Subcontractor Registration WEBMyers Construction Subcontractor Registration Form Please complete all of the information below. Firm Name Doing Business As Phone Address Website State Contractor's License # Licenses From Other States Average Annual Sales Last 3 yrs Year Established Firm's Primary Type of Work Contact Information Owner and/or President Primary Contact Alternate Contact Primary Email Address Secondary Email Address Has your firm ever filed bankruptcy? Yes No Are there pending judgments against your firm? Yes No Are there any claims against your firm? Yes No Has your firm been cited for any state or federal safety violations in the past 3 years? Yes No Has your firm ever failed to complete a contract? Yes No Is your company Certified as a minority, woman, and/or disadvantaged owned business enterprise? Minority Owned Woman Owned Other List the States where your company is Certified and the Certification/License #s. Does your firm perform background checks on new hires? Yes No Does your firm have a written safety policy? Yes No Describe the type of work that your firm is interested in bidding (brief description or NAICS or SIC Codes). Submit