Vendor Registration

Are you or your company involved in any active litigation as a result of work perfomed?
(If Yes, explain)
Have you or any of your employees been convicted of a felony, a personal property crime, or been required to register as a sex offender?
(If Yes, explain)
 
If selected as a partner for NPS, are you willing to submit to a background check, and perform background checks on your employees?
 
Do you or your company carry General Liability insurance?
Carrier:
Policy #:
Phone:
Expires:
Coverage:
Do you or your company carry E & O coverage?
Carrier:
Policy #:
Phone:
Expires:
Coverage:
Do you or your company carry Worker's Compensation coverage?
Carrier:
Policy #:
Phone:
Expires:
Coverage:
We prefer our independent vendors to communicate with us in a manner that eliminates delays in transferring information. Although we do not require our independent vendors to utilize the newest technology available, we encourage it. Please check all technology items you currently use in the course of your business.
 
Text Message Capability:
Text Message Phone Number: