Contractor Information

Please download ICA (Independent Contractor Agreement).

You must agree to the ICA (Independent Contractor Agreement) to submit company information and be considered for contracted DEMCO jobs.

I, certify that I am an authorized representive of
and have the authority to enter into this agreement.
Company Information
Billing Address
Select all that apply.
Company Contact Information
Emergency Contact Information
Company Services Offered
REQUIRED: Please indicate the services your company can provide. Please select all that are applicable.
Labor Resources
$ /hour
$ /hour
$
$ /hour
$ /hour
$ /hour
Please describe.
$ /hour
$ /hour
$ /hour
$ /hour
$ /hour
$ /hour
Equipment Resources
Please list all equipment that you will furnish below. The suggested FEMA rate is a wet rate and includes fuel charges. Download & review the (FEMA) Schedule of Equipment Rates that is applicable to major disasters and emergencies. (DEMCO and Contractor) will apply these rates where needed.
$ /hour
$ /hour
$ /hour
$ /hour
$ /hour
$ /hour
Attachments
DEMCO must be listed as Additional Insured.
Files must be less than 2 MB.
Allowed file types: jpg jpeg txt pdf doc.
Files must be less than 2 MB.
Allowed file types: jpg jpeg txt pdf doc docx.
Files must be less than 2 MB.
Allowed file types: jpg jpeg txt pdf doc docx.
Files must be less than 2 MB.
Allowed file types: jpg jpeg txt pdf doc docx.
Files must be less than 2 MB.
Allowed file types: jpg jpeg txt pdf doc docx.