legal actions pending against your company?* Yes No If yes, please explain:*Can you bond work?* Yes No If yes, amount:*Do you have General Liability Insurance?* Yes No Do you have Worker’s Compensation Insurance?* Yes No Supplier ReferencesPlease list at least three current major supplier references.List*Supplier NameLocationContact NamePhoneList*Supplier NameLocationContact NamePhoneList*Supplier NameLocationContact NamePhone Add RemoveSignatureYour Name*Your Title*Your Email* Disclaimer*I certify that my answers are true and complete to the best of my knowledge. By submitting this application, you authorize Construction Services Group to make inquiries into the business/trade references that you have supplied. I agree to the statement above.CAPTCHA
