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.
Property PreservationField InspectionsBPOsAppraisalsInsurance InspectionsCommercial InspectionsGrass Cuts

Have you previously worked for Five Brothers Mortgage Company Services and Securing, Inc or a current subcontractor of Five Brothers?
YesNo
If yes, who?

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.
YesNo

Do you authorize Five Brothers to conduct a criminal background check on you and your company?
YesNo

Have you or any owner/officer/director of your company ever been convicted of any crime or offense involving fraud, theft, property destruction, larceny or burglary?
YesNo
If yes, please provide the details:

Have you or any owner/officer/director of your company ever been convicted of any felony crime or offense?
YesNo
If yes, please provide the details:

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

Did someone who is currently working for Five Brothers, or has worked for Five Brothers, in the past, refer you to Five Brothers?
YesNo
If yes, please list their name(s):

Are you a minority owned company?
YesNo

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 including but not limited to:

  • Boarding
  • Debris Removal
  • Evictions
  • Health Hazard Removal
  • Lawn Services
  • Lock Changes
  • Minor Repairs
  • Repairs/Estimating
  • Vehicle Removal
  • Winterizations
  • Snow Removal

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

Have you or your company ever been barred from completing HUD work?
YesNo
If yes, why?

Are you familiar with HUD guidelines?
YesNo

Are you a licensed contractor?
YesNo
License #:

Are you or your company involved in any current litigation related to the performance of property preservation and or protection services?
YesNo
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. Coverage area must be included for the application to be considered.
 
What is your maximum monthly volume capacity?

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. Coverage area must be included for the application to be considered.

What is your maximum monthly volume capacity?
Five Brothers requires all vendors to carry general liability with Five Brothers listed as additionally insured and workers compensation. Please contact your recruiter if you have questions regarding insurance.

BPO AND APPRAISAL SECTION

Are you a licensed Appraiser?
YesNo
Are you a licensed Real Estate Sales Person?
YesNo
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. 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. Coverage area must be included for the application to be considered.

Please list the areas you are willing to cover for 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. Coverage area must be included for the application to be considered.

How much additional work do you feel you could take on at this time per service indicated above?

I affirm that the information provided on this vendor application is true and complete. I understand that any false information, misrepresentations or omissions, oral or written, may disqualify me from further consideration and may result in dissolving my independent contractor relationship with Five Brothers. I authorize Five Brothers to investigate all statements contained in this vendor application, including references, police departments, and any other background check or sources concerning me. I authorize all such references and sources (and the company) to release this information without liability for damage resulting from such releases. I waive any written notice of the release of such records that may be required by state or federal law.

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