Subcontractor/Vendors

If you would like to become a subcontractor/vendor of Siltek Group Inc. please complete the following application. An application cannot be processed unless all information is complete, specifically including contact names, telephone numbers (with area codes) and insurance limits. Once your application has been approved you will be added to our Electronic Bid Notification System and notified of bid opportunities that your company qualifies for.

Subcontractors Company Information

Company Name: *
Address: *
City, State, Zip Code: , *
Office Phone: * xxx-xxx-xxxx
Fax Number: xxx-xxx-xxxx
Mobile Number: xxx-xxx-xxxx
Email Address: *
Web site:
Owner(s): *
Estimator(s): *
Year Organized:
Scope of Work: *
Specialty: *
Work you typically self-perform: *
Number of Full-Time Employees: *
Previous Year's Sales: *
Do you have a Written Safety Program?


Type of Business Enterprise:








Has formal certification of the above been made?
If yes, by what agency? Date of Certification: / /
Are you prohibited from performing City, State, or Federal work? *
Has your organization ever failed to complete any work awarded to it?


Are there any judgments, claims, arbitration proceedings, or suits pending or outstanding organization or officers? *
If yes, explain
Has your organization filed any law suits or requested arbitration with regards to construction within the last five years? *
If yes, explain
Within the last five years, has any officer or principal of your organization ever been an officer principal of another organization when it failed to complete a construction contract?


Has your organization, or any predecessors to your organization, ever file a petition seeking bankruptcy court?


Insurance Information

Commercial Liability Insurance:

Company:
Contact:
Telephone:
Limits:

Worker's Compensation Insurance:

Company:
Contact:
Telephone:
Limits:

Contract and Trade Information

Trade References:

1. Company:
Contact:
Telephone:
Amount:
 
2. Company:
Contact:
Telephone:
Amount:
 
3. Company:
Contact:
Telephone:
Amount:

Contacts in Last 12 Months:
1. Company:
Contact:
Telephone:
Amount:
 
2. Company:
Contact:
Telephone:
Amount:
 
3. Company:
Contact:
Telephone:
Amount:

Last three projects:

Last Project
Project:
Contractor:
Contact:
Telephone:
Amount:

Second Last
Project:
Contractor:
Contact:
Telephone:
Amount:

Third Last

Project:
Contractor:
Contact:
Additional Notes

Application Completed By:
Name: Title: Phone: