References and Qualifications for new subcontractors

1. GUARANTEED BUILDERS, INC.
New Company/Subcontractor Employment Application
COMPANY INFORMATION
COMPANY Date Today’s
NAME Started Date
Street Address Suite
City State ZIP
Company Company E-mail
Phone Address
Primary
Mobile TAX ID No.
Contact
Services Provided
Does your company carry General Liability If yes, what is
YES NO
Insurance? the policy limit?
Does your company carry Workers Comp If yes, what is
YES NO
Insurance? the policy limit?
Have you ever worked for this company? YES NO If so, when?
Is this Company a State of Texas HUB, Certified City of Houston SBE/MBE/DBE/WBE or Section 3 Business? If Yes, Please Include.
Certificate(s)
REFERENCES
Please list six (6) professional references.
Full Name Relationship
Company Phone ( )
Address
Full Name Relationship
Company Phone ( )
Address
Full Name Relationship
Company Phone ( )
Address
Full Name Relationship
Company Phone ( )
Address
Full Name Relationship
Company Phone ( )
Address
Full Name Relationship
Company Phone ( )
Address
Houston Corporate Office: San Antonio Branch Office: Galveston Branch Office:
6421 W. Sam Houston Parkway, N. 15515 Knollforest 1827 Strand
Houston, TX 77041 San Antonio, TX 78247 Galveston, TX 77550
Phone: 713-896-8967 Phone: 210-499-1156 Phone: 409-762-0209
Fax: 713-896-7729

2. PREVIOUS WORK HISTORY
Company Phone ( )
Address Supervisor
Project Projected Job
$ Final Job Cost $
Location Cost
Contract/Work
Description
Was Job Completed to
Start of End of
satisfaction, if no,
work: Work:
why?
May we contact this project supervisor for a reference? YES NO
Company Phone ( )
Address Supervisor
Project Projected Job
$ Final Job Cost $
Location Cost
Contract/Work
Description
Was Job Completed to
Start of End of
satisfaction, if no,
work: Work:
why?
May we contact this project supervisor for a reference? YES NO
Company Phone ( )
Address Supervisor
Project Projected Job
$ Final Job Cost $
Location Cost
Contract/Work
Description
Was Job Completed to
Start of End of
satisfaction, if no,
work: Work:
why?
May we contact this project supervisor for a reference? YES NO
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment/subcontracting opportunities, I understand that false or misleading information in my application or
interview may result in my Companies release and not being considered for future employment/subcontracting opportunities.
Signature/
Date
Title
Please fill out application complete and fax a copy to 713-896-7729 or send via email to
BID@GuaranteedBuilders.net, Attention: Allison Suderski, OM
Please remember to include any certifications for HUB, MWDBE/SBE and SECTION 3!
Houston Corporate Office: San Antonio Branch Office: Galveston Branch Office:
6421 W. Sam Houston Parkway, N. 15515 Knollforest 1827 Strand
Houston, TX 77041 San Antonio, TX 78247 Galveston, TX 77550
Phone: 713-896-8967 Phone: 210-499-1156 Phone: 409-762-0209
Fax: 713-896-7729