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SUBCONTRACTOR FORM
Service Information
Company Name - Full Name (POC)
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Phone
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Email
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License Number
Certification
MWBE
DBE
WBE
WOSB
HUB
NCSBE
NPWC
Section 3
None
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FL License #
License Type
PE - Structural
PE - Civil
Wind - Mit Inspector
MHU Designer
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Services Offered
Elevation
New Construction
MHU
Wind Mit
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Counties Covered
Alachua
Baker
Bay
Bradford
Brevard
Broward
Calhoun
Charlotte
Citrus
Clay
Collier
Columbia
DeSoto
Dixie
Duval
Escambia
Flagler
Franklin
Gadsden
Gilchrist
Glades
Gulf
Hamilton
Hardee
Hendry
Hernando
Highlands
Hillsborough
Holmes
Indian River
Jackson
Jefferson
Lafayette
Lake
Lee
Leon
Levy
Liberty
Madison
Manatee
Marion
Martin
Miami-Dade
Monroe
Nassau
Okaloosa
Okeechobee
Orange
Osceola
Palm Beach
Pasco
Pinellas
Polk
Putnam
Santa Rosa
Sarasota
Seminole
St. Johns
St. Lucie
Sumter
Suwannee
Taylor
Union
Volusia
Wakulla
Walton
Washington
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Typical Turnaround
3 Days
5 Days
7+ Days
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Capacity/Week
General Liability Amount
COI Received
Yes
No
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W-9 Received
Yes
No
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Tax Payer ID
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Classification
Vendor - Supply of Materials
Subcontractor - Labor, Labor & Materials
Professional Services
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Travel Radius
Receptionist Name
Contact Method
Live Transfer
Receptionist Provided Email
Receptionist Refused
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Reference
W9 (If you don't have the form, you can download one from link below)
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Current Insurance Certificate
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Submit
Byrdson Services LLC, dba Excello Homes
Click here to download W9 Form