VENDOR INFORMATION. Company Name: Address: City St Zip County. Telephone #: Fax #: Contact #1 Name: Contact #2 Name: Cell Phone #: Cell Phone #:

Size: px
Start display at page:

Download "VENDOR INFORMATION. Company Name: Address: City St Zip County. Telephone #: Fax #: Contact #1 Name: Contact #2 Name: Cell Phone #: Cell Phone #:"

Transcription

1 VENDOR INFORMATION Company Name: Address: City St Zip County Telephone #: Fax #: Contact #1 Name: Contact #2 Name: Cell Phone #: Cell Phone #: Address: Address: Billing/Accounting Contact: Billing Address: City St Zip Billing Phone #: Address: Do you accept American Express for payment? No Yes Please check the appropriate box(s) for the services which you/your company provide. If you/your company provide a service that is not listed, please enter those services in the space provided below. Also, please enter the counties or areas which you/your company will provide service. Aluminum/Screen Appliances Carpentry Carpet Debris Removal Discoloration Treatment Remediation Drywall Electrical Flooring Garage Gutter HVAC Janitorial Landscaping Locks/re-key Masonry Paint Permit Pest Control Plumbing Pool Fiberglass Roofing Septic Well Windows/Doors Additional Services Provided: Counties/Areas Serviced: Fx. (239) Brantley Commons Ct., Fort Myers, FL of 5

2 IN ORDER TO SET-UP YOUR COMPANY IN OUR SYSTEM AS A VENDOR/SUBCONTRACTOR, THE FOLLOWING INFORMATION IS REQUIRED PRIOR TO ANY SERVICES BEING RENDERED: COMPLETED VENDOR INFORMATION SHEET, SIGNED PAYOUT SCHEDULE/INVOICING PROCEDURES ACKNOWLEDGING ACCEPTANCE OF PAYOUT SCHEDULE, SIGNED PHOTO REQUIREMENT SHEET. A CERTIFICATE OF INSURANCE FROM YOUR GENERAL LIABILITY CARRIER WITH, BRANTLEY COMMONS CT. FORT MYERS, FL NAMED AS THE CERTIFICATE HOLDER (THIS IS TO COME FROM YOUR INSURANCE COMPANY DIRECTLY). POLICY LIMITS SHOULD BE NO LESS THAN $1,000,000 PER OCCURRENCE AND $2,000,000 AGGREGATE. FOR LIMITS BELOW THIS, PLEASE CONTACT ACCOUNTING AT (239) FOR APPROVAL. A CERTIFICATE OF INSURANCE FROM YOUR WORKERS COMPENSATION CARRIER WITH REALTY TRUST ADVISORS, BRANTLEY COMMONS CT. FORT MYERS, FL NAMED AS THE CERTIFICATE HOLDER (THIS IS TO COME FROM YOUR INSURANCE COMPANY DIRECTLY).** COMPLETED AND SIGNED W-9 FORM WITH YOUR LEGAL BUSINESS NAME, BUSINESS NAME (DBA), ADDRESS, AND FEDERAL ID# OR SOCIAL SECURITY # FILLED IN. (BLANK FORM IS ATTACHED). BACKUP WITHHOLDING MAY APPLY IF YOU FAIL TO PROVIDE YOUR CORRECT TAXPAYER IDENTIFICATION NUMBER (IRS PUB 15, CIRCULAR E, PAGE 5). CHECKS ARE MADE OUT TO THE ENTITY OR SOLE PROPRIETOR NAMED ON YOUR W-9 AND MAILED TO THE ADDRESS LISTED YOUR W-9. COPY OF YOUR BUSINESS OR OCCUPATIONAL LICENSE AS ISSUED BY YOUR COUNTY OR CITY MUNICIPALITY (SOMETIMES REFERRED TO AS A PRIVILEGE OR TAX RECEIPT). COPY OF YOUR TRADE LICENSE IF YOU ARE REQUIRED TO BE LICENSED BY YOUR TRADE ASSOCIATION OR STATE. Please mail, fax, or all information to one of the following: Brantley Commons Court, Fort Myers, FL Phone: (239) Fax: (239) vendor@realtytrustus.com We understand that it is sometimes necessary to subcontract out certain portions of your approval; however, please be advised that if you are subcontracting out any portion of your contract with RTA, we will need to have insurance information for your subcontractor(s) as well as any applicable trade licenses. Please note insurance requirements are the same for subcontractors as lower-tiered subcontractors. Failure to provide this required information may result in fines, penalties and/or termination. It is understood by the undersigned that ALL information must be received by BEFORE any services can be performed on the job or a check can be issued. Any incomplete or missing information will delay payment in part or full. AUTHORIZED SIGNATURE COMPANY NAME DATE **If you do not have a Workers Compensation Insurance Policy in effect, a valid Workers Compensation Exemption Certificate, (per your State s requirements) is required as well as a signed, notarized affidavit (attached). Fx. (239) Brantley Commons Ct., Fort Myers, FL of 5

3 PAYOUT SCHEDULE AND INVOICING PROCEDURES To assist you in submitting your invoices, please note the following details: 1. Invoices will be paid 30 days from the approval of the invoice by the project manager (PM) or when funded by our client, whichever is later. Typically, you should expect to receive your check before 45 days. To avoid payment delays, be sure the SOW has been completed including required photo documentation and reports prior to submitting your invoice. 2. Payouts occur weekly on Friday and checks are typically mailed by Monday afternoons. Checks are mailed and are NOT available for pick up at our office. NO EXCEPTIONS. 3. Invoices will not be considered valid unless all photos and any other required documents, such as reports, permits, etc., have been received. If we are required to hire a third party to take our final photos because they have not been received in our office by the job completion deadline, a fee of $75.00 will be deducted from your invoice to cover that cost. 4. Jobs that are not 100% completed cannot be invoiced. This includes any job for which we have not received sufficient photos or one that has issues directly related to your scope, approval or QC issues. 5. All invoices must be on an invoice template of some sort with invoice numbers. Invoices must include the Date of Service/Completion Date, Job Location, and the RTA Project Manager. s will not be considered an invoice. Statements and Proposals will not be accepted as invoices. 6. All invoices must be submitted for payment, via the methods listed below within seven (7) days of the services being completed and (signed off on). Do not send your invoice until you have sent final photos and all reports to your project manager. Failure to submit your invoice for payment in the time frame allotted may result in non-payment and/or back-charges. 7. Invoices must be ed to accounting@realtytrustus.com, faxed to , or mailed to Brantley Commons Ct., Fort Myers, FL to the attention of the Accounting Department. Project managers cannot accept invoices. 8. In the event that a payment is requested to be sent by any means other than USPS, Contractor understands and agrees to cover such expenses. 9. Invoices that are received 7-30 days after completion may be back-charged 10%. Invoices received after 60 days may no longer be considered valid and therefore may not be paid. 10. Waivers are required for contract amounts greater than $1, and must be received back in our office prior to the release of your check. 11. To check on the status of your invoice, please contact our accounting department at or via at accounting@realtyadvisorsus.com. By signing below, I affirm that I have read and agree to the payment/invoicing terms above: Authorized signature Company Name Date **WE RESERVE THE RIGHT TO CHANGE OUR PAYOUT SCHEDULE AT ANY TIME** Fx. (239) Brantley Commons Ct., Fort Myers, FL of 5

4 PICTURE REQUIREMENTS BID REQUIREMENTS In order to submit a bid, pictures must be taken of the subject property. You can never send too many pictures. For a full rehab bid, we expect photos. Required pictures are as follows: 1. A picture showing the address (either on a mailbox or on the house itself) to verify you are at the correct property. 2. A wide angle picture of the front of the property. 3. Individual pictures showing the specific areas in which you are proposing to do work interior, exterior, or both (example: For the installation of an electric range, take a before picture showing the electric range is missing). Wide angle shots are required to show overall rooms and layouts. 4. Any other supplemental pictures showing work that may need to be done (example: If there are safety hazards like mold or mildew on the walls, this would indicate a leak. You would do some minor investigating to find the source of the leak and take pictures of the affected areas). 5. Any other pictures to help evaluate what additional costs may be associated with a specific task (example: For the installation of a range, take a picture of the outlet to verify if it will require a 3 or 4 prong power cord). (example: For interior painting, show all room walls colors to verify if any drywall work or primer / KILZ will be necessary prior to finish painting). APPROVED WORK REQUIREMENTS Each line item must be documented with before, during and after photos. Again, you can never send too many pictures. If an interior paint job is performed, we need good overall room shots showing the walls/trim/ceilings. If something more specific is done (baseboards installed), we need pictures showing the new baseboard in all areas where it is installed. Pictures must accompany all bids and final invoices. If required photos are not received, invoice may be back charged or not be paid for missing items. PICTURE FORMAT REQUIREMENTS Photos taken with smartphones, ipads, tablets, or digital cameras are acceptable. Pictures should preferably be in JPEG format and be no smaller than 448x336 pixels and 40KB in file size. PLEASE BE SURE TO COMPRESS ALL PICTURES PRIOR TO SENDING If you need assistance with this, please contact someone in our office and we will provide instructions on how to properly compress pictures. I understand that taking the above pictures for either an estimate or completed work is part of my required scope of work. Authorized signature Company Name Date Fx. (239) Brantley Commons Ct., Fort Myers, FL of 5

5 SOLE AGREEMENT SOLE AGREEMENT as it pertains to all Approvals issued from : This Agreement, including all terms and conditions hereof, is expressly agreed to and constitutes the entire Agreement as of this date. No other Agreement or understandings, verbal or written, expressed or implied, are a part of this Agreement unless specified herein. This agreement is made upon the express condition that, its agents and employees shall be free from all liabilities and claims for damages and/or suits for or by reason of any injury, or death to any person or property of the Subcontractor, its agents or employees, or third parties, from any cause or causes whatsoever while in or upon said premises or any part thereof during the term of this agreement or occasioned by any occupancy or use of said premises or any activity carried on by the Subcontractor in connection herewith, and the Subcontractor hereby covenants and agrees to indemnify, defend, save and hold harmless, its agents and employees from all liabilities, charges, expenses and costs on account of or by reason of any such injuries, deaths, liabilities, claims, suits or losses however occurring or damages growing out of the same. IN WITNESS HEREOF the parties have accepted this Agreement the day and year first above written. Subcontractor Name: Subcontractor Address: City: State: Zip: - Subcontractor Signature Contractor Name: Contractor Address: Brantley Commons Court City: Fort Myers State: FL Zip: Contractor Signature Fx. (239) Brantley Commons Ct., Fort Myers, FL of 5

6 WORKER S COMPENSATION EXEMPTION STATEMENT (Form must be signed and notarized) Complete this form only if you are exempt from Worker s Compensation. Form should be completed by an officer of a sole proprietorship or a corporation. NAME: (First) (Last) ADDRESS: (Street) (City) (State) (Zip Code) PHONE: (Business) (Cell) This is to verify that (Business Name) Located at the above referenced address is a: Sole Proprietorship or a Corporation/Partnership/LLC And has no other employees other than his/her self or another officer of the corporation/partnership. Furthermore, only the use of insured subcontractors will be used in conjunction with any work performed for. Therefore, under the terms of the State of Worker s Compensation regulations it is NOT necessary for the above named company to carry Worker s Compensation. (Signature) ***THIS FORM MUST BE NOTARIZED*** Sworn and subscribed to me this day of, 20 Personally known OR produced ID. Type produced: NOTARY PUBLIC: My commission expires:

7 VENDOR CHANGE OF ADDRESS ADDENDUM Please keep this on file and to if you need to update your address. Effective Date: Company Name: Billing Address: Telephone #: Fax #: Contact Name: Contact Name: Cell Phone #: Cell Phone #: address: address: Billing/Accounting Contact: Phone #: address:

VENDOR INFORMATION. City ST

VENDOR INFORMATION. City ST VENDOR INFORMATION Company Name: Billing Address: City ST Zip County Telephone #: Fax #: Contact Name: Contact Name: Cell Phone #: Cell Phone #: Email address: Email address: Billing/Accounting Contact:

More information

VENDOR INFORMATION. Company Name: Billing Address: Telephone #: Fax #: Contact Name: Cellphone #: Email Address: Secondary Contact:

VENDOR INFORMATION. Company Name: Billing Address: Telephone #: Fax #: Contact Name: Cellphone #: Email Address: Secondary Contact: VENDOR INFORMATION Company Name: Billing Address: Telephone #: Fax #: Contact Name: Cellphone #: Email Address: Secondary Contact: Cellphone #: Email Address: Please check the appropriate boxes for the

More information

INSTRUCTIONS FOR COMPLETING THE CITY OF GILLETTE CONTRACTOR LICENSE APPLICATION (RENEWAL)

INSTRUCTIONS FOR COMPLETING THE CITY OF GILLETTE CONTRACTOR LICENSE APPLICATION (RENEWAL) BUILDING INSPECTION DIVISION P.O. Box 3003, Gillette, WY 82717 201 E. Fifth Street, 2nd Floor Telephone: (307) 686-5260 www.gillettewy.gov INSTRUCTIONS FOR COMPLETING THE CITY OF GILLETTE CONTRACTOR LICENSE

More information

REPAIRING YOUR HOME CONSTRUCTION LOAN PROCEDURES 1-800-589-8850 WWW.FIRSTFEDLORAIN.COM

REPAIRING YOUR HOME CONSTRUCTION LOAN PROCEDURES 1-800-589-8850 WWW.FIRSTFEDLORAIN.COM REPAIRING YOUR HOME CONSTRUCTION LOAN PROCEDURES 1-800-589-8850 WWW.FIRSTFEDLORAIN.COM FIRST FEDERAL SAVINGS AND LOAN ASSOCIATION OF LORAIN YOUR COMMUNITY BANK SINCE 1921 Toll Free 1-800-589-8850 3721

More information

CHECKLIST OF DOCUMENTS NEEDED DO NOT FAX, BRING ALL DOCUMENTS WITH THIS APPLICATION THREE CONTRACTOR AFFIDAVITS OF WORK EXPERIENCE.

CHECKLIST OF DOCUMENTS NEEDED DO NOT FAX, BRING ALL DOCUMENTS WITH THIS APPLICATION THREE CONTRACTOR AFFIDAVITS OF WORK EXPERIENCE. CHECKLIST OF DOCUMENTS NEEDED DO NOT FAX, BRING ALL DOCUMENTS WITH THIS APPLICATION THREE CONTRACTOR AFFIDAVITS OF WORK EXPERIENCE. (NO LETTERS) CERTIFICATE OF LIABILITY INSURANCE FROM THE INSURANCE COMPANY

More information

Small Business Enterprises (SBE) Certification Application

Small Business Enterprises (SBE) Certification Application Small Business Enterprises (SBE) SBE Certification Program Information and Application Mission Statement: The Office of Business Opportunity is committed to creating a competitive and diverse Business

More information

CITY OF AVENTURA PERMIT APPLICATION 19200 W Country Club Drive 4 th Floor Aventura, FL 33180 Tel (305) 466-8937 Fax (305) 466-8949

CITY OF AVENTURA PERMIT APPLICATION 19200 W Country Club Drive 4 th Floor Aventura, FL 33180 Tel (305) 466-8937 Fax (305) 466-8949 CITY OF AVENTURA PERMIT APPLICATION 19200 W Country Club Drive 4 th Floor Aventura, FL 33180 Tel (305) 466-8937 Fax (305) 466-8949 Permit #: Job Address: Unit #: Owner Information Address City State Zip

More information

NIAGARA FALLS UNIVERSAL CONTRACTOR APPLICATION

NIAGARA FALLS UNIVERSAL CONTRACTOR APPLICATION NIAGARA FALLS UNIVERSAL CONTRACTOR APPLICATION NIAGARA FALLS HOUSING RENOVATION PROGRAM Center City Neighborhood Development Corp. Highland Community Revitalization Committee, Inc. Niagara Falls Neighborhood

More information

Facade Grant Program APPLICATION

Facade Grant Program APPLICATION C I T Y O F E A S T C H I C A G O North Harbor Facade Grant Program APPLICATION The City of East Chicago will fund up to 80% of the cost for facade improvements for properties in designated areas within

More information

Construction Trades Qualifying Board APPLICATION FOR BUSINESS CERTIFICATION OR ADDING D/B/A TO EXISTING BUSINESS LICENSE

Construction Trades Qualifying Board APPLICATION FOR BUSINESS CERTIFICATION OR ADDING D/B/A TO EXISTING BUSINESS LICENSE Construction Trades Qualifying Board APPLICATION FOR BUSINESS CERTIFICATION OR ADDING D/B/A TO EXISTING BUSINESS LICENSE BUSINESS APPLICATION INCLUDING D/B/A... $ 315.00 (Business Application not applicable

More information

Who Can Apply (A or B)

Who Can Apply (A or B) Community & Economic Development Dept. www.ci.miramar.fl.us Who Can Apply (A or B) CHANGE OF CONTRACTOR APPLICATION PACKAGE A. Licensed Contractors for Residential & Commercial Permit can be issued to

More information

INVITATION TO BID EOE

INVITATION TO BID EOE INVITATION TO BID The 22 nd Judicial Circuit is currently soliciting bid proposals for the Clerk and Admission Office s new flooring for the Family Courts Juvenile Division at 920 N. Vandeventer Ave. The

More information

FULTON COUNTY SCHOOLS IMMIGRATION AND SECURITY FORM

FULTON COUNTY SCHOOLS IMMIGRATION AND SECURITY FORM FULTON COUNTY SCHOOLS IMMIGRATION AND SECURITY FORM If you are providing service, performing work or delivering goods to the Fulton County Board of Education including, but not limited to schools, warehouses

More information

Revised January 2011. You must submit with the application the following documentation:

Revised January 2011. You must submit with the application the following documentation: Charlie A. Dooley County Executive Sheryl L. Hodges, D.E., P.E., L.P.G. Director MECHANICAL LICENSING Guidelines for completing the Application for Contractor License Contractor License Categories: Mechanical,

More information

Retaining Wall Replacement at the Currituck County Veterans Memorial Park

Retaining Wall Replacement at the Currituck County Veterans Memorial Park CONTRACT DOCUMENTS FOR Retaining Wall Replacement at the Currituck County Veterans Memorial Park Coinjock, NC May 24, 2016 NOTICE TO BIDDERS Bids will be received until 4:00 pm on June 17, 2016 at the

More information

CONTRACTOR PACKET Vendor Invoice and Payment Processing Instructions

CONTRACTOR PACKET Vendor Invoice and Payment Processing Instructions CONTRACTOR PACKET Vendor Invoice and Payment Processing Instructions Introduction Cummings Property Management Inc. is the company that manages the administrative and financial operations of the community

More information

CITY OF ELBERTON, GEORGIA REQUEST FOR PROPOSAL

CITY OF ELBERTON, GEORGIA REQUEST FOR PROPOSAL CITY OF ELBERTON, GEORGIA REQUEST FOR PROPOSAL INVITATION FOR BIDS RFP # 2014 01 RFP TITLE TREE TRIMMING SERVICES FOR POWER LINES ISSUE DATE June 28, 2013 DUE DATE July 29, 2013 at 2:00 PM IMPORTANT NOTE:

More information

Emergency Responders & Water / Fire Restoration Contractors

Emergency Responders & Water / Fire Restoration Contractors Application Sponsored by Anchor Bay Insurance Managers, Inc. Post Office Box # 2510 / Silverdale, WA. 98383 Phone: 800.929.9560 / Fax: 800.929.9794 Web Site: SurplusLines.com Submit Applications To: Applications@SurplusLines.com

More information

Request for Quotations on Termite and Pest Control Service to Include Repair & Maintenance RFQ 16-005

Request for Quotations on Termite and Pest Control Service to Include Repair & Maintenance RFQ 16-005 Request for Quotations on Termite and Pest Control Service to Include Repair & Maintenance RFQ 16-005 Competitive Quotations will be received at the City of Powder Springs, City Clerk s Office, 4484 Marietta

More information

SUBCONTRACTOR START UP SHEET

SUBCONTRACTOR START UP SHEET SUBCONTRACTOR START UP SHEET Date: Job Name: Company Name: Contact: Phone #: Email: Please review the following and complete all forms. All documents must be completed, accurate and submitted to Encompass

More information

INDEPENDENT CONTRACTOR AGREEMENT (ICA)

INDEPENDENT CONTRACTOR AGREEMENT (ICA) INDEPENDENT CONTRACTOR AGREEMENT (ICA) (This agreement is not a construction contract within the meaning of Civil Code section 2783, and is not an agreement for the provision of construction services within

More information

BRITISH SOCCER CAMP A G R E E M E N T

BRITISH SOCCER CAMP A G R E E M E N T THE STATE OF TEXAS * COUNTY OF CORYELL * KNOW ALL MEN BY THESE PRESENTS: BRITISH SOCCER CAMP A G R E E M E N T This agreement is made and entered into this the 20th day of January, 2015 by and between

More information

Who Can Apply (A or B)

Who Can Apply (A or B) 2200 Civic Center Place Miramar, Florida 3302 Tel: (954) 602-3200 Fax: (954) 602-3635 WINDOWS & DOORS APPLICATION PACKAGE Who Can Apply (A or B) A. Licensed Contractors for Residential Permit can be issued

More information

BONDING & INSURANCE SPECIALISTS AGENCY, INC. (BISA)

BONDING & INSURANCE SPECIALISTS AGENCY, INC. (BISA) BONDING & INSURANCE SPECIALISTS AGENCY, INC. (BISA) 9340 S. Harlem Avenue, Bridgeview, IL 60455 800-346-1031 Fax: 708-598-6686 Instructions APPLICATION FOR FIRE AND WATER RESTORATION CONTRACTORS The coverage

More information

SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE NOTICE TO PROPERTY OWNER

SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE NOTICE TO PROPERTY OWNER NOTICE TO PROPERTY OWNER Rebuilding your Home after the storm? Adding on, renovating, or remodeling your home? Here's information YOU need to know about the 50% Rule. If your home or business is below

More information

SARPY COUNTY, NEBRASKA REQUEST FOR PROPOSALS. Jail Boiler Replacement Project For the. Facilities Management Department

SARPY COUNTY, NEBRASKA REQUEST FOR PROPOSALS. Jail Boiler Replacement Project For the. Facilities Management Department SARPY COUNTY, NEBRASKA REQUEST FOR PROPOSALS Jail Boiler Replacement Project For the Facilities Management Department PROPOSALS DUE: 2:00 p.m., Thursday, November 20, 2014 1 P age P:\Jail Boiler Replacement

More information

CLAIM FORM INSTRUCTIONS

CLAIM FORM INSTRUCTIONS CLAIM FORM INSTRUCTIONS To make a claim through the claims process for benefits that may be available as a result of the Settlement reached in the Litigation captioned Gulbankian, et al. v. MW Manufacturers,

More information

WEST VIRGINIA CONTRACTOR LICENSING BOARD

WEST VIRGINIA CONTRACTOR LICENSING BOARD WEST VIRGINIA CONTRACTOR LICENSING BOARD CONTRACTOR LICENSE APPLICATION / AFFIDAVIT This application is to be used when applying for a license to perform contracting work in the State of West Virginia.

More information

THE UNIVERSITY OF UTAH INDEPENDENT CONTRACTOR SERVICES AGREEMENT INSTRUCTIONS

THE UNIVERSITY OF UTAH INDEPENDENT CONTRACTOR SERVICES AGREEMENT INSTRUCTIONS THE UNIVERSITY OF UTAH INDEPENDENT CONTRACTOR SERVICES AGREEMENT INSTRUCTIONS Contracting for Independent Contractor services with the University of Utah may require completion of the following: Employee/Independent

More information

7. Do you perform any out of state work?... If yes, in what states and provide details of work performed

7. Do you perform any out of state work?... If yes, in what states and provide details of work performed Applicant s Name* (*If more than one entity, attach separate sheet with description of each entity s operations, relationship to each other and ownership.) Contractors Application Agent Applicant Mailing

More information

BENTON COUNTY PERSONAL SERVICES CONTRACT

BENTON COUNTY PERSONAL SERVICES CONTRACT BENTON COUNTY PERSONAL SERVICES CONTRACT This is an agreement by and between BENTON COUNTY, OREGON, a political subdivision of the State of Oregon, hereinafter called COUNTY, and, hereinafter called CONTRACTOR.

More information

PROFESSIONAL ENGINEERING SERVICES FOR HURRICANE IRENE HAZARD MITIGATION GRANT PROGRAM (HMGP) FOR ELEVATION

PROFESSIONAL ENGINEERING SERVICES FOR HURRICANE IRENE HAZARD MITIGATION GRANT PROGRAM (HMGP) FOR ELEVATION REQUEST FOR QUALIFICATIONS FOR PROFESSIONAL ENGINEERING SERVICES FOR HURRICANE IRENE HAZARD MITIGATION GRANT PROGRAM (HMGP) FOR ELEVATION September 22, 2014 TABLE OF CONTENTS REQUEST FOR QUALIFICATIONS

More information

Building Division. Engineering, Planning and Building Department 540 Laird Avenue S.E. Warren, Ohio 44484 Office: (330)841-2916 Fax: (330)841-2614

Building Division. Engineering, Planning and Building Department 540 Laird Avenue S.E. Warren, Ohio 44484 Office: (330)841-2916 Fax: (330)841-2614 Building Division Engineering, Planning and Building Department 540 Laird Avenue S.E. Warren, Ohio 44484 Office: (330)841-2916 Fax: (330)841-2614 CONTRACTOR REGISTRATION (Shall be typed or neatly printed)

More information

PERMIT APPLICATION. PLEASE PRINT LEGIBLY INCLUDE STREET NUMBER/NAME, CITY & STATE 1 Job Name:

PERMIT APPLICATION. PLEASE PRINT LEGIBLY INCLUDE STREET NUMBER/NAME, CITY & STATE 1 Job Name: PERMIT APPLICATION Town of Indialantic 216 Fifth Avenue Permit # Indialantic, Florida 32903 (321) 727-3377 - Office (321) 984-3867 - Fax Application Date: PLEASE PRINT LEGIBLY INCLUDE STREET NUMBER/NAME,

More information

YOU VE BEEN HIRED AS A GENERAL CONTRACTOR

YOU VE BEEN HIRED AS A GENERAL CONTRACTOR CONSTRUCTION LOAN PROCEDURES 1-800-589-8850 WWW.FIRSTFEDLORAIN.COM YOU VE BEEN HIRED AS A GENERAL CONTRACTOR FIRST FEDERAL SAVINGS AND LOAN ASSOCIATION OF LORAIN YOUR COMMUNITY BANK SINCE 1921 Toll Free

More information

PIPELINE AND UTILLITY PERMIT APPLICATION PACKET

PIPELINE AND UTILLITY PERMIT APPLICATION PACKET Orange County Drainage District 8081 Old Hwy 90 Orange, Texas 77630 Main Office (409) 745-3225 Fax (409) 745-3004 PIPELINE AND UTILLITY PERMIT APPLICATION PACKET Contact the Orange County Drainage District

More information

APPLICATION FOR TEXAS HOLD EM POKER TOURNAMENT INSTRUCTION SHEET

APPLICATION FOR TEXAS HOLD EM POKER TOURNAMENT INSTRUCTION SHEET CANNON BUILDING STATE OF DELAWARE TELEPHONE: (302) 744-4500 861 SILVER LAKE BLVD., SUITE 203 DEPARTMENT OF STATE FAX: (302) 739-2711 DOVER, DELAWARE 19904-2467 DIVISION OF PROFESSIONAL REGULATION WEBSITE:

More information

Don t let the deadline pass you by! 2016 SPRING TOUR OF HOMES REMODELERS SHOWCASE

Don t let the deadline pass you by! 2016 SPRING TOUR OF HOMES REMODELERS SHOWCASE Don t let the deadline pass you by! 2016 SPRING TOUR OF HOMES REMODELERS SHOWCASE Saturday & Sunday, May 7 & 8, 11 AM 5 PM Registration Deadline is Friday, April 1, 2016 Early Registration Fee for MRBA

More information

Subcontractor Insurance & Licensing Requirements Please provide the items below

Subcontractor Insurance & Licensing Requirements Please provide the items below Subcontractor Insurance & Licensing Requirements Please provide the items below Commercial General Liability Limits of Insurance $2 Million dollars General Aggregate (Per Project) $2 Million dollars Product/Completed

More information

INSURANCE AND INDEMNIFICATION REQUIREMENTS. RE: CCTV system for bus shelters at the Economy Lot PAGE 1 OF 4

INSURANCE AND INDEMNIFICATION REQUIREMENTS. RE: CCTV system for bus shelters at the Economy Lot PAGE 1 OF 4 1THE PHILADELPHIA PARKING AUTHORITY RE: CCTV system for bus shelters at the Economy Lot PAGE 1 OF 4 Prior to commencement of the contract and until completion of your work, shall, at its sole expense,

More information

CITY OF SIKESTON INVITATION FOR BID GENERAL REQUIREMENTS

CITY OF SIKESTON INVITATION FOR BID GENERAL REQUIREMENTS CITY OF SIKESTON INVITATION FOR BID GENERAL REQUIREMENTS Date Issued: March 12, 2014 Bid Number: 14-25 The City of Sikeston is soliciting bids for the resurfacing of four tennis courts. The sealed bids

More information

The purpose of this Agreement is to establish the services of Independent Contractor to the University of La Verne on

The purpose of this Agreement is to establish the services of Independent Contractor to the University of La Verne on THIS AGREEMENT is made by and between UNIVERSITY OF LA VERNE ( University ) and. Independent Contractor In consideration of the mutual promises and covenants contained herein, the parties are agreed as

More information

STATE OF GEORGIA DEPARTMENT OF TRANSPORTATION OPEN AGENCY SERVICE CONTRACT

STATE OF GEORGIA DEPARTMENT OF TRANSPORTATION OPEN AGENCY SERVICE CONTRACT STATE OF GEORGIA DEPARTMENT OF TRANSPORTATION OPEN AGENCY SERVICE CONTRACT Contract #: Total Obligation: AGREEMENT BETWEEN: The Georgia Department of Transportation s location identified in Paragraph 101A

More information

CHAPTER 67.2 RESIDENTIAL BUILDING CODE

CHAPTER 67.2 RESIDENTIAL BUILDING CODE CHAPTER 67.2 RESIDENTIAL BUILDING CODE 1. APPLICABILITY. This Chapter shall have, along with the Code adopted hereby, the scope and applicability set out in said code except as modified by the provisions

More information

Dealer Application. If Corporation: If Limited Liability Company: If Limited Partnership:

Dealer Application. If Corporation: If Limited Liability Company: If Limited Partnership: Date: 120 Citycentre Drive Cust: Cincinnati, Ohio 45216 Ph: (513) 679-7910 Dealer Application Business Name Address Telephone # Trade Name City State Zip Fax # Dealer Type New Used Franchises Held: Business

More information

Company Name: Order Address:

Company Name: Order Address: This box for MH Use Only VENDOR DATA SHEET REQUIRED MH Vice President signature: Company Name: Order Address: City: State: Zip Code: Customer Service Information: Contact Phone: Fax: **Does your ordering

More information

INDEPENDENT CONTRACTOR SERVICES AGREEMENT

INDEPENDENT CONTRACTOR SERVICES AGREEMENT INDEPENDENT CONTRACTOR SERVICES AGREEMENT THIS AGREEMENT is entered into as of this day of, 2010, by and between the CITY OF MONTROSE, State of Colorado, a Colorado home rule municipal corporation, whose

More information

REQUEST FOR QUOTES FOR. On-Call Plumbing Contractor

REQUEST FOR QUOTES FOR. On-Call Plumbing Contractor Department of Public Services REQUEST FOR QUOTES FOR On-Call Plumbing Contractor November 2013 One Detjen Drive Crestwood, Missouri 63126 314-729-4720 Fax 314-729-4729 http://www.ci.crestwood.mo.us 1 Request

More information

Application for Tax Abatement for Rehabilitation of Property in a Local Historic District

Application for Tax Abatement for Rehabilitation of Property in a Local Historic District Application for Tax Abatement for Rehabilitation of Property in a Local Historic District Historic Preservation Office Austin, Texas 512-974-2727 Adopted December 2012 To encourage preservation and maintenance

More information

WEST USA REALTY, PROPERTY MANAGEMENT 16150 N ARROWHEAD FOUNTAIN CENTER DR # 100 PEORIA, ARIZONA 85382 602-942-1410 BROKER S OBLIGATIONS

WEST USA REALTY, PROPERTY MANAGEMENT 16150 N ARROWHEAD FOUNTAIN CENTER DR # 100 PEORIA, ARIZONA 85382 602-942-1410 BROKER S OBLIGATIONS WEST USA REALTY, PROPERTY MANAGEMENT 16150 N ARROWHEAD FOUNTAIN CENTER DR # 100 PEORIA, ARIZONA 85382 602-942-1410 AGENT NAME: DATE: This agreement by and between WEST USA REALTY, hereafter know as BROKER,

More information

AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES

AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES THIS AGREEMENT is made as of December 1, 2003, by and between the San Francisquito Creek Joint Powers Authority, a body corporate and politic

More information

Substantially incomplete submissions will be declined

Substantially incomplete submissions will be declined CONTRACTORS POLLUTION LIABILITY FOR FIRE/WATER RESTORATION CONTRACTORS APPLICATION REQUIREMENTS 1. Contractors Pollution Liability Application - complete all questions in full. 2. Special attention should

More information

PRIVATE PROVIDER REQUIREMENTS General Information and Checklist Rev. 10-01-2014

PRIVATE PROVIDER REQUIREMENTS General Information and Checklist Rev. 10-01-2014 PRIVATE PROVIDER REQUIREMENTS General Information and Checklist Rev. 10-01-2014 The use of Private Providers is authorized by Florida Statute 553.791 (Alternative Plans Review and Inspection). The City

More information

INMATE TELEPHONE SERVICES AGREEMENT

INMATE TELEPHONE SERVICES AGREEMENT INMATE TELEPHONE SERVICES AGREEMENT Contract No.: MAN-2015-39 Page 1 of 9 This Agreement, made effective this day of, 2015, by and between the Cherokee County Board of Commissioners with offices at 1130

More information

APPLICATION FOR OFFICE PROPERTY & GENERAL LIABILITY INSURANCE. Name of Organization: Physical Address: Mailing Address: City: State: County: Zip:

APPLICATION FOR OFFICE PROPERTY & GENERAL LIABILITY INSURANCE. Name of Organization: Physical Address: Mailing Address: City: State: County: Zip: APPLICATION FOR OFFICE PROPERTY & GENERAL LIABILITY INSURANCE GENERAL INFORMATION Name of Organization: Physical Address: Mailing Address: City: State: County: Zip: Phone: ( ) Fax: ( ) Contact: Email Address:

More information

Minimum Insurance Requirements for Construction, Non- Construction, Consultants and Professional Design Contracts

Minimum Insurance Requirements for Construction, Non- Construction, Consultants and Professional Design Contracts Minimum Insurance Requirements for Construction, Non- Construction, Consultants and Professional Design Contracts Highlights This site is informational. It does not supersede our construction contract.

More information

Credit Packet Instructions

Credit Packet Instructions Credit Packet Instructions Southern Materials Company would like to thank you for your interest in doing business with us. We will do everything we can to deliver quality products and services to help

More information

STEVEDORE LICENSE APPLICATION

STEVEDORE LICENSE APPLICATION 200 W. SECOND ST., 3 RD FL., FREEPORT, TX 77541 (979) 233-2667 1 (800) 362-5743 FAX: (979) 233-5625 STEVEDORE LICENSE APPLICATION In accordance with the provisions listed in Port Freeport Tariff No. 5,

More information

Request for Proposal RFP #201501. Printing & Mailing Services

Request for Proposal RFP #201501. Printing & Mailing Services Request for Proposal Printing & Mailing Services Date of Issue: 03/24/2015 For period beginning: 05/01/2015 Due Date/Time for Receipt of Proposals: 04/06/2015 @ 2:00 p.m. (EDT) RFP Number: 201501 Date

More information

ATTENTION CARRIER! PLEASE FAX THIS COMPLETED FORM ALONG WITH THE FOLLOWING DOCUMENTS TO 315-622-5281

ATTENTION CARRIER! PLEASE FAX THIS COMPLETED FORM ALONG WITH THE FOLLOWING DOCUMENTS TO 315-622-5281 ATTENTION CARRIER! Carrier Name: PLEASE FAX THIS COMPLETED FORM ALONG WITH THE FOLLOWING DOCUMENTS TO 315-622-5281 Signed Breakaway Transport Broker/Carrier Agreement Workman s Compensation letter Copy

More information

Construction Management Services Delmar School District RFP No. DSD16001-CONSTR_MAN

Construction Management Services Delmar School District RFP No. DSD16001-CONSTR_MAN Construction Management Services Delmar School District RFP No. DSD16001-CONSTR_MAN The Delmar School District (DSD) is seeking the professional services of a Construction Management (CM) firm for the

More information

Indiana University Agreement Between Owner and Architect for a Small Project

Indiana University Agreement Between Owner and Architect for a Small Project Indiana University Agreement Between Owner and Architect for a Small Project This AGREEMENT is made: (Date) BETWEEN the Owner: The Trustees of Indiana University 1800 N. Range Road Bloomington, IN 47408

More information

CHARLOTTE COUNTY Community Development Department

CHARLOTTE COUNTY Community Development Department CHARLOTTE COUNTY Community Development Department Building Construction Services Division 18400 Murdock Circle, Port Charlotte FL 33948 Phone: 941.743.1201 Fax: 941.764.4907 www.charlottecountyfl.gov 50

More information

SAN ANTONIO WATER SYSTEM PURCHASING DEPARTMENT FORMAL INVITATION FOR BEST VALUE BID (BVB) FOR PRESCRIPTION SAFETY EYEWEAR PROGRAM ADDENDUM NO.

SAN ANTONIO WATER SYSTEM PURCHASING DEPARTMENT FORMAL INVITATION FOR BEST VALUE BID (BVB) FOR PRESCRIPTION SAFETY EYEWEAR PROGRAM ADDENDUM NO. SAN ANTONIO WATER SYSTEM PURCHASING DEPARTMENT Issued By: Joseph Ramon Date Issued: June 15, 2015 BID NO.: 15-0118 FORMAL INVITATION FOR BEST VALUE BID (BVB) FOR PRESCRIPTION SAFETY EYEWEAR PROGRAM ADDENDUM

More information

CONTRACTOR REGISTRATION

CONTRACTOR REGISTRATION CONTRACTOR REGISTRATION Fairfield County Building Department (FCBD) requires contractor registration per County Resolution 06-02.28.f and through the powers granted under the Ohio Revised Code. This includes

More information

City of Kirkland, WA - Contract For Aircraft Industry

City of Kirkland, WA - Contract For Aircraft Industry City of Kirkland, WA REQUEST FOR QUOTATION LiDAR (Light Distance And Ranging) Data Acquisition Services Job #29-15-IT The City of Kirkland, Washington is soliciting price quotations from qualified and

More information

REQUEST FOR PROPOSAL FOR: IT CONSULTANT

REQUEST FOR PROPOSAL FOR: IT CONSULTANT SYS13-05 REQUEST FOR PROPOSAL FOR: IT CONSULTANT COMMUNITY COLLEGE SYSTEM OF NH PURPOSE: The purpose of this REQUEST FOR PROPOSAL is to establish a contract for the Community College System of NH System

More information

SAMPLE SERVICES CONTRACT

SAMPLE SERVICES CONTRACT SAMPLE SERVICES CONTRACT The parties to this contract are the SAN DIEGO COUNTY WATER AUTHORITY, a county water authority, (the Water Authority) and, [a / an], having its principal place of business at

More information

How To Get A License From Minnesota Dhs

How To Get A License From Minnesota Dhs Family Systems License Application Minnesota Statutes, Chapter 245A (Human Services Licensing Act) RENEW, UPDATE, or CHANGE OF PREMISE CORPORATE Adult Foster Care (AFC), Community Residential Setting (CRS)

More information

Business Certificate to Operate Renewal Checklist

Business Certificate to Operate Renewal Checklist Business Certificate to Operate Renewal Checklist Complete a Certificate to Operate application (renew online saves you time) Note: If the renewal application is filed after October 1, a $25.00 late fee

More information

SUBSTANTIAL IMPROVEMENT/DAMAGE NOTICE TO PROPERTY OWNERS

SUBSTANTIAL IMPROVEMENT/DAMAGE NOTICE TO PROPERTY OWNERS SUBSTANTIAL IMPROVEMENT/DAMAGE NOTICE TO PROPERTY OWNERS Rebuilding or repairing your home/business after the storm? Adding on, renovating, or remodeling your home/business? Here s information YOU need

More information

PHOTOGRAPHY/VIDEO SERVICES AGREEMENT

PHOTOGRAPHY/VIDEO SERVICES AGREEMENT PHOTOGRAPHY/VIDEO SERVICES AGREEMENT This Agreement is entered into as of the day of, 201_, between, Villanova University ( Villanova ) and, ( Photographer ). 1. Services. (a) Description and Requirements.

More information

PALOMAR COMMUNITY COLLEGE DISTRICT AGREEMENT WITH INDEPENDENT CONTRACTOR

PALOMAR COMMUNITY COLLEGE DISTRICT AGREEMENT WITH INDEPENDENT CONTRACTOR PALOMAR COMMUNITY COLLEGE DISTRICT AGREEMENT WITH INDEPENDENT CONTRACTOR THIS AGREEMENT is made and entered into this day of by and between the Palomar Community College District, hereinafter called "District",

More information

W-9: Please fill out. The IRS requires that we keep a W-9 form on file for whomever we do business with.

W-9: Please fill out. The IRS requires that we keep a W-9 form on file for whomever we do business with. Dear Authorized Independent Contractor, Thank you for your desire to work with Gorilla Capital, Inc. and welcome! We invite you to take advantage of our website www.gorillacapital.com, as it will give

More information

Property Management Agreement

Property Management Agreement OFFICE: (904) 446-9765 FAX: (904) 446-9766 www.resrents.com 917 Dante Place Jacksonville FL 32207 Property Management Agreement This Agreement made and entered into this date:, by and between (list all

More information

Delaware, Dubuque and Jackson County Regional Transit Authority. 7600 Commerce Park Dubuque, IA 52002 1 800 839 5005 www.rta8.org

Delaware, Dubuque and Jackson County Regional Transit Authority. 7600 Commerce Park Dubuque, IA 52002 1 800 839 5005 www.rta8.org Delaware, Dubuque and Jackson County Regional Transit Authority 7600 Commerce Park Dubuque, IA 52002 1 800 839 5005 www.rta8.org How it works: Pick up a volunteer drivers handbook (see page 3 for where

More information

INVITATION TO BID. Contractor Services Associated with:

INVITATION TO BID. Contractor Services Associated with: INVITATION TO BID Contractor Services Associated with: COMMUNITY CENTER AT 330 WINDSOR AVENUE ROOF REPAIR AND RESTORATION PROJECT 330 WINDSOR AVENUE WINDSOR, CT 06095 THIS IS A REQUEST FOR PROPOSALS AND

More information

Date of Application: Family (Individual) AFC - the site where services are provided is your primary residence

Date of Application: Family (Individual) AFC - the site where services are provided is your primary residence Family Systems License Application Minnesota Statutes, Chapter 245A (Human Services Licensing Act) FAMILY Adult Foster Care (AFC), Family Adult Day Services (FADS) AFC Alternate Overnight Supervision Technology

More information

INDEPENDENT CONTRACTOR AGREEMENT (On Call Real Estate Broker Services)

INDEPENDENT CONTRACTOR AGREEMENT (On Call Real Estate Broker Services) INDEPENDENT CONTRACTOR AGREEMENT (On Call Real Estate Broker Services) THIS AGREEMENT (Contract") is made this 14th day of December, 2010, between the Board of County Commissioners of Sumter County, Florida

More information

T E M P O R A R Y E V E N T A N D O C C U P A N C Y P E R M I T P R O C E D U R E

T E M P O R A R Y E V E N T A N D O C C U P A N C Y P E R M I T P R O C E D U R E T E M P O R A R Y E V E N T A N D O C C U P A N C Y P E R M I T P R O C E D U R E Step 1. Contact a Zoning or Neighborhood Enhancement Team representative to discuss the proposed event so that he/she can

More information

SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE APPLICATION REVIEW

SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE APPLICATION REVIEW CITY OF EDGEWATER BUILDING DEPARTMENT 104 North Riverside Drive Edgewater, Florida 32132 Phone: (386) 424-2400 X 1514 FAX: (386) 424-2423 SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE APPLICATION SUBSTANTIAL

More information

MISCELLANEOUS PROFESSIONAL LIABILITY / GENERAL LIABILITY APPLICATION

MISCELLANEOUS PROFESSIONAL LIABILITY / GENERAL LIABILITY APPLICATION MISCELLANEOUS PROFESSIONAL LIABILITY / GENERAL LIABILITY APPLICATION COVERAGE PART A PROFESSIONAL LIABILITY INSURANCE COVERAGE THIS APPLICATION IS FOR A CLAIMS MADE INSURANCE POLICY Please read your policy

More information

2015 FALL TOUR OF HOMES

2015 FALL TOUR OF HOMES Don t let the deadline pass you by! 2015 FALL TOUR OF HOMES Saturday & Sunday, October 10 & 11, 11 AM 5 PM Registration Deadline is Thursday, September 3, 2015 Turn in your registration materials at the

More information

P. Insurance Submittal Address: All Insurance Certificates requested shall be sent to the Clark County Purchasing and Contracts Division, Attention:

P. Insurance Submittal Address: All Insurance Certificates requested shall be sent to the Clark County Purchasing and Contracts Division, Attention: EXHIBIT B ASK PROJECT DESCRIPTION INSURANCE REQUIREMENTS TO ENSURE COMPLIANCE WITH THE CONTRACT DOCUMENT, ASK TYPE SHOULD FORWARD THE FOLLOWING INSURANCE CLAUSE AND SAMPLE INSURANCE FORM TO THEIR INSURANCE

More information

City of Kennedale c/o Art in the Park 405 Municipal Drive Kennedale, TX 76060

City of Kennedale c/o Art in the Park 405 Municipal Drive Kennedale, TX 76060 Dear Art Festival Applicant: The Art in the Park Committee and the City of Kennedale invite you to apply to participate in the Fifth Annual Art in the Park Arts Festival to be held April 4 6, 2014. Please

More information

Don t let the deadline pass you by!

Don t let the deadline pass you by! Don t let the deadline pass you by! 2014 FALL TOUR OF HOMES REMODELERS SHOWCASE Saturday & Sunday, October 11 & 12, 11 AM 5 PM Registration Deadline is Tuesday, September 9, 2014 Turn in your registration

More information

Appendix F. A. Conditions Applicable to Insurance. All policies of insurance required by this Contract must meet the following requirements:

Appendix F. A. Conditions Applicable to Insurance. All policies of insurance required by this Contract must meet the following requirements: Appendix F Contractor s Insurance Requirements The Contractor shall procure at its sole cost and expense, and shall maintain in force at all times during the term of this Contract, policies of insurance

More information

City of North Chicago Department of Building and Community Development 1850 Lewis Avenue North Chicago, IL 60064 (847) 596-8650 (847) 596-8669 Fax

City of North Chicago Department of Building and Community Development 1850 Lewis Avenue North Chicago, IL 60064 (847) 596-8650 (847) 596-8669 Fax To whom it may concern: CONTRACTOR REGISTRATION INFORMATION PACKET (Revised December 2014) To register a contracting company to work in the City of North Chicago, the company s principle owner must apply

More information

City of Miramar ELECTRICAL GENERATOR APPLICATION PACKAGE. Who Can Apply

City of Miramar ELECTRICAL GENERATOR APPLICATION PACKAGE. Who Can Apply Community & Economic Development Dept. Building Division www.ci.miramar.fl.us Who Can Apply ELECTRICAL GENERATOR APPLICATION PACKAGE 1. FOR COMMERCIAL ELECTRICAL GENERATOR. Permit can be issued to Licensed

More information

Business Insurance For Contractors and Vendors

Business Insurance For Contractors and Vendors OREP/David Brauner Insurance Services 6760 University Ave., Suite 250, San Diego, Ca. 92115 Phone: 888-347-5273; Fax: 619-704-0567; Email: info@orep.org MORTGAGE FIELD SERVICES FORECLOSURE/EVICTION/CLEANUP

More information

IMPORTANT! - Please use the attached Application for Payment. All payment requests must be submitted on our form. Thank you!

IMPORTANT! - Please use the attached Application for Payment. All payment requests must be submitted on our form. Thank you! ` SUBCONTRACTOR: PHONE PROJECT: LOCATION: Page 1 of 6 SUBCONTRACT (SHORT FORM) JOB NO.: COST CODE: PRICE: This agreement is made and effective, by and between SUN CONSTRUCTION & FACILITY SERVICES, INC.

More information

Request for Quote. Inland Lakes School Indian River, Michigan. For. Phone System BID PACKAGE

Request for Quote. Inland Lakes School Indian River, Michigan. For. Phone System BID PACKAGE Request for Quote Inland Lakes School Indian River, Michigan For Phone System BID PACKAGE The deadline for sealed bids is May 26, 2016 at 12:00 PM at the following location: Inland Lakes School 4363 South

More information

INDEPENDENT CONTRACTOR AGREEMENT - OR -

INDEPENDENT CONTRACTOR AGREEMENT - OR - INDEPENDENT CONTRACTOR AGREEMENT INSTRUCTIONS 1. It is the end-users responsibility to do the following prior to the contractor providing services: Complete all sections of the ICA and obtain the appropriate

More information

SEWER BACKUP PREVENTION PROGRAM

SEWER BACKUP PREVENTION PROGRAM SEWER BACKUP PREVENTION PROGRAM PROGRAM DESCRIPTION The Village will provide partial funding for a Village approved overhead sewer, backflow prevention device and/or related equipment to single-family

More information

COUNTY OF SARPY, NEBRASKA SPECIFICATIONS. VOIP Phones For the. Various County Departments

COUNTY OF SARPY, NEBRASKA SPECIFICATIONS. VOIP Phones For the. Various County Departments COUNTY OF SARPY, NEBRASKA SPECIFICATIONS VOIP Phones For the Various County Departments PROPOSALS DUE: Thursday, 2:00 p.m., June 13, 2013 1 P age P:\VOIP Phones\RFP_VOIP.docx General Information Notice

More information

HOME WATCH SERVICE CONTRACT

HOME WATCH SERVICE CONTRACT HOME WATCH SERVICE CONTRACT Client contact & billing information Client: City, State, Zip: Telephone (Primary): Cell # 1: Email: Secondary: Cell # 2 Fax # COVERED PROPERTY INFORMATION City, State, Zip:

More information

SHORT FORM For Use by presently certified firms.

SHORT FORM For Use by presently certified firms. Economic Development Department Minority and Women-Owned Business Enterprise Certification Application SHORT FORM For Use by presently certified firms. M/WBE Certification Application, Short Form Rev.

More information

Charlie Crockett Charlie Crockett, APA Assistant Purchasing Agent

Charlie Crockett Charlie Crockett, APA Assistant Purchasing Agent September 12, 2011 Re: 11ITB80101A-CJC-Locum Tenens Positions Staffing Services Dear Bidders: Attached is one (1) copy of Addendum 1, hereby made a part of the above referenced ITB. Except as provided

More information

APPLICATION FOR BUILDING, ELECTRICAL OR HVAC CONTRACTOR S LICENSE

APPLICATION FOR BUILDING, ELECTRICAL OR HVAC CONTRACTOR S LICENSE APPLICATION FOR BUILDING, ELECTRICAL OR HVAC CONTRACTOR S LICENSE City of Hammond Indiana 5925 Calumet Avenue, Hammond IN 46320 Phone: (219) 853-6316 Fax: (219) 853-6543 **Non Refundable Examination Fee

More information

MBA Parade of Remodeled Homes September 12-13, 2015 Projects Open 12:00 Noon to 4:00 p.m.

MBA Parade of Remodeled Homes September 12-13, 2015 Projects Open 12:00 Noon to 4:00 p.m. Dear MBA Member, MBA Parade of Remodeled Homes September 12-13, 2015 Projects Open 12:00 Noon to 4:00 p.m. The Metropolitan Builders Association (MBA) is pleased to announce the 2015 Parade of Remodeled

More information