Subcontractor Information Sheet  
     
 
Your Company Name:
Company Address:
Telephone Number(s):  
  /FEIN:
  Office:
  Cell:
   
State Of Incorporation/Organization:
Names OF Company Officers/Members:
   
Your Name:
/SSN:
Your Email Address:
Your Address: [if different from company]
Telephone Number(s):  
  Home:
  Cell:
   
Type(s) Of Work You Do:
Type(s) & Age Of Equipment:
[designate ‘owned’ or ‘leased’]
Experience & Prior Jobs:
Number Of Employees:
Number Of Crews Available:
Number Of Subcontractors Used:
Earliest Date Available:
Are You Willing to Travel?
Yes No
States In Which Your Company Is Licensed To Work
   
Subcontractors must obtain & Maintain Specific Types & Limits Of Insurance. Does Company Have The Ability To Fulfill Our Insurance Requirements?
Yes No
   
On Your Employees/Personnel, Do You:
Properly Complete I-9 Forms
Yes No
   
Conduct Background Checks
Yes No
   
Require Drug Tests
Yes No
   
How Did You Find About ECI?
 
 
     
  **Acceptance of this form by ECI Telecom Inc., is not a guarantee of future work. No expectation of future work is created by filling out this form and submitting it to ECI Telecom, Inc. ECI Telecom, Inc. is an equal opportunity company. ECI Telecom does not discriminate on the basis of race, creed, color, gender, age, ethnicity, national origin, religion, physical handicap or disability.  
     
 
 
     
  Aerial / Underground Construction
   
  Technical / Fiber Services
   
  Directional Drilling
   
  Sales & Audit
   
  Installations & Fulfillment
   
  Disaster Relief
 
 
 
 
 
ECI Telecom