Vendors and Subcontractors - Elit Development

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Vendors / Subcontractors

Company Name

Company Address

Email For Bid Invitations *

Company Phone

Type of Work Performed

Names & Titles of Key Personnel *

Contractors License Number

Tax Number

Type of Company

Does Your Company Have Safety Program?

Is your company SBE/WBE/MBE ?

Current Mod Rate

Geographic Areas of Interest by County

Preferred Project Size

Years in Operation

Number of Employees In Office

Field

Percent of Work Performed by Own Forces

Value of Work Under Contract

Value of Work Completed Last Year

Average Annual Sales Last 3 Years

Total Aggregate Bonding Capacity Per Job

Bonding Surety Firm Name

Bonding Surety Firm Phone Number

Bonding Rate

Insurance Requirements $1,000,000 General

Has Firm Ever Failed To Complete a Contract?

Been Involved in Bankruptcy or Reorganization?

Had Any Pending Judgements, Claims or Suits?

Upload copy of drivers license

INSURANCE GENERAL LIABILITY COVERAGE (CERTIFICATE HOLDER “ELIT DEVELOPMENT LLC”)

WORKERS' COMPENSATION INSURANCE (CERTIFICATE HOLDER “ELIT DEVELOPMENT LLC”)

W-9 FORM

SIGNATURE

INSURANCE GENERAL LIABILITY COVERAGE (CERTIFICATE HOLDER “ELIT DEVELOPMENT LLC”)
WORKERS' COMPENSATION INSURANCE (CERTIFICATE HOLDER “ELIT DEVELOPMENT LLC”)
Bonded (CALL FOR MINIMUM REQUEST)
INSURANCE GENERAL LIABILITY COVERAGE MINIMUM COVERAGE IS 1M
PLEASE EMAIL (3) CURRENT AND (3) PAST REFERENCES TO info.elitdevelopment@gmail.com