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Application for commercial term pricing.
CUSTOMER INFORMATION
(Required)
Trade Name
Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
FEIN Number:
Phone:
Fax:
Email:
Business Type:
(Required)
Select One
Corporation
Partnership
Individual
If Incorporated, What State?
Amount of Credit Requested:
Purchase Order Required:
(Required)
Select One
Yes
No
Parent Firm: (If Subsidiary)
Name
Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Your Product Line:
(Required)
List Principals, All Partners or Corporate Officers
List:
Name:
Title:
Address:
Add
Remove
Reccomended Contact for Financial Information:
Name:
(Required)
First
Last
Title:
(Required)
Email:
(Required)
Phone:
(Required)
Tax Exempt? Provide resale cert if applicable
(Required)
Select One
No
Yes
Credit References
Reference 1
Company Name
Address
City
City, State, Zip
Sold Since:
(Required)
Current Balance:
(Required)
Reference 2
(Required)
Company Name
Address
City
City, State, Zip
Sold Since:
(Required)
Current Balance:
(Required)
Reference 3
(Required)
Company Name
Address
City
City, State, Zip
Sold Since:
(Required)
Current Balance:
(Required)
Reference 4
(Required)
Company Name
Address
City
City, State, Zip
Sold Since:
(Required)
Current Balance:
(Required)
I AUTHORIZE YOU OR YOUR AFFILIATES TO INVESTIGATE THE CREDIT REFERENCES LISTED ABOVE:
Company Name:
(Required)
Date:
(Required)
Name & Title:
(Required)
Corporate Officer or Principal.
Consent
(Required)
I agree and authorize Transcor Recycling LLC.
Company Name:
Date:
Name & Title:
Corporate Officer or Principal.
Consent
I agree and authorize Transcor Recycling LLC.
Consent
(Required)
I agree to guaranty
IN CONSIDERATION OF THE EXTENSION OF CREDIT TO THE APPLICANT NAMED HEREIN, THE UNDERSIGNED, JOINTLY, SEVERALLY AND UNCONDITIONALLY GUARANTEE AND PROMISE TO PAY ALL AMOUNTS NOW OWING OR WHICH MANY HEREINAFTER BECOME OWING BY THE APPLICANT TO TRANSCOR RECYCLING LLC THIS IS A CONTINUING GUARANTY AND OBLIGATIONS ARISING HEREUNDER SHALL NOT BE AFFECTED BY ANY CHANGE IN TERMS OF INDEBTEDNESS, THE EXTENSION OF CREDIT BEYOND AMOUNTS SPECIFIED HEREIN, A CHANGE IN THE TERM OR TIME FOR PAYMENT, A CHANGE IN THE FORM OF INDEBTEDNESS OR THE ACCEPTANCE OF SECURITY OR COLLATERAL. TRANSCOR RECYCLING LLC SHALL NOT BE REQUIRED TO EXHAUST ANY REMEDIES AGAINST APPLICANT PRIOR TO EXERCISING RIGHTS GRANTED HEREBY.
SHOULD LEGAL ACTION BE NECESSARY TO COLLECT MONIES DUE ON THE ACCOUNT, I (WE) AGREE TO PAY INTEREST AT THE RATE OF 1-1/2% PER MONTH ON ANY PAST DUE AMOUNT, COURT COST AND REASONABLE ATTORNEY FEES. PLACE OF VENUE IS HILLSBOROUGH COUNTY, FLORIDA. I (WE) UNDERSTAND AND AGREE THAT TRANSCORS’ CREDIT TERMS ARE NET 30 DAYS FROM THE DATE OF INVOICE. I (WE) AGREE TO MAKE ALL PAYMENTS WITHIN TERMS. THE UNDERSIGNED, AS AN INDUCEMENT TO GRANT CREDIT, WARRANTS THAT THE INFORMATION SUBMITTED IS TRUE AND CORRECT.
General Conditions of Sale:
(Required)
I agree to GC of Sales: The undersigned certifies that the above information is true and correct, and Transcor may rely upon such information and representations in its decision to extend credit for purchases. The undersigned further agrees and covenants that any changes should immediately be brought to the attention of Transcor in writing. The undersigned agrees that this application is submitted for the purpose of obtaining credit and agrees to and binds its companies and/or corporations to all the following terms and conditions of sale on all sales from Kimmins Contracting Corp. d/b/a Transcor Recycling LLC (“Transcor”). 2. PAYMENT TERMS: Net 30 days from invoice date. A Time Price Differential (“TPD”) of 1.5% per month will be charged on accounts more than (30) days past due. The TPD is an annual rate of 18%. Notice to Owner (“NTO”) information is required and issued on a per job basis. NTO information is required before any materials are loaded or work is performed. 3. Should either party employ an attorney to enforce any provisions of the Agreement, protect its interest in any matter arising under this Agreement, recover damages for breach of this Agreement, or to enforce any indemnity provided for in this Agreement, then the party prevailing shall be entitled to recover from the other party all reasonable costs and expenses, including attorneys fees, expended or incurred in connection with such matter. As used throughout this Agreement, the term "attorney fees" shall be deemed to include all fees and costs, including the fees of the attorney and witness fees (expert and otherwise). Deposition costs, copying, and telephone charges and other expenses incurred before, at, or after trial or appeal (whether or not actually used in the trial or appeal), or in connection with any administrative proceedings, bankruptcy proceedings, or appeal from such proceeding, whether or not such costs would be taxable in such proceedings. 4. The undersigned hereby waive(s) any and all privileges and rights which they may have under Chapter 47, Florida Statutes, relating to venue, as it now exists or may hereafter be amended and further, the undersigned agrees that any legal action brought for collection of past due accounts, may be brought in the appropriate court in Hillsborough County, Florida. 5. A failure to make timely payment or a failure of any term of this application shall be deemed a breach of contract by the undersigned. Such a breach shall constitute and be deemed a breach of any other contract by and between the undersigned and Transcor. The undersigned agree(s) that upon breach of this or any other agreement with Transcor, Transcor may deduct from this agreement or any other agreement the amounts due and owing Transcor by the undersigned for the breach by the undersigned. 6. The undersigned is responsible for overweight trucks for non-Transcor deliveries. 7. PRICE AND TIME OF PAYMENT: The price of the goods shall be determined as of the date of quote and shall be paid in corporate check, cashier’s check or certified check and/or cash. The undersigned shall be responsible for payment of the goods as of the day of the order. Should the undersigned fail to pick up goods on the delivery date, said failure will not relieve the undersigned of its obligation to pay for goods. Any discrepancies in billing must be submitted in writing within ten (10) days of receipt of invoices. Failure to do so signifies acceptance of billing. 8. INSPECTION: The undersigned has a duty to inspect at the time and place of delivery and, if not rejected, the materials shall be deemed accepted by the undersigned. 9. REMEDIES: The undersigned(s) exclusive remedy and Transcor’s limit of liability for any and all losses or damages resulting from defective goods shall be limited to the purchase price of the particular goods purchased with respect to the losses or damages claimed. 10. The undersigned may not assign its rights or delegate its performance hereunder without the prior written consent of Transcor, and any attempt at assignment or delegation without such consent shall be void. 11. This contract is to be constructed according to, and under the Uniform Commercial Code and adopted by, the State of Florida. This document constitutes the full understanding of the parties and no term, conditions, understandings or agreements purporting to modify or vary the terms of this document shall be binding unless both parties sign writing thereto. 12. Any purchase order, invoices or request for materials by the undersigned shall be governed by the terms of this agreement. 13. The undersigned shall submit with each payment a designation of payment in a form acceptable to Transcor Recycling LLC, on which account the payment is to be applied. 14. Both parties hereby waive a right to trial by jury with regard to any issues, which may arise out of this document. 15. INDEMNIFICATION: The Applicant, at its own cost and expense, shall assume liability, indemnify, defend and hold harmless Transcor and its officers, employees, successors and assigns from and against any liability and all loss, costs, damages, expenses, including court costs, reasonable attorney's fees, reasonable appellate attorney's fees, paralegal fees and disbursements paid for or incurred by Transcor whether or not suit shall be commenced, on account of claims for whatever reason, including but not limited to personal injury, including death, sustained by a person or persons whomsoever, including employees of applicant, and for injury to or damage or destruction of property or person or organization, including loss of use thereof, arising out of or resulting before, after or in connection with the purchase or sale of any item by applicant from Transcor. This indemnity explicitly excludes indemnification by applicant for any negligence of Transcor Recycling LLC. I/We authorize Transcor Recycling LLC to seek credit information on my/our firm and myself from the above banks and firms.
Company Name:
Name & Title:
Corporate Officer or Principal.
Typed Name as signature:
Date
MM slash DD slash YYYY