Contact Us at  1-800-505-0357  
Vendor Program
* Mandatory Fields
1. Business status: (Please select one)
 Individual
 Partnership
 LLC
 LP
 Corporation
 Non-profit
 Sole Proprietor
 Franchise
2. Is your company:
 Small Business
 Minority-owned
 Woman-owned
 Disabled veteran-owned
 Other
3. Legal Company:
a. Name*:
b. State of Incorporation*:
c. Year Incorporated*:
d. DBA*:
e. Total number of Years in business:
f. DUN’s number:
4. Address:
Street*:
City, State, Zip Code*:
Corporate phone #*
Corporate Fax #
5. Contact :
Name*:
Title:
Email*:
Phone #
Fax #:
Website URL:
6. Eligible to do business in:
a. All states of North America    Yes  No
b. Selected states:
c. Other:
7. Please select all job categories you are able to provide consultants:
a. Accounting
b. Administrative/Clerical
c. Computer/IT
d. Management Professional
e. Technical
f. Other:
8. Do you sponsor:
 H1B visa?
 Green Card?
 Relocation expenses?
 Face2Face interview expenses?
9. How many W2 employees does your company have?
10. How many 1099 does your company have?
Financial and Insurance Information
The following items MUST be provided in order to complete the qualification process.
General Liability $2 million aggregate, $1 million each occurrence
Automobile Liability $1 million combined single limit
Workers’ Compensation statutory, as required by the state in which the AV is providing employees
Employer Liability $1 million or stop gap coverage for monopolistic states
Professional Liability $1 million
Excess Liability (umbrella) Needed if excess liability is to go over GL, AL, and EL policy amounts to fulfill each of these requirements.
1. A copy of your company’s audited financial statement.
2. A copy of your company’s insurance certificate.
 
 Copyright © 2010, Sahasra Technologies. All rights reserved. Home | Privacy Policy | Sitemap