The Wilson Group, Inc. General Contractors

Subcontractor Form
Interested in working on a successful team?
Join our preferred sub-contractor list by completing this form!
All information is confidential! We do not share information with anyone!

Company Name
Federal ID (TIN)
Main Office Address
Main Office City
Main Office State
Main Office Zip Code
Primary Contact Phone
M/WBE Certifications

License Information

License #	Expires

State

Financial Information

Bank Name

Bank Phone	Bank Contact Name

D & B Number

Insurance Information

General Liability Policy #	Expires

Workers Comp Policy #	Expires

Surety Company Name
Bonding Capacity
Surety Agency/Contact

All subcontractors will be required to submit a signed W-9 and VALID Certificates of Insurance prior to agreement or work. Additional information may be requested.