Partner with DeLeers Construction

At DeLeers Construction, we are always looking for trade partners who are detail-oriented, quality-driven, and highly skilled. Please fill out the form below to begin the process of becoming an approved trade partner.

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Contractors

Date *

Federal ID # *

Contact Name *

Job Title *

Street Address *

City *

State/Region *

Postal Code *

If referred by a DCI employee (via link or QR code), please provide the name of the team member who referred you.

Company Information

Company Type *

Corporation

Sole Proprietor

Joint Venture

Partnership

Individual

DBA

LLC

If a Subsidiary, list Parent

Date Business Established *

Contractor License # *

Company Officers (Names & Titles) *

Type of Ownership *

MBE (Minority Business Enterprise)

WBE (Woman Business Enterprise)

DBE (Disadvantaged Business Enterprise)

SBE (Small Business Enterprise)

Other

Business Type

COI Example - Insurance Requirements

Important: if you do not meet DeLeers Construction's insurance requirements, please do not proceed with the form. Form submissions not meeting the requirements will not be reviewed.

Upload your certificate of insurance *

Upload your W-9

Div 3 - Concrete

Cast-in-Place Concrete Foundations

Cast-in-Place Slabs on Grade

Stained/Stamped Concrete

Polished Concrete

Precast Concrete

Cementitious Underlayment

Div 4 - Masonry

Residential Masonry

Commercial Masonry

Masonry Restoration

Div 11 - Equipment

Food Service Equipment

Appliances

Div 12 - Furnishings

Furniture/Furnishings

Window Treatments

Motorized Screens/Shades

Div 13 - Special Construction

Swimming Pools/Saunas

Pre-engineered Metal Buildings

Div 14 - Conveying Systems

Elevators

Loading Dock Equipment

Other Services

Is your company directly or indirectly signatory to any labor union agreements? *

Yes

Do you ever subcontract your services to other contractors? *

Yes

Number of Employees (Office)

Number of Employees (Shop)

Number of Employees (Total)

Number of Employees (Field)

Do you have workers compensation insurance?

Yes

Financial

Last Year Annual Sales Volume

Contract Award Description

Current Backlog

Two Years Previous Annual Sales Volume

Largest Single Contract Awarded in the Last Three Years

Three Years Previous Annual Sales Volume

Upload Financial Statements

Banking

Primary Bank *

Bank Contact Email Address

Bank Street Address *

Bank Postal Code *

Bank Phone *

Bank City *

Bank Contact Name *

I give my bank contact person listed above, permission to discuss my general banking relationship with DeLeers Construction as it relates to my company securing a subcontract with them.

Legal

Has your company failed to complete any work awarded to them? *

Yes

Has your company or its principals ever filed for bankruptcy? *

Yes

Are there any Judgements, Claims, Arbitration, Proceedings, or Suits pending or outstanding against your organization or its officers? *

Yes

Has your company filed any lawsuits or requested mediation, arbitration, or litigation with regard to construction contracts in the past five years? *

Yes

If you answered yes to any Legal questions, please provide an explanation

Safety

DeLeers Safety Requirements Document Link

Experience Modification Rate from Last Year

Experience Modification Rate from Second Prior Year

Experience Modification Rate from First Prior Year

References

Reference Client Company Name *

Reference Client Contact Name *

Reference Client Contact Phone

Reference Client Contact Email

Reference Client Company Name 2 *

Reference Client Contact Name 2 *

Reference Client Contact Phone 2

Reference Client Contact Email 2

Reference Client Company Name 3 *

Reference Client Contact Name 3 *

Reference Client Contact Phone 3

Reference Client Contact Email 3

Signature

By typing your name in the signature box below, you acknowledge that all information contained herein is accurate.

Signature *

Title *

Signature Date *

Thank you for your interest in becoming a trusted trade partner. Note: if your form submission does not meet DeLeers Construction's requirements, a response will not be sent.

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