Five Brothers Vendor Application

FIVE BROTHERS
VENDOR APPLICATION

Name:

Company Name:

Address:

City:

State:

Zip:

Phone #:

Cell #:

Fax #:

E-Mail Address:

24-Hour Contact #:

SSN:
(required if you wish to be paid as an individual)

Fed ID #:
(required if you wish to be paid as a business)

Type of Work
Please check boxes of the types of work that you are qualified to perform for Five Brothers.
Note: You can choose to do more than one type of work.

Propery Preservation Field Inspections

BPOs Appraisals

Insurance Inspections Commercial Inspections

Grass Cuts

Have you previously worked for Five Brothers Mortgage Company Services and Securing, Inc?

Yes No

Do you acknowledge and understand that if Five Brothers Mortgage Company Services and Securing, Inc. retain you, you will be working as an independent contractor/vendor. The completion of this application does not create an employee/employer relationship between Five Brothers and its affiliate clients; and you, your company or your employees. It is the intent of all the parties that every vendor/contractor performing work for Five Brothers is and remains an independent vendor/contractor and not employees of Five Brothers or any of its affiliate clients;
No vendor/ has the right to receive work from Five Brothers. Five Brothers work is awarded based on vendor/ contractor performance, which is determined on an individual basis.

Yes No

Have you ever been convicted of a felony?

Yes No

If yes, please explain:

Does Five Brothers have your permission to perform a background check on you and/or your company?

Yes No

Our work orders/inspections require photos. Please check the following resources that you currently have access to:

Computer Scanner

Digital Camera Internet Access

Did someone who is currently working for Five Brothers, or has worked for Five Brothers, in the past, refer you to Five Brothers?

Yes No

If yes, please list their name(s) below:

How did you hear about Five Brothers

PROPERTY PRESERVATION SECTION
All property preservation contractors working for Five Brothers must be able to perform the following services:

Boarding

Debris Removal

Evictions

Health Hazard Removal

Lawn Services

Lock Changes

Minor Repairs

Repairs/Estimating

Vehicle Removal

Winterizations

Five Brothers requires that all contractors carry current liability insurance with Five Brothers listed as an additional insured. If you have questions regarding the insurance requirements, please contact your recruiter.

Have you or your company ever been barred from completing HUD work?

Yes No

If yes, why?

Are you familiar with HUD guidelines?

Yes No

Are you a licensed contractor?

Yes No

License #:

Are you or your company involved in any current litigation related to the performance of property preservation and or protection services?

Yes No

If yes, please explain:

What is your standard trip fee charge?
$

What is your discount percentage?
%

Please list the areas you will cover for property preservation work. If you cover the entire county, just list county name. If you are covering parts of a county, please list zip codes covered

FIELD INSPECTION SECTION
Please provide a price for each of the inspections listed below that you will perform inspections for. NOTE: This fee must be standard regardless of the volume of inspections you receive.

$ Regular Inspection (10 day turn around time)

$ Rush Inspection (5 days or less)

$ Insurance Inspection

$ Interior Inspection

Please list the areas you are willing to cover for field inspections. When covering an entire county, please just list county name. If you are covering parts of a county, please list by individual zip code areas you will cover.

Per Five Brothers policy, if you routinely receive 50+ inspections per month, you will be required to obtain liability insurance with Five Brothers listed as an additional insured. Please contact your recruiter if you have questions regarding insurance.

BPO AND APPRAISAL SECTION

Are you a licensed Appraiser?

Yes No

Are you a licensed Real Estate Sales Person?

Yes No

Please provide your prices for the following services:

$ Drive By BPO

$ Full BPO

$ Drive By Appraisal

$ Full Appraisal

Please list the areas you are willing to cover for BPO’s and Appraisal’s. When covering an entire county, please just list county name. If you are covering parts of a county, please list by individual zip code areas you will cover.

For additional information, contact us at (586) 772-7600 or send an e-mail to the Vendor Department

Name:
Company Name:
Address:
City:
State:
Zip:
Phone #:
Cell #:
Fax #:
E-Mail Address:
24-Hour Contact #:
SSN:	(required if you wish to be paid as an individual)
Fed ID #:	(required if you wish to be paid as a business)
Type of Work Please check boxes of the types of work that you are qualified to perform for Five Brothers. Note: You can choose to do more than one type of work.
Propery Preservation	Field Inspections
BPOs	Appraisals
Insurance Inspections	Commercial Inspections
Grass Cuts
Have you previously worked for Five Brothers Mortgage Company Services and Securing, Inc?
Yes	No
Do you acknowledge and understand that if Five Brothers Mortgage Company Services and Securing, Inc. retain you, you will be working as an independent contractor/vendor. The completion of this application does not create an employee/employer relationship between Five Brothers and its affiliate clients; and you, your company or your employees. It is the intent of all the parties that every vendor/contractor performing work for Five Brothers is and remains an independent vendor/contractor and not employees of Five Brothers or any of its affiliate clients; No vendor/ has the right to receive work from Five Brothers. Five Brothers work is awarded based on vendor/ contractor performance, which is determined on an individual basis.
Yes	No
Have you ever been convicted of a felony?
Yes	No
If yes, please explain:
Does Five Brothers have your permission to perform a background check on you and/or your company?
Yes	No
Our work orders/inspections require photos. Please check the following resources that you currently have access to:
Computer	Scanner
Digital Camera	Internet Access
Did someone who is currently working for Five Brothers, or has worked for Five Brothers, in the past, refer you to Five Brothers?
Yes	No
If yes, please list their name(s) below:
How did you hear about Five Brothers
PROPERTY PRESERVATION SECTION All property preservation contractors working for Five Brothers must be able to perform the following services: Boarding Debris Removal Evictions Health Hazard Removal Lawn Services Lock Changes Minor Repairs Repairs/Estimating Vehicle Removal Winterizations Five Brothers requires that all contractors carry current liability insurance with Five Brothers listed as an additional insured. If you have questions regarding the insurance requirements, please contact your recruiter.
Have you or your company ever been barred from completing HUD work?
Yes	No
If yes, why?
Are you familiar with HUD guidelines?
Yes	No
Are you a licensed contractor?
Yes	No
License #:
Are you or your company involved in any current litigation related to the performance of property preservation and or protection services?
Yes	No
If yes, please explain:
What is your standard trip fee charge? $
What is your discount percentage? %
Please list the areas you will cover for property preservation work. If you cover the entire county, just list county name. If you are covering parts of a county, please list zip codes covered
FIELD INSPECTION SECTION Please provide a price for each of the inspections listed below that you will perform inspections for. NOTE: This fee must be standard regardless of the volume of inspections you receive.
$ Regular Inspection (10 day turn around time)
$ Rush Inspection (5 days or less)
$ Insurance Inspection
$ Interior Inspection
Please list the areas you are willing to cover for field inspections. When covering an entire county, please just list county name. If you are covering parts of a county, please list by individual zip code areas you will cover. Per Five Brothers policy, if you routinely receive 50+ inspections per month, you will be required to obtain liability insurance with Five Brothers listed as an additional insured. Please contact your recruiter if you have questions regarding insurance.
BPO AND APPRAISAL SECTION
Are you a licensed Appraiser?
Yes	No
Are you a licensed Real Estate Sales Person?
Yes	No
Please provide your prices for the following services:
$ Drive By BPO
$ Full BPO
$ Drive By Appraisal
$ Full Appraisal
Please list the areas you are willing to cover for BPO’s and Appraisal’s. When covering an entire county, please just list county name. If you are covering parts of a county, please list by individual zip code areas you will cover.