Vendor Application Form

    Contractor name

    Contractor E-mail

    Contact number

    Company Name

    Driver License Number

    Driver License Expiry Date

    Mailing Address

    City

    State

    Zip

    Please list the names of counties, zip codes or radius you will service (separated by commas):

    Services Performed:

    Have you performed work for a Property Preservation company before

    1. Upload photo ID : Copy of your driver’s license

    2. W9 Form filled out and signed with valid SSN or EIN

    3. Aspen Grove Background check number

    4. Aspen Grove Profile Screenshot showing your full name, ABC Number, Status & Expiration Date

    5. Certificate of Insurance (general liability, errors and omissions, workman’s compensation-if you have employees- Extensive Care Preservation L.L.C. named as a certificate holder)

    6. Any other special license that you hold e.g. roofing, plumbing, HVAC, general contractor etc. (Optional)