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New Vendor Application
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2019-09-26T01:44:17-04:00
Vendor Application
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CONTACT INFORMATION
Applicant Type:
Claims Adjuster
General Contractor
Inspector
Preservation Contractor
Realtor
Trade Professional
Company Name or Sole Proprietor Name:
Does your Company meet any of the following classifications?:
8A
Tribal 8A
HUB Zone
Woman Owned
Veteran
Disabled Veteran
Small Business
Enterprise Zone
Address:
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
MAIN Office Phone:
Owner Name:
First
Last
Owner's Cell Phone:
Owners Home Phone:
Owners Email:
Co-Owner Name:
First
Last
Co-Owner Phone:
Co-Owner Email:
Office Manager Name:
First
Last
Office Manager Phone:
Office Manager Email:
Billing Name:
First
Last
Billing Phone:
Billing Email:
How Many Employees?:
How Many Salaried Crews?:
How Many Sub-Contractors?:
How long have you been in business?:
What type of Order Management system do you use?:
---Select---
Field-Comm
In-Field Express
EZ Inspection
Palm-Tech
Property Pres Wizard
InspectorADE
Other
If Other, describe the Order Management System:
What Type of Field Technology do you use?:
Clip Board and Paper
Digital Camera
Laptop Computer
Smartphone
Tablet - Android Platform
Tablet - Apple IOS Platform
Tablet - Windows Platform
GPS Unit (Garmin, etc.)
How did you hear about our company?:
---Select---
Internet Search
LinkedIn
Facebook
Direct Solicitation
Craigslist
Personal Referral
Newspaper
Online Forum
EDSI
INSURANCE INFORMATION
Insurance Company Name:
Insurance Company Address:
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Country
Insurance Agent Name:
Agent Phone:
Coverage Amount (e.g., 100,0000):
Insurance Carrier Name:
Policy ID:
Policy Expiration Date:
MM slash DD slash YYYY
Type of Policy GL/E&O?
---Select---
General Liability
Error & Omissions
Auto Insurance Name:
Auto Coverage Amount (e.g., 100,000):
REFERENCES
Reference #1 Name:
Reference #1 Phone:
Reference #2 Name:
Reference #2 Phone:
INSPECTION, VALUATION AND CLAIMS WORK TYPE & EXPERIENCE
Field Inspector?:
Yes
No
Licensed Real Estate Agent?:
Yes
No
Real Estate License #:
State Issued:
---Select---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Expires:
MM slash DD slash YYYY
Certified Home Inspector?:
Yes
No
Real Estate License #:
State Issued:
---Select---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Expires:
MM slash DD slash YYYY
Claims Adjuster?:
Yes
No
Check ALL Work Types You Perform:
Broker Price Opinion
Commercial Insurance Inspection
Construction Draw Inspection
Door Knock Occupancy Verification
Drive By Occupancy Check
Loss Draft - Property Claim Inspection
Pre-Sale Home Inspection
Property Condition Report
Property Damage / Repair Inspection
Residential Insurance Inspection
Real Estate Appraisals
PRESERVATION CONTRACTOR AND GENERAL CONTRACTOR WORK TYPE & EXPERIENCE
Do you have a Contractor License?
Yes
No
Contractor License Type:
---Select---
General Contractor
Other
None
Contractor License #:
State Issued:
---Select---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Expires:
Do you have any Trade Licenses?:
Yes
No
Trade License Type:
---Select---
General Contractor
Roofing
Plumbing
Electrical
HVAC
Home Improvement
Other
None
Trade License #:
State Issued:
---Select---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Expires:
Trade License Type:
---Select---
General Contractor
Roofing
Plumbing
Electrical
HVAC
Home Improvement
Other
None
Trade License #:
State Issued:
---Select---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Expires:
Trade License Type:
---Select---
General Contractor
Roofing
Plumbing
Electrical
HVAC
Home Improvement
Other
None
Trade License #:
State Issued:
---Select---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Expires:
Check all work types you perform:
Carpet Repair & Installation
Drywall
Electrical
Flooring/Tile, Repair & Installation
General Contractor
Hazardous Material Removal
Heating, Ventilation & Air Conditioning
House Cleaning
Masonry/Concrete
Mold Removal
Mold Inspection Services
Paint
Pest Control
Plumbing
Pool Service
Re-Key
Roofing
Trash Removal
Window/Door Repair & Installation
Yard Service
Snow Removal
COVERAGE AREA
Please provide the following information in regards to their coverage area and turn times:
How many orders per day can be completed?:
Step 1: Enter Home Zip Code:
CONTRACTOR & TRADES ASSESSMENT
How many square feet are in a one Square of roofing?
---Select---
100 sq ft
80 sq ft
10 sq ft
Material is usually measured by ____ when referring to excavation?
---Select---
Square Yard
Cubic Feet
Cubic Yard
What is the minimum spacing in pickets for stairs and deck railing?
---Select---
2 inches
4 inches
6 inches
What sheen of paint is used in Kitchen and Bathrooms?
---Select---
Eggshell
Semi-Gloss
Satin
How many square feet are in a standard sheet of plywood?
---Select---
24 sq ft
32 sq ft
36 sq ft
What is the standard spacing for studs in exterior wall framing?
---Select---
12 inches
16 inches
24 inches
What type of wall covering is required for a fire wall?
---Select---
1/2 in Type X
5/8 in Type X
Double Layer Type X (1/2 in or 5/8 in)
How do you determine when permits are necessary?
---Select---
If the job is over $400.00
Contact your local city and planning department
If the Mechanicals are being replaced
What is the standard rise and run for interior stairs?
---Select---
4 in x 8 in
7.5 in x 10 in
6 in x 12 in
What type of receptacle is required within 5 ft of water?
---Select---
Standard
GFCI
Decora
What is the standard railing height for a deck railing?
---Select---
36 in to 42 in
32 in to 36 in
40 in to 48 in
FIELD INSPECTOR ASSESSMENT
While completing an inspection the Inspector is expected to be alert to any Hazards which may be present.
---Select---
True
False
To the Insurance Company, a "Hazard" is something which does not need to be taken into consideration BEFORE a policy is accepted, renewed or denied.
---Select---
True
False
An "Exposure" will not be ON THE SUBJECT PROPERTY, but will be adjacent or near the insured property.
---Select---
True
False
Inspectors should answer report questions based on their OBSERVATIONS at the time of their inspection AND issues the insured tells the inspector they plan on repairing.
---Select---
True
False
Inspectors who perform data collection, also DO determine whether a risk is "INSURABLE".
---Select---
True
False
An "ATTRACTIVE NUISANCE" can also be a "HAZARD", i.e. swimming pool, trampoline, bird bath, junk vehicle, refrigerator, tree house, etc.
---Select---
True
False
A DIAGRAM is provided with every Replacement Cost report and is the basis for the square footage.
---Select---
True
False
Diagrams are made by using visual ESTIMATIONS while onsite at a subject property.
---Select---
True
False
When performing onsite inspections and talking required photos, it is always preferred that inspectors take photos from INSIDE THEIR VEHICLE.
---Select---
True
False
What factors are used to determine a buildings construction type:
---Select---
Building Elements & Property Grade
Property Grade & Building Location
Fire-Resistance Rating & Building Elements
What type of Roof is this?
---Select---
Gable Roof
Hip Roof
Gambrel Roof
What type of Roof does this show?
---Select---
Pyramid Hip Roof
Saltbox Roof
Gable Roof
Which photo is a better FULL FRONT VIEW OF PROPERTY?
---Select---
Photo A
Photo B
Which photo is a better ADDRESS VERIFICATION?
---Select---
Photo A
Photo B
Photo C
Which photo is a better STREET SIGN?
---Select---
Photo A
Photo B
PRESERVATION CONTRACTOR ASSESSMENT
During a pre-foreclosure lock change, where should the old/original locks go?
---Select---
Trash
Interior Counter
Doesn't Matter
Kitchen Drawer
What type of antifreeze should be used when completing a winterization?
---Select---
Methanol (orange)
Propylene-Glycol (pink, non-toxic)
Ethylene-Glycol (blue)
Glycerol (green, automobile)
Which is NOT considered a Hazardous Material?
---Select---
Dead Animal
Construction Debris
Broken Glass
Toilet Brush
How else can the property address be verified if no house number is present?
---Select---
Mail Inside House
Mail Carrier
Address photos of the properties on each side of the property without house number
Do you secure a house or do work on a house you cannot verify the address of?
---Select---
Yes
No
On a grass re-cut order, what constitutes 'limited growth'?
---Select---
2 inches
6 inches
4 inches
How soon should you report any new damages to a property?
---Select---
Within 48 Hours
Within 24 Hours
Immediately
When de-winterizing a property, what is the FIRST thing you should do?
---Select---
Restore Water Connections
Remove Winterization Stickers Throughout Home
Verifty all Valves and Fixtures are closed and there are no leaks
How can you tell if the water is shut off at a property?
---Select---
Zip Tie On Meter
Water Heater is Empty
Faucets do not work
When boarding a window, the exterior plywood must be painted with one coat of primer.
---Select---
True
False
REAL ESTATE ASSESSMENT
You can verify previous property owner information using County records.
---Select---
True
False
It is important to find out the chain of title to see if the property was a fix and flip or under foreclosure.
---Select---
True
False
When doing a BPO, one of the parameters of the comparables to look for is for sold comparables less than six months old.
---Select---
True
False
Is it not important to view pictures of comparable properties.
---Select---
True
False
Online listings are the most accurate way to verify the square footage and lot size of a property.
---Select---
True
False
Short sales help the property values of an area.
---Select---
True
False
If while representing a seller as a licensed real estate agent you receive multiple offers, what should you do?
---Select---
Get the sellers permission to ask for the highest and best offers.
Counter the first offer based on what you the licensed agent feel the fair price should be.
Convential financing is the easiest type of financing to get on a property.
---Select---
True
False
It is legal for a realtor to sign or initial a contract when the buyer gives you verbal, text or emailed permission to do so.
---Select---
True
False
An FHA appraisal stays on a property for 8 months.
---Select---
True
False
ACKNOWLEDGEMENT
Do you have any Pending Litigation?
Yes
No
If yes, please explain:
Do you have a Criminal Record?
Yes
No
If yes, please explain:
Do you acknowledge and understand that if you are retained by Foreclosure Cleanup Services, and it's affiliates, you will work as an independent vendor?
I Acknowledge the above statement:
Yes
No
Additional Comments or Qualifications?:
Completion of this application shall not be construed as creating an employee/employer relationship between you, your company or your employees and Foreclosure Cleanup Services and it's affiliates; that it is the intent of the parties that every vendor/contractor performing work for Foreclosure Cleanup Services and it's affiliates, be and remain an independent vendor/contractor and not employees of Foreclosure Cleanup Services and it's affiliates; and that no vendor has the right to receive work from Foreclosure Cleanup Services and it's affiliates; and that work shall be awarded based on performance which is determined on an individual basis.
I certify that the information above is true and correct and acknowledge and understand the above paragraph.
Yes
No
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