OBT Construction

If you wish to work with OBT construction, please fill out this form....

Your company name:
Company address:
FEIN:
Telephone number (office):
Telephone number (cell):
State of incorporation/organization
Names of company officers/members:
Your name:
Your SSN:
Your email address:
Your address (if diff. from company):
Telephone number (cell):
Telephone number (home):
Types of work you do:
Types & ages of equipment (designate 'owned' or 'leased'):
Experience & Prior jobs:
Number of employees:
Number of sub-contractors used:
Number of crews available:
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 your 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 out about OBT Construction?

*Acceptance of this form by OBT Construction, LLC is not a guarantee of future work. No expectation of future work is created by filling out this form and submitting it to OBT Construction, LLC. OBT Construction, LLC is an equal opportunity company. OBT Construction, LLC does not discriminate on the basis of race, creed, color, gender, age, ethnicity, national origin, religion, physical handicap or disability.

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