Subcontractor's Form

    Legal company name:

    DBA (if any):

    Primary contact:

    Email:

    Phone:

    Business address:

    EIN / SSN:

    Entity type:

    Years in business:

    Service radius (miles):


    Trades & Capacity

    Primary trades:

    No of field crews:

    Avg. crew size:

    Current backlog (weeks):

    Availability start date:

    Union status:


    Licenses

    Florida license numbers:

    Counties where licensed:

    Manufacturer certifications (Tesla, GAF, Brava, etc.):


    Insurance (attach COI)

    General Liability limit (per occurrence):

    Workers' Comp:

    Auto Liability limit:

    Umbrella / Excess:

    COI expiration:

    Upload Certificate of Insurance (PDF):


    Safety

    OSHA EMR (last year):

    TRIR (last year):

    Recordable incidents/fatalities (last 3 yrs):

    Written safety program?

    Drug‑free workplace policy?

    Fall‑protection training current?


    Documents

    W‑9 (PDF):

    Licenses (PDF):

    Portfolio / project sheet (optional, PDF):


    References

    Provide at least two GC/client references (name, role, company, phone/email):


    Notes & Rates

    Typical rates (optional):

    Equipment owned (cranes, dump trailers, lifts, generators, etc.):

    Additional notes:


    Acknowledgments

    Typed signature:

    Date:

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