902.444.SERV

(7378)

ServiceNow Network - Contractor Application

Contractor Information:

First Name:

Last Name:

Company:

Address 1:

Address 2:

Province:

Postal Code:

Phone 1:

Phone 2:

Fax:

Email:

Web Site:

Number of Company Employees:

Number of Years in Business:

Trades and Services Information:

Please check all that apply:

Architect

Cabinetry

Carpentry

Concrete

Decking

Drafting

Drywall

Electrical

Flooring

Framing

Foundations

General Contracting

HVAC

Insulation

Interior Design

Landscaping

Masonry

Painting

Paving

Roofing

Siding

Snow Removal

Staging

Taping

Trim Work

Windows and Doors

(Other)

Further Details

Hours of Operation

Service Area

Please check all that apply:

All Halifax Regional Municipality

Halifax, Armdale, Bayer’s Lake, Clayton Park, Fairview, Spryfield, Timberlea

Dartmouth, Cole Harbour, Eastern Passage, Musquodoboit Harbour

Bedford, Sackville, Waverley, Fall River, Hammonds Plains

Other

Coverage:

We are up to date with Workers Compensation and have the appropriate documentation.

We are up to date with all safety certificates and have the appropriate documentation.

We have proof of liability insurance in the amount of $

General:

We are interested in receiving information on renting space in the ServiceNow facility

We are interested in receiving information on administrative services provided by ServiceNow.

How did you hear about ServiceNow?

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