Subcontractor Form Become a BLOCK Companies Subcontractor! Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 2 Before starting the full subcontractor information form, please tell us a little about yourself. Name *FirstLastCompany Name *Email *Phone *I would like to build success with BLOCK as a: *Please SelectDeveloperSubcontractorVendorJobseekerOtherWant to leave a little detail?NextBLOCK SUBCONTRACTOR INFORMATION FORMAll subcontractors are required to complete this questionnaire. The contents will be considered and used to determine your company's qualification to perform work for Block Builders, LLC. This form must be filled out completely. Missing information may result in disqualification of consideration.BACKGROUND INFORMATIONDo you have Multifamily Experience? *YesNoCompany Name *Type of Company *Type of Work Performed *Street Address *City *County *Please SelectTarrantDallasDentonParkerJohnsonWiseOtherState *Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZipcode *Phone Number *Fax NumberContact Name *Email Address *Year business was established *States we do work in *Previous name of company (if applicable)Contractor's license # (if applicable)D&BUnion Status *UnionNon UnionSAFETYPlease check if your Company implements the following safety controls:Has a written safety program *YesNoHas an implemented drug screening policy for all employees *YesNoPerforms safety orientation and training for all employees *YesNoPerforms continuing safety education for all employees *YesNoDoes your Company provide OSHA 10 training? *YesNo Does your Company provide OSHA 10 training? *YesNoDoes your Company provide OSHA 30 training? *YesNoIf not, is your Company willing to provide OSHA 10/ 30 training, if necessary? *YesNoCERTIFICATIONPlease check if your Company has any of the following certifications:Qualified minority business AND/OR Section 3 certified business? *YesNoCOMPLIANCEIs your Company familiar with the following?Davis Bacon Wage Rates? *YesNoCertified Payroll? *YesNoLCPTracker? *YesNoB2GNow? *YesNoSection 3 labor goal requirements? *YesNo MWSBE goal requirements? *YesNoHas your Company done work on a HUD funded project that required certified payroll within the past 2 years? *YesNoDoes your company provide health insurance for all employees working 30 or more hours weekly? *YesNoIf no, is your Company willing to provide health insurance to these employees during a specific project? *YesNoCompliance officer ContactCompliance Officer PhoneCompliance Officer Emailexample@example.comSCHEDULEProvide summary of the 3 largest projects completedFile Upload Click or drag a file to this area to upload. BONDING INFORMATIONPlease provide the following bonding information:Can you provide a Performance Bond? *YesNoBonding CapacityBond RatingAggregateSingle ProjectName of Bonding companyBond Cost (% or $/1000)Phone NumberContactDateLast type of bond issuedAmountBANKING INFORMATIONThe below references may be contacted by Block Builders for verification purposes. Please provide 3 client/ supplier references Name of current bankContactPhone Number (copy)Line of creditAmountREFERENCESThe below references may be contacted by Block Builders for verification purposes. Please provide 3 client/ supplier references File Upload Click or drag a file to this area to upload. How did you hear about Block Builders, LLC?I hereby certify that to the best of my knowledge, the information submitted herein, including any attachments is true and sufficiently complete so as not to be misleading. Completed by (copy) *Title *Date *Block Builders, LLC will use this documentation to pre-qualify contractors. Therefore, if you intend to work with us, it is essential that you return the documentation. This document should not be construed to constitute a commitment, or a request to perform any work. PreviousSubmit
