Get documents about "1099 Contractors Agreement
Description
1099 Contractors Agreement document sample
Document Sample
Contractor's Questionnaire
Date:
Name
Mailing Address:
Physical Address:
Web Address:
Year's in Business: Year's Experience:
Description of Operations:
Operation is (%) Type of Work (%)
General Contractor Developer
Subcontractor Construction Manager
Artisan Contractor W/Penalty Clause
Commercial New: Residential New:
Remodel: Remodel:
Industrial Apartments
Institutional Condominiums/Townhomes
Mercantile Custom Homes
Office Tract Homes
Remodeling - Structural Remodeling - Structural
Remodeling - Nonstructural Remodeling - Nonstructural
Other Other
Current Year Previous Year Two Years
NEXT 12 MOS. (07-08) Ago (06-07)
Gross Annual Receipts:
Number of Owners:
Number of Direct Employees (W2 and 1099 ):
Estimated Annual payroll:
Cost of Insured Sub-Contractor's:
Cost of Uninsured Sub-Contractor's:
* Uninsured subcontractors, independent contractors and 1099 employees are classified and rated as direct employees. If Certificates of
Insurance are not obtained from subcontractors the cost of subcontracted work will be deemed as payroll on audit and charged accordingly.
Describe Equipment used in Operations:
(Cranes/Cherry Pickers/Lifts - Maximum Height)
List five current or planned projects:
Customer Name and Project Description: Cost of Project Duration of Project
List five largest jobs in the last 3 years:
Date
Customer Name and Project Description: Cost of Project Completed
Indicate percent of work perfomed based on total operations of any of the following:
Airports Masonry
Asbestos Removal Mechanical
Blasting Municipality Work
Bridge Construction Peir or Wharf Const.
Boring Pipeline
Boiler Inspection Plastering/Stucco
Bldg. - raising or moving Pollution Abatement
Cofferdam or Caisson work Railway
Dam/Reservoirs Shoring/Underpinning
Demolition Steel
Drilling Steel (ornamental)
EFS or Related Work Stevedoring
Excavation Street/Road
Equipment Rental to Others Sub Aqueous
Fire Suppression Subways
Gas/Water Mains Supervising Only
Grading Tunnels
Landfills Waterproofing
Lead Paint Removal Wrap-ups
Maintenance Other (describe)
Provide Estimated Payroll and Cost of Sub's
for each Trade Classification
Direct W2 & 1099 Cost of Insured Cost of
Class Code Employee Payroll Sub's (91583) Uninsured Sub's
Abatement/Asbestos/Lead Clean Up
Air Conditioning Systems, Install/Repair (91111)
Alarm Systems, Install/Repair (91127)
Advertising Sign Install - Outdoors (90089)
Carpentry (91342)
Concrete Const. - Foundations, Tiltup Work (91560)
Concrete Construction - Driveways, Walks (98215)
Debris Removal - Construction Site (91629)
Door or Window Installation (91746)
Dry Wall or Wallboard Installation - Metal (92338)
Electrical Work within buildings (92478)
Electrical Work - Other
Grading of Land (95410)
Fence Erection (94276)
Floor Covering (94569)
Tile Work, Installation (99746)
Masonry Work (97447)
Painting - Exterior (98304)
Painting - Interior (98305)
Plumbing - Commercial or Industrial (98482)
Plumbing - Residential (98483)
Roofing - Commercial or Industrial (98677)
Roofing - Residential (98678)
Siding Installation (98967)
Metal Erection - Ornamental (97650)
Metal Erection - Structural (15405)
Swimming Pool, Install/Service (99507)
Other Executive Supervisor (91580)
Total: $ - $ - $ -
Have you ever been involved in the new construction of tract houseing, row houses,
condominiums or townhouses? Yes No
If yes, what percentage of total revenue -
Have you performed original framing, window or door installation work on any condominiums,
townhouses or tract homes? Yes No
Do you use a written contract with customers? Yes No
If no, explain when not required
Subcontractors
Do you obtain certificates of insurance from all subcontractors? Yes No
If yes, minimum limits required.
Do you use a written contract with subcontractors? Yes No
If no, explain when not required
Do your contracts contain a hold harmless agreement in your favor? Yes No
Are you added as Additional Insured on the subcontractor's liability policies? Yes No
Do you normally use the same subcontractors? Yes No
What percentage of your work do you sub out?
Do you provide Architectural or Engineering design services? Yes No
If Yes, explain
Do you carry Errors & Omissions coverage for these services? Yes No
Have you been involved in any claims involving construction defect? Yes No
Do you install, service, repair or work with EIFS Systems? Yes No
Do you use any type of scaffolding or lifts? Yes No
Have you done or do you plan any work performed for:
Refineries: Gas Stations:
Chemical Plants: Airports:
Railroads: Hospitals:
Public Utilities:
Please explain:
Have you done or do you plan any project involving:
Caissons: Piers:
Retaining Walls: Shoring:
Underpinning: Other Structural Engineering?
Please explain:
Have you in the past or do you plan any work to be above two stories in hight? Yes No
Percentage: Maximum Height:
Have you in the past or do you plan any repair, replace or new roofs? Yes No
Percentage of heat applications: Percentage of membrane roofing:
In the past three years, have you been fired or replaced on a job in progress? Yes No
Have you replaced another contractor on a job in progress? Yes No
Please Explain
Were there any claims, losses or suits against you in the past five years Yes No
Are there any claims or legal actions pending against any of the entities named in the application? Yes No
Do any of the entities named in the application have knowledge of any pre-existing act, omission,
event, condition or damage to any person or property that may potentially give rise to any future
claim or legal action? Yes No
Have you been accused of faulty construction in the past five years? Yes No
Have you been accused of breaching a contract in the past five years? Yes No
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