The following information is required in order to process payments for subcontractors. On certain jobs a subcontractor contract might be required. Payments will be mailed within 14 days of invoice by check. If wire transfer is requested there will be a $45.00 processing fee subtracted from the payment. No payments should be made by field check, credit card or wire until all information is provided.

Subcontractor Information

Project Name

CLS – Supervisor

Required Subcontractor Information:

Company Name

Contact Name:

Phone

Email

Company Address (Mailing)

Street Address Address Line 2 City State ZIP Code

Required Form Uploads

All forms MUST be completed in their entirety and submitted below prior to issuance of payment.

Current Certificate of Insurance(Required)

Max. file size: 50 MB.

Address listed on COI should read: COLLINS LAND SERVICES INC. P.O. Box 217 Havana Fl, 32333 (must be marked additionally insured)

Current Workers Comp or Workers Comp Exemption Form(Required)

Max. file size: 50 MB.

Current Year W9(Required)

Max. file size: 50 MB.

Subcontractor Submission Form

Subcontractor Information

Required Subcontractor Information:

Required Form Uploads

Collins Land Services, Inc.

Leon County License: #LCEX202001