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Subcontractor Job Application
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Subcontractor Job Application
Application Form
NAME:
*
SS# (if a Sole Proprietor):
BUSINESS NAME:
*
EIN# (if a Corp/LLC):
ADDRESS:
*
Insured (Y/N):
*
Yes
No
Workers Comp (Y/N):
*
Yes
No
24 H PERSON OF CONTACT AND PHONE:
*
# of miles daily travel coverage:
Please select
0-10
10-20
20-50
BUSINESS EXPERIENCE:
Years in janitorial business:
*
Number of employees:
*
Please select
1-5
5-10
10+
Provide Training program? (Y/N):
*
Yes
No
Areas that you presently service (provinces/estates you cover):
*
Name 3 references:
Company:
Contact:
Phone:
Company:
Contact:
Phone:
Company:
Contact:
Phone:
Have you subcontracted before? (Y/N):
*
Yes
No
If yes, WHERE?
Tell us about your company (mark all that applies):
MACHINERY YOU CAN USE:
Floor Stripping Machine
Back Pack Vacuum
Auto Scrubber
Burnisher
Industrial Vacuum
Extractor
Carpet Shampoo Machine
YES/NO
Choose an item
Yes
No
Choose an item
Yes
No
Choose an item
Yes
No
Choose an item
Yes
No
Choose an item
Yes
No
Choose an item
Yes
No
Choose an item
Yes
No
OWN/RENT
Choose an item
Own
Rent
Choose an item
Own
Rent
Choose an item
Own
Rent
Choose an item
Own
Rent
Choose an item
Own
Rent
Choose an item
Own
Rent
Choose an item
Own
Rent
SERVICES YOU CAN PROVIDE:
Specialized cleaning (Select all that apply):
Medical
Dental
Bio Hazard
Move-out
Deep Clean
Post Construction
Maid Service
Window Cleaning
Carpet Cleaning
Resilient Floor Care
Please list any extra services you provide:
I certify that the above is true and correct to the best of my knowledge. The undersigned authorizes UBMS LLC. to make inquiries they consider necessary and appropriate concerning the above, including providing information about this transaction to credit reporting agencies.
Signature:
*
Date:
Submit
This field should be left blank
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