Licensing: Copy of vendor’s current business and trade license(s) (General Contractor, Electrician, Plumber, HVAC etc…), if applicable, per state and municipality requirements.

Form W-9: Completed Internal Revenue Service Form W-9.

Certificate of Insurance: Vendor will provide a Certificate of Insurance evidencing that vendor has procured and is maintaining the following insurance coverages during the term of the applicable Order and or Agreement:

(a) Comprehensive General Liability Insurance covering all operations by or on behalf of vendor providing insurance for bodily injury, property damage and personal injury liability of at least $1,000,000.00 per occurrence and $1,000,000.00 in the aggregate.

(b) Automobile Liability Insurance for owned, leased and non-owned automobiles with a combined single limit for bodily injury and property damage of $1,000,000.00 per occurrence.

(c) Workers’ Compensation and Employers Liability Insurance, as required by any applicable law, rule, regulation, statute or order.

Alternate acceptable Workers’ Compensation documents

Learn more about your states Workers’ Compensation requirements

The Certificate of Insurance shall provide that no policy providing any of the foregoing coverages may be cancelled or reduced without thirty (30) days prior written notice to NM&C Inc.

PLEASE NOTE: All certificates of insurance (COI) provided to NM&C by vendor (with exception to Workers’ Compensation) MUST name National Maintenance & Construction Inc. (dba NM&C Inc.), and its members, managers, officers, directors, employees and agents, successors and assigns as Certificate Holder and additional insured as follows: (download sample COI)

National Maintenance & Construction Inc. (dba NM&C Inc.)
Its members, managers, officers, directors, employees and agents, successors and assigns
5030 Champion Blvd.
Suite G-11 #284
Boca Raton, FL 33496

All Work Orders / Purchase Orders (“Orders”) will be governed by the NM&C Inc. terms and conditions
Please fax or email your completed documents to Vendor Relations: (561) 405-9652 |