Subcontractor Registration - CTC Disaster Response

COMPANY INFORMATION

SERVICES

Services Offered *

Check all that apply.

Other Services *

List additional services you offer.

EQUIPMENT

Enter the quantity of each piece of equipment listed below. Do not include subcontracted equipment.

Dump Trucks under 40 Yards *

Dump Trucks 40 to 80 Yards *

Dump Trucks over 80 Yards *

Skid Loaders *

Front End Loaders *

Rubber Tire Excavators *

Excavators *

Tub/Horizontal Grinders *

Bucket Trucks < 50' Boom *

Bucket Trucks > 50' Boom *

Bull Dozers *

Walking Floors *

Dump Trailers *

Other Equipment (not listed above)

Additional Information (not listed above)

DISCLAIMER

By providing the information requested to Custom Tree Care, you promise that all information you provide will be accurate, current and truthful to the best of your knowledge. You further agree and acknowledge that Custom Tree Care will be relying on the information, that Custom Tree Care has no obligation to retain you as a subcontractor and that Custom Tree Care reserves the sole and exclusive right to retain any subcontractor or no subcontractors at all for a particular project.

TO KNOWINGLY INPUT FALSE INFORMATION, INCLUDING, BUT NOT LIMITED TO NAME, PHONE NUMBER, ADDRESS AND COMPANY DATA IS A VERY SERIOUS AND FRAUDULENT MATTER THAT COULD RESULT IN SIGNIFICANT COSTS AND DAMAGES, AS WELL AS LOSS OF TIME, EFFORT AND EXPENSE, AND ACCORDINGLY, IF YOU PROVIDE FALSE INFORMATION YOU WILL FULLY INDEMNIFY CUSTOM TREE CARE AND BE LIABLE FOR ACTUAL DAMAGES, DIRECT, PUNITIVE AND CONSEQUENTIAL, AND ANY REGULATORY OR JUDICIAL FINES OR PENALTIES THAT MAY ARISE FROM SUCH MISLEADING, HARMFUL AND FRAUDULENT INFORMATION, PLUS REASONABLE LEGAL FEES, COST AND EXPENSES RELATING THERETO.

Initials *

Enter your initials to agree with the statements above.

Anti-spam *

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CTC Disaster Response Subcontractor Registration