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Customer No: |
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For Internal Use Only |
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Phone:
1-888-766-4242 Credit Fax: 410-689-1854 |
APPLICATION FOR
BUSINESS CREDIT
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Date |
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Business Type o Corp - State of |
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Customer’s Full Legal Business Name or Individual Name |
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D/B/A or T/A |
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Street Address |
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City/State/Zip |
County |
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Mailing Address o same as above |
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City/State/Zip |
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Office Phone |
Office Fax |
Years in Business |
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Type of Products/Services you provide |
Resident Agent |
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Federal ID# |
State Contractors License# |
Line of Credit Requested: |
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Corporate Office Location: Name
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Address |
Phone#/Fax#
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LIST OF PRINCIPALS Please
list the names and phone number of all Officers, Partners, Proprietors, Owner,
Members below. |
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Name Title Phone# SSN# |
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1. |
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2. |
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3. |
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4. |
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Has any of the companies or
individuals listed above ever been a debtor in a bankruptcy proceeding? |
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Has any judgment ever been entered
against any of the companies or individuals listed above? |
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Are there any legal actions or
arbitrations pending against any companies or individuals listed above? |
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Bonding Agent: Name |
Phone# |
Ext# |
Fax# |
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Person to contact regarding
invoices: |
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Do you desire any special billing
requirements? o Yes o No If Yes, please specify |
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Note: We will try to accommodate your needs but cannot always guaranty these arrangements due to time and or data processing constraints.
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TRADE REFERENCES
You must list at least FOUR
references with whom you have traded with in the last year. • Do NOT list
utilities, overnight mail, credit card companies, or your affiliate
companies. • Complete all the information requested below, INCLUDING
THE FAX NUMBER. |
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Company Name |
City/State |
Phone# |
FAX# |
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Company Name |
City/State |
Phone# |
FAX# |
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Company Name |
City/State |
Phone# |
FAX# |
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Company Name |
City/State |
Phone# |
FAX# |
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BANK REFERENCES |
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Bank Name |
City/State |
Phone# |
Contact
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Account Type |
Account Number |
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TERMS AND CONDITIONS OF CREDIT
·
Payment is due net-30 days
from the invoice date. However, in the event that an account Customer elects to
pay on their account with a credit card the payment is due on receipt of
material. Payments must be made from invoices, not statements. A finance charge
of 1% per month will be charged on past due accounts. A $35.00 return check fee
will be charged each time a check is returned from the bank.
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Sales taxes are charged on all
materials and rentals to all Customers unless a tax exempt certificate is on
file at Aggregate Transport Corp (AGG)/The Stone Store’s (SS) office. Waiting
time will be charged on all job sites after the first 15 minutes. Charges are
then based on 15 minute increments. Minimum haul policy: haul rates are based
on full truck load volumes only, partial load deliveries will be invoiced at
the full truck load rate (22 tons); the full truck load rate includes all
geographical areas.
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Any modifications to these
Terms and Conditions must be agreed to in writing by AGG/SS. Customer hereby
authorizes AGG/SS to contact bank and trade references at any time for the
purposes of credit extension and review of credit account. AGG/SS reserves the
right to suspend, limit, or change credit terms at any time. If requested by
AGG/SS, Customer agrees to provide any project and bond information within 5
days of request.
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If Customer notices an error
on its invoice, Customer must contact AGG/SS in writing within 5 days of the invoice
date, stating the invoice number, amount of error, the reason for error, and
provide any documentation to support Customer’s claim. Invoice charges will be
considered valid if no written dispute is on file. In the event of a pricing
dispute, only the AGG/SS quotes will be honored. WE DO NOT HONOR VERBAL PRICES.
Purchase orders, and other documents do not replace, modify, or void these
credit terms at any time unless authorized in writing by AGG/SS. If Customer
requires the use of purchase orders and/or reference numbers we must have a
hard copy. The hard copy must include your authorizing signature. We cannot
ship material without a copy of your required purchase order and/or reference
number. It is Customer’s responsibility to fax and call in the appropriate
purchase order and/or reference number. If Customer requires these numbers on
invoices, make sure Customer’s purchasing staff is aware of our policies. In
the event of a conflict between these Terms and Conditions of Credit and any
other documents, these Terms and Conditions of Credit will prevail.
Discrepancies in quantity or quality of any material delivered must be called
into our dispatch department on the date of delivery. AGG/SS is not responsible
for damages due to weather conditions, poor job site conditions, and Customer’s
failure or delay in notifying AGG/SS of any discrepancies of delivered
materials or services.
·
All shipments to any one
project shall be considered part of a specific continuing contract related to a
single project. Any lien and bond waivers will be effective only to the extent
of the total dollar amounts actually received, deposited, and cleared from the
bank on which the check is drawn. AGG/SS reserves the right to suspend or
refuse orders due to non-payment of past due balances without prior notice
until payment in full is made or any dispute is resolved. AGG/SS shall not, in
any event, be responsible for any damages due to delays in supply of any labor
or materials. For sums justly due and undisputed amounts, the Customer agrees
and understands that Customer shall not set off, deduct, or charge back any
claims it has or may have against this account, that Customer has no other
interest or property right in or to the funds to be paid to AGG/SS, and
irrevocably assigns to AGG/SS its accounts receivable from each project
owner/contractor.
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Estimating: Any measurements,
material take offs, and/or material quantity estimates given by AGG/SS