SUBCONTRACTOR/SUPPLIER INFORMATION SHEET

 
Trade Interested in Bidding:
Company name:
Address:
Phone:
Email:
 

PRINCIPALS:

  
Name
Title
Address
# of Years In Nevada
Insurance Carrier Name:
Address:
Contact: 

HOME BUILDING COMPANIES YOU HAVE WORKED FOR IN THE LAST YEAR:

  
Name
Contact
Phone
  

THREE MATERIAL SUPPLIER REFERENCES:

  
Name
Contact
Phone
  
   
Social Security # or Tax I.D. #:
Contractors License #:
state:
Country:
Submitted By:
Title: 
Date:
 
6620 S. Tenaya Way, Suite 200 Las Vegas, NV 89113 702-650-2923 Fax: 702-650-2926