ALL MEMBERSHIPS ARE FREE UPON APPROVAL THROUGH THE INTERVIEW AND APPLICATION PROCESS.

OFFICE USE ONLY
 
MEMBERSHIP APPLICATION:

Please submit your information and a representative will contact you shortly.


Company Information.


Company Name:*
Business operating as a:*
Company Phone:*
Company Email:
Address:*
City:*
County:*
State:*
Zip:*
Website:
Contractor Type:*
EIN Number:
License Number:
Additional Licenses Held:
How long have you owned your business?*

Document Uploads:  You may upload your credentials now or have copies with you at your interview.

License Upload
EIN Upload
Insurance Certificate Upload
 

Company Contact Information.


Owners Name:*
Owners Phone:*
Owners Email:*
Co-Owners Name:
Co-Owners Phone:
Co-Owners Email:
How long co-owned:
Is there more than two owners?
Additional Owners:

Manager Information


Managers Name:*
Managers Phone:*
Managers Email:
How long manager:
 

Company Insurance Information


Policy start date:
Policy end date:
Insurance Agency:
Type of Insurance:
How long with insurance:
Number of Employees:
Do you carry workers compensation?*

Does your company use Sub-Contractors?*

Do you require Subs to have Insurance?

What percentage of Subs does your company use?
Do you offer "ON CALL" or :Emergency Services?

Do you offer a warranty on your work?*

If yes, describe warranty:
List all types of Service you company performs:*
List all the Counties in which you work:*
Who do we contact,when we have a consumer?*
 

Company References: (Three verifiable references are required.)


Reference One:

Consumers Name:*
Address:*
City:*
County:
State:*
Zip:
Phone Number:*
Is it Ok to contact this consumer?*
Describe the work performed:*
 

Reference Two:

Consumers Name:*
Address:*
City:*
County:
State:*
Zip:
Phone Number:*
Is it OK to contact this consumer?*
Describe the work performed:*
 

Reference Three:

Consumers Name:*
Address:*
City:*
County:
State:*
Zip:
Phone Number:*
Is it OK to contact this consumer? *
Describe the work performed:*
Primary Bid Pool:*
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