Become a Vendor

Join our vendor network in all property preservation, rehab and maintenance fields.

VENDOR APPLICATION

Thank you for your interest in becoming A City Suburban Service, Inc. qualified vendor. We are constantly seeking for the best professionals to add to our vendor network in all property preservation fields.

Our relationships with our clients, consultants and vendors are treated as a partnership. By assembling a strong team, we build trust, commitment and integrity among the team, working towards a common goal - to provide extraordinary results to clients.

If you would like to become a valued vendor please fill out the form. We will review your application and contact you as soon as possible.

Vendor Application Form

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General Information

Company Name:

Contact Person:

Phone No:

E-Mail Address:

Illinois coverage area by Counties or ZIP codes within the county, if entire county is not covered:

Services Provided

What services does your company provide:

What Certifications/Licenses do you have, if any:

Insurance Coverage

Type(s) of Coverage:

General Liability (not excluding Personal Property or Real Property)

Workers Compensation

Please be notified that contractor might be asked to undergo criminal background check to comply with industry requirements. Background checks are voluntary and can only be performed if written authorization is obtained.

I hereby verify that I am working as an independent contractor responsible for my own insurance and any taxes. I hereby verify that all of the above information is complete and accurate to the best of my ability. I understand that the submission of this application does not guarantee that I will receive assignments from A City Suburban Service, Inc., but that I will be contacted by a representative of A City Suburban Service, Inc., if they choose to utilize me as an independent vendor. If accepted as A City Suburban Service, Inc., independent vendor, I understand that the following documents will be required: 1) Executed A City Suburban Service, Inc. Contract with supplements; 2) Executed Confidentiality Agreement; 3) Certificate of Insurance (evidencing required coverage to include commercial general liability coverage, errors & omissions coverage, and personal property coverage); and 4) Completed and signed Form W-9.