Subcontractor Pre-Registration Form

Thank you for your interest in partnering with H.J. Russell & Company.
Please submit the following form and we will be in touch with you shortly. If you have questions, you may email bids@hjrussell.com. Thank you!

COMPANY INFORMATION
Company Name*
Address*
City*
State*
Zip*
Phone*
Email*
Website*
CONTACTS FOR BID INVITATIONS
Name (Primary)
Phone
Email
Name (Primary)
Phone
Email
GENERAL INFORMATION
CSI Division(s)*
Is your company a certified MBE/FBE/DVB/SDB/DBE? If so, please forward your certification.
Max. file size: 256 MB.
Do you have bonding capability?*
- Yes
- No
If so, what is your bonding limit?
Do you carry commercial general liability, worker’s compensation and auto insurance? If so, please forward your insurance certificate.
Max. file size: 256 MB.
List the preferred states you perform services
Phone
This field is for validation purposes and should be left unchanged.

65321

SUBCONTRACTOR PRE-REGISTRATION FORM

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