Subcontractor - Nova

PORTFOLIO

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Subcontractor

Support Form (#3)

Welcome Subcontractors,
Thank you for your interest in being added to our bid list.
Before to becoming a trusted subcontractor, please review and complete the Subcontractor Pre-Qualification Form below.

COMPANY INFORMATION

Company's Legal Name

Address

Phone

Email address

Years in business

Average project value

Largest Project value completed

Type of company

FEIN/Tax ID

How many employees does your company have?

Office Personnel

Averange Field Labor

Field Supervisor

List the following information:

Five largest project for the past five years

Geographical areas in which you work

Trades you normally perform

LIST OF THE OWNERS, OFFICERS, AND KEY PERSONNEL

Name	Phone	E-mail

REFERENCES

Name	Address	Phone/E-mail	Project

INSURANCE

Experience Modification Rate (EMR) for the past three years

Company safety contact

Does your company conduct injury, incidents and near-miss investigations?

Yes

No

If yes, who conducts investigations

Please attached the following documents:

Pictures of any recent or relevant jobs

Choose File

List of services offered

Choose File

Full insurance policy

Choose File

Liability Insurance

Choose File

Worker’s Comp

Choose File

Person authorized to sign on behalf of the organization:

Name

Title

Date

Signature

Sign Here

If you have any questions, please do not hesitate to call our office at 718 349-7770, extension 200 or contact us at nova@novaconstructionservices.com

Thank you