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ROOFING CONTRACTOR APPLICATIONA National Contractor Network exclusively for Roofing Contractors
Nexxus Roofing Solutions is a division of Nexxus Solutions Group, LLC (NSG) and is now offering a premier contractor network for roofers. Nexxus Solutions Group is a national network of independent or franchise mitigation and or restoration companies as well as contractors, experts and other providers servicing the Insurance Industry.
The Nexxus Roofing Solutions Network was formed to provide direct insurance claims to Network member roofing contractors. The standards for the Nexxus Roofing Solutions Network are high to ensure customer and insurance company satisfaction!
The network requirements include contacting a homeowner within 2 hours of receiving the notice of loss, inspecting the property within 24 hours and, upon agreement of the estimate and approval of the homeowner, completing the roof repair/replacement within 14 days. In addition, to give consumers and carriers even more confidence in this program, Nexxus Roofing Solutions has quality control measures in place including customer surveys and requires a manufacturer’s warranty on all roof replacements.
Prior to completing the application, please thoroughly review the Program Requirements found below
IMPORTANT NOTEComplete the entire application before submission.
Applications and required documents will be emailed to:[email protected]
Nexxus Solutions Group, LLC.Corporate Park II3660 Maguire Blvd., Suite 250Orlando, FL 32803
Phone: 407-378-3631Fax: 407-347-2010
ROOFING CONTRACTOR APPLICATION
IMPORTANT NOTE
It is important to answer every question.
Please ensure you have completed and uploaded the required documents. The credit card authorization form must be completed or your application will not be reviewed.
Nexxus Solutions Group then reviews your application, confirms you have completed, signed, and or uploaded/emailed the required documents. You will be notified if we are missing any information via email. Please reply back to that email with the information requested, including any uploads. Approval Process:Once we have reviewed the completed application, checked your company’s “low risk” credit score rating and process your credit card, you will receive an email indicating your qualification status for membership in the Nexxus Roofing Solutions Network. Thank you. We appreciate your interest in our network!
Nexxus Roofing Solutions is a roofing contractor and service provider network serving the U.S insurance industry. Our focus is to exceed our clients and customers expectations by delivering quality repairs and reducing cycle times through a team of the best contractors in the industry.
NEXXUS ROOFING SOLUTIONS ROOFING /GC APPLICATION REQUIREMENTS
REQUIREMENTS ANNUAL FEEWord Doc/Hand Written
PERCENTAGE OF ESTIMATE (completed job)
Roofing Contractor Only $399/$450 Residential-7% and Commercial-7%
Roofing AND General Contracting $599/$650 Residential-7% and Commercial-7%
Financial Quick Start Nexxus Solutions Group, as part of your application fee noted above we will obtain your company credit score: As such, there is no need to provide any of your company’s financial documentation. However, if your company’s score is higher than “Low Risk” we will notify you if we need you to send your financials
Years in business It is a requirement that your company has been in business for a minimum of 2 Years
Late Fee A $50 late fee will be added on past due invoices
Annual Renewal Fee This is based on your annual renewal date and not based on a calendar year
Roofing AND General Contractor $599 Roofing Only $399
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ROOFING CONTRACTOR APPLICATION
Application and Fee The above application fee is non refundable and does not guarantee that you will be selected by our clients to perform work on their behalf.
INSURANCE REQUIREMENTS
Should you have any questions or need assistance, please contact the company below who has partnered with us and can answer your questions. Please feel free to contact David Dybdahl:
David J. Dybdahl, CPCU, ARM, MBAPresidentAmerican Risk Management Resources Network, LLC7507 Hubbard Ave, Suite 200Middleton, WI 53562
Office: 608-836-9567Mobile: 608-513-6101
Fax: 608-836-9565www.armr.net
Insurance Nexxus Roofing Solutions and its clients have strict insurance requirements. You are not required to have all of the specified insurances in force at the present time. However, these requirements must be met prior to accepting any jobs. Insurance must be provided by a insurance company with no less than an AM Best rating of A, VIII.
Insurance RequirementsLimits of liability must be written on an occurrence basis. Securing, paying and maintaining the below noted policies is the responsibility of each Contractor/Service Provider prior to receiving any jobs. Insurance requirements at a minimum are as follows:
Automobile Liability$1,000,000 combined single limit for bodily and property damage for either: ANY vehicles; or a combination of all owned, non-owned and hired vehicles.
General Liability$1,000,000 Each Occurrence and $2,000,000 Aggregate to include ($5,000,000 Commercial):
Products and Completed Operations Liability Premises and Operations Liability Personal Injury Liability Exclusions added to the GL policy endorsement should be disclosed on the certificate of insurance
Contractor’s Pollution Liability $1,000,000 Each Claim and $1,000,000 Aggregate Pollution is applicable to general contractors or any other trade or specialty in combination with water
mitigation or restoration. It will be required that the following be added to the additional insured wording in the respective policy. “Contractors Pollution liability insures the full scope of services provided by the insured and provides coverage under the terms of the policy for losses that are a result of exposure to bacteria, lead, fungus, silica and asbestos.” If this is going to cause headaches on the CPL coverage, instead get a letter from the insurance agent stating they have read the insurance requirements.
Subcontracting water mitigation services is not allowed under any circumstances.
Excess Liability/Umbrella $1,000,000 in coverage Per Occurrence Excess liability: $1,000,000 Per Occurrence
CONTRACTOR APPLICATION - Page 3 of [email protected]
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Must specify that commercial general liability, automobile liability and workers’ compensation policies are scheduled underlying policies.
Worker’s Compensation Minimum $500,000 (or more if required by your state) Owners cannot be excluded from Workers Compensation coverage if they go onto any job site. If owners are
excluded from Workers Compensation coverage, you must provide a letter of exemption from the state as well as provide a letter on your business letterhead signed by the owners containing such pledge and the letter must be sent with your certificate submission.
Bailment Coverage Minimum $250,000. If the job requires more, you will need to get more prior to removing any items from the
property. Only applicable for contractors and/or service providers handling fire & smoke, cleaners, and dry cleaners
The information below must be included on your Additional Insured endorsements for the GL and CPL policies:
“Nexxus Solutions Group, LLC and its officers, managers, members, employees and agents, and its successors and assigns. In the additional insured portion of your insurance certificate, Nexxus Solutions Group, LLC must be named as follows:
Certificate HolderNexxus Solutions Group, LLC.Corporate Park II3660 Maguire Blvd., Suite 250Orlando, FL 32803
REQUIRED SUBMISSIONS
BUSINESS FACILITY REQUIREMENTSContractors and Service Providers are expected to maintain a professional business location, which includes appropriate signage where applicable, and employees that will be at the customer’s property must wear uniforms.Included with your application submission it will be necessary to include digital photos of the following:
All four (4) sides of the building, one should include the signage Photo of Company Vehicles. Only one is needed if it is a representative of the others Customer waiting area if applicable Storage and pack out area if applicable
LICENSES/CERTIFICATIONS REQUIREDAll licenses required by your state and all states you perform work in must be submitted. Operating License, Contracting License, Contracting Registration, etc. All licenses must be in the your company’s DBA. As it pertains to certifications, should they be applicable please submit those as well. As a reference from the EPA: It requires that firms performing renovation, repair, and painting projects that disturb lead-based paint in pre-1978 homes, child care facilities and schools be certified by EPA and that they use certified renovators who are trained by EPA-approved training providers to follow lead-safe work practices. Individuals can become certified renovators by taking an eight-hour training course from an EPA-approved training provider.
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ROOFING CONTRACTOR APPLICATION
REQUIREMENTS ONCE SELECTED for a PROGRAMOnce selected by a client for a program it will be necessary to have the following: Note you will only be required to have the following once you are selected.
Xactimate Estimating Software. If you currently do not have Xactimate and we notify you that you have been selected by a client you can obtain Xactimate by visiting www.xactware.com or by calling (800) 424-9228. (Currently, Xactimate pricing is also available with an Accurence subscription.)
Digital camera All employees or associates conducting roof damage inspections must be certified by an approved organization.
Among acceptable certification choices are: Haag Certified Inspector at www.haagcertifiedinspector.com; National Roofing Certification Group at www.NRCGtraining.com; InterNACHI at www.nachi.org
A national criminal background check/investigation must be completed on any and all employees who may be present at our clients/customers, home/property. You can utilize any vendor that you choose to complete this. You will need to complete this process on an annual basis and sign an affidavit (link at the end of the application) which attests to this requirement. You are also required to send Nexxus Solutions Group a spreadsheet with the Name(s) and date(s) of the reports. Those with felonies will not be allowed to be present on any client’s properties. As you hire new employees, you will be required to forward the new reports. You may mail hard copies or upload them.
A three (3) year workmanship warranty must be provided to each homeowner receiving a total roof replacement.
A 90-day workmanship warranty must be provided for all repairs and partial replacements. Network contractors must assist the homeowner in registering any/all manufacturer’s warranties.
PLEASE MAIL COPIES TO:Nexxus Solutions GroupCorporate Park II3660 Maguire Blvd. Suite 250Orlando, Florida 32803
CONTRACTOR APPLICATION - Page 5 of [email protected]
ROOFING CONTRACTOR APPLICATION
GENERAL INFORMATION
Application Date:
Company Name: Applicant Name:
Your Specialties:(Select and Highlight that apply)
Board Up and Tarp General Contracting Catastrophe Services Roofing Repair & Replacement
Provider/ Company/DBA: Website:
Contact Name:Contact Email:Recipient email who receives all assignments from Nexxus
PHYSICAL ADDRESS INFORMATION
Address: City:
State: Zip:
Office Ph.: Office Fax:
Alternate Ph.: After Hrs. Phone:
After Hrs. Contact: Fed ID #:
OWNER/ APPLICANT INFORMATION
Principal Name (1): Email:
Principal Name (2): Email:
Principal Name (3): Email:
Administrative Contact: Phone:
Email:
Accounting Contact: Phone:
Email:
General Manager: Phone:
Email:
Project Manager: Phone:
Email:
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ROOFING CONTRACTOR APPLICATION
BUSINESS INFORMATION
Date your company was founded (mm/dd/yyyy):
State of Incorporation:
Corporate ID No:
Do you conduct business outside of the United States? [Yes or NO]
If yes, please provide evidence of your OFAC (Office of Foreign Assets Control) compliance protocols.
Are you publicly traded? [Yes or NO]
If yes, list stock symbol and exchange:
Business Type: [Corporation or LLC or Publicly Traded Company or Partnership or Sole Proprietorship]
If you checked Corporation or Partnership, list the names and %’s of all Shareholders or partners. Total percent must equal 100%. Personal address for all principals may be requested for credit reporting purposes.
NAME % (numeric value only) SSN (xx-xx-xxxx) DOB (mm/dd/yyyy)
CRITERIA INFORMATION
Are you an independently owned and operated company or a franchisor?[Owned or Franchisor]
Are you committed to a 24-hour emergency response?[Yes or No]
How is your after-hour calls handled?[In-house or Out Sourced]
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REVENUE INFORMATION
What was the total sales revenue for your company last year?
From last year’s revenue, what % was catastrophe related?
What is the total number of completed roof claimssales for the last year?
What is the average number of claims and annual roofingsales volume for the last two (2) years
What are the anticipated number of claims and annualroofing sales volume for this year?
VOLUME INFORMATION
For the Past Three Years:
Year % Residential Jobs % Commercial Jobs Largest Single Jobs Avg. Job Amt.
FINANCIALS INFORMATION
Principal bank:
Bank account number:
Bank Telephone number:
Federal Tax ID:
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OPERATIONS INFORMATION
Primary Operations
Own or Lease?
Address: City:
State: Zip:
Office Square Feet: Warehouse Square Feet:
# of Employees: Full Time:
Part Time:
Do your employees currently wear uniforms? [Yes or No]
Are your company vehicles visibly marked? [Yes or No]
Do your employees carry proper company ID? [Yes or No]
Does your company meet your state’s minimum statutory requirementsfor Worker’s Compensation Insurance? [Yes or No]
Are you currently equipped to work out of state on regional catastrophes? [Yes or No]
Percentage of roofing revenue last year related to CAT’s (%):
Percentage of roofing revenue last year related to Single Large Losses (>$250,000) (%):
Percentage of work performed by company employees (%):
Percentage of work performed by Sub-contractors (%):
Number of Service Vehicles: Please provide the quantity of each type and a photo of all vehicle types
Type Lease Quantity Own Quantity
Cargo type vans:
Moving vans:
Pick-up trucks:
Box-type trucks:
18 Wheeler Trucks/Trailers:
Others:
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SOFTWARE INFORMATION
Estimating Platforms used (check all that apply):
Xactimate
Symbility/MSB
Scope Assist
Other
Specify others:
Digital Camera: [Yes or No]
Are you proficient with using Xactimate? [Yes or No]
Are you proficient in the use of XactAnalysis? [Yes or No]
If yes, provide your company’s XactNet Address:
Are you proficient in the use of Symbility/MSB? [Yes or No]
SUPPLY - REFERENCES
List 2 Commercial Ref. you have conducted business within the past three years - (If applicable)
Name: Phone: Email:
Name: Phone: Email:
List 3 Sub-Contractors you have conducted business within the past three years (If applicable)
Name: Phone: Email:
Name: Phone: Email:
Name: Phone: Email:
List 3 Sub-Contractors you have conducted business within the past three years (If applicable)
Name: Phone: Email:
Name: Phone: Email:
Name: Phone: Email:
List 3 Material Suppliers you have conducted business within the past years
Name: Phone: Email:
Name: Phone: Email:
Name: Phone: Email:
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ROOFING CONTRACTOR APPLICATION
INSURANCE COVERAGE
Insurance Types Policy Limits Remaining Units Carrier Name
Automobile Liability$1,000,000 combined single limit for bodily and property damage for either: ANY vehicles; or a combination of all owned, non-owned and hired vehicles.Excess Liability UmbrellaExcess Liability/Umbrella:$1,000,000 in coverage Per Occurrence Excess liability: $1,000,000 Per OccurrenceMust specify that commercial general liability, automobile liability and workers’ compensation policies are scheduled underlying policies.Worker’s CompensationWorker’s Compensation:Minimum $500,000 (or more if required by your state) Owners cannot be excluded from Workers Compensation coverage if they go onto any job site. If owners are excluded from Workers Compensation coverage, you must provide a letter of exemption from the state as well as provide a letter on your business letterhead signed by the owners containing such pledge and the letter must be sent with your certificate submission.General LiabilityGeneral Liability: $1,000,000 Each Occurrence and $2,000,000 Aggregate to include ($5,000,000 Commercial):- Products and Completed Operations Liability- Premises and Operations Liability- Personal Injury Liability- Exclusions added to the GL policy endorsement should be disclosed on the certificate of insuranceThe information below must be included on your Additional Insured endorsements for the GL policy:
“Nexxus Solutions Group, LLC and its officers, managers, members, employees and agents, and its successors and assigns In the additional insured portion of your insurance certificate, Nexxus Solutions Group, LLC must be named as follows:
Certificate HolderNexxus Solutions Group, LLC.Corporate Park II, 3660 Maguire Blvd. Suite 250Orlando, FL 32803
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ROOFING CONTRACTOR APPLICATION
SERVICES INFORMATION
Please check all that apply: Large Loss Commercial >500k Temporary Roofing Services Emergency Board-Up / Tarp
Roofing Repair Roofing Replacement Painting
Aerial Roof Imagery Siding Gutters
Windows General Contracting Dwelling Reconstruction
Regional CAT Response National CAT Response Emergency 24/7/365
REPAIR PROGRAMS
Check all Managed Repair Programs your company is currently working with:
First Choice DKI TRADE PRO IMACC ALACRITY INNOVATION GROUP CODE BLUE OTHER
Others (Please specify here):
COUNTIES INFORMATION
List the names of all Counties, state where your company does business or email as an excel attachment; separate by a comma (NO PDF Files): In addition, if your company specializes in national catastrophe response, include STORM
(Please separate your counties by a comma)
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ZIP CODE INFORMATION
List the names of all zip codes where your company does business or email as an excel attachment; separate by a comma (NO PDF Files): In addition, if your company specializes in national catastrophe response, include STORM
(Please separate your zip codes by a comma)
LICENSE REQUIREMENTS
List all states where you currently carry a General Contractor’s and/or Roofers License:
STATE LICENSE NO. EXP. DATE
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ROOFING CONTRACTOR APPLICATION
AUTHORIZATION
If you answer yes to any of the following questions, submit information and or legal documentation to address the issue at hand. (Attach the letter of explanation under file upload section)
Has any legal action been filed against you or your company within the last 5 years? [Yes or No]
If so, explain:
Have you or your company ever filed bankruptcy? [Yes or No]
If so, explain:
Has your professional license ever been suspended, revoked, or listed in probation? [Yes or No]
If so, explain:
Have you ever been convicted of a felony? [Yes or No]
If so, explain:
Have you ever had a complaint filed against you with the State Attorney General, The Better Business Bureau or any consumer affairs organization? [Yes or No]If so, explain:
Has any principle been in litigation in the past 5 years? [Yes or No]
If so, explain:
Has any principle ever used an alias? [Yes or No]
If so, explain:
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ROOFING CONTRACTOR APPLICATION
TRADES INFORMATION
SPECIALTY/TRADE SKILL SET(Please indicate by checking all boxes that apply)
Roofing
Residential: [Yes or No]
Commercial: [Yes or No]
Gutters: [Yes or No]
Siding: [Yes or No]
Siding
Aluminum: [Yes or No]
Vinyl: [Yes or No]
T-11: [Yes or No]
Hard Board: [Yes or No]
Hardi-Plank/Lapboard: [Yes or No]
Tree Removal
Tree Removal: [Yes or No]
Crane: [Yes or No]
Window & Door
Window: [Yes or No]
Door: [Yes or No]
Catastrophe Service: [Yes or No]
Once a client selects you for a program, you will be required to have all the necessary insurance requirements and utilize Xactimate for estimating purposes. Until then it is not a requirement. Prior to activation, you will be required to sign a client specific Service Level Agreement (Estimating Guidelines). All insurance certificates, licenses and certifications are required to be uploaded and managed by you in the Nexxus Exchange Claims System (NEx). You will be given instructions on when and how to complete this.
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ROOFING CONTRACTOR APPLICATION
A COMPLETED APPLICATION ALONG WITH THESE COMPLETED DOCUMENTS MUST ACCOMPANY YOUR APPLICATION BEFORE
WE WILL BEGIN TO REVIEW YOUR APPLICATION.
Please complete the attached required documents Please complete these forms and return with your application.
1. Affidavit Form 2. Acknowledgment Form 3. W-9 Form 4. Provide a list of all employees who enter property of client/customer who you have completed
criminal background checks and do not have any felonies. You may use any form you wish. Please include:
a. Employee nameb. Last four digits of social security numberc. Date of criminal check
5. Provide a sample of the Workmanship Warranty (minimum 3 years) you provide customers for roof replacements.
Please complete the credit card authorization form on the next page.
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ROOFING CONTRACTOR APPLICATION
CREDIT CARD AUTHORIZATION FORMName of Company joining Nexxus Solutions Group’s Network:
Name on Credit Card:
Card type (Master, VISA or Discover):
Card Member Name:
Card Number:
Card Expiration Date: Security Code:
Street Address: City:
State: Zip code:
General Services: (If not noted below, you fall into this category)Application Fee $599 on line, $650 if emailing completed Word Document.
Specialty Services: If your only service is one noted below, you fall into this category(Textile/Fabric, Art, Document, Electronics, Furniture Restoration, Plumbing, Roofing, Engineering and Temporary Housing)
Application Fee $399 on line: $450 if emailing completed Word Document.
TOTAL AMOUNT TO BE CHARGED: $
I AUTHORIZE NEXXUS SOLUTIONS GROUP TO CHARGE MY CREDIT CARD IN THE AMOUNT OF: $
PRINT NAME:
DATE:
Please mail in the original copy to:Nexxus Solutions GroupCorporate Park II 3660 Maguire Blvd. Suite 250 Orlando, Florida 32803
THIS MUST BE COMPLETED BEFORE WE CAN PROCESS YOUR APPLICATION
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