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Vendor Intake Form
1. Business Name
2. Contact Name
3. Contact Title
4. Street Address
5. City
6. State
7. Zip
8. Phone
9. Email
10. Website
11. Business Description
Construction
Professional Service
Commodities/Supplier
IT
Other
12. How many years have you been in business?
13. Do you have past experience doing business with the State of Texas, city, county or higher education? If yes, Please list
14. Do you have any current contracts or co-operative contracts (DIR, TXMAS, BuyBoard, etc..)?
15. Are you currently
HUB certified
?
Yes
No
If yes, please mark your HUB Category
Asian Pacific
African American
Hispanic
Native American
Service Disabled Veteran
Woman Owned
16. Interested in working with TFC as a
:
Prime Contractor
Subcontractor
Both
CONSTRUCTION BUSINESSES ONLY- (LEAVE BLANK IF THIS DOES NOT APPLY TO YOUR BUSINESS)
17. Indicate the amount of commercial general liability coverage carried by your company per occurrence and aggregate
a. Per Occurrence
b. Aggregate
c. Provide your Experienced Modified Rate (EMR) for construction vendors only
d. What is your bonding capacity?
18. Do you have a written safety manual?
Yes
No
19. Do you have any staff with OSHA 30 or OSHA 10 certifications?
Yes
No
Type:
20. Are you interested in participating in a Mentor /Protege Program?
Yes
No
Not sure. Please provide more information.
21. If you answered YES to the above question, in what capacity would you like to participate.
Mentor
Protege
NA
22. How did you hear about us?
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