GMFS Approved Contractor Application

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This field is for validation purposes and should be left unchanged.

Company Name(Required)

Principal(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Point of Contact Name

Phone(Required)

Email(Required)

GMFS Loan Number

Type of Organization

Corporation

Partnership

LLC

Joint Venture

Individual

Number of years in which organization has been in business?

Other Company Names?

List jurisdictions legally licensed/qualified to conduct business:

Tax ID Number:

License Number:

Supplier – #1(Required)

Please provide supplier references for open accounts where materials are ordered and paid according to agreed terms.

Supplier – #2(Required)

Please provide supplier references for open accounts where materials are ordered and paid according to agreed terms.

Supplier – #3

Please provide supplier references for open accounts where materials are ordered and paid according to agreed terms.

Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against you or your organization or its officers?

Yes

Describe in an attached document and provide 3rd party documentation

Max. file size: 50 MB.

Have you or your organization filed any lawsuits or requested arbitration with regard to construction contracts within the past five (5) years?

Yes

Describe in an attached document and provide 3rd party documentation

Max. file size: 50 MB.

Liability Insurance Carrier:

Policy #:

Expiration Date:

Workman’s Comp Insurance Carrier:

Policy #:

Expiration Date:

Copy of Final Contract or Bid(Required)

Max. file size: 50 MB.

Copy of Current Liability Insurance(Required)

Max. file size: 50 MB.

Copy of State/Local Licenses(Required)

Max. file size: 50 MB.

Copy of Secretary of State Certificate(Required)

Max. file size: 50 MB.

Verify the business is in good standing.

Copy of Workman's Comp

Max. file size: 50 MB.

Consent

I agree to the following:

Contractor represents and warrants that all information in this Contractor’s Profile is complete and accurate. Contractor
authorizes the borrower, and/or the lender, to contact the references listed above to verify the information represented
in this Contractor Profile.