Subcontractor Intake Form — Nexum Contracting Systems, LLC

01 Business Identity

Legal Business Name * This field is required.

Primary Contact Name * This field is required.

Business Email * Please enter a valid email address.

Business Phone * This field is required.

EIN / Tax ID * Sole proprietors may provide SSN if applicable. This field is required.

Business Structure * Please select a business structure.

Website or Social Media Link

02 Services Offered

Select all that apply *

Janitorial / General Cleaning

Floor Care

Post-Construction Cleanup

Window Cleaning

Carpet Cleaning

Pressure Washing

Medical / Healthcare Facility Cleaning

Industrial / Warehouse Cleaning

Other Service

03 Service Area

Primary State / Region * Please select a state.

Cities / Metro Areas Covered * This field is required.

Willing to travel beyond primary area? *

Yes

Scope-Dependent

04 Operating Experience

Years in Operation *

Largest Contract Managed

Team Members Available *

Typical Availability * This field is required.

05 Quality & Reliability

How do you ensure quality and consistency on every job? * This field is required.

If you are unable to complete a scheduled job, what is your process? * This field is required.

Why are you interested in working with Nexum Contracting Systems? * This field is required.

06 Documentation & Readiness

Supporting Documents / Certifications

Click to upload or drag files here

PDF, DOC, JPG, PNG · Max 5 files · 10MB per file

Do you carry general liability insurance? *

Yes

In Progress

Certificate of insurance may be requested during verification.

07 References

Commercial client references are preferred and may strengthen your application.

Reference 01

Reference Name

Company / Organization

Phone or Email

Reference 02

Reference Name

Company / Organization

Phone or Email

08 Additional Notes

Anything else we should know

09 Acknowledgment

I understand that submitting this form does not guarantee approval and that Nexum Contracting Systems selects vendors based on performance standards and contract fit.

By submitting, you confirm that the information provided is accurate
and may be reviewed for vendor qualification purposes.

✓

Application Received

Your submission has been received and is under review. Qualified subcontractors may be contacted within 5–7 business days. No action is required at this time.