Vendor submission

Submit your pricing

About fifteen minutes. We verify your license against the issuing authority before anything is dispatched, so give us the number exactly as it appears on the license.

Do not attach documents here. Once we have verified your license we will email you for your certificate of insurance, workers' compensation certificate or exemption, and W-9. Nothing sensitive goes through this form, and we never ask for bank details by email.

Your business Legal business name * DBA / trade name (if different)

Contact name * Title / role

Email * Office phone * After-hours / emergency phone

Website Years in business Number of field technicians

Business mailing address

Business structure Do you have a W-9 ready to send? *

Trades & service area Which trades do you provide? *

Anything else you do that is not listed Areas you cover *

Do you serve residential, commercial, or both? * Do you cover storm-season emergency work?

Licensing

If your trade requires a Florida license, we verify it before dispatch. If your trade has no statewide license, say so and give us your county business tax receipt number instead.

Does your trade require a Florida state license? * Issuing authority

License / registration number Exactly as printed on the license — we search it directly with the issuing authority. License holder's name Expiration date

Additional certifications

Insurance

General liability carrier * General liability limit * GL expiration

Workers' compensation * Construction-trade vendors need coverage from the first employee; non-construction from the fourth. If a subcontractor has no coverage, its workers become the hiring contractor's employees for injury purposes — so we cannot dispatch without one or the other.

Commercial auto insurance? Can you name Gulf ProClean as certificate holder / additional insured? *

Do your field technicians undergo criminal background screening? * Your people will be inside occupied homes, often with our access. We will ask about your standard.

Pricing

This is the part that puts you on the dispatch list. Give us real numbers you will honor — we reconcile invoices against what you submit here.

Standard hourly rate ($) * After-hours / weekend rate ($) Emergency call-out rate ($)

Trip / diagnostic fee ($) Minimum charge per visit ($) Materials markup (%)

Flat-rate pricing for your common jobs * The more of your routine work is priced here, the more we can dispatch without stopping to quote.

Response time — routine * Response time — emergency

Payment terms you want * Do you warranty your work?

Volume or preferred-vendor discount you would offer How long do these prices hold?

References & notes

Commercial reference 1 — company Contact & phone

Commercial reference 2 — company Contact & phone

Anything else we should know

Certification

I certify that the license, insurance and pricing information above is accurate and current, and that I am authorized to submit it on behalf of this business. *

I authorize Gulf ProClean to verify my license with the issuing authority and to confirm my insurance coverage with my carrier or agent. *

I will notify Gulf ProClean within five business days if my license lapses or is disciplined, or if my insurance is cancelled or non-renewed. I understand dispatch is paused until coverage is current again. *

I will honor the rates submitted above for the validity period I selected, and will give written notice before changing them.

Type your full name as your signature * Today's date

Submitting this form is not an agreement to use your services, and it does not create a contract. It puts you into our vendor review queue. Gulf ProClean does not discriminate among vendors on any basis prohibited by law.

Submit your pricing

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