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Do you Maintain General Liability Insurance?
Yes
No
What kind of service does your company provide?
Do you maintain worker's comp insurance (not required in the state of TX)
Yes
No
Reference 1 - company name
Contact
Phone
project type
Reference 2 - company name
contact
phone
project type
Reference 3 - company name
contact
phone
project type
Company Type
Company Type
Sole Proprietor
Corporation
S-Corp
LLC
Other
Company Website
Did your company change its name in the past 12 months?
Yes
No
If so, please state the previous name
Number of employees
What is your geographical area of service?
Is there any type of work that you would prefer to avoid?
Is there any type of work that you would prefer to avoid?
Additional Information:
Additional Information:
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