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Home
About GPHNS
About GPHNS
Staff Directory
Report Fraud/Complaints
Fair Housing
Community Resources
Careers
Contact Us
FAQs
Buying Power Down Payment FAQs
Emergency Program FAQs
HCV Homeownership FAQs
Rehabilitation Program FAQs
Reconstruction Program FAQs
Housing Services
Housing
Housing Services News
Housing Choice Voucher
Homeownership Voucher Program
Housing Enforcement
Housing Resources
Housing List
GPHNS Jurisdictional Boundaries
My Specialist
Property Owners/Landlords
Hotel / Motel Permit
Criminal Background Check
Area Housing Authorities
How are we doing?
Wait List
FAQs
Buying Power Down Payment FAQs
Emergency Program FAQs
HCV Homeownership FAQs
Rehabilitation Program FAQs
Reconstruction Program FAQs
Neighborhood Services
Neighborhood Services Programs
Building Blocks
Housing Rehabilitation Program
Emergency Repair
HOME Program
Contractors
RFP and CDBG Public Services Application
Commission (HCIC)
Plans and Notices
Neighborhood Services News
Public Notices
Public Notice Archives
2015-2019 Consolidated Plan
FAQs
Buying Power Down Payment FAQs
Emergency Program FAQs
HCV Homeownership FAQs
Rehabilitation Program FAQs
Reconstruction Program FAQs
Home Buyers
Home Buyer Resources
Homebuyer Education
Down Payment Assistance
Pre-Qualifying Checklist
FAQs
Buying Power Down Payment FAQs
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Reconstruction Program FAQs
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Contractor's Application Form
NOTE: ALL CONTRACTORS MUST BE LICENSED AND BONDED WHEN APPLICABLE WITH THE CITY OF GRAND PRAIRIE.
Step 1 of 3 - Company Information
33%
Please Attach:
1) General Liability Certificate of Insurance $1 million, Automobile Liability $1 million, Employer Liability $1 million
2) Workmen’s Compensation Certificate of insurance Statutory
3) Subcontractor List with applicable copy of general liability and/or Workmen’s Compensation
4) Assumed Name Certificate and/or EIN documentation
5) Completed W-9
6) Lead-Base Paint Renovation & Remodeling Training (HUD approved)
7) SAM registration
8) DUNS number
Name of Company
Race
SS#
Owner's Name
First
Last
Owner's Address
Street Address
Address Line 2
City
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Armed Forces Americas
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State
ZIP Code
Office Phone
Email
Fax
Office Hours
Time
:
HH
MM
AM
PM
Time
:
HH
MM
AM
PM
After what time may we call you at home?
:
HH
MM
AM
PM
Are you a General Contractor (all phases of work)?
Yes
No
When were you established as an Independent Contractor?
Date Format: MM slash DD slash YYYY
What is your specialty?
Can you contract in all areas of the City?
Yes
No
List all suppliers starting with largest volume credit account
Name, Address, and Phone number
List three most recent jobs completed
Name, Address, and Phone number
Do you carry bodily injury and property damage insurance?
Yes
No
How much?
Do you carry workers compensation?
Yes
No
How much?
Do you guarantee your work for one (1) year?
Yes
No
If not, how long?
Do you comply with nondiscrimination policy concerning employees and contractors?
Yes
No
If not, state why?
Yearly gross volume of contracted work
$0 –25,000
$25,000 – 50,000
$50,000 – 100,000
$100,000 - 150,000
ABOVE
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND COMPLETE.
I authorize the program to verify all information on this application and obtain a credit report.
Signature
Date
Date Format: MM slash DD slash YYYY
File
ALL INSURANCE IN FAVOR OF THE CITY OF GRAND PRAIRIE WITH A 30-DAY NOTICE OF CANCELLATION UPON BEING PLACED ON THE BIDDERS LIST, YOU MUST PICK UP A CONTRACTOR’S GENERAL SPECIFICATIONS HANDBOOK
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