New Vendor Application

 

Thank you for your interest in working with MODUS Structures

Thank you for your interest in joining our Vendor Group at Modus Structures. To ensure a successful partnership, please complete the following requirements in full.


Upon submitting this application form, the Modus Vendor Coordinator will review your application, and if approved, the contact listed under "Principal/Owner 1" will receive an email containing our Vendor Agreement. Both the completed application and the signed Vendor Agreement must be submitted for consideration as a goods or service provider for MODUS projects.

 
 

 

Company Information

 
 
 
 
 
 
 
 
 
Phone
 
 
 

As applicable, please provide a brief description of the goods to be supplied

 

As applicable, please provide a brief description of the services to be supplied

 

 

Volume Rebate

To support our potential partnership, please propose the terms for a volume incentive rebate based on annual sales, including:

 
 
 

We appreciate your input and look forward to discussing how we can structure a mutually beneficial arrangement.

 

 

Principle/Owner Information

 
 
Phone
 
 
 
Phone
 
 
 
Phone
 
 

 

Primary Contact

 
 
Phone
 
 

 

Bid Contact

 
 
Phone
 
 

 

Accounts Receivable Contact

 
 
Phone
 
 

 

Insurance Admin Contact

 
 
Phone
 
 

 

Safety Coordinator Contact

 
 
Phone
 
 

 

Prequalification Documents

 
 

Please Ensure:

  • CGL coverage is greater then $5 million
  • Modus Structures Inc. is named as the insured party
 

To avoid any service interruptions, if your policy is nearing its expiration date, please attach both the current and new certificate, with the expiration date set to the later one.

 
mm/dd/yyyy
 
 

Ensure MODUS Structures are listed as additional insured and certificate holders.

 
 

Obtain for your business bank's website

 

(Certificate of Insurance(s), WCB Clearance Letter, Direct Deposit Form)

Drop your files here
 

 

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