New Supplier Registration for Oregon 2019

About Covendis

Covendis is a vendor-neutral Managed Service Provider (MSP) that operates its own Vendor Management Solution (VMS). Clients engage Covendis to provide temporary staffing services and manage a network of qualified staffing suppliers.

The benefit of the vendor-neutral system to staffing suppliers is that Covendis does not compete with its suppliers for staffing services, ensuring a level playing field and open competition for positions. Covendis staffing suppliers receive all eligible opportunities simultaneously. This model has been extremely successful, with over 250 suppliers participating across various MSP programs.

Registration

Covendis shall evaluate applicants on criteria including capabilities, experience, pricing, references, background, and financial evaluation of the firm and its principals. Covendis, at its sole discretion, shall select firms with which to negotiate and subcontract. The term of subcontracts shall generally be for one year periods and will be renewed each year for one year increments based on quality, pricing, and performance.

Your company must have been in business at least 2 years to qualify. If you cannot provide at least 2 years of financial history you will not be elligible to join the Covendis network.

Thank you for your interest in the Covendis MSP. We look forward to recieving your application. The deadline is July 27, 2019.

Please send all questions to customercare@covendis.com.

You may save your progress at anytime and return later by selecting Save at the bottom of this form. You will need to create an account using the option below to use this feature.

Save & Return

Use an account to return to saved work.

Policies and Procedures

Download the Policies & Procedures for all States using the link below. The document includes rules and best practices along with insurance requirements. It is in your best interest to familiarize yourself with the content of this document.

Download the Policies & Procedures here.

Key Contact

First Name *

Last Name *

Job Title *

Phone Number *

Email Address *

Company Overview

Company Information

Legal company name *

Tax identification number/SSN *

DUNS number

Corporation type *

C-Corp

S-Corp

LLC

Sole Proprietor

State of incorporation *

Headquarters location *

Year business formed *

Current number of people employed * 🛈

Are you currently offering minimum healthcare coverage to all employees as per the Affordable Care Act? *

Yes

No

Please provide the reason you are not currently offering minimum healthcare benefits to your workers as per the Affordable Care Act. *

Company Documentation

Summary financials (e.g. P&L, Balance Sheet, Cash Flow) for the last three years. * 🛈

W-9 * 🛈

Certificate of Good Standing/Existence * 🛈

Please order an InfoCubic Commercial Credit Report from https://secure.infocubic.net/covendis/covendisVMS.asp and attach it below.

If there is any negative information on your Commercial Credit Report, such as tax liens, please submit documentation to show the situation has been resolved or is being disputed.

If you have any issues with your order, contact Infocubic directly at (877)-360-4636.

InfoCubic Commercial Credit Report * 🛈

Dispute documents

Does the Proposer have any outstanding unresolved tax liens or unpaid Federal or State taxes? *

Yes

No

Please explain the tax lien *

Tax documentation

Business Classifications

Please identify which business certifications apply to your company.

You must attach a certificate for all selected certifications.

Federal Business Certifications

For more information, please visit www.sba.gov.

Small Disadvantaged Business (SDB) (No certificate required) *

Yes

No

8(a) *

Yes

No

8(a) Certificate *

HUBZone *

Yes

No

HUBZone Certificate *

Service-Disabled Veteran Owned Small Business (SDVOSB) *

Yes

No

SDVOSB Certificate *

Women-Owned Small Business (WOSB) *

Yes

No

WOSB Certificate *

National Business Classification

For more information, please visit www.nmsdc.org or www.wbenc.org.

National Minority Supplier Development Council (NMSDC) *

Yes

No

NMSDC Certificate *

Women's Business Enterprise National Council (WBENC) *

Yes

No

WBENC Certificate *

Oregon Business Classification

Minority Owned Small Business (MBE) *

Yes

No

MBE Certificate *

Women Owned Small Business (WBE) *

Yes

No

WBE Certificate *

Emerging Small Business (ESB) *

Yes

No

ESB Certificate *

Disadvantaged Business Enterprise (DBE) *

Yes

No

DBE Certificate *

Company Experience

Are you currently doing business with Covendis under a different program, division/affiliate, etc? *

Yes

No

Please explain *

Do you currently have staff placed at a Covendis client through a subcontracting arrangement with another supplier? *

Yes

No

List all staff, positions, and clients *

Has the Proposer been debarred by any public agency or institution (including Federal, State, or Municipality) during the last 10 years? *

Yes

No

Please explain debarrment *

Business References

List three references for staffing services provided by your company within the last 2 years.

Reference 1

Reference 1 First Name *

Reference 1 Last Name *

Reference 1 Phone Number *

Reference 1 Email *

Reference 1 Work performed *

Reference 2

Reference 2 First Name *

Reference 2 Last Name *

Reference 2 Phone Number *

Reference 2 Email *

Reference 2 Work performed *

Reference 3

Reference 3 First Name *

Reference 3 Last Name *

Reference 3 Phone Number *

Reference 3 Email *

Reference 3 Work performed *

Resource Availability

Please list any states you currently work in *

+-

Select all categories for which you currently provide contractors

Please list any states you could work in within the next 6 months

+-

Select all categories for which you could provide contractors within the next 6 months

Qualification Summary

Provide an Executive Summary for the proposed staffing services. * 🛈

Executive Summary

Describe your recruiting process *

Describe how you would ensure the quality and competitive rates of resources placed with our clients *

Describe your ability and experience paying resources on a timely basis *

State whether any resources will be subcontracted and describe the subcontracting arrangements *

What markup will you apply for staff pre-identified by our clients (e.g. former employees or contractors) vs. contractors that you recruited? *

For subcontractors (e.g. independent contractors, corp-to-corp, etc.) what markup will you apply to the underlying rate? Will that rate be capped at a certain amount? What is that amount (per hour)? *

What discounts would you offer our clients? * 🛈

Program Documentation

For the State(s) indicated, please download and sign the Agreement, and then upload the signed Agreement along with required Certificates of Insurance.

Contract changes or redlining will NOT be accepted.

Insurance requirements can be found in Schedule A of each State/Customer Agreement. Make sure your insurance company receives a copy of each State's requirements.

For each State, verify that the certificate holder section is completed:

Covendis/[Program name]

200 Walker Street SW, Suite B

Atlanta, GA 30313

All insurance requirements must be spelled out completely on the COI (e.g. if your Professional Liability fulfills a cyber requirement, etc.).

State of Oregon

Oregon requires both a signed Agreement and Flowdown (signature on p. 30).

Download State of Oregon Agreement

Download State of Oregon Flowdown

Signed Oregon Agreement, Flowdown, and Certificate of Insurance *

Signature

By signing, you agree that all responses contained within this application are true, subject to verification, and that incorrect or misleading statements may be grounds for application rejection or contract termination.

*

clear

First Name *

Last Name *

Email *