| GETTING STARTED |
Welcome to the AshBritt subcontractor application form. Before proceeding with the next steps, please be sure to have the following information:
Legal Company Name
Federal Employer Identification Number
Social Security Number
Copy of Completed W-9 Form (W-9 Form)
Copy of Insurance Certificate
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| TERMS AND CONDITIONS |
By providing the information requested to Ashbritt, 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 Ashbritt will be relying on the
information, that Ashbritt has no obligation to retain you as a subcontractor and that Ashbritt 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 ASHBRITT 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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