Vendor Opportunities

Company Name*

Type of Company

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Office Phone

Cell Phone

Fax

Email*

Website / URL

Emergency

Federal Tax ID or S/S #

Owner / Contact*

Company Size ($)

# of Employees

# of Crews

# of Subs/Reps

Contractor's License

Service Area; State, Zip Codes, & Counties (Please rank serviceable counties 1-4 by preference)

Types of Service

Contractors License(s)

Terms and Conditions

Liability Insurance required: $1 Million dollars General Aggregate/General Liability and Errors & Omissions
Must provide Workman compensation insurance per local and state laws
If hired, Insurance must be in place and Freeman Built Contracting, LLC is named as additional insured on binder.
Work order completions are to be returned within 3 to 5 days.
Invoice totals must reflect discount given & must be turned in within 20 days of completion.
Contractor agrees to resolve any invoicing disputes with Freeman Built Contracting, LLC directly with-in 90 days of the invoice due date & must not place a mechanic's lien.
In no way is a contractor to perform any request that is in violation of any statue of state, county, or municipality.
I understand that I am not an employee but considered an 'Independent Contractor' responsible to pay my own taxes.

Customer References
Provide below three current or past clients that are representative of the work for which you wish to be considered.

1. Customer / Contact Name / Phone

2. Customer / Contact Name / Phone

3. Customer / Contact Name / Phone

Name / Signature (Owner / Company Officer)

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Freeman Built