P.O Box 152663 Cape Coral - Florida 33915

info@leomarenterprises.com

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TRADE CONTRACTOR QUALIFICATION FORM

HomeTRADE CONTRACTOR QUALIFICATION FORM

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- Step 1 of 2

Date / Time *

Date

Time

PRINCIPLE OFFICE *

INDIVIDUAL
CORPORATION
PARTNERSHIP
OTHER

TYPE OF WORK *

GENERAL INFORMATION

NAME OF FIRM *

ADDRESS *

Address Line 1

Address Line 2

City

State

Zip Code

PHONE *

WEBSITE

CONTACT INFORMATION

CORPORATE OFFICER *

ESTIMATING CONTACT PERSON *

PHONE *

EMAIL *

Email

Confirm Email

ORGANIZATION

HOW MANY YEARS HAS YOUR ORGANIZATION BEEN IN BUSINESS AS A CONTRACTOR? *

HOW MANY YEARS HAS YOUR ORGANIZATION BEEN IN BUSINESS UNDER ITS PRESENT BUSINESS NAME? *

UNDER WHAT OTHER OR FORMER NAME(S) AS YOUR ORGANIZATION OPERATED ?

NUMBER OF EMPLOYEES *

NUMBER OF LEASED EMPLOYEES *

DO YOU SUBCONTRACT WORK OR SELF PERFORM *

LICENSING

FLORIDA CONTRACTORS LICENSE NUMBER(S) *

LIST THE JURISDICTIONS (COUNTY /STATE) IN WICH YOUR ORGANIZATION IS LEGALLY QUALIFIED TO DO BUSINESS AND INDICATE REGISTRATION OR LICENSE NUMBERS, IF APPLICABLE *

HISTORY AND EXPERIENCE

FAILED TO COMPLETE A PROJECT ? *

YES
NO

BEEN INVOLVED IN BANKRUPTCY OR RE-ORGANIZATION? *

YES
NO

PENDING JUDGMENTS, SUITS? *

YES
NO

FILED ANY LAW SUITS OR REQUESTED ARBITRATION WITH REGARD TO CONSTRUCTION CONTRACTS WITHIN THE LAST FIVE YEARS? *

YES
NO

WITHIN THE LAST FIVE YEARS , HAS ANY OFFICER OR PRINCIPAL OF YOUR ORGANIZATION EVER BEEN AN OFFICER OR PRINCIPAL OF ANOTHER ORGANIZATION WHEN IT FAILED TO COMPLETE A CONSTRUCTION CONTRACT? *

YES
NO

SAFETY

DOES FIRM HAVE A WRITTEN SAFETY PROGRAM? *

YES
NO

DOES FIRM HAVE A WRITTEN HAZARDOUS COMMUNICATION PROGRAM? *

YES
NO

HAS THE FIRM EVER BEEN CITED BY OSHA WITHIN THE LAST 3 YEARS ? *

YES
NO

REFERENCES

MATERIAL SUPPLIERS

Name *

First

Last

Address

Address Line 1

City

State

Zip Code

Phone

REFERENCES

GENERAL CONTRACTOR

Name *

First

Last

Address

Address Line 1

City

State

Zip Code

Phone

List two (2) of the firm's largest projects currently under construction and/or completed in the last 2 years

Layout

PROJECT NAME *

LOCATION *

GENERAL CONTRACTOR *

CONTACT *

PHONE NUMBER *

CONTRACT AMOUNT

PROJECT NAME

LOCATION

GENERAL CONTRACTOR

CONTACT

PHONE NUMBER

CONTRACT AMOUNT

Members Of

(239) 839-5063
info@leomarenterprises.com
P.O Box 152663
Cape Coral Florida 33915

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Home
Company
- ABOUT US
- BLOG
SERVICES
PAYMENTS
CAREERS
- WORK WITH US
- TRADE CONTRACTOR QUALIFICATION FORM
EMPLOYEES
- INSPECTION FORM
- REQUEST FOR LEAVE
CONTACT US
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