CONTRACTOR Interest Form Start here if you are interested in Contract work with Gercken Construction Services. START HERE CONTRACTOR Interest Form SUB-CONTRACTORS SCOPE: Gercken Construction Service is a construction and remodeling company wishing to broaden its sub-contractor base. We are seeking individuals or companies with their own knowledge, tools, and ability to perform miscellaneous remodeling and construction projects, involving framing, general carpentry, concrete, masonry, trim, dry wall, etc. If you are interested in pursuing an independent sub-contractor relationship, please provide the following information:Company Name* Name* First Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long have you been self-employed in the construction business? What is your construction background?Do you have your own truck? Do you have your own tools & equipment? If so, what type of equipment do you own?Do you have liability/workmen's compensation insurance? YES NO If so, who is your carrier? Which of the following areas do you consider your expertise? Excavation Concrete and Foundations Masonry Flatwork Framing House Framing Remodeling Framing Roof Framing Interior Framing Electrical Plumbing Insulation Dry Wall Mill Work Painting Flooring Ceramic Tile Permanent Siding Landscaping Please provide a description of your experience and expertise in all items above in which you have indicated.List three contractor references in which you have sub-contracted from previously:(1) Company Name Company Location? Contact Name Email Phone(2) Company Name Company Location? Contact Name Email Phone(3) Company Name Company Location? Contact Name Email Phone I certify that the above information is true and correct. If any information is found to be inaccurate, it will be grounds for dismissal. I am qualified to perform the duties as described to me and will attain any additional information required to achieve my assigned task. If hired, I understand that there is no guarantee of continued employment and may be terminated at any time without notice. I am responsible for my own hand tools, transportation and operation of company owned equipment or vehicles. SignatureDate MM slash DD slash YYYY This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.PhoneThis field is for validation purposes and should be left unchanged.
