| Company
Name: |
|
Owners
Name |
|
| Contractor
License Type: |
|
Contractor
License Number(s) |
|
| Years
of Experience: |
|
Years
in Business |
|
| Type
of Business: |
|
Number
of active Current Owners/Partners/Officers |
|
|
|
| Street
Address: |
|
City: |
|
| Telephone |
|
State,
Zip: |
|
| Fax:
|
|
Email |
|
| |
| Please
describe your operations in detail: |
|
| Gross
Receipts Including Labor & Material & Cost of Sub: |
|
| Cost
of Sub Including Labor & Material: |
|
| Payroll
Excluding Owners & Officers but Including Leased Labor: |
|
| Number
of full time employees: |
|
| Number
of part time employees: |
|
| |
|
|
|
| Will
you use subcontractors? |
Yes
No |
| If
yes, list trades of subcontractors used: |
|
| Average
value of projects: |
|
| Maximum
number of jobs running at same time: |
|
| |
| Are
you currently insured? |
Yes
No |
| If
no, please state reason for applying: |
|
| If
yes, who is your current carrier? |
|
| Policy
expiration date: |
|
| How
many years have you been continuously insured? |
|
| Any
claims in last 5 years? |
|
| |
Indicate
percentage of work performed
(Total should equal 100%):
|
% Remodeling
% Non-structural remodel
% Repair and Service
% Tenant Improvement
% New Construction
% Other
|
| (Total
should equal 100%):
|
% Commercial
% Industrial
% Single Homes
% Apartments
% Condominiums
% Town-homes
% Tract-homes & PUD’s
% Govt. & Public
% Other
|
| In
What Capacity Do You Operate?
(Total should equal 100%):
|
% General Contractor
% Subcontractor
% Owner/Builder
% Developer
% Spec Builder
% Construction Management
% Other
|
| Where
Do You Operate?
(Total should equal 100%):
|
% California Operations
% Outside California
|
| Annual
Payroll by classification,
for example, painting, plumbing,
framing, office, etc.
If owners and officers to be included
Please specify the annual salary: |
|
| |
Tell
us more about your Business: |
|
| |
|
|
|
|
|
|
