State of Tennessee Registration (Existing Sub-Vendors)

About Covendis

Covendis is a vendor-neutral Managed Service Provider (MSP) that developed and operates its own Vendor Management Solution (VMS). Clients, like the State of Tennessee, engage Covendis to manage a network of qualified staffing sub-vendors who provide hourly and project-based temporary staffing.

Covendis does not compete with its sub-vendors to fulfill client requests, ensuring a level playing field and open competition for positions. Covendis staffing sub-vendors receive all eligible opportunities simultaneously.

About the Application:

1. Create a Formsite account by clicking "Log In" below.

2. Save your Formsite credentials in a secure place and share them with your team. You will need them to access your application.

3. Save your progress at any time. Do not submit until the application is completed

4. Sign both signature pages of the Supplier Agreement.

5. Please pay close attention to the requirements in the policies and procedures.

6. Please verify your insurance coverage before submission and make sure the certificate holder section is completed as follows:

Covendis/State of Tennessee

200 Walker Street SW, Suite B

Atlanta, GA 30313

Please submit any questions to tennessee@covendis.com.

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 *

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. *

Select "Yes" to receive your 1099 electronically (RECOMMENDED) and provide the email address to which it should be sent *

Yes

No No

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 use the link below to create a new Info Cubic Account and order a Business Credit Check.

https://infocubic.com/covendis

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 (associated with lien)

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 *

Company Experience

Please list any states you currently work in *

+-

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

+-

Select all categories for which your company currently provides contractors

How many years of staffing experience do you have in the IT labor category? *

How many years of staffing experience do you have in the Accounting labor category? *

How many years of staffing experience do you have in the Admin/Clerical labor category? *

How many years of staffing experience do you have in the Call Center labor category? *

How many years of staffing experience do you have in the Data Entry labor category? *

How many years of staffing experience do you have in the Education labor category? *

How many years of staffing experience do you have in the Insurance labor category? *

How many years of staffing experience do you have in the Legal labor category? *

How many years of staffing experience do you have in the Light Industrial labor category? *

How many years of staffing experience do you have in the Marketing labor category? *

How many years of staffing experience do you have in the Medical/Healthcare labor category? *

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

How many years have you worked in the public sector? *

How many years have you worked in the private sector? *

How many managed service providers have you worked with? *

How many placements has your company made in the past year? *

Approximately what percentage of your company's placements were in the public sector? *

Approximately what percentage of your company's placements were in the private sector? *

Program Documentation

Please download and sign the MSP/VMS Supplier Agreement 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 the agreement. Make sure your insurance company receives a copy of the requirements.

The certificate holder section should be:

Covendis/State of Tennessee

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 Tennessee MSP/VMS Supplier Agreement

State of Tennessee Insurance Guide

Subvendors who do not meet the professional liability insurance requirements will be enrolled in the retainage program.

State of Tennessee Insurance Retainage Guide

*

I have read the Certificate of Insurance Guide and my Insurance meets the minimum requirements.

Signed Tennessee Agreement * 🛈

Tennessee 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 *