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Subcontractor
Application

CONFIDENTIAL SUBCONTRACTOR APPLICATION WITH R. L. REPPERT, INC.

COMPANY INFORMATION

Company Name:

Main Contact Person:

Street Address:

City:

  State:   Zip:

Phone Numbers:

Work:   Cell:   Other:

Email Address:

Federial ID Number:

Social Security Number:

Insurance Carrier's Name:

Types of Insurance:

SPECIAL QUALIFICATIONS OR SKILLS

Use this space to describe any special qualifications or skills you have acquired through special training, prior employment or general experience.

EXPERIENCE

Check each of the areas in
which you consider yourself
FULLY EXPERIENCED:
Apartment & Project Homes
Elderly Housing
Retail Stores
Shopping Centers
Hotels
Schools
Nursing Homes
Offices
Supermarkets
Check each of the areas in
which you consider yourself
FULLY EXPERIENCED:
Drywall on wood framing
Drywall on metal framing
Drywall finishing
Sound control drywall
Gypsum shaft walls
Plastering
Stucco
E.I.F.S.
Wood framing
Steel stud framing (Light Gauge)
Steel stud framing (Structural)
Doors, frames, & hardware
Curtain wall construction
Demountable partitions
Curved partitions
Suspended furring
Mig welding
Stick welding
Rigid insulations
Fiberglass insulations
Acoustical ceilings
Metal composite panels

BUSINESS REFERENCES

List names and address of three former construction related employers:

Reference #1:

Address:

Phone Number:

Reference #2:

Address:

Phone Number:

Reference #3:

Address:

Phone Number:

Additional Comments:

APPLICANT'S STATEMENT

 

                By clicking Agree below, I attest that I am an independent contractor and that all
                information is true and correct. I authorize investigation of all statements made herein by me.

 

                I have read and understand the above statements
                and I agree with the terms stated:  AGREE