Work with In Touch Reno Pick your path below. I’m an Individual Worker I’m a Business / Subcontractor Individual / 1099 Contractor Name * First Name Last Name Contact Email * City * State * GA SC Zip * Work status & availability Trade / Specialty * Lead Abatement EPA RRP Renovation Healthy Homes scopes Painting Drywall Demolition & Prep Carpentry Flooring HVAC Electrical Plumbing Other Availability * Full Time Part Time Weekends Only Certs & Compliance EPD RRP Certified * Yes No Lead-Safe Renovation Training completed? * Yes No Able to pass background check? * Yes No Has reliable transportation? * Yes No Experience & references Brief work history * companies, dates, duties) References * name, company, phone, email, what you did I acknowledge I am applying as an independent contractor (1099) and will be responsible for my own taxes and coverage unless otherwise agreed in writing. * Agree I consent to verification of references, certifications, and criminal background check. * Agree I agree to follow lead-safe work practices on all pre-1978 jobs. * Agree Signature Authorized signer’s full name * Today's Date * MM DD YYYY By submitting, you certify the information is accurate. Selection is not guaranteed. Work opportunities depend on project needs, compliance, and performance history. Thanks. We’ll review your compliance docs and reach out if you’re a fit. Top Top Subcontractor / Small Business Business info Legal Business Name * DBA (if any) Optional EIN / Tax ID * Primary Contact Name First Name Last Name Contact Email * Contact Phone (###) ### #### Business Address Address 1 Address 2 City State/Province Zip/Postal Code Country Website (optional) http:// Trade & capacity Trade / Specialty * Lead Abatement EPA RRP Renovation Healthy Homes scopes Painting Drywall Demolition & Prep Carpentry Flooring HVAC Electrical Plumbing Other Number of field staff * Coverage area * Augusta-Richmond Columbia County Aiken Burke McDuffie Statewide GA Project Size * Typical project size and turnaround times Compliance & documents EPA RRP Certified company? * Yes No Insurance Company * Insurance agent name, phone, email, carrier, policy limits Insurance Rider * Can add In Touch Reno LLC as Certificate Holder and Additional Insured? Yes No Performance & references Recent Projects * Three recent projects (scope, address/city, dates, contract amount, client contact name, phone, email Rates & invoicing Rates Standard rate card (hourly/day or unit pricing Standard rate card (hourly/day or unit pricing Payment terms you accept New 15 New 30 Agreement * Can use our standard subcontract agreement? Yes No Legal acks Insurance and License * I confirm all uploaded licenses and insurance are current and accurate. Agree Indemnity * I agree to indemnify and hold harmless In Touch Reno LLC for issues arising from our work except those caused by In Touch Reno LLC’s negligence. Agree Insurance Agreement * I will maintain required insurance and add In Touch Reno LLC as additional insured where requested. Agree Signature Authorized signer’s full name * Today's Date * MM DD YYYY By submitting, you certify the information is accurate. Selection is not guaranteed. Work opportunities depend on project needs, compliance, and performance history. Thanks. We’ll review your compliance docs and reach out if you’re a fit.
