Hurricane Irma – Subcontract Registration Form

BUSINESS SIZE AND CLASSIFICATION

CHECK ALL THAT APPLY 

For assistance in determining your business size and classification, please CLICK HERE.

SERVICES PROVIDED

CHECK ALL THAT APPLY 

EQUIPMENT OWNED

(DO NOT INCLUDE ANY SUBCONTRACTED EQUIPMENT) 

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Disclaimer: By providing the information requested to Eutaw, 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 Eutaw will be relying on the information, that Eutaw has no obligation to retain you as a subcontractor and that Eutaw 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 EUTAW 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.

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