Let’s work together Company Name * Contact Person * First Name Last Name Phone * (###) ### #### Email * Company Address Address 1 Address 2 City State/Province Zip/Postal Code Country Are you a: * Sub-Contractor Material Supplier What trade(s) or services do you provide? (Check all that apply) * Foundations Excavation Plumbing HVAC Electrical Septic Well Framing Roofing Siding Decks/ Porches Landscaping Drywaller Painter Floor Layer Which counties do you serve? (Check all that apply) * Jasper County Newton County Lake County Porter County Starke County Pulaski County Kankakee County Iroquois County Other Do you carry liability insurance and worker’s comp? * Yes No (but I can obtain it) Are you licensed (if required for your trade)? Yes No When are you available to begin new projects? * Immediately 2–4 Weeks 1–2 Months Let us know anything else about your experience, crew size, or capabilities. Thank you!
