Partner Agreement Application

Vendor Application

(CHECK ONE) INDIVIDUALSOLE PROPRIETORPARTNERSHIPCORPORATIONLLCLLP

Full Company and/or Individual Name
PH #
Fax #

OFFICE LOCATION:

 


 

COMPANY/INDIVIDUAL BANK ACCOUNT WITH
LOAN OFFICER/BANKER NAME
ACCOUNT NO.
PHONE #

 


 

PURCHASE ORDERS REQUIRED YesNo

NO. OF FIELD EMPLOYEES #
NO. OF OFFICE STAFF
NO. OF PROJECT MANAGERS

 


 

Principals of Company

NAME 1
TITLE
SOC. SECURTIY NO #
BIRTH DATE
HOME ADDRESS

 

Additional Principles

 

NAME 3
TITLE
SOC. SECURTIY NO #
BIRTH DATE
HOME ADDRESS

 


 

Credit/Trade References

COMPANY
PHONE NUMBER
FAX NUMBER
COMPANY
PHONE NUMBER
FAX NUMBER

 


 

Company Information

GROSS RENUES Last Year

AVERAGE PROJECT SIZE? LESS THAN 50K50K-100K100K-250K250K-500K500K-1 MILLION1 MILLION – 2 MILLION2 MILLION +
MOST COMPETITIVE BIDDING WHICH SIZE PROJECT? LESS THAN 50K50K-100K100K-250K250K-500K500K-1 MILLION1 MILLION – 2 MILLION2 MILLION +
WHICH TYPE OF PROJECT DO YOU HAVE EXPERIENCE WORKING ON? ResidentialCommercialIndustrialGovernment

 


 

Recent Projects

LIST YOUR LAST 3 COMPLETED PROJECTS ALONG WITH JOB VALUE AND SITE LOCATION

JOB NAME
GENERAL CONTRACTOR
PHONE #
JOB VALUE
SITE ADDRESS
JOB NAME
GENERAL CONTRACTOR
PHONE #
JOB VALUE
SITE ADDRESS

 


 

Name
Title

Date

Signature

By signing above the undersigned guarantees that all information contained herein is true and accurate. Any incorrect or misleading information is grounds for termination and or rejection by Rossi Construction of the undersigned.

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