Skip to content
301-782-7700
CONTACT US
Search for:
SERVICES
MATERIALS
ABOUT US
GALLERY
Credit Application
renardlakes
2023-08-14T13:26:33+00:00
Credit Application
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 6
Company Information
Company Name
*
Company Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
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
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Business Phone
*
Business Fax
Next
Company Details
Type Of Business
*
Years In Business
*
Company Type
*
Individual
Partnership
Corporation
LLC
Year Incorporated
*
Corporate Officers
Please provide the Full Name, Address, Telephone and Cell Phone Numbers of Owners and other authorized Corporate Officers.
Federal Tax ID
Tax Exempt Number (If Applicable)
Next
Credit Details
Estimated Credit Requested
*
Are Purchase Orders Required?
*
Yes
No
Contact Name For Accounts Payable:
*
Phone
*
Extension
Next
Credit References
Company Bank Name
*
Bank Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
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
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Bank Contact Name
*
Phone
*
Account Number
*
Next
Trade References
List 3 current accounts.
Reference 1
*
Provide Company Name, Address, Telephone Number & Contact Person.
Reference 2
*
Provide Company Name, Address, Telephone Number & Contact Person.
Reference 3
*
Provide Company Name, Address, Telephone Number & Contact Person.
Next
Contact Information
Name
*
First
Last
Phone
*
Email
*
Email
Confirm Email
Terms & Conditions
Terms Of Sale
*
I Acknowledge
Terms of Sales applicable to accounts with either D.C. Materials, Inc.
• All invoices are due and payable NET 30 DAYS from invoice date. No tickets will be sent with invoices.
• Service charges of 1½% per month for accounts over thirty (30) days past due.
• All accounts over sixty (60) days past due are placed on COD until payment is made.
• The undersigned agrees the Applicant/Customer will reimburse D.C. Materials, Inc. for all collection costs, including 25% attorney’s fees of the then unpaid balance of principal and interest and court costs, if the account is referred to an attorney for collection.
• Applicant waives the right to a jury trial in the event of a dispute over the account.
• We do not accept any contaminated, hazardous, toxic or regulated materials; nor wood, organic or decomposable materials. Applicant/Customer is responsible for insuring that no such unacceptable materials are brought to either D.C. Materials, Inc.
• All terms contained in the attached Conditions of Sale are incorporated herein with this reference.
• Signature of Applicant constitutes agreement to these terms.
Conditions Of Sale
*
I Acknowledge
1. All invoices are due net 30 days from the date of invoice. Interest shall be charged at 18% per annum (1.5% per month) for each month or part of a month which the invoice is late.
2. Customer agrees to pay all costs and expenses, including 25% attorneys’ fees, incurred by D.C. Materials, Inc. (collectively “Seller”) to collect any past due invoices.
3. Seller does not accept hazardous, contaminated or regulated materials at any of its Facilities. Customer agrees that all materials brought to any
Seller Facility are clean and free from contaminants. Customer warrants strict compliance with this standard. All materials brought to Seller shall
be subject to inspection by Seller personnel, and Seller shall have the absolute discretion and authority to reject any loads it deems unfit or
suspect. In the event that Seller determines that any materials brought to Seller does not comply with the terms of this paragraph, Seller shall
notify Customer, and shall have the right to return all such non-conforming materials back to the job site, and all costs and expenses of such
return shall be reimbursed by Customer to Seller within 10 days. Any inspection or right to inspect by Seller shall in no way reduce Customer’s
obligation and responsibility to comply with the terms of this paragraph.
4. D.C. Materials, Inc.’s normal operating/business hours (listed below) are subject to delay and/or closing due to holiday observance, weather,
traffic or other events or conditions at the discretion of D.C. Materials, Inc. Kenilworth Ave.: M - F: 6:30am to 4:00pm / Sat.: 6:30am to 11:30am *
5. The price of all loads brought to Seller shall be in accordance with the current published Seller price list, including prices for dirt, concrete, mixed loads, wet dirt, mud, or other acceptable materials. Seller shall make all determinations regarding the classification of materials (i.e., dirt, mixed loads, wet dirt, mud, etc.) brought to Seller in its sole and absolute discretion.
6. Any goods sold hereunder shall conform to the description contained herein, in accordance with construction industry standards. Crushed stone products may include recycled material. THE FOREGOING WARRANTY IS EXCLUSIVE, AND IN LIEU OF ALL OTHER WARRANTIES. WHETHER WRITTEN, ORAL, EXPRESS OR IMPLIED, INCLUDING A WARRANTY OF MERCHANTABLITY AND A WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE WHICH OTHER WARRANTIES ARE HEREBY DISCLAIMED. ANY CLAIMS UNDER THIS LIMITED WARRANTY SHALL BE MADE IN WRITING AND MAILED OR PHYSICALLY DELIVERED TO SELLER AT THE ADDRESS SHOWN ON THIS APPLICATION WITHIN 72 HOURS OF RECEIPT OF THE MATERIALS GIVING RISE TO THE CLAIM.
7. THE SIGNATURE OF THE CUSTOMER, OR THE AGENTS AND/OR REPRESENTATIVES OF THE CUSTOMER ON THE SALES TICKET SHALL BE THE
CUSTOMER’S UNQUALIFIED ACCEPTANCE OF, AND WAIVER OF ANY AND ALL CLAIMS WITH RESPECT TO, THE GOODS, THE DELIVERY OF WHICH IS HEREBY EVIDENCED. CUSTOMER HEREBY WAIVES ANY CLAIM BASED UPON ANY LATENT DEFECT IN THE GOODS IF SUCH CLAIM IS NOT MADE IN WRITING TO SELLER WITHIN 72 HOURS OF THE RECEIPT OF GOODS. THE CUSTOMER ASSUMES ALL RISK AND LIABILITY FOR THE RESULTS OBTAINED BY THE USE OF THE GOODS SOLD HEREUNDER. NO CLAIM OF ANY KIND, WHETHER AS TO GOODS DELIVERED OR FOR NON-DELIVERY OF GOODS, AND WHETHER OR NOT BASED ON NEGLIGENCE, SHALL BE GREATER IN AMOUNT THAN THE PURCHASE PRICE OF THE GOODS IN RESPECT OF WHICH SUCH CLAIM IS MADE. IN NO EVENT SHALL SELLER BE LIABLE FOR SPECIAL, INDIRECT OR CONSEQUENTIAL DAMAGES, WHETHER OR NOT CAUSED BY OR RESULTING FROM THE NEGLIGENCE OF SELLER.
8. Seller will not deliver goods inside the curb line of a job site, unless otherwise instructed by the Customer, or the agents and/or representatives of the Customer. If the Customer instructs that delivery be made inside the curb line, such delivery shall be made at the sole risk of the Customer,
and Seller shall be relieved from all responsibility for any damage to any curb, sidewalk, driveway, lawn or other property which occurs during
such delivery, including damage directly or indirectly relating to an overweight load. If the Customer instructs Seller or its operator to deliver
inside a curb line, such instruction shall constitute an implied representation that the Customer is acting as agent for the owner of the property
on which such delivery is made, and Customer shall indemnify and hold Seller harmless from any and all claims by such owner relating to such
delivery.
9. Seller reserves the right to exclude and ban, in its sole and absolute discretion, any driver(s) who do not conduct themselves in a safe,
professional and workmanlike manner.
10. Customer shall indemnify and hold Seller harmless from and against any and all claims, losses, liabilities, costs and expenses, including reasonable attorneys’ fees and costs arising out of or relating to (i) a breach of any representation, warranty or covenant of Customer hereunder; (ii) the violation of any law, rule, regulation or statute, including, but not limited to, any applicable environmental law or rule by Customer, and (iii) any nonperformance, failure to comply or breach by Customer of any covenant, promise or obligation of Customer contained herein.
11. The validity, interpretation and performance of this AGREEMENT shall be governed by the Law of the State of Maryland. No modification or
waiver of the terms and conditions hereof shall be binding upon Seller unless approved in writing by an authorized representative.
Your Name
*
First
Last
Title
Must Be An Officer Of The Company
Signature
Clear Signature
Submit
Page load link
Go to Top