We are happy to welcome you to the Beven & Brock Vendor family. We look forward to partnering with you in providing services for our mutual client.

In order for there to be no delay in you receiving payment for your work, we will need the following listed items. It is important that these be provided PRIOR to: providing any services, submission of a quote, or presenting a contract for signature.

After you have completed this form with all of your applicable information, please scroll down to the bottom and click submit. This will send an automatic copy of this form and all of your attachments to Claudia Edmonds in our accounting department. If you would prefer, you can also print this form, complete it in writing, and provide your additional supporting documents in one message to Claudia via email, claudia@bevenandbrock.com or via E-Fax, 626-236-4429.

Here is the link to a fillable W-9 https://www.irs.gov/pub/irs-pdf/fw9.pdf

If you answered YES to questions 9 or 10, please sign and click NEXT below and complete the other form(s) applicable to your business. You will click submit after completing the additional form(s).

If you answered NO to questions 9 and 10, please sign and click SUBMIT on this page.

I am aware of the provisions of California Labor Code Section 3700, which requires every employer to be insured against liability for workers’ compensation or to undertake self-insurance in accordance with the provisions of that code. I acknowledge that at all times in performing the work I will not employ any person in any manner. I understand that if while performing work for which this acknowledgement certificate is provided I employ any person I become subject to the workers’ compensation laws of California I am required to provide certificate of workers compensation coverage to the client.

If you are the owner of a janitorial company with at least one employee and one "covered worker", please upload your proof of registration in the file upload box below.

According to the 2018 Property Service Workers Protection Act every employer who provides janitorial services with at least one employee and one “covered worker” must register with the Labor Commissioner, beginning July 1, 2018. https://www.landeggeresq.com/janitorial-registration-property-service-workers-protection-act/

Please see a sample of the Janitorial Services Registrant with Employees registration below. Here is the link to apply for registration with the state https://www.dir.ca.gov/dlse/Janitorial_Providers_Contractors.html

If you do not have any employees, please read the paragraphs below and fill in the blanks.

I am a janitorial service provider and I am confirming by my signature below that, I have no employees. I work alone in my business and do not intend to hire anyone to work with me.

If, in the future, I do hire an employee or a “covered worker,” I will notify you immediately and register with the state Labor Commissioner. If I hire any employees and fail to register, or if it is later discovered that I should have registered and did not, I agree to take full responsibility to pay any fines or penalties that the State of California may levy against any of my customers.