VENDOR CONNECT

Please tell us about your company

Company Name (ie, John Smith Inspections)		Business Type - - Sole Proprietor Corporation Partnership
Address		City
State/Province - - Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon		Zip/Postal Code
Business Phone # () -  ext:
# of Sub Agents - - None 1-5 6-10 11-20 21 or more		Date Available
In Business Since - - 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974		Company Website URL

Primary Contact Information

First Name	Last Name
Phone # () -  ext:
Email

Companies currently contracted with (up to 2)

Company #1

Company #2

Monthly Volume

Current - - None 1-99 100-499 500-999 1000-2999 3000 or more

Desired - - None 1-99 100-499 500-999 1000-2999 3000 or more

Languages

English	Spanish	Cantonese	Mandarin	Tagalog
French	Vietnamese	German	Korean	Russian
Arabic	Italian	Portuguese	Polish	Hindi
Japanese	Persian	ASL
Other

Certificates/Licenses

None	Freddie Mac Multifamily
Fannie Mae/MBA Commercial Certified	HUD Reac Certification
ASHI (American Society of Home Inspectors )	NACHI (Natl. Assoc. of Certified Home Inspectors)
NAHI (Natl. Assoc. of Home Inspectors)	NAMFS Inspections Certified
NAMFS Pre-Sale Preservation Certified	NAMFS Post-Sale Preservation Certified
NAMFS Preservation Certified	Real Estate License
Appraisal License	Contractor's License
Notary	Certified Minority/Women Owned
Other

Insurance Coverage

General Liability	Worker's Compensation	E&O	Auto
Other

Memberships

None	Member of NAMFS	MBA Member	SOFI
Other
Aspen Grove # Expiration Date

Vendor Services

Borrower Interview	Property Condition Inspections	Residential Occupancy Inspections
REO QA Inspections	FEMA/Disaster Inspections	Insurance Loss Inspections
Commercial Inspections	Vehicle Loan Inspections (Car Chase)	Leased Equipment Inspections
Collateral Inspections	Commercial Appraisals	Residential Appraisals
BPO	Site Surveys	Floor Plan Audits
High Value Inspections	Property Valuation Inspections	Merchant Site
Mystery Shopper	Property Preservation	Janitorial Services
Pest Control Services	Landscaping Services	Locksmith
REO Repair	General Construction/Remodel	Concrete
Paving	Roofing	Flooring
Plumbing	Electrical	Painting
Tile	Glass	Drywall
Other

Tools/Equipment

Desktop PC	Laptop PC	Tablet - Windows	Tablet - Apple
Tablet - Android	Internet/Email	Fax	Mapping Software
Microsoft Word	Microsoft Excel	GPS Device	Digital Camera
Mobile Phone	Smartphone	SMS (texting)

Coverage Area

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Additional Comments

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Verification

I understand the submission of this form does not assure or guarantee that I will receive any work assignments from Pacific Field Service, Inc.; but that I may be contacted by a representative of Pacific Field Service, Inc. In the event a representative of Pacific Field Service, Inc. makes contact with you, there are no assurances or guarantees regarding the quantity, quality or type of work assignments that may be offered, the consideration that will be identified in connection with any work assignments offered or the locations in which the work assignments will need to be completed. If a work assignment is offered and you accept it, you will perform the work as an independent contractor subject to the terms and conditions of an independent contractor agreement between you and Pacific Field Service, Inc. You agree that the submission of this form does not bind Pacific Field Service, Inc. in any way. By submitting this form, I acknowledge, and agree to, the above terms and conditions.

I agree to these terms and conditions: