New Contractors, Suppliers and Vendors
All new Contractors, Suppliers, and Vendors are required to complete and return the forms listed below and attach the requested documentation before your firm can be considered an approved vendor and thus eligible for payment for goods and/or services performed. If you have any questions regarding this matter, please feel free to contact Mark E. Kreger at your convenience. You may reach him via email at [email protected].
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Independent Contractor Information Form
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W-9 Request for Taxpayer Identification Number and Certification
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Copy of your Trade Name Registration from the Secretary of State
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Vendor Agreement Disclaimer of Liability Form
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Liability Insurance Certificate from your Insurance Agent naming A. C. C. U., Inc. as a Certificate Holder with a minimum of $1,000,000.00 in Liability Coverage
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Current Workers Compensation Certificate (or in the case of a Sole Proprietor the Sole Proprietor, Independent Contractor Workers Compensation Indemnity Agreement Completed and Notarized)
You will receive the status of your application within two weeks of applying for approved status.
To download these forms now, click on the following links below.
Vendor Packet