CONTRACTOR FORM

Sub Contractor Application

Name of Business

Address of Business (City, State, Zip)

Phone of Business

Owner of Business or Contact Person

Owner of Business - Title

Owner of Business - Email

Owner of Business - Phone

Business Tax I.D. Number

Insurer

Policy Number

Please list some equipment that you have and what your company specailizes in such as, Floor Care, Plumbing, Painting, Auto Scrubber - high and low speeds, Propane buffer, Professional Painting equipment, etc:

Please list four (4) references, Name, Address, Phone Number and Contact Person:

I CERTIFY that the information given herein is true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for subcontractor employment as may be necessary for arriving at an employment decision. I understand that this application is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given on my application or interview may result in termination of any and all contracts.

Commercial Cleaning · Restoration · Repairs

CONTRACTOR FORM

CONTRACTOR FORM

Sub Contractor Application

Water Damage

Water Extraction Service

Industrial water extraction from flooded manufacturing plant.

Janitorial

Nightly Office Cleaning

Recurring nightly cleaning program for tech company HQ.

Mold Remediation

Basement Mold Treatment

Extensive mold treatment in commercial basement area.

Water Damage

Storm Damage Recovery

Full restoration after severe storm flooding in retail space.

Janitorial

Commercial Floor Care

Strip, wax, and polish of warehouse facility floors.

Mold Remediation

Mold Remediation

Complete mold removal and prevention in commercial building.

Water Damage

Flood Restoration

Emergency water extraction and restoration after pipe burst.

Janitorial

Office Deep Clean

Complete deep cleaning of a 50,000 sq ft corporate office space.