Additional Application Information Additional Information... Company Name * What are your top three reasons for joining NARI? * Educational Programs and Resources Certification Regulatory Information Networking Business Referrals Supporting the Industry Enhancing your Company Reputation Other Select top 3 ETHICS Please answer ALL questions. We are not able to process an incomplete application. Answers will be verified. Have you/ your company ever been suject to disciplinary action by any state with respect to your license? * Select option... YES NO Upload File If Yes, please attach an explanation separately to this application. Any pending complaints? * Select option... YES NO Upload File If Yes, please attach an explanation separately to this application. Any pending lawsuits? * Select option... YES NO Upload File If Yes, please attach an explanation separately to this application. Have therer been any judgements against you/your company in the last 5 years (including arbitrations)? * Select option... YES NO Upload File If Yes, please attach an explanation separately to this application. LICENSING AND CERTIFICATION Remodelers or any company doing installation services must provide appropriate contractor license information for each jurisdiction where they do work. Please provide type(s) and number(s) and copies of each license. Associates must provide a general business license for each applicable jurisdiction and a copy. DC License Type#: DC License Upload MD License Type#: MD License Upload VA License Type#: VA License Upload EPA Lead-Safe Certified Firm? * Select option... YES NO If yes, please provide the following: Certification # Exp. Date: INSURANCE Liability Insurance Company: * Policy # * Certificate of Insurance (COI) Upload WORKERS COMPENSATION INSURANCE INFORMATION BY STATE PLEASE RESPOND FOR EACH JURISDICTION. DISTRICT OF COLUMBIA DC law states that you must carry Workers Comp if you have one or more employees. No exceptions. Do You carry DC Workers Compensation Insurance? * Select option... YES NO If yes, please give carrier and policy number. If no, why not? MARYLAND MD law states that you must carry Workers Comp if you have one or more employees. If you are an LLC and wish to exempt yourself from Workers Comp, please provide copies of the exemption form. Do You carry MD Workers Compensation Insurance? * Select option... YES NO If yes, please give carrier and policy number. If no, why not? VIRGINIA VA law states that you must carry Workers Comp if you have more than two employees and sub contractors are counted as employees in this instance. There is no exemption if you are an LLC. For more information please see https://www.vbgov.com/government/departments/commissioner-of-the-revenue/Documents/BL/Workers-Comp-Information-for-Contractors.pdf. Do You carry VA Workers Compensation Insurance? * Select option... YES NO If yes, please give carrier and policy number. If no, why not? WEBSITE/ DIRECTORY LISTING Please select up to 5 specialty categories to populate our online directory and allow consumers and fellow members to find you in our database. Additional directory categories can be purchased for $25 each. Invoices will be emailed for additional categories. Remodeler (Contractor, Design/Build, Trade Partner or Sub/Supplier providing product & 50% or more installation services) Contractor, Design/Build Additions Basement Remodeling Commercial Remodel Condo Remodel Design/Build Exterior Remodeling Green Building Remodeling Historic Renovations Interior Remodeling Kitchen/Bath Remodeling Sunrooms Universal Design Select up to 5 Trade Partner Asbestos/Lead/Mold/Radon Asphalt Concrete Decks/Patios/Fencing Demolition/Deconstruction Doors Drywall Electrical Elevators Excavation Fire/ Water Resoration Fireplaces/Chimney Sweep Flooring Garage Doors Gutters Handyman HVAC Insulation Landscaping Masonry Painting Plumbing Pools/ Spas Roofing Siding Stairs Tile Ventilation Waterproofing Windows Select up to 5 Sub/Supplier (providing product & 50% or more installation services) Cabinets Closets/ Organization Systems Countertops Doors Flooring Garages/Orgnization Systems Home Entertainment/Automation Kitchen & Bath Products Shower Doors/ Glass/ Mirror Tile Windows Select up to 5 Associate (Supplier, Manufacturer, Business Service, Professional Service) Supplier Appliances Bath Products Building Supplies Countertops Decking/ Fencing Doors Engineered Wood Fasteners Fireplaces Gutters Hardware Kitchen Products Lighting Millwork Outdoor Living/Kitchens Paint Plumbing Fixtures Pools/ Spas Roofing Siding Tile Tools Windows Select up to 5 Manufacturer Appliances Bath Products Countertops Decking Doors Engineered Wood Fasteners Fencing Fireplaces Flooring Gutters Hardware Kitchen Products Lighting Outdoor Living/Kitchens Paint Plumbing Fixtures Pools/ Spas Roofing Siding Tile Tools Windows Select up to 5 Business Professional Services Accounting/Bookkeeping/Payroll (wealth management) Advertising/Marketing Architect Attorney Business Coaching/Business Consulting Customer Satisfaction Surveying Dealership/Vehicles Dumpsters Engineer Finance (banking, credit cards, construction lending) Insurance (business vehicles, general liability, property, worker's comp) Interior Designer Pest Control Photography/ Videography Portable Storage Containers Promotional Items/ Signage Technology (website support/IT) Staffing (employee/ temporary) Select up to 5
