Apply to be an Approved Contractor

Business Information

Contractor Business Name

Primary Contact First Name

Primary Contact Last Name

Position Title

Email

Primary Phone

Format 999-999-9999

Alternate Phone

Format 999-999-9999

Preferred Method of Contact

Business Billing Address

City

State

Zip Code

Licenses and Certifications

Contractors State License Board (CSLB) License Number

Does the company have any of the following CSLB Classifications? Select all that apply.

C-4 Water Heater/BoilerC-5 Framing and Rough CarpentryC-8 ConcreteC-9 DrywallC-10 ElectricalC-15 FlooringC-20 HVACC-22 Asbestos AbatementC-33 PaintingC-36 PlumbingC-39 RoofingClass B - General Contractor's License

Does the company have a California Department of Public Health Lead Certification?

YesNo

If yes, please upload documentation of Lead Certification here.

Documentation Requested

In order to be an approved contractor for Renew AC projects, Habitat will need to keep on file the following documents. You may upload them here.

Completed W-9 Form

Proof of Insurance: General Liability, Auto, and Workers Compensation

When you click submit below it may take a few moments. Please only hit the Submit button once. We will review your submission and contact you to follow up.

Habitat for Humanity East Bay / Silicon Valley