Vendor Application - Manufacturers Only

Please fill out all the applicable information below. If not applicable mark N/A.

Company Information

Section 1 of 2

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Please select a vendor type from the list below to identify your primary capabilities. Our team will use this internally when sourcing vendors.

MFG - Wholesale Manufacture
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If different than above, provide billing information below.

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If yes, please attach a certificate

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If yes, please attach a certificate

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Compliance

Section 2 of 2

Have you had any OSHA violations within the past 5 years.*
Does your firm have any current or pending litigation/arbitration with past or present clients or subcontractors?*

By checking the box below you are agreeing to the following: This agreement is made as of the date of the last signature below by and between Cima Network, Inc. having principal offices at 121 New Britain Blvd., Chalfont, PA 18914, and ("Subcontractor") As your vendor name and address is stated in Section 1 "Company Information" section. Per this agreement, Subcontractor agrees that for so long as Subcontractor shall remain engaged by Cima Network, Inc. as a subcontractor for a period of (5) years after termination of engagement with Cima Network, Inc. for any reason (to be known as the "Non-Compete Period"), Subcontractor shall not directly or indirectly solicit the business of servicing or supporting Cima Network, Inc. signs/products from a Cima Network, Inc. customer or client, nor engage in (as an employee, principal, shareholder or partner, consultant or any other capacity) any enterprise conducting business activities directly or indirectly with a Cima Network, Inc. customer or client to the extent that said business activities are related to servicing or supporting Cima Network, Inc. customer or client to the extent that said business activities are related to servicing or supporting Cima Network, Inc. equipment, nor directly or indirectly solicit Cima Network, Inc employees for employment. Engagement is at will for both parties and may be terminated by either party upon written notification to the other party.

You must also submit a W9 with this application. Please either attach the required documents below or send via email to ap@cimanetwork.com. If you are attaching the documents please check the box in its respective field.

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