Wufoo

Company Legal Name *
Doing Business As
Primary Contact Name First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Primary Phone Number * ### - ### - ####
Mobile * ### - ### - ####
Fax Number ### - ### - ####
Email *
How did you hear about Sentinel Field Services Vendor Opportunity?
Date Business Was Established MM / DD / YYYY
How many people do you currently employ?
How many crews do you currently employ?
How many crews can you dedicate to Sentinel's work?
Give a basic description of your company equipment.

Computers, Trucks, Trailers, Tools
Do you carry Liability Insurance of $500,000 or more?

If you are approved as a Vendor, this requirement will need to be met within 30 days of receipt of your first work order.
Do you have experience taking and emailing digital photos?
Do you have Property Preservation Experience?
If yes, how long have you been providing property preservation services?
If yes, who are you currently working for?
How many property preservation work orders are you currently completing per month? (do not include grass cuts)
How many additional property preservation work orders would you be capable of completing per month?
How many grass cut work orders are you currently completing per month?
How many additional grass cut work orders would you be capable of completing per month?
Give a basic description of your Preservation experience.

Be sure to note any licences you hold and clients you currently work for.
Do you have Experience Performing Winterizations?
Give a basic description of how to complete a dry winterization.

Also note aprox how many winterizations you have completed.
Preservation Services Offered:
Debris Removal Lawn Care Janitorial Services Lock Change/Re-key Winterization Pool Services (Draining,Cleaning,Securing) Vehicle Removal General Repairs Rehab Eviction Services

Check all that apply
Do you have Property Inspection Experience?
If yes, how long have you been providing property inspection services?
How many inspections are you currently completing per month?
How many additional inspections are you capable of completing per month?
Give a basic description of your Inspection experience.

Be sure to note any licences you hold and clients you currently work for.
Inspection Services Offered:
Occupancy Vacant Walk Through Quality Control FHA Conveyance HUD Property Loss Draft

Check all that apply
Give a basic description of your Coverage Area.

Be sure to note any licences you hold and clients you currently work for.
Provide at least 3 references with contact information. Business references are preferred.

Be sure to note any licences you hold and clients you currently work for.
Sentinel Field Services, Inc. works in conjunction with other organizations and councils to support their certification efforts to minority, woman, and disabled owned business enterprises. (MWDBE’s) If your company is certified as either a Minority-owned , Woman-owned, or a Disabled-owned business, please also attach your Agency Certification to this application.

If applicable, please upload a copy of your Agency Certification.
I self-certify the company listed above fulfills the criteria established by the Small Businesses Association (SBA) for the following business categories (mark all that apply):
Small Business Veteran-Owned Small Business Service-Disabled Veteran-Owned Small Business Disadvantaged Business under 8(a) Business Development (requires certificate from SBA) HUBZone Certified Small Business African-American Owned Business Entity Hispanic-American Owned Business Entity Asian-Pacific-American Owned Business Entity Subcontinent-Asian-American Owned Business Entity Native American Owned Business Entity Woman Owned Business Entity None
Are you officially certified by a third-party (i.e. SBA, VA, etc.) in any of the business entity types indicated above?
Yes - Please provide a copy of your certificate to SFS No
If yes, provide the date of certification. MM / DD / YYYY
Please check all the states in which you are CAPABLE of providing services. *
Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming
Do Not Fill This Out