New Vendor Submission

Please note that this form is only a request, and management approval is required before any vendor can actually be used to conduct work on Revolution properties.

Either the vendor themselves, a property owner, or a Revolution employee/agent can enter this information.

Who is filling out this form? *

The Vendor GTL Employee/Agent Property owner

Did the property owner request the use of this vendor? *

Yes No

The property owner will be charged a $50 Vendor Screening Fee after this form is submitted; you must make sure that the owner is aware of this and has approved of this prior to submitting this form; have you gotten the owner's approval? *

Yes

I understand and agree that this vendor cannot be used for any current work orders and can only be used for future work after Revolution has screened and approved the vendor: *

I Agree

I understand and agree that I will be charged a $50 Vendor Screening Fee, and that this fee is not refundable if the vendor does not meet Revolution requirements: *

I Agree

I understand and agree that Revolution will only approve vendors who provide a copy of their IRS Form W9, and a copy of their insurance certificate showing that they have at least $500k in general liability and workers' comp insurance, and that Revolution will not make any exceptions to this policy: *

I Agree

Your Name *

First Name Last Name

Your Email Address *

example@example.com

Your Phone Number *

Area Code Phone Number

Vendor Name *

Vendor Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Vendor Phone Number *

Area Code Phone Number

Vendor Fax Number

Area Code Phone Number

Vendor Email *

example@example.com

Vendor Web Site Address

Vendor Type *

Describe Vendor Type: *

Select the state(s) where the vendor will do business for Revolution: *

Georgia Florida

Vendor's Service Area for Revolution: (please use zip codes, cities, or counties to describe the service area) *

Do you have a copy of the vendor's IRS Form W-9 with their tax ID? *

Yes No

Our Bookkeeping Department will have to obtain a copy of the 1099 from the vendor before this vendor can be used. This vendor cannot be scheduled for any work until this is obtained.

Upload a copy of the vendor's IRS Form W-9 *

Browse Files

Payment Terms *

Vendor understands and agrees that payment terms for all Revolution vendors are net 30 days, and while Revolution generally cuts checks for vendors every Friday, payment cannot be guaranteed faster than 30 days.

Insurance Requirements *

Vendor has BOTH general liability insurance of at least $1 million and workers' comp insurance of at least $500k. Being a sole proprietor with a state exemption does NOT waive this requirement for Revolution vendors. CEO has waived this requirement in writing due to the lack of availability of a fully insured vendor.

The insurance certificates must be uploaded for Revolution's records. If you have both general liability insurance and workers' comp insurance on a single insurance certificate, then attach the same certificate in both fields below.

WARNING: Submitting insurance certificates that are missing the required insurance will result in immediate denial. Revolution will not follow up to collect documents, so be sure to submit the correct documents when submitting this form.

Upload Certificate of General Liability Insurance *

Upload Certificate of Workers' Comp Insurance *