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Please Fill out and Fax to us 208-945-3684
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| Please Fax us a copy of your Certificates of Insurance and/or any other certificates that you may be required to hold.WE need the following information;Name and address of businessContact person and Contact InformationFederal Tax Identification Number or Social Security NumberWorkers Compensation CertificateFAX ATTN: BRENDA at 208-945-3684Thanks for your help on this matter and we are glad to be working with you! |
Please Submit
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| Sub-Contractors for Bear Lake Construction please submit before starting work a copy of your Certificate of Insurance, Workers compensation Insurance, Federal ID Number, License Number, and you must fill out and sign a RELEASE OF MECHANICS LEIN. These forms will be posted shortly so they can be printed out and given to Doug or Brenda. |
Idaho Public Works Licensed #14569-C-3-4 (02500)
Idaho Registered Contractor #RCT-6817
Idaho Complex Septic Installer #20980
State of Utah D.O.P.L. License #4766253-5501 B100,E100
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