Redevelopment Authority of Altoona|Land Bank

Redevelopment Authority of Altoona Land Bank

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Contractor Application

Application for contractors interested in working on Redevelopment Authority of Altoona Land Bank projects.

Business Information

Business / Company Name*

Business Type*

Federal EIN / Tax ID Number*

Format: XX-XXXXXXX

Year Established*

Business Address*

Street address

City*

State*

ZIP Code*

Primary Phone*

Primary Email*

Website

Optional

Primary Contact

Contact Name*

Contact Title / Role*

Contact Phone*

Contact Email

If different from primary email

Licenses & Certifications

HIC Registration Number*

PA Home Improvement Contractor registration number

HIC Registration — Upload*

PDF or image of current HIC registration

City of Altoona Contractor License Number

Required for trades and commercial work only

City of Altoona Contractor License — Upload

Optional — upload if applicable

Additional Certifications

e.g. lead-safe certification, asbestos abatement, OSHA 30

Insurance

General Liability — Carrier Name*

General Liability — Policy Number*

General Liability — Coverage Amount*

e.g. $1,000,000

General Liability — Expiration Date*

Proof of General Liability Insurance — Upload*

Current certificate of insurance (COI)

Workers' Compensation — Carrier Name*

Workers' Compensation — Policy Number*

Workers' Compensation — Expiration Date*

Proof of Workers' Compensation — Upload*

Current certificate of insurance (COI)

Trade Categories

Select all trades that apply*

DemolitionDeconstruction / SalvageStructural Repair / FramingRoofingMasonry / FoundationElectricalPlumbingHVACWindows / DoorsInterior Renovation / Finish WorkLandscaping / Lot ClearingEnvironmental / AbatementGeneral Contracting

Select at least one

Experience & References

Number of Employees / Crew Size*

Have you previously worked with the Redevelopment Authority?*

YesNo

Brief Description of Relevant Experience*

Describe experience relevant to redevelopment, rehabilitation, or demolition projects

Reference 1 — Name

Reference 1 — Company

Reference 1 — Phone

Reference 2 — Name

Reference 2 — Company

Reference 2 — Phone

Acknowledgment

I certify that the information provided is accurate and complete.*

I understand that my application is subject to verification.*

Returning vacant, abandoned, and tax-delinquent properties to productive use in the City of Altoona.

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Contact

1301 12th Street, Suite 400

Altoona, Pennsylvania 16601

814-949-2471

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