Painting Subcontractor Application

"*" indicates required fields

Contact & Company Details

Business*

Phone*

Email*

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Type (Check ONE that applies)*

S-CORP

C CORP

LLC

DBA

Availability (Check ALL that applies)*

WEEKDAYS

WEEKENDS

HOLIDAYS

NIGHTS

EXPERIENCE (Check ALL that applies)

EXPERIENCE (Check ALL that applies)*

DO YOU DO COMMERCIAL PAINTING

IF YES, DO YOU DO INTERIOR WORK

IF YES, DO YOU DO EXTERIOR WORK

INTERIOR WORK

Yes

EXTERIOR WORK

Yes

NUMBER OF YEARS DOING COMMERCIAL PAINTING

NUMBER OF YEARS DOING COMMERCIAL PAINTING*

DO YOU HANG/INSTALL WALLCOVERINGS

IF YES, DO YOU DO RESIDENTIAL PROJECTS

IF YES, DO YOU DO COMMERCIAL PROJECTS

NUMBER OF YEARS DOING RESIDENTIAL PAINTING

NUMBER OF YEARS DOING COMMERCIAL PAINTING*

DO YOU HANG/INSTALL WALLCOVERINGS

IF YES, DO YOU DO RESIDENTIAL PROJECTS

IF YES, DO YOU DO COMMERCIAL PROJECTS

IF YES, NUMBER OF YEARS EXPERIENCE

Business Size / Workforce (Answer ALL Questions)

HOW MANY EMPLOYEES DO YOU HAVE?*

HOW MANY EMPLOYEES UNDERSTAND & SPEAK GOOD ENGLISH*

DO YOU HAVE YOUR OWN VEHICLE?*

Yes

IS YOUR VEHICLE A PLAIN WHITE VEHICLE WITH NO LETTERING?*

Yes

HOW MANY EMPLOYEES (INCLUDING YOURSELF) ARE US CITIZENS(DO NOT INCLUDE OR COUNT GREENCARD HOLDERS)?*

Geographic Coverage (Check ALL that apply)

PLEASE CONFIRM WHAT AREAS YOU ARE ABLE TO UNDERTAKE WORK

Alabama

Alaska

American Samoa

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Guam

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Northern Mariana Islands

Ohio

Oklahoma

Oregon

Pennsylvania

Puerto Rico

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

U.S. Virgin Islands

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Armed Forces Americas

Armed Forces Europe

Armed Forces Pacific

Insurance

DO YOU HAVE THE FOLLOWING INSURANCE (CHECK IF YES)*

GENERAL LIABILITY

AUTO LIABILITY

UMBRELLA INSURANCE

WORKER'S COMPENSATION

Safety Information (Answer ALL Questions)

For a sample of our insurance requirements please click here

WHAT IS YOUR CURRENT EXPERIENCE MODIFICATION RATE (EMR)?

DOES YOUR COMPANY HAVE ANY OSHA SAFETY VIOLATIONS IN THE LAST 5 YEARS?*

Yes

PROVIDE DETAILS HERE

DOES YOUR COMPANY HAVE ANY PENDING OSHA COMPLAINTS OR FINES?*

Yes

PROVIDE DETAILS HERE

BANKING DETAILS

PLEASE NOTE THAT WE MAKE ALL PAYMENTS DIRECTLY INTO YOUR BANK ACCOUNT. WE REQUIRE A COMPLETED ACH FORM. For a ACH Form template please click here

WE REQUIRE A COMPLETED W9 TO BE SUBMITTED For a W9 template please click here

PLEASE UPLOAD MENTIONED FILES

COPIES OF ALLÃ‚Â TRAINING CERTIFICATES:

Max. file size: 128 MB.

CERTIFICATE OF INSURANCE:

Max. file size: 128 MB.

ACH FORM:

Max. file size: 128 MB.

COMPLETED W9:

Max. file size: 128 MB.

EMR LETTER:

Max. file size: 128 MB.

Training & Certifications (Check ALL that applies)

DO YOU & YOUR EMPLOYEES HAVE THE FOLLOWING (Check if YES)*

OSHA 10 HOURS

RESPIRATOR FIT TEST CERTIFICATION

LIFT OPERATOR CERTIFICATION

LEAD SAFE RENOVATOR

LEAD RENOVATOR FIRM LICENSE FOR RI

OSHA 30 HOURS

LEAD SAFE RENOVATOR

EPA LEAD SAFE CERTIFIED FIRM

CONTRACTOR LICENSE FOR MA

COPIES OF ALL CERTIFICATES MUST BE PROVIDED AS PROOF OF TRAINING

ARCH PAINTING TAKES THE SAFETY OF ALL EMPLOYEES AND SUBCONTRACTORS WORKING ON THEIR PROJECTS SERIOUSLY.WE WANT TO REDUCE RISKS, HAZARDS AND ACCIDENTS MAKING SURE THAT WE ALL COME HOME SAFELY AT NIGHT.OUR COMMITMENT TO SAFETY IS SERIOUS AND AS SUCH,WE WILL PROVIDE YOU AND YOUR EMPLOYEES WITH FREE ONLINE SAFETY TRAINING. PLEASE CHECK HERE TO CONFIRM THAT YOU ARE AS COMMITTED TO SAFETY FOR YOU AND YOUR EMPLOYEES AND WILL COMPLETE THE FREE TRAINING WITHIN 60 DAYS*

Yes

In order to provide free training, please provide us with the details of all of your employees, including yourself below:-

Max. file size: 128 MB.

Insurance

Arch Painting is fully insured, including liability, Worker’s Compensation and a $5,000,000 umbrella insurance policy. Certificates of insurance are provided to clients and potential clients, upon request.

Request a Certificate of Insurance

Please state the certificate holder name, full location of painting project and property name, requester’s name and contact information.

Licenses and Certification

Massachusetts HIC (Home Improvement Contractor) License Number: 154169

Massachusetts Department of Labor Standards Lead-Safe Renovation Contractor

License Number: LR002719
Issue Date: August 11, 2015
Certified for: Commonwealth of Massachusetts

EPA Lead-Safe Certified Firm

Certification Number: NAT-71497-1
Issue Date: July 6, 2010
Certified for: All EPA Administered States, Tribes, and Territories

Painting Subcontractor Application

Contact & Company Details

EXPERIENCE (Check ALL that applies)

Business Size / Workforce (Answer ALL Questions)

Geographic Coverage (Check ALL that apply)

Insurance

Safety Information (Answer ALL Questions)

For a sample of our insurance requirements please click here

BANKING DETAILS

PLEASE NOTE THAT WE MAKE ALL PAYMENTS DIRECTLY INTO YOUR BANK ACCOUNT. WE REQUIRE A COMPLETED ACH FORM. For a ACH Form template please click here

WE REQUIRE A COMPLETED W9 TO BE SUBMITTED For a W9 template please click here

PLEASE UPLOAD MENTIONED FILES

Training & Certifications (Check ALL that applies)

COPIES OF ALL CERTIFICATES MUST BE PROVIDED AS PROOF OF TRAINING

Insurance

Request a Certificate of Insurance

Licenses and Certification

Massachusetts Department of Labor Standards Lead-Safe Renovation Contractor

EPA Lead-Safe Certified Firm

Satellite Offices

Contact information