Vendor Registration

Lakehead Constructors, Inc. appreciates the immense value of partnering with trusted, high-quality vendors. We know that competitive strength depends on the collective efforts of a diverse group of qualified vendors and partners. We aim to develop lasting relationships with registered vendors across a variety of industries.

If you wish to be one of our suppliers or subcontractors in the Upper Midwest region, fill out the following forms.

 

Company Information

Trade or DBA Name (as listed on invoices):
Legal Name:
Web Site:
Fax Number (General):
Fax Number (Purchase Orders):
Company Email:
Organization Type:
BranchFranchiseJoint VentureSubsidiaryHeadquarters or Single Location
Parent Company Country:
Parent Company Name:
Parent Company Address:
Parent Company City:
Parent Company State:
Parent Company Postal Code:
Parent Company Phone:

 

Company Address

Country:
Address:
City:
State:
Postal Code:

 

Mailing Address

Country:
Address:
City:
State:

 

Remit-To Address

Country:
Address:
City:
State:
Postal Code:
Email for Remittance Advice Notification:

 

Company Contacts

 

General Business Contact

First Name:
Last Name:
Title:
Phone:
Fax:
Email:

 

Sales Contact

First Name:
Last Name:
Title:
Phone:
Fax:
Email:
Country:
Address:
City:
Postal Code:
State:

 

Company Ownership

Type of Ownership:
CorporationLimited Liability Company (LLC)Non-ProfitCorporation, Subchapter CLimited Liability Partnership (LLP)PartnershipCorporation, Subchapter SLimited PartnershipTrustIndividual/Sole ProprietorMutual CompanyOther
Is the company at least 51% owned, operated and controlled by one or more U.S. Citizens?
YesNo
Supplier Size Classification:
Smalllarge
Diversity Information:
Small Business Administration 8(a) ProgramMinority-OwnedBlack CollegeWoman-OwnedMinority Educational InstitutionSmall Disadvantaged Business Enterprize (SDB)Education InstitutionNative AmericanVeteran-OwnedService-Disabled-Veteran-OwnedHUBZoneU.S. Government AgencyJWOD Non-ProfitNIB NISH

 

Diversity Information

Please Select Ethnicity:
Is your company presently certified as an MWBE with the National Minority Supplier Development Council (or local affiliate) , Women's Business Enterprise Council (or local affiliate), national Women's Business Owners Corporation or government agency?
YesNo
Are you listed on the U.S. Federal Government's Central Contractors Registry (CCR)?
YesNo
Primary business Role

 

Principal Owners

First Name:
Gender:
Last Name:
Ethnicity:
Email:
Percent Owned:
Title:

 

First Name:
Gender:
Last Name:
Ethnicity:
Email:
Percent Owned:
Title:

 

First Name:
Gender:
Last Name:
Ethnicity:
Email:
Percent Owned:
Title:

 

First Name:
Gender:
Last Name:
Ethnicity:
Email:
Percent Owned:
Title:

 

Financial Data

Select one or more if the payment types you company accepts:
American ExpressMasterCardVisaElectronic Funds transfer (EFT)Automated Clearing House (ACH)CashCheck
Primary Tax ID Type:
Primary Tax ID:

 

General Business Info

Number of Employees:
Number of Manual Employees:
Number of Non-Manual Employees:
Year Established:
Is you company signatory to any collective bargaining agreements?
YesNo
In which states are you authorized to collect sales taxes? (Check all that apply)
AlaskaAlabamaArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

 

Product and Service Descriptions

Give a brief description of your company's products and services:
Construction Division:
27 - Communications03 - Concrete14 - Conveying Equipment31 - Earthwork26 - Electrical48 - Electric Power Generation28 - Electronic Safety & Security11 - Equipment02 - Existing Conditions32 - Exterior Improvements09 - Finishes21 - Fire Suppression12 - Furnishings01 - General Requirements23 - Heating, Ventilating & Air Conditioning45 - Industry-Specific Manufacturing Equipment25 - Integrated Automation04 - Masonry41 - Material Processing & Handling Equipment05 - Metals08 - Openings22 - Plumbing44 - Pollution-Control Equipment43 - Process Gas & Storage42 - Process Heating, Cooling & Drying Equipment40 - Process Integration00 - Site Preparation13 - Special Construction10 - Specialties07 - Thermal & Moisture Protection33 - Utilities35 - Waterway & Marine Construction06 - Wood, Plastics & Composites
34 - Transportation
US DOT #:
Are there any other categories not listed above that your organization routinely performs? (please specify):

 

Product and Service Delivery Area

Please select all that apply:
NorthEastern USNorthWestern USNorthCentral USSouthEastern USSouthWestern USSouthCentral USInternational

 

Business Experience

Are you a current Lakehead Constructors subcontractor?:
YesNo

 

Project Performance Reference (Subcontractors or Suppliers with onsite Labor need to complete this Section)

Please provide information for at least three (3) projects/contracts completed within the last three (3) years.
* By filling out project performance references you give Lakehead Constructors, Inc. the authority to check references.
Project Owner:
Project Location:
Amount:
Purchaser/GC:
Contact:
Phone:
Project Completion Date:

 

Project Owner:
Project Location:
Amount:
Purchaser/GC:
Contact:
Phone:
Project Completion Date:

 

Project Owner:
Project Location:
Amount:
Purchaser/GC:
Contact:
Phone:
Project Completion Date:

 

Project Owner:
Project Location:
Amount:
Purchaser/GC:
Contact:
Phone:
Project Completion Date:

 

Project Owner:
Project Location:
Amount:
Purchaser/GC:
Contact:
Phone:
Project Completion Date:

 

Lakehead Constructors, Inc. Purchase Order Terms and Conditions

1. CONTRACT TERMS _ The Vendor identified on the face hereof (“Vendor”) agrees to sell, and Lakehead Constructors, Inc., (“Lakehead”) agrees to buy, the goods, articles, materials and services described on the face hereof (the “Goods”) for the price and on the terms of payment shown on the face hereof. Acceptance of this Purchase Order by Vendor, which can either be by written acknowledgement or by performance by Vendor, shall only be upon the exact terms and conditions contained in this Purchase Order. Lakehead objects to any different, additional or conflicting terms proposed by Vendor in any communication between the parties or otherwise (including on any of Vendor's invoices, acknowledgements, other forms or website), all of which shall be deemed material alterations of the order, unless Lakehead expressly agrees in writing to such terms. If there is any conflict between these terms and the terms of Vendor's forms or website, these terms shall govern.

 

2. WARRANTY _ In addition to its standard warranties, Vendor warrants to Lakehead that each product furnished hereunder and any component part thereof will be: (a) in conformity with the specifications in all respects and, if a non_custom product, fit for the purpose intended; (b) new (unless otherwise specified) and of good quality; (c) free from faulty workmanship, material, or design and (d) free and clear of all liens, claims, security interest or other encumbrances of any kind, with Vendor having good and marketable title thereto. Services furnished hereunder shall be performed in a skilled, professional and nonnegligent manner. Warranties shall not be deemed waived by reason of Lakehead's inspection or acceptance of any product or component part or by payment for them.

 

3. INSPECTION/ACCEPTANCE _ Vendor grants to Lakehead the right to visit the facilities of Vendor or it's subcontractors or suppliers to inspect material or determine progress of manufacture or shipment. Lakehead's acceptance shall not be deemed to occur until all products in the order have been received and/or installed and approved by Lakehead as conforming to the order. If any part of the product(s) received are not in accord with Lakehead's specifications, Lakehead shall have the right to cancel any unshipped portion of the order.

 

4. DELIVERY _ Unless otherwise expressly provided on the face hereof, the Vendor shall be obligated to make delivery F.O.B. at Lakehead's premises designated on the face hereof. All deliveries shall include a packing slip with this Purchase Order number. The specific quantity ordered must be delivered in full, unless partial deliveries are authorized, and must not be changed without Lakehead's written consent. Lakehead reserves the right to reject or cancel all or any part of the order, delivered or undelivered, if Vendor does not make deliveries as specified or scheduled. Any unauthorized quantity is subject to return at Vendor's expense. All invoices shall separately state the freight charges. Freight charges for back orders are Vendor's responsibility.

 

5. NO ASSIGNMENT OF ORDER _ Except for any payment due hereunder, the order may not be assigned, transferred or subcontracted by Vendor, in whole or in part, without the written approval of Lakehead.

 

6. TERMINATION FOR CAUSE _ Lakehead may terminate the order in whole or in part for cause without liability to Vendor by written notice to Vendor if Vendor defaults, fails to comply with the terms and conditions of the order, or makes an assignment for the benefit of creditors or becomes insolvent or subject to proceedings under any law relating to bankruptcy, insolvency or the relief of debtors.

 

7. TERMINATION FOR CONVENIENCE _ Lakehead may terminate the order in whole or in part for its convenience by written notice to Vendor. In the event of such termination, Vendor may claim its reasonable costs incurred prior to the effective date of termination plus, for custom products only, a reasonable allowance for profit on the portion of the work completed; provided, that the total sum payable upon termination shall not exceed the order price multiplied by the percentage of work completed and reduced by payments previously made. Completed work or raw material included in Vendor's cost shall be held for disposition in accordance with Lakehead's instructions and for Lakehead's account.

 

8. INDEMNITY _ Vendor agrees to indemnify and hold harmless Lakehead and its agents and employees from and against any judgment, liability, loss, damage or expense, and to assume at Vendor's own expense the defense of any claim or action brought by any person: (a) for injury to or death of persons or damage to property caused by or arising out of or in connection with products provided by Vendor under this order, except to the extent caused by the negligence of Lakehead; (b) for alleged infringement of patents, copyright, trademarks, trade secret or other intellectual property rights by reason of the possessions, use or sale of any goods furnished hereunder by Vendor or by reason of the performance of any services hereunder by Vendor; and (c) for failure to comply with the requirements of the section hereof entitled COMPLIANCE WITH LAW. Vendor waives any right to assert workers' compensation immunity against Lakehead under the foregoing.

 

9. FINAL PAYMENT _ Acceptance by Vendor of the final payment on the contract price shall be and shall operate as a release of Lakehead from all claims of Vendor arising out of or in connection with the order.

 

10. INDEPENDENT CONTRACTOR _ Vendor agrees that any services shall be performed by Vendor, its employees, agents, suppliers or subcontractors, as independent contractors, and not as employees of Lakehead, and that such persons doing work shall not be considered or represent themselves as employees or agents of Lakehead.

 

11. COMPLIANCE WITH LAW _ Goods supplied or services rendered by Vendor under the order shall comply with the Fair Labor Standards Act, the Occupational Safety and Health Act, the Federal Mine Safety and Health regulation, 30 USC §801 et. seq. and the standards and regulations promulgated thereunder, if applicable, as well as with all other applicable Federal, State, and local laws and regulations, including safety laws of the state where the goods supplied hereunder are to be shipped, laws relating to hazardous or regulated materials (with Vendor having sole responsibility for packaging, labeling and shipping of such materials, including notifying carriers and other handlers of any risks inherent in shipment of such materials).

 

12. INSURANCE _ Lakehead insures goods upon title of goods being transferred to Lakehead. If Vendor provides insurance to protect the merchandise until the actual receipt by Lakehead (e.g., terms of F.O.B. Destination), Vendor shall bear the expense of this insurance. Additionally, if Vendor is providing services on Lakehead's premises, Vendor must provide Lakehead with evidence of sufficient workers' compensation, employer's liability, commercial general liability, automobile liability and professional liability insurance in advance of providing the services.

 

13. PAYMENT DISCOUNTS _ Time, in connection with discounts offered, will be computed from the date of delivery or date of receipt of correct invoice, whichever is later.

 

Corp 067 Rev 12/12/18

 

Thank you for taking the time to register with us! We will contact you if we are in need of further information. Otherwise, we’ll be in touch about your registration shortly. Have any questions? Feel free to contact us anytime.