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Insurance Information

IMPORTANT!!! PLEASE READ THE INFORMATION BELOW: InstallerNet REQUIRES liability insurance. If you are a Mobile Electronics installer you are REQUIRED to have garage keeper's insurance where required by local law. If your company employs more than one (1) person other than yourself you will be REQUIRED to have worker's compensation insurance. Upon completion of this form you will be REQUIRED to fax proof of insurance, Naming InstallerNet as additionally insured, to InstallerNet within 30 days (978-279-0829) before being allowed to join InstallerNet.
Does your company have liability insurance?	YesNo
Does your company have garage keeper's insurance?	YesNo	Exp. Date
Does your company have worker's compensation insurance?	YesNo	Exp. Date

Company Name/Tax Information

InstallerNet requires a federal tax ID or SSN in order for us to do business with you. Please do not enter your SSN on this site! Please fax a copy of federal tax form W-9 to InstallerNet, which can be found here.
	Company Name	Tax ID (If in the US, DO NOT enter your SSN)

Contact / Company Information (complete a form for each location)

Company Contact		Address
Address Two		City
State		Zip Code
Telephone	- -	Fax Number	- -
e-mail address		Website

Where do we send the checks?

Company Name		Company Contact
Address		Address Two
City		State
Zip Code
Telephone	- -	Fax Number	- -
e-mail address

Insurance Replacement Opportunity

InstallerNet has recently partnered with a company in the insurance replacement industry. InstallerNet members who elect to participate in this program would be doing replacement installation services. If you would like to receive this additional business you must agree to the following stipulations:

I certify that my business has the ability to receive and safely store products until the time of installation.
Upon completion of the installation I will have the customer sign any paperwork provided by the insurance replacement company and fax it back per the instructions in the box.
Once the package arrives, you must contact the customer to schedule an appointment.
Before and After digital pictures are REQUIRED. You must have the ability to take and email digital pictures.

Do you want to receive insurance replacement business? Yes No

Background Check Compliance

InstallerNet requires all installers who are deployed to perform installations at residences or businesses to have up-to-date background checks maintained by their employer.

Please check here if you can meet this requirement: Yes No

If Yes, please provide the name of the organization who performed these background checks:

If No, above, please provide an explanation:

Terms of Agreement

By accepting the terms of InstallerNet's requirements, I also agree that the above named company or individual will indemnify, defend, and hold harmless InstallerNet for all installations performed in our relationship with InstallerNet.

InstallerNet Requirements:
Each installation provider is required to carry a current Liability insurance policy. Proof of Liability insurance, naming InstallerNet as additionally insured and W-9 must be faxed to InstallerNet within 30 days at 978-867-6734. Our clients and their customers must be able to contact you during normal business hours for service. Voice Mail, a cell phone, or pager is acceptable provided calls are returned before the end of the following business day. You must warranty your installation work for a.) as long as the customer owns the vehicle for Mobile Electronics or b.) for three (3) years for Home/Commercial Electronics. You must notify the customer of any additional parts and labor cost required before beginning the installation. Intentionally switching customers to your products resulting in the return of our client's merchandise is not permitted. If the wrong product is sold (example: wrong size speakers), ask the customer to return to our client for an exchange. Upon completing the installation, all product packaging, instruction manuals, unused pieces or installation parts (speaker grills, speaker wire, face plate trim rings, etc.) must be returned to the customer. You should make every effort to provide the installation quickly for the customer. Schedule these installations the same as you would for any other customer. Do not adopt a practice of only allowing these installations on certain days or extended waits relative to your other customers. There may be instances when a product proves defective and requires swapping out. Accommodate this customer by removing the product for them to return to our client and then re-install the repaired or replacement product provided. In the event of the installed product being defective, it is advisable to have the customer confirm that their product is still under warranty before you remove it so there is no confusion or customer disappointment. You will be paid 50% of the contractor labor rate for the product category to remove and reinstall a replacement product. The customer is responsible to pay for the R&R charge unless otherwise specified by the client. InstallerNet contractor understands that they are not an agent or representative of InstallerNet's clients, and their relationship is solely with InstallerNet. InstallerNet, upon its sole discretion, has the right to accept or reject any application. Upon application approval you will be contacted regarding specific client service requirements and mutually agreed upon labor rate charges.

Mobile Electronics specific conditions:
Each physical installation location is required to carry a current Garage Keepers insurance policy. Proof of Liability insurance, naming InstallerNet as additionally insured and W-9 must be faxed to InstallerNet within 30 days at 978-867-6734. A vehicle-condition inspection MUST be performed before and after the installation to ensure that the vehicle is returned to the customer in the condition it was provided. Any damages that occur while the customer's vehicle is in your custody are your responsibility. Items removed from the customer's vehicle to facilitate installation of new equipment are the property of the customer and must be returned to the customer after the installation. This includes factory radio, speakers, etc.

By pressing submit, I certify that I have read, understood, and agree with InstallerNet Requirements and that all the information above is complete and accurate.

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