Step 1 of 2

Vendor Onboarding Application

Complete all sections below. You'll review and sign our Subcontractor Agreement on the next step.

Your Information

Agreement & Signature

1Contact Information

Company Name*

Entity Type*

Owner First Name*

Owner Last Name*

Email Address*

Phone Number*

Street Address*

City*

State*

ZIP Code*

EIN / TIN (if company)

SSN Last 4 (if individual)

2License & Trade Information

Primary Trade*

License Status*

License Number

License State

License Expiration Date

3Insurance Information

Insurance Carrier*

Policy Number*

Insurance Expiration Date*

Coverage Amount ($)*

Certificate of Insurance (COI) Upload *

Your COI must list the following as Additional Insured and Certificate Holder:

Description of Operations:

Kennedy Venture Capital, LLC., Kennedy Home Renovation, LLC., Kennedy Holdings 1, LLC., Kennedy Property Service, LLC., and their subsidiaries and affiliates are named as an additional insured on a primary and non-contributory basis.

Certificate Holders:

Kennedy Venture Capital, LLC., Kennedy Home Renovation, LLC., Kennedy Holdings 1, LLC., Kennedy Property Service, LLC.
2627 Forest Meadow Ln, Lawrenceville, GA 30043

Click to upload COI (PDF preferred)

PDF, JPG, or PNG accepted

4Additional Notes (Optional)

Kennedy Venture Capital, LLC. · 2627 Forest Meadow Ln, Lawrenceville, GA 30043