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W9 Form 

Independent Contractor Application

V24 Works | Commercial Landscaping & Workforce Solutions

Professional Partners | Structured Growth | Weekly Opportunities

Contractor Overview

We are seeking qualified Independent Contractors who provide professional landscaping, snow removal, labor, or trade services.

This application is for established business entities that operate independently and can meet compliance, insurance, and operational standards.

Our contractors represent our brand on commercial and residential properties — professionalism, safety, and reliability are essential.

Business Information

Legal Business Name (as shown on tax return)

DBA (if applicable)

Business Address

City __________ State ______ Zip __________

Phone __________________ Email __________________

Primary Contact __________________ Title __________________

Years in Business __________

Indiana Secretary of State Business ID # __________________

Federal EIN (Format: 35-1234567)
________ - __________

W-9 Form Attached (Required for Approval)

Services You Provide

Please check all that apply:

Commercial Landscaping
Mowing & Turf Maintenance
Mulching & Bed Maintenance
Pruning & Shrub Care
Seasonal Flower Installation
Spring / Fall Cleanups
Snow Removal
Ice Management / Salting
Irrigation
Tree Work
General Labor
Skilled Trades
Cleaning / Janitorial
Other _______________________

Describe your specialty and experience:

Crew & Workforce Information

Total Workers __________

Supervisors __________

Average Crew Size Per Job __________

Do you use subcontractors? Yes No

Are all workers legally authorized to work in the U.S.?
Yes No

Do you use E-Verify? Yes No

Do crew members speak English? Yes No

Equipment & Capability

Check equipment owned:

Trucks
Trailers
Commercial Mowers
Skid Steer / Loader
Snow Plows
Salt Spreaders
Chainsaws
Irrigation Equipment

List major equipment (type / year / condition):

Insurance & Compliance Requirements

To qualify as an approved contractor, the following documentation is required:

General Liability Insurance
Minimum $1,000,000 per occurrence

Carrier __________________ Policy # __________________

Expiration Date __________________

Workers Compensation Insurance

Commercial Auto Insurance

OSHA Training (if applicable)

Have you had insurance claims within the last 5 years?
Yes No

If yes, explain:

Commercial References

Reference 1
Company __________________
Contact __________________
Phone __________________

Reference 2
Company __________________
Contact __________________
Phone __________________

Reference 3
Company __________________
Contact __________________
Phone __________________

Payment & Tax Information

Preferred Payment Method
ACH
Check

Billing Email __________________

Standard Payment Terms: Net 45

Contractors receiving more than $600 annually will receive Form 1099-NEC.

Certification & Independent Contractor Agreement

By signing below, Contractor acknowledges:

Contractor is an independent business entity
Contractor is responsible for its own taxes, payroll, insurance, and compliance
Submission of this application does not guarantee work
Work assignments require execution of a Master Subcontractor Agreement (MSA)
Contractor agrees to indemnify and hold harmless V24 Works from claims arising from Contractor operations

Signature _____________________________

Printed Name __________________________

Title __________________________

Date __________________________

Required Approval Checklist

Completed Application
W-9 Form
Certificate of Insurance
Workers Comp Certificate
Commercial Auto Certificate
Copy of Drivers License
Signed MSA (Issued After Review)