CORE Commercial Application

CORE Commercial Application
This application is in addition to our ONCORE application. If you are not already processed through our ONCORE Program, please use the following link to apply to ONCORE first: ONCORE Application. The CORE Commercial Program Application will only be considered once you have completed ONCORE onboarding. Any questions regarding ONCORE status can be emailed to concierge@gowithcore.com.
Company Name:*
Please provide your DBA in the above section
Phone Number*
Please enter a valid company phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Services Provided (Check All That Apply):*

Water MitigationMoldBioEMSContentsReconstructionOther
Previous "Other - Explain Below" field for Services
Type N/A if not applicable
Previous Years Revenue Total*
Please provide a complete dollar amount, example: 13000000, not 13
What percentage of the above total is Commercial Revenue?*
Years in business?*
Number of years providing Commercial Services:*
Commercial sectors currently operating in (Check All That Apply):*

HospitalityRetailMedicalCondoMultifamilyWarehouseMunicipalGSAOther
Previous "Other - Explain Below" Field for Sectors
Type N/A if not applicable

Commercial Job History*

	# of Jobs in past Year?	# of Jobs in past 5 Years?	Estimated Average Job Size? $	Estimated Largest Job Size? $
Hospitality
Retail
Medical
Condo
Multifamily
Warehouse
Municipal
GSA
Other (if listed above)

Have you or a member of your team completed and currently hold an ICRA certification?*

YesNo
Are you or another member of your team HIPAA certified?*

YesNo
Have you or a member of your team completed and currently hold either an NFPA 99 (Fire), 101 (Life Safety), or 70 (Electrical) Certification(s)?*

YesNo
Have you or a member of your team completed and currently hold a Certified Health Care Constructor (CHC) Certification?*

YesNo
Have you or a member of your team completed Fair Housing Training?*

YesNo
Are you or a member of your team FDA Certified?*

YesNo
Please List All State Licenses and Industry Certifications Held By You Or Your Staff:

(i.e. WRT, AMRT, ASD, CDS, ICRA, GC, HST, OSHA 30, OSHA 10, TCST(Trauma), etc.)
Professional and Business Licenses*
Professional Certifications*
Please list all state licenses and industry certifications held by you or your staff:
Estimating Methods (Check All That Apply):*

XactimateSymbilityT&MOther - Explain Below
Insert N/A if not applicable
Methods used to create a ROM or NTE:*
Separate each method by a comma
Largest Commercial Job Produced:*
Provide a dollar amount
What was the type of loss above:*
Would you be able to provide a case study of this file if requested?*

YesNo
Can you mobilize to assist in a CAT situation?*

YesNo
Job History Provided*

YesNo
Level of Work You are able to Run and Finance*

>$250k$250k-$500k$500k-$1MM
I attest that all information is accurate and complete and that I agree and will abide by the terms and conditions outlined in the linked CORE Commercial Guidelines & Requirements. I also agree that if any information is deemed to be falsified, then I will be removed from the CORE Commercial program and could be financially responsible for any negative outcome that could arise from the falsification of information on this document.
Name*

First NameLast Name
Title*
Phone Number*
Please provide the best contact number for yourself
Signature*

Clear
Application Date

MonthDayYear
Date
Should be Empty:

CORE Commercial Application

Please List All State Licenses and Industry Certifications Held By You Or Your Staff: