Contractors Questionnaire Contractors Questionnaire Company Name Address City State Zip Email Cel/Phone Company Entity LLC Individual Corporation Partnership Other Desired Effective Date Applicant Firs Name Middle Initial Last Name Phone Number Email Years in business Years of experience in the trade Annual Gross Sales Receipts Material Costs Number of employees Annual Payroll Do you subcontract Yes No If yes, what is the annual subcontracting cost? What percentage of your work is subcontracted? Do the carry insurance? Yes No If yes, do you hold certificates of insurance from subcontractors listing your organization as additional insured or certificate holder? Yes No Maximum number of interior stories for work perfomed Maximum number of exterior stories for work perfomed Maximum exterior depth below grade in fee (Put 0 if no work is performed underground) What percentage of work is performed for Residential Commercial Residential What percentage of the work performed is New Service/Repair Have you suffered any losses in the last 5 years? Yes No Shortly describe the bussiness operations or activities Email Cel/Phone If you are human, leave this field blank. Enviar
