National Disaster Solutions
Recover - Restore - Rebuild
BECOME A VENDOR




Welcome to National Disaster Solutions’ subcontractor application form.
Before proceeding, please be sure to have the following information:

  • Legal Company Name
  • Federal Employer Identification Number or Social Security Number
  • Completed W-9 Form
  • Current Insurance Certificate showing General Liability (Each Occurrence and Aggregate), Workers’ Compensation and Automobile Liability Coverage naming National Disaster Solutions Inc. as an additional insured on a primary and non-contributory basis.

Please fax the above documents to (954)-979-9005.

Terms and Conditions


By providing the information to National Disaster Solutions (NDS) you promise that all information provided will be accurate, current and truthful to the best of your knowledge. You acknowledge that NDS will be relying on the information, that NDS has no obligation to retain you as a subcontractor and that NDS reserves the sole and exclusive right to retain any subcontractor or no subcontractors at all for a particular project.

To knowingly input false information including, but not limited to, name, phone number, address and company data is a fraudulent matter that could result in significant costs and damages as well as loss of time, effort and expense. Accordingly, if you provide false information you will fully indemnify NDS and be liable for actual damages (direct, punitive and consequential) and any regulatory or judicial fines or penalties that may arise from such misleading, harmful and fraudulent information plus reasonable legal fees, costs and expenses relating thereto.



*Company Name
*Street Address
*City
*State
*ZipCode
*County
*Phone
*Fax
*Email
Website
Company Profile
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Additional Information
Comments
*I agree to the terms and conditions Yes
No

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