Fillable Contractor Business Profile (City of Oakland)

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Contractor Business Profile (City of Oakland)

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File type: PDF

U.S.A. forms for City of Oakland

BROWSE CITY OF OAKLAND (CA) FORMS

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Contractor Business Profile
©2021 Finance of America Commercial LLC is licensed or exempt from licensing in all other states | | NMLS ID #1133465 | 6230 Fairview Rd, Suite 300,
Charlotte, NC 28210 | (800) 227-8107 | AZ Mortgage Banker License BK #0926974 | Loans made or arranged pursuant to a California Finance Lenders Law
license | Finance of America Commercial LLC only makes mortgage loans for business purposes. REV. 02.08.2021
Page 1
Borrower Name:
CONTRACTOR PROFILE:
Business Entity Name
Street Address
City
State
Zip Code
TYPE OF BUSINESS:
Sole Proprietor
Partnership
Corporation
Limited Liability
BUSINESS OWNERSHIP INFORMATION:
Business Owner’s Name (s)
Name:
% of Ownership:
Name:
% of Ownership:
Address:
Email:
Fax:
;
EIN Number:
Years in Business:
CURRENT CONTRACTING LICENSE INFORMATION:
State Issued
License #
Issue Date
Expiration Date
License Type
License Status
BUILDING EXPERIENCE (check all that apply):
Residential (1-4 unit)
Condos
Multi-Family
Mixed-Use
Commercial
CONSTRUCTION TYPE CONCENTRATION
(Avg. % of time working on each – must add to 100%):
Remodel/Rehab:
%
New Construction:
%
Production/Tract Builder:
%
COMPLETED PROJECTS/SALES HISTORY:
Year
Yearly Gross Sales
Yearly Projects Completed
Type of Project (S)
2020
2019
2018
Contractor Business Profile
©2021 Finance of America Commercial LLC is licensed or exempt from licensing in all other states | | NMLS ID #1133465 | 6230 Fairview Rd, Suite 300,
Charlotte, NC 28210 | (800) 227-8107 | AZ Mortgage Banker License BK #0926974 | Loans made or arranged pursuant to a California Finance Lenders Law
license | Finance of America Commercial LLC only makes mortgage loans for business purposes. REV. 02.08.2021
Page 1
SAMPLE OF PROPERTIES BUILT:
Address
Scope
(ground up, rehab)
$ Construction
Budget
Build Time (Time from
start to completion)
REFERENCES (CURRENT SUPPLIERS)
Company
Contact Person
Phone
Type
PLEASE PROVIDE THE ADDITIONAL ITEMS LISTED BELOW WITH THE EXECUTED CONTRACTOR
PROFILE FORM.
1. COPY OF CONTRACTOR/BUILDERS LICENSE
2. COPY OF CONTRACTOR DRIVERS LICENSE
3. W-9
4. EVIDENCE WORKMANS COMPENSATION INSURANCE
5. EVIDENCE OF COMMERCIAL GENERAL LIABLITY INSURANCE
6. FACo GC Consent Form
RELEASE AUTHORIZATION
I have prepared and reviewed this Questionnaire, including additional paperwork. I hereby certify,
represent and warrant that all statements are accurate to the best of my knowledge. I authorize Finance
of America Commercial LLC, its affiliates, servicers, successors and assigns, to obtain references for the
business and principal associated with this loan, to verify and reverify any information contained in this
Questionnaire, and/or to obtain any information or data relating to this loan, for any legitimate business
purpose through any source, including any source or reference named in this Questionnaire or a
consumer reporting agency.
Signature:
Print Name:
Title:
Date:
Contractor Business Profile
©2021 Finance of America Commercial LLC is licensed or exempt from licensing in all other states | | NMLS ID #1133465 | 6230 Fairview Rd, Suite 300,
Charlotte, NC 28210 | (800) 227-8107 | AZ Mortgage Banker License BK #0926974 | Loans made or arranged pursuant to a California Finance Lenders Law
license | Finance of America Commercial LLC only makes mortgage loans for business purposes. REV. 02.08.2021
Page 1
Only Complete the following if you are not providing a copy of workers comp insurance:
This Statement of Exemption from Worker’s Compensation is made this ______ day of
___________________, ______ by _______________________________________________ (hereinafter
referred to as the “Contractor”). Contractor has contracted with
________________________________________________ (the “Borrower(s)”) for the purposes of
construction and/or remodeling a residence at
________________________________________________________________ (the “Property”)
______________________________________________________________________________
Information About the General Contractor (check the appropriate box):
Contractor has no employees, in the field or office staff. All work is “subcontracted out”, and therefore,
the Contactor would not be required to carry Worker’s Compensation Insurance.
Worker’s Compensation is included in my State’s licensing fees. Applicable state(s) are as follows:
Draw Disbursement
Please fill out the following only if the Contractor (you) will be receiving draw disbursements directly from the
Lender**:
Contractor Account Name:
Address:
Bank Name:
ABA Routing #:
;
Account Name:
Account #:
** By signing this Contractor Questionnaire (the “Questionnaire”), Contractor agrees to receive Initial and
Subsequent Disbursements as directed herein and to allocate the payments as required. Contractor shall
at all times comply with the terms of the Contractor Consent and Acknowledgment. Contractor
acknowledges that funds provided for a draw are remitted for draw funds on behalf of the Borrower and
are not to be implied or directed as payment for services to the Contractor by either the Borrower or
Lender unless otherwise identified.
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Contractor Business Profile (City of Oakland)

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Completed 15 April 2021

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