Conroe Tyler Doing Business As (DBA): City: State: Zip: City: State: Zip: Phone: Fax: Web:

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1 Sales Rep: Cell #: Credit Application Contractors Building Supply Co., LLC Corpus Christi San Antonio Houston Conroe Tyler Longview Austin Dallas/Fort Worth FULL LEGAL NAME: Doing Business As (DBA): MAIN ADDRESS: BILLING ADDRESS: Phone: Fax: Web: PARTNERSHIP CORPORATION LLC INDIVIDUAL OTHER Nature of Business: Date of Incorporation: President: Vice President: Secretary: Accounts Payable: BANK REFERENCE Account No: Phone: Fax: CREDIT REFERENCE Company: Account No: 3 CREDIT REFERENCES ARE REQUIRED CREDIT REFERENCE Company: Account No: CREDIT REFERENCE Company: Account No:

2 AUTHORIZATION Purchase Order Number (PO#) Required? Yes No Job Number Required? Yes No Will it be necessary to keep an up to date list of persons authorized to charge? Yes No (If yes, attach a list of names authorized to charge. Any updates to list must be submitted in writing.) SALES TAX INFORMATION (Select One) All transactions are taxable. All transactions are tax exempt. (If tax exempt, complete the following) I certify that, unless I advise you to the contrary in writing, that all property and/or services purchased or leased are tax exempt because: (Check One) Property and/or services will be resold or rented in ordinary course of purchaser s business conducted under State Tax License #: Property and/or services will be used in organization with State Tax Exempt #: Other valid reasons. (If other valid reason applies, submit a separate exemption certificate) The provisions of this certificate are part of every transaction between parties herein. I am authorized to execute this certificate and claim the exemption. Misuse of this certificate by the seller, lessor, buyer, lessee or representatives, is punishable by fine and/or imprisonment. TERMS, FINANCE CHARGES & COLLECTION We hereby apply for credit for the above named entity, and agree to the terms listed below. In consideration of your extending credit and in further consideration of the rental of equipment and sales of supplies from Contractors Building Supply Co., LLC, we, the undersigned, do hereby jointly and individually guarantee the payment by said indebtedness. Terms are net 30 days from invoice date. If payment is not received within 60 days of invoice date, your account may be subject to prelien notices. In the event of a default, the applicant and/or guarantors shall pay all costs of collection including (but not limited to) court costs, private process service (if any) and attorney fees of twenty-five percent (25%) of the past due principal. This is your authority to charge interest at one and one-half (1-1/2%) per month on all accounts past due: We, the undersigned, further waive notice of non-payment of the account by the said company and further agree that all or any of the undersigned may be held jointly and/or severally liable. You are authorized to charge to said account all orders by any of us, or our agents, until such time as you shall receive certified written notice to the contrary. This is a continuing and absolute guarantee. This guarantee cannot be revoked unless a certified letter, return receipt requested, is received by Contractors Building Supply Co., LLC. Any revocation shall be only effective for debts not already incurred. The undersigned hereby waive notice of acceptance of this guarantee, notice of the performance of work, notice of the amount of indebtedness, and notice of any extensions of time for payment. The parties hereto waive all exemptions to which they may be entitled, including the homestead exemption. We also grant the right to check all factors pertinent to a fair evaluation of establishing credit and credit worthiness including but not limited to the following: (1) obtain credit bureau or similar reports on our organization and/or ourselves individually and (2) contact credit references for information relative to the extension of credit. This agreement constitutes the entire agreement between the parties. There are no agreements, express or implied, which are not otherwise contained herein. Signature: Printed Name: Title: Date: You may submit this form in person to any rental location, via or fax to: Credit@TeamCBS.com Fax:

3 Sales Rep: Cell: PERSONAL GUARANTEE THE UNDERSIGNED, DO(ES) HERBY PERSONALLY GUARANTEE PAYMENT IN FULL, WITHOUT RESERVATION, OF ALL PAST, PRESENT AND FUTURE ACCOUNTS, CHARGES, OBLIGA- TIONS OR DEBTS DUE TO CBS INCURRED BY THE COMPANY OR BUSINESS NAMED IN THIS APPLICATION IN ACCORDANCE WITH THE TERMS AND CONDITIONS SET FORTH IN THIS APPLICATION AS MAY OR HAVE ACCRUED EITHER BEFORE OR AFTER THE EXECUTION OF THIS APPLICATION, CBS IS HEREBY AUTHORIZED TO GIVE THE COMPANY, AND I/WE HEREBY GUARANTEE PAYMENT OR ANY AMOUNT OR CREDIT AND VARYING AMOUNT OF CREDIT AT DIFFERENT TIMES ABOVE OR BELOW ANY INITIAL CREDIT LIMIT AS MAY BE ESTABLISHED BY CBS AS A RESULT OF THIS APPLICATION. THIS PERSONAL GUARANTEE SHALL REMAIN IN FORCE AND EFFECT EVEN AFTER THE FIRM HAS CHANGED OWNERSHIP OR FORM OF ITS BUSINESS, UNLESS WRITTEN NOTICE OF REVOCATION IS RECEIVED BY CBS AND, AT THE TIME OF REVOCATION, THE COMPANY OR BUSINESS NAMED IN THE APPLICATION DOES NOT HAVE OUTSTANDING AMOUNTS DUE CBS. THE REVOCATION SHALL APPLY PROSPECTIVELY ONLY TO DEBTS OF THE COMPANY OR BUSINESS AFTER RECEIPT OF THE REVOCATION. DATE: Guarantor Printed Name Signature Social Security Number Home Address Please return signed form to: address: credit@teamcbs.com Fax: (713)

4 Insurance Requirements The following are the limits we require for insurance on equipment rented from CBS Rental and Supply. Insured Name of the insured should be the same as the customer renting the equipment General Liability $ 1,000,000 Per Occurrence $ 2,000,000 General Aggregate Auto Liability $ 1,000,000 Combined Single Limit (required for water truck rentals Contractors Equipment Leased/Rented Equipment Coverage amount (Equipment Rental minimum $50,000.00) Coverage amount (Water Truck Rental minimum $ 70,000.00) Description Additional insured and Loss Payee with respect to General Liability and Auto Liability with respect to Leased/Rented Equipment. Certificate Holder Contractor s Building Supply Co., LLC 8660 S Loop East Houston, TX Please fax or the certificate to / credit@teamcbs.com. Coverage is not retroactive. CBS will update the account and any open rentals with the date a valid certificate is received and will not charge LDW fees from that date forward or until coverage has expired. You may forward this form to your insurance company for processing or call for additional information. Thank you, CBS Rental and Supply

5 Direct Payment Information Business Name: Bank Name: Mailing: Overnight: Routing No.: Bank Acct No.: Swift#: Phone No.: Tax ID: Terms: Contractors Building Supply Co., LLC Cadence Bank P. O. Drawer 4458, Dept 142 Houston, TX Attn: Lockbox 4458 Dept Post Oak Blvd, Ste B2 Houston, TX CDBKUS44 (713) Net 30 Days Remittance Contact: Cindi Rhoads Credit Manager (844) Please feel to contact us with any questions you may have. Sincerely, Cindi Rhoads Credit Manager (O) CBS Rental and Supply 8660 South Loop East Houston TX (O) (F)