Thank You for Your Interest in Working with Roche Constructors, Inc.!

SUBCONTRACTOR INFORMATION

Please use this form to submit all information requested, so we may have current information on your firm for our subcontractor database. Include additional pages, if needed.

*COMPANY NAME:
DBA:
*ESTIMATING CONTACT:
(Person receiving bid invitations)
TITLE
*OFFICE PHONE
FAX
CELL PHONE
*EMAIL
*COMPANY ADDRESS:
YEAR BUSINESS STARTED:
*TRADES:
*REGIONS OR STATES IN WHICH YOU WORK, INCLUDE LICENSE #, IF APPLICABLE: / (i.e. Nevada:, Lic #12354, C-2 Electrical)
MINORITY DESIGNATION(S):
WEBSITE ADDRESS:
BONDABLE: / YES NO
IF YES, BOND RATE(S) %:
UNION: / YES NO
IF YES, UNION NAME /NO.:
TYPE OF SERVICE
(CHECK ALL THAT APPLY): / Subcontractor Supplier Labor Only Rental
Residential Subcontractor/Supplier Professional Service
COMPLETED BY:
TITLE:
EMAIL ADDRESS:
DATE:

Thank you for your interest in working with Roche Constructors, Inc.!

Please email this completed form to Christy Edwards at .

*Required

Roche Constructors, Inc. Subcontractor Information (rev 9/1/15) Page 1 of 1