General Information
First & Last Name
Company Name
Company Address
Street:
City:
State:   Zip:
Company Phone Number
Cell Phone Number
Email Address
 
Select The Area You Can Service
ALACHUA
BAKER
BAY
BRADFORD
BREVARD
BROWARD
CAHOUN
CITRUS
CLAY
COLLIER
COLUMBIA
MIAMI-DADE
DESOTO
DIXIE
DUVAL
ESCAMBIA
FLAGER
FRANKLIN
GARDSEN
GILCHRIST
GLADES
GULF
HAMILTON
HARDEE
HENDRY
HERNANDO
HIGHLAND
HILLSBOROUGH
HOLMES
INDIAN RIVER
JACKSON
LAFAYETTE
LAKE
LEE
LEVY
LIBERTY
MADISON
MANATEE
DADE
MARION
MARTIN
MONROE
NASSAU
OKALOOSA
OKEECHOBEE
ORANGE
OSCEOLA
PALM BEACH
PASCO
PINELLAS
POLK
PUTNAM
SAINT JOHNS
SAINT LUCIE
SANTA ROSA
SARASOTA
SEMINOLE
SUMTER
SUWANNEE
TAYLOR
UNION
VOLUSIA
WAKULLA
WALTON
WASHINGTON
Cities: (Please provide mile radius that you are willing to cover)
Zip codes:
 
Compliance Questions
Do you acknowledge and understand that if you are retained by American Alliance Professionals, you will be working as an independent vendor; the completion of this application shall not be construed as creating an employee/employer/agency, partnership, or joint venture relationship between you or any of your agents and employees and American Alliance Professionals and / or affiliates; that it is the intent of the parties that every vendor/contractor performing work for American Alliance Professionals be and remains an independent vendor/contractor and not employees of American Alliance Professionals and that no vendor has the right to receive work from American Alliance Professionals, and that work shall be awarded based on performance which is determined on an individual basis?Yes
No

Have you or your company ever been barred from completing HUD or Investor Agency work?Yes
No
If Yes Please Explain

Are you or your company involved in any current litigation related to the performance of property preservation and or protection services?Yes
No
If Yes Please Explain

Have you ever been convicted of a crime?Yes
No
If Yes Please Explain

Do you work directly for the mortgage servicing industry or our competitors?Yes
No
If Yes Who?

Do you understand that if work is not completed according to investor guidelines American Alliance Professionals may charge you back for the additional cost associated in completing the work?Yes
No
Does American Alliance Professionals have your permission to perform a background check?Yes
No
Fed Tax Id#
SS#
Num# of Employes
Are all Employees Insured?Yes
No
Name Of Insurance Company That Carries General Liability And E & O Liability For Your Company:
AAP requires that all vendors must have $1 million GL and E&O coverage and have AAP listed as an additional insured on both policies prior to receiving work orders. Failure to have GL and E&O coverage may disqualify you or impede the hiring process.
 
Tech
Do you have a computer?Yes
No
Do you have a laptop and wireless card?Yes
No
Do you have a scanner?Yes
No
Do you have a digital camera?Yes
No
Do you have Internet access?Yes
No
Do you have a cell phone?Yes
No
Do you have a pocket PC?Yes
No
 
VENDOR QUESTIONNAIRE-Property Preservation/Repairs
I agree to a service/trip charge fee of $25 less discountYes
No
I am a licensed contractor.Yes
No
If yes, contractor number:
I agree to do all work as specified by the appropriate investor/insurer guidelines.Yes
No
 
VENDOR QUESTIONNAIRE - Inspections
I will charge $(dollar amount) per inspection:
 
VENDOR QUESTIONNAIRE - BPO/Appraisals
Are you a licensed Appraiser?Yes
No
Are you a licensed Broker?Yes
No
Are you a licensed Realtor?Yes
No
 
TYPE OF WORK - Please choose the category of the type of work that you are interested in doing. Note: you can choose to do more that one type of work .
Property Preservation
REO Maintenance Work
Field Inspection
BPOs
Appraisals
Hazard Claims (estimates/repairs)
Mobile Home Inspections
 
How did you hear about AAP?: