Vendor Application

Contact's Name *

First Name Last Name
Company Name *
If Sole Proprietor use business or personal name for Company Name.
Owner's Name *

First Name Last Name
E-mail *
Business Phone *
Cell Phone *

Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

County of Residence *
Company Structure *
Please choose all that apply *

SBA Certified Minority Owned Disabled Veteran Owned Other None
How many employees/crews do you have? *
Property Preservation Experience *

Work Type *

	Have Experience	Additional Training Requested	N/A
HPIR (HUD Property Inspection Report)
Initial Services/Trashout
Yard Maintenance
Routine Inspections
Snow Removal

Specialty Work Type Performed

LBP Termite Hazmat
Specialty Work Certifications Held

LBP Termite Hazmat
HPIR Experience *
Additional Skills: Choose all that apply *

Systems Check Glazing/Boarding Windows Debris Removal General Construction Experience None

Administrative Requirements *

	Have Experience	No Experience
Merging/Creating PDF’s
Microsoft Excel
Microsoft Word
Using Internet to transfer and upload data
Email Communication
Smartphone
Camera capable of date and time stamp
Computer with Internet Access
Smartphone and/or Tablet with Wi-Fi capabilities

Equipment Requirements *

	Have	Will Obtain	N/A
Do you own a Generator?
Do you own a compressor?
Do you own a van/truck/trailer?
Do you own hand tools

Insurance Requirements *

	Have	Will Obtain
General Liability Insurance $1 Million
Errors & Omissions
Workers Compensation
Certificate Holder & Additional Insured

A background check to include Criminal & Financial is required for all new vendors. Innotion Enterprises can accept current background checks completed within the last 180 days.
Work Type Descriptions
• HPIR – HUD Property Inspection Report. When HUD releases a property to the FSM, the FSM assigns a HPIR work order to a contractor/vendor. This report is a reflection of the condition of the property once it is received by HUD. The HPIR requires a minimum of 150 photos along with an extensive report identifying any discrepancies or deficiencies with the property. There is an inspection of the any appliances and testing of systems (electrical and plumbing). They also identify any Health and Safety Concerns and remedy them while on site. The HPIR must be completed within 24 hours of being issued to the FSM.
• Initial Services (Trashout) – This involves cleaning of the property once the HPIR has been completed. The items that must be addressed on the interior include: vacuuming, sweeping floors, mopping, cleaning all cabinets, wiping down all services, cleaning blinds, window ledges, fireplaces, clean and winterize toilets, clean sinks, bathtubs and showers, replace missing or broken outlet covers, remove broken ceiling fan blades, secure all windows and doors, re-glaze an broken windows, remove all debris, clean windows, and clean all appliances. The exterior of the property must include: mowing the lawn, trimming back hedges and trees away from the property, remove all debris, clean out any outbuildings to include sheds and garages, weed eating around the property, cover and secure any existing pool, and secure any fencing around property or pool area. These are some of the items needing done during the Initial Services. The purpose is to get the property in a “Ready to Show” condition. This must be completed with 3 days of the HPIR. This requires a minimum of 300 pictures to include before, during and after photos.
• Routine Inspections – These include biweekly inspections of the property to maintain the “Ready to Show” condition of the property and to address any discrepancies. The Routine Inspections must be done by the due date and cannot go overdue. This includes photo documentation of the interior and exterior of the property. There must be a minimum of 75 photos. There is also a Property Condition Report (PCR) that must be submitted.
• Health & Safety – These address any concerns that need to be addressed immediately. They must also be done within a 24 hour period once assigned to the FSM. These include: broken windows, unsecured doors or windows, trip hazards, downed or unsecured fencing, exposed pools or hot tubs, flooded areas and/or basements, leaking roofs and any other items determined to be a Health and Safety concern. There must be photo documentation to show the before and after photos of the work performed and completed.
• Vandalism – A work order is issued when a vandalism has occurred and been reported to the FSM. Vandalism can be stolen items, destroyed property, broken or any other destruction of the property. When the work order is issued the vendor must call and meet the police at the property and get a police report. List any and all damage and any missing items from the property. Then vendor must address any Health & Safety concerns while on the property. This must also be done within 24 hours of the FSM receiving or issuing the work order. There must also be photo documentation to support all items addressed for the vandalism.
• Yard Maintenance – This is done biweekly and includes mowing the grass, trimming back all hedges and trees away from the property, weed eating, and removing all debris. Grass clippings must not be on any driveway or walkways. These are sometimes issued to vendors assigned the Routines, but not always.
Vendor Equipment List
Van/Truck/Trailer
Generator (5500 Watt Minimum)
Air Compressor (5 Gallon Minimum)
Innotion Provided Signage & Sign-In Sheets
Drill & 5/16 Drill Bit/Multiple Bits
HUD Keys (Key Codes Provided In Training Info)
Wire Nuts
Hand Tools (Screwdriver, Hammer, Saws, Etc…)
Volt Meter Or Pencil Tester
GFI Tester
Back-Up Camera
Tablet Or Laptop Computer
HUD Spec Knob Locks (Key Codes)
HUD Spec Padlocks
Dead Bolt Cover Plates
Hasps For Padlocks
Lumber (2” X 4” & Plywood)
10 Gallons Of Water
PPE (Gloves, Dust Masks, Safety Glasses)
Outlet Cover Plates/Light Switch Plates
Ladders (Step & Extension)
Concrete Nails/Wood Screws/Lag Bolts
Measuring Tape
Dry Erase Board & Markers
Gas Line Caps & Water Line Caps
Zip Ties & Yard Type Survey Flags
Flash Light/Head Lamp
Rolled Roofing/Tar (No Felt Paper)
Vacuum Cleaner, Broom & Mop/Bucket
Cleaning Supplies
Red & Blue Gorilla Tape For Securing Electrical Panels, Marking Trip Hazards & Securing Toilet Lids Down
Generator Whips (3 & 4 Prong Plug, Open End 10/3 Wire For Panels)
“Y” Connector For Pressure Testing (Inline Pressure Regulator Is Recommended)
Garden Hose For Draining Water Heaters (Can Be Drained Into 5 Gallon Buckets To Flush Toilets Down)
*The Equipment listed above represents equipment necessary to perform All Work Types. Inspections & Yard Maintenance will not require all of the equipment listed above.
IMPORTANT BILLING INFORMATION – PLEASE READ THOROUGHLY:
- An invoice will be generated and provided by Innotion Enterprises, Inc. (IEI) by the 8th, for all work orders completed the prior month.
  - This means an invoice would be received on August 8th, for completed work orders in July.
- Vendor is responsible to review invoice in detail.
  - Vendor needs to approve or dispute any items by the 11th each month.
    
    Disputes need to be issued by the Vendor in the month of review or will be surrendered.
    
    If a dispute is received, it will be reviewed and sent back to the Vendor by the 15th of that month.
- Once we receive approval of an invoice we can typically issue payment within 5 business days. IEI policy is to issue payment no later than the 20th of each month.
- Payment will be issued via online bill payment/ACH, so please check with your bank’s policy to see how quickly you will receive payment.
Alabama - Please select all counties in which you provide coverage

All Counties Autauga Baldwin Barbour Bibb Blount Bullock Butler Calhoun Chambers Cherokee Chilton Choctaw Clarke Clay Cleburne Coffee Colbert Conecuh Coosa Covington Crenshaw Cullman Dale Dallas DeKalb Elmore Escambia Etowah Fayette Franklin Geneva Greene Hale Henry Houston Jackson Jefferson Lamar Lauderdale Lawrence Lee Limestone Lowndes Macon Madison Marengo Marion Marshall Mobile Monroe Montgomery Morgan Perry Pickens Pike Randolph Russell St. Clair Shelby Sumter Talladega Tallapoosa Tuscaloosa Walker Washington Wilcox Winston
Arkansas - Please select all counties in which you provide coverage

All Counties Arkansas Ashley Baxter Benton Boone Bradley Calhoun Carroll Chicot Clark Clay Cleburne Cleveland Columbia Conway Craighead Crawford Crittenden Cross Dallas Desha Drew Faulkner Franklin Fulton Garland Grant Greene Hempstead Hot Spring Howard Independence Izard Jackson Jefferson Johnson Lafayette Lawrence Lee Lincoln Little River Logan Lonoke Madison Marion Miller Mississippi Monroe Montgomery Nevada Newton Ouachita Perry Phillips Pike Poinsett Polk Pope Prairie Pulaski Randolph St. Francis Saline Scott Searcy Sebastian Sevier Sharp Stone Union Van Buren Washington White Woodruff Yell
Iowa - Please select all counties in which you provide coverage

All Counties Adair Adams Allamakee Appanoose Audubon Benton Black Hawk Boone Bremer Buchanan Buena Vista Butler Calhoun Carroll Cass Cedar Cerro Gordo Cherokee Chickasaw Clarke Clay Clayton Clinton Crawford Dallas Davis Decatur Delaware Des Moines Dickinson Dubuque Emmet Fayette Floyd Franklin Fremont Greene Grundy Guthrie Hamilton Hancock Hardin Harrison Henry Howard Humboldt Ida Iowa Jackson Jasper Jefferson Johnson Jones Keokuk Kossuth Lee Linn Louisa Lucas Lyon Madison Mahaska Marion Marshall Mills Mitchell Monona Monroe Montgomery Muscatine O'Brien Osceola Page Palo Alto Plymouth Pocahontas Polk Pottawattamie Poweshiek Ringgold Sac Scott Shelby Sioux Story Tama Taylor Union Van Buren Wapello Warren Washington Wayne Webster Winnebago Winneshiek Woodbury Worth Wright
Kansas - Please select all counties in which you provide coverage

All Counties Allen Anderson Atchison Barber Barton Bourbon Brown Butler Chase Chautauqua Cherokee Cheyenne Clark Clay Cloud Coffey Comanche Cowley Crawford Decatur Dickinson Doniphan Douglas Edwards Elk Ellis Ellsworth Finney Ford Franklin Geary Gove Graham Grant Gray Greeley Greenwood Hamilton Harper Harvey Haskell Hodgeman Jackson Jefferson Jewell Johnson Kearny Kingman Kiowa Labette Lane Leavenworth Lincoln Linn Logan Lyon McPherson Marion Marshall Meade Miami Mitchell Montgomery Morris Morton Nemaha Neosho Ness Norton Osage Osborne Ottawa Pawnee Phillips Pottawatomie Pratt Rawlins Reno Republic Rice Riley Rooks Rush Russell Saline Scott Sedgwick Seward Shawnee Sheridan Sherman Smith Stafford Stanton Stevens Sumner Thomas Trego Wabaunsee Wallace Washington Wichita Wilson Woodson Wyandotte
Louisiana - Please select all counties (Parishes) in which you provide coverage

All Counties Acadia Allen Ascension Assumption Avoyelles Beauregard Bienville Bossier Caddo Calcasieu Caldwell Cameron Catahoula Claiborne Concordia De Soto East Baton Rouge East Carroll East Feliciana Evangeline Franklin Grant Iberia Iberville Jackson Jefferson Jefferson Davis La Salle Lafayette Lafourche Lincoln Livingston Madison Morehouse Natchitoches Orleans Ouachita Plaquemines Pointe Coupee Rapides Red River Richland Sabine St. Bernard St. Charles St. Helena St. James St. John The Baptist St. Landry St. Martin St. Mary St. Tammany Tangipahoa Tensas Terrebonne Union Vermilion Vernon Washington Webster West Baton Rouge West Carroll West Feliciana Winn
Minnesota - Please select all counties (Parishes) in which you provide coverage

All Counties Aitkin Anoka Becker Beltrami Benton Big Stone Blue Earth Brown Carlton Carver Cass Chippewa Chisago Clay Clearwater Cook Cottonwood Crow Wing Dakota Dodge Douglas Faribault Fillmore Freeborn Goodhue Grant Hennepin Houston Hubbard Isanti Itasca Jackson Kanabec Kandiyohi Kittson Koochiching Lac Qui Parle Lake Lake Of The Wood Le Sueur Lincoln Lyon Mahnomen Marshall Martin McLeod Meeker Mille Lacs Morrison Mower Murray Nicollet Nobles Norman Olmsted Otter Tail Pennington Pine Pipestone Polk Pope Ramsey Red Lake Redwood Renville Rice Rock Roseau St. Louis Scott Sherburne Sibley Stearns Steele Stevens Swift Todd Traverse Wabasha Wadena Waseca Washington Watonwan Wilkin Winona Wright Yellow Medicine
Mississippi - Please select all counties in which you provide coverage

All Counties Adams Alcorn Amite Attala Benton Bolivar Calhoun Carroll Chickasaw Choctaw Claiborne Clarke Clay Coahoma Copiah Covington DeSoto Forrest Franklin George Greene Grenada Hancock Harrison Hinds Holmes Humphreys Issaquena Itawamba Jackson Jasper Jefferson Jefferson Davis Jones Kemper Lafayette Lamar Lauderdale Lawrence Leake Lee Leflore Lincoln Lowndes Madison Marion Marshall Monroe Montgomery Neshoba Newton Noxubee Oktibbeha Panola Pearl River Perry Pike Pontotoc Prentiss Quitman Rankin Scott Sharkey Simpson Smith Stone Sunflower Tallahatchie Tate Tippah Tishomingo Tunica Union Walthall Warren Washington Wayne Webster Wilkinson Winston Yalobusha Yazoo
Missouri - Please select all counties in which you provide coverage

All Counties Adair Andrew Atchison Audrain Barry Barton Bates Benton Bollinger Boone Buchanan Butler Caldwell Callaway Camden Cape Girardeau Carroll Carter Cass Cedar Chariton Christian Clark Clay Clinton Cole Cooper Crawford Dade Dallas Daviess DeKalb Dent Douglas Dunklin Franklin Gasconade Gentry Greene Grundy Harrison Henry Hickory Holt Howard Howell Iron Jackson Jasper Jefferson Johnson Knox Laclede Lafayette Lawrence Lewis Lincoln Linn Livingston McDonald Macon Madison Maries Marion Mercer Miller Mississippi Moniteau Monroe Montgomery Morgan New Madrid Newton Nodaway Oregon Osage Ozark Pemiscot Perry Pettis Phelps Pike Platte Polk Pulaski Putnam Ralls Randolph Ray Reynolds Ripley St. Charles St. Clair Ste. Genevieve St. Francois St. Louis St. Louis City Saline Schuyler Scotland Scott Shannon Shelby Stoddard Stone Sullivan Taney Texas Vernon Warren Washington Wayne Webster Worth Wright
Montana - Please select all counties in which you provide coverage

All Counties Beaverhead Big Horn Blaine Broadwater Carbon Carter Cascade Chouteau Custer Daniels Dawson Deer Lodge Fallon Fergus Flathead Gallatin Garfield Glacier Golden Valley Granite Hill Jefferson Judith Basin Lake Lewis And Clark Liberty Lincoln Madison McCone Meagher Mineral Missoula Musselshell Park Petroleum Phillips Pondera Powder River Powell Prairie Ravalli Richland Roosevelt Rosebud Sanders Sheridan Silver Bow Stillwater Sweet Grass Teton Toole Treasure Valley Wheatland Wibaux Yellowstone Yellowstone National Park
Nebraska - Please select all counties in which you provide coverage

All Counties Adams Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo Burt Butler Cass Cedar Chase Cherry Cheyenne Clay Colfax Cuming Custer Dakota Dawes Dawson Deuel Dixon Dodge Douglas Dundy Fillmore Franklin Frontier Furnas Gage Garden Garfield Gosper Grant Greeley Hall Hamilton Harlan Hayes Hitchcock Holt Hooker Howard Jefferson Johnson Kearney Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York
North Dakota - Please select all counties in which you provide coverage

All Counties Adams Barnes Benson Billings Bottineau Bowman Burke Burleigh Cass Cavalier Dickey Divide Dunn Eddy Emmons Foster Golden Valley Grand Forks Grant Griggs Hettinger Kidder LaMoure Logan McHenry McIntosh McKenzie McLean Mercer Morton Mountrail Nelson Oliver Pembina Pierce Ramsey Ransom Renville Richland Rolette Sargent Sheridan Sioux Slope Stark Steele Stutsman Towner Traill Walsh Ward Wells Williams
Oklahoma - Please select all counties in which you provide coverage

All Counties Adair Alfalfa Atoka Beaver Beckham Blaine Bryan Caddo Canadian Carter Cherokee Choctaw Cimarron Cleveland Coal Comanche Cotton Craig Creek Custer Delaware Dewey Ellis Garfield Garvin Grady Grant Greer Harmon Harper Haskell Hughes Jackson Jefferson Johnston Kay Kingfisher Kiowa Latimer Le Flore Lincoln Logan Love McClain McCurtain McIntosh Major Marshall Mayes Murray Muskogee Noble Nowata Okfuskee Oklahoma Okmulgee Osage Ottawa Pawnee Payne Pittsburg Pontotoc Pottawatomie Pushmataha Roger Mills Rogers Seminole Sequoyah Stephens Texas Tillman Tulsa Wagoner Washington Washita Woods Woodward
South Dakota - Please select all counties in which you provide coverage

All Counties Aurora Beadle Bennett Bon Homme Brookings Brown Brule Buffalo Butte Campbell Charles Mix Clark Clay Codington Corson Custer Davison Day Deuel Dewey Douglas Edmunds Fall River Faulk Grant Gregory Haakon Hamlin Hand Hanson Harding Hughes Hutchinson Hyde Jackson Jerauld Jones Kingsbury Lake Lawrence Lincoln Lyman McCook McPherson Marshall Meade Mellette Miner Minnehaha Moody Pennington Perkins Potter Roberts Sanborn Shannon Spink Stanley Sully Todd Tripp Turner Union Walworth Yankton Ziebach
Tennessee - Please select all counties in which you provide coverage

All Counties Anderson Bedford Benton Bledsoe Blount Bradley Campbell Cannon Carroll Carter Cheatham Chester Claiborne Clay Cocke Coffee Crockett Cumberland Davidson Decatur DeKalb Dickson Dyer Fayette Fentress Franklin Gibson Giles Grainger Greene Grundy Hamblen Hamilton Hancock Hardeman Hardin Hawkins Haywood Henderson Henry Hickman Houston Humphreys Jackson Jefferson Johnson Knox Lake Lauderdale Lawrence Lewis Lincoln Loudon Macon Madison Marion Marshall Maury McMinn McNairy Meigs Monroe Montgomery Moore Morgan Obion Overton Perry Pickett Polk Putnam Rhea Roane Robertson Rutherford Scott Sequatchie Sevier Shelby Smith Stewart Sullivan Sumner Tipton Trousdale Unicoi Union Van Buren Warren Washington Wayne Weakley White Williamson Wilson
Texas - Please select all counties in which you provide coverage

All Counties Anderson Andrews Angelina Aransas Archer Armstrong Atascosa Austin Bailey Bandera Bastrop Baylor Bee Bell Bexar Blanco Borden Bosque Bowie Brazoria Brazos Brewster Briscoe Brooks Brown Burleson Burnet Caldwell Calhoun Callahan Cameron Camp Carson Cass Castro Chambers Cherokee Childress Clay Cochran Coke Coleman Collin Collingsworth Colorado Comal Comanche Concho Cooke Coryell Cottle Crane Crockett Crosby Culberson Dallam Dallas Dawson Deaf Smith Delta Denton DeWitt Dickens Dimmit Donley Duval Eastland Ector Edwards Ellis El Paso Erath Falls Fannin Fayette Fisher Floyd Foard Fort Bend Franklin Freestone Frio Gaines Galveston Garza Gillespie Glasscock Goliad Gonzales Gray Grayson Gregg Grimes Guadalupe Hale Hall Hamilton Hansford Hardeman Hardin Harris Harrison Hartley Haskell Hays Hemphill Henderson Hidalgo Hill Hockley Hood Hopkins Houston Howard Hudspeth Hunt Hutchinson Irion Jack Jackson Jasper Jeff Davis Jefferson Jim Hogg Jim Wells Johnson Jones Karnes Kaufman Kendall Kenedy Kent Kerr Kimble King Kinney Kleberg Knox Lamar Lamb Lampasas La Salle Lavaca Lee Leon Liberty Limestone Lipscomb Live Oak Llano Loving Lubbock Lynn McCulloch McLennan McMullen Madison Marion Martin Mason Matagorda Maverick Medina Menard Midland Milam Mills Mitchell Montague Montgomery Moore Morris Motley Nacogdoches Navarro Newton Nolan Nueces Ochiltree Oldham Orange Palo Pinto Panola Parker Parmer Pecos Polk Potter Presidio Rains Randall Reagan Real Red River Reeves Refugio Roberts Robertson Rockwall Runnels Rusk Sabine San Augustine San Jacinto San Patricio San Saba Schleicher Scurry Shackelford Shelby Sherman Smith Somervell Starr Stephens Sterling Stonewall Sutton Swisher Tarrant Taylor Terrell Terry Throckmorton Titus Tom Green Travis Trinity Tyler Upshur Upton Uvalde Val Verde Van Zandt Victoria Walker Waller Ward Washington Webb Wharton Wheeler Wichita Wilbarger Willacy Williamson Wilson Winkler Wise Wood Yoakum Young Zapata Zavala
Wisconsin - Please select all counties in which you provide coverage

All Counties Adams Ashland Barron Bayfield Brown Buffalo Burnett Calumet Chippewa Clark Columbia Crawford Dane Dodge Door Douglas Dunn Eau Claire Florence Fond Du Lac Forest Grant Green Green Lake Iowa Iron Jackson Jefferson Juneau Kenosha Kewaunee La Crosse Lafayette Langlade Lincoln Manitowoc Marathon Marinette Marquette Menominee Milwaukee Monroe Oconto Oneida Outagamie Ozaukee Pepin Pierce Polk Portage Price Racine Richland Rock Rusk St. Croix Sauk Sawyer Shawano Sheboygan Taylor Trempealeau Vernon Vilas Walworth Washburn Washington Waukesha Waupaca Waushara Winnebago Wood
Wyoming - Please select all counties in which you provide coverage

All Counties Albany Big Horn Campbell Carbon Converse Crook Fremont Goshen Hot Springs Johnson Laramie Lincoln Natrona Niobrara Park Platte Sheridan Sublette Sweetwater Teton Uinta Washakie Weston
Are you interested in continuing with the on-board process and receiving the sub-contractor agreement and pricing.

Yes - I would like to continue the on-board process and receive the sub-contractor agreement and pricing. No - I would not like to continue the on-board process and not receive work.
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