INFRATECH CORPORATION SUBCONTRACTOR FORM
Contractor Name:
Contact Name:
Phone Number:
Email Address:
Years in Business:
Insurance: GL/Auto/WC 2M/1M/1M
Provide a brief history of your company:
List all equipment: (drills, tralers, trucks, support equip, etc)
Provide three to five work references:
What is your company's primary/secondary line of work?
List all areas of the country you are willing to work:
What current customers/projects are you working?
List any other information you feel is pertinent to your application: