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Subcontractors

Subcontractor Application

Company Contact Information

Subcontractor Application

Company Name

Your Email

Address

Address 2

City/Town

State

Zip

Country

Company Phone Number

Fax Number

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About Your Company

Type of Work Performed

Contractors License Number

Tax Number

Type of Company

Names and Titles of Key Personnel

Does your company have a safety program?

Yes

Is your company SBE / WBE / MBE?

Yes

Has your firm ever failed to complete a contract?

Yes

Has your firm ever been involved in bankruptcy or reorganization?

Yes

Has your firm had any pending judgments, claims or suits?

Yes

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About Your Projects

Current MOD Rate

Geographic Areas of Interest by County

Preferred Project Size

Years in Operation

Number of Employees in Office

Number of Employees in Field

% of Work Performed by Own Employees

Value of Work Completed Last Year

Value of Work Under Contact

Average Annual Sales Last 3 Year

Value of Work Presently Bonded

Total Aggregate Bonding Capacity

Bonding Capacity Per Job

Bonding Surety Firm

Phone Number

Bonding Rate

Insurance Requirements $1,000,000 General Liability and Auto Insurance and State of Florida minimum required. (Workers)

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References

Current Reference (1)

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Current Reference (2)

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Current Reference (3)

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Past Reference (1)

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Past Reference (2)

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Past Reference (3)

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Thank you for submitting your subcontractor application. We will review your application and get back to you as soon as possible.

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ANDERSON-MOORE CONSTRUCTION CORP.

Ph: 561.753.7400

Fx: 561.840.9779

Email us

1568 Watertower Road

Lake Park, Florida 33403

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