Subcontractor Application by jqlq3K

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									                                     Piedmont Walls & Ceilings
                                        Subcontractor Application

Company Name: __________________________________
Address: __________________________________________
City: _____________________________________________
Phone: (______) ____________________________
Contact Person for Questions: __________________________

Insurance:
      Insurance Company: ____________________________
      Agent Company:______________________ Phone (_____)______________

Note: All Secondary Subcontractors will have to have general liability and workers compensation Insurance.
Piedmont Walls & Ceilings L.L.C. will contact insurance company before any work is done by Secondary
Subcontractor.


General:
     Company Tax Id number: ____________________________
     Years in business under present name: _________________________
     Work Specialty: _______________________
     Years performing work specialty: ______________
     Email Address: _________________________
     Fax: _______________________________
     How Far will you travel: ______________________
     How much do you charge per man per hour: _______________________

Note: Piedmont Walls & Ceilings L.L.C. is a subcontracting company, when you subcontract from Piedmont Walls
& Ceilings L.L.C. you are considered a secondary subcontract that only does labor, tools and transportation for all
jobs you bid.

								
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