Physical Address
Mailing Address (if different)
HBS supports the growth of diversity businesses. Please indicate if any of the following categories are applicable to your company. Please submit any certificates in support of the categories you select. diversity business Have you lost any customers in the last 12 months What types of accounts are you qualified and interested in servicing ? Are you able and willing to accept accounts that are serviced: (check all that you WILL accept) Accounts that require project services such as machine scrubbing or burnishing ? Do you have the ability to obtain the appropriate equipment, products, and labor for any account we obtain for you ? Please indicate which programs you currently have in place:
Reference #2
Reference #3
FINANCIAL Do you have an established line of credit? Does your company work with an accountant or tax firm ? Does your company file annual business tax returns ?
MISC Has your company ever failed to complete a contract ? Has your company been involved in any bankruptcy or reorganization in the past 3 years? Has your company been involved in any lawsuits related to work in progress or completed work in the past three (3) years ? Does your company have any outstanding tax liens or judgements?
As an authorized agent for
(Company), I certify that the facts contained in
this application are true and complete to the best of my knowledge. I
authorize Advanced Hyp-tro Building Services, LLC® to investigate all
statements contained herein and the references listed above to give
information regarding services rendered to them. I also understand and
agree that this is an application only, and not an agreement or guarantee of
employment of any kind. Name:
First
Electronic Signature:(Required) Insurance Requirements
In order to qualify as a Contractor for HBS, your company is required to
maintain the below listed required minimum insurance coverages at all times.
Failure to maintain active insurance coverage as defined will result in the
termination of any contracts you hold with HBS. Your certificate of insurance
must list Hyp-tro Building Services, LLC as “Additional Insured.”
1. GENERAL LIABILITY COVERAGE
A. Commercial General Liability
(a)
$1,000,000 general aggregate
(b)
$
1,000,000 products - completed operations aggregate
(c)
$
1,000,000 Personal injury and advertising injury
(d)
$
1,000,000 each occurrence limit
2. BUSINESS AUTOMOBILE COVERAGE
A. Minimum Limits -
$
1,000,000 Combined Single Limit for Bodily Injury and
Property Damage each accident
B. Must cover liability for "Any Auto" - including Owned, Non-Owned and
Hired Automobile Liability
3. WORKERS COMPENSATION AND EMPLOYERS LIABILITY
A. Must carry coverage for Statutory Workers Compensation and Employers
Liability minimum limit of:
$100,000 Each Accident
$500,000 Disease Policy Limit
$100,000 Disease - Each Employee
4. ADDITIONAL PROVISIONS
* Additional Insured – On the General Liability Coverage, Automobile, Hyp-tro
Building Services, LLC,
and its officers, agents, and employees shall be “Additional Insureds.”
* Endorsement - The Additional Insured and Workers Compensation
Subrogation Waiver policy endorsements
must accompany the Certificate of Insurance
GENERAL TERMS AND CONDITIONS
Before applying to be a contractor for Hyp-tro Building Services,LLC:
1) You SHOULD clearly understand that you:
a. Are applying with the intention to either establish or continue growing your
own independent business that complies with Maryland’s strict definitions of
an independent business (State Stats 594.124)
b. Will need to file business income tax returns each and every year,
reporting your company’s earnings, and any other required State or Federal
tax reports, and if requested, you must provide proof of filing to HBS.
c. Should be able to speak or read & write at least basic English, or your
company may not be
eligible to be offered some accounts where the customer has indicated the
importance of
being able to directly communicate (in English) with the custodial staff.
d. Should already currently have a regular income or other means necessary
to cover your basic living expenses, as well as sufficient capital or credit to
invest in supporting your business as it grows.
e. May need to pass state and federal criminal background checks, as well as
successfully pass
drug testing if asked, for both yourself and any staff that will work in your
accounts.
f. Are NOT being promised or guaranteed employment or accounts with Hyp-
tro Building Services, LLC, and that in order to be offered any contracts, or
additional contracts, you will need to have set up your business properly and
legally, consistently maintain required liability and workman’s compensation
insurance as required by the State of Wisconsin, and maintain all your
accounts in satisfactory status in order to be offered additional contracts.
You further fully understand that all AMS contractors are required to EARN
the opportunity to be offered contracts by their demonstrated
professionalism, and that HBS offers and awards contracts to those who HBS
management in their sole discretion deems the best fit for any particular
contract(s).
g. Will be required to meet both HBS and their client’s standards for quality
workmanship,
communication, safety and security at all times while under contract to
service any HBS accounts.
Here’s who SHOULD NOT apply to be a contractor for HBS:
1) DO NOT apply if you do not currently have the means to support yourself
financially while you are building your business, as well as the additional
capital necessary for janitorial products, equipment, labor, insurances, etc.
2) DO NOT apply if you do not have documentation to show you are legally
employable in Maryland, or the United States.
3) DO NOT apply if you intend to hire employees that are not legally
employable in Maryland or the United States.
4) DO NOT apply if you are currently under any contract that restricts you
from contracting with other companies in the Janitorial Industry (example:
you own a janitorial franchise with another company, and/or have signed a
non-compete clause with them.)
5) DO NOT apply if you are planning to falsely set someone else up as the
legal owner of your business to avoid any of the issues listed above in #’s
2-4.