Subcontractor Application Company Information How many years has your company been in business under the present name? Sole Proprietor S- or C- Corporation LLC Leadership Information Accounting Contact Estimating Contact Licenses & States List all license #(s) & states authorized to work. Capabilities & Trades List all types of work your company is able to perform (i.e. carpentry, drywall, plumbing, etc.) Bank Info Insurance Info Experience Please provide text or links to describe Please include: project name, location, general contractor, contract value, percent complete and work description. at least three jobs. Please describe any situations where your organization has failed to complete any work that was awarded to it. Please describe any judgments, claims, arbitration proceedings or suits pending, or outstanding against your organization or its offices. Please describe any situation(s), within the last five years, where an officer or principal of your organization failed to complete a construction contract. Trade References Attachments
Please attach a financial statement, preferably audited, inclduing your organization's last balance sheet and income statement showing the following items:
Current assets (e.g. cash, joint venture accounts, account receivable, note receivable, accrued income, deposits, materials inventory and prepaid expenses).
Current liabilities (e.g. accounts payable, notes payable, accrued expenses, provision for income taxes, advances, accrued salaries and accrued payroll taxes).
Other liabilities (e.g. capital, capital stock, authorized and outstanding share per values, earned surplus and retained earnings). Name and address of firm preparing attached financial statement. Please include proof of insurance. Agreement
Please type your name if you agree with the following statement:
"I hereby certify that the above information is complete and accurate to the best of my ability and authorize R-PCI Construction to research all of information contained herein. I further authorize R-PCI Construction to contact my primary bank, insurance company, and trade references (as listed), and for said bank, insurance company and trade references to release general fiscal information requested as part of R-PCI Construction's due diligence in assessing my company's financial stability." Submit