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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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