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*Vendor Name:
*Street Address:
*City:
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*Phone:
Fax:
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*Legal form of entity?
—Please choose an option—CorporationProprietorshipPartnershipSub S CorpLLC
*FED ID #:
Date Business Started:
*What states are you able to work in?
*Current License Numbers:
*What is your average job size?
*Annual Volume
*Largest single job:
*Contract amount:
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*Date Completed:
*What type of jobs do you normally do?
—Please choose an option—RetailCommercialIndustrialResidential
*What type of employees do you employ?
—Please choose an option—Non-unionUnionBoth
*Does the company employ direct employees or contract workers?
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*Business Enterprise Type:
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*Have you ever filled for bankruptcy or receivership proceeding?
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*Have you ever provided a Payment & Performance Bond Before?
*Have any lawsuits been filed against you in the last three years?
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(2.)*Company Name:
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