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Get ND TERO 10-J

Submit by Email Print Form 10-J TRIBAL EMPLOYMENT RIGHTS OFFICE TERO THREE AFFILIATED TRIBES P. O. BOX 488 NEW TOWN ND 58763 PHONE 701 627-3634 FAX 701 627-4496 WEBSITE www. mhatero. com VENDOR/SUPPLIER OILFIELD/CONSTRUCTION DATE 20 NAME OF COMPANY ADDRESS PHONE EMAIL CITY ST ZIP FORM OF BUSINESS SOLE-PROPRIETORSHIP PARTNERSHIP CORPORATION OTHER OWNER S CONTACT PLEASE ATTACH A COPY OF YOUR INSURANCE OR YOUR APPLICATION WILL NOT BE APPROVED INSURANCE COMPANY POLICY WORKMENS COMP. UNEMPLOYMENT BOND COMPANY NAME FED I. D. NUMBER OF YEARS IN BUSINESS TYPES OF WORK PERFORMED NUMBER OF SERVICE S PROVIDED 1. AGREEMENT Ordinance revised March 11 1993 by Resolution 93-40-JJR* 2. TERO VENDOR/SUPPLIER LICENSE FEE Service or Supply up to three 3 services 500. 00 per annum HEREBY shall pay 500. 00 per annum to perform services for the privilege to perform the service s on the Fort Berthold Indian Reservation* Please be advised that services that are not listed but are displayed on site will be subject to sanction* 3. COVERAGE This TERO Vendor/Supplier License shall be limited to covered employers who do business enter into contracts or projects directly involving the Three Affiliated Tribes or to covered employers agencies who provide services to the resident Indians of the Fort Berthold Indian Reservation* This TERO Business License shall not conflict with the Business License Issued by the Three Affiliated Tribes Legal Department. 4. DURATION This agreement shall be for a one year period from the date it is approved by the TERO Director. mhatero. com VENDOR/SUPPLIER OILFIELD/CONSTRUCTION DATE 20 NAME OF COMPANY ADDRESS PHONE EMAIL CITY ST ZIP FORM OF BUSINESS SOLE-PROPRIETORSHIP PARTNERSHIP CORPORATION OTHER OWNER S CONTACT PLEASE ATTACH A COPY OF YOUR INSURANCE OR YOUR APPLICATION WILL NOT BE APPROVED INSURANCE COMPANY POLICY WORKMENS COMP. UNEMPLOYMENT BOND COMPANY NAME FED I. D. NUMBER OF YEARS IN BUSINESS TYPES OF WORK PERFORMED NUMBER OF SERVICE S PROVIDED 1. UNEMPLOYMENT BOND COMPANY NAME FED I. D. NUMBER OF YEARS IN BUSINESS TYPES OF WORK PERFORMED NUMBER OF SERVICE S PROVIDED 1. AGREEMENT Ordinance revised March 11 1993 by Resolution 93-40-JJR* 2. TERO VENDOR/SUPPLIER LICENSE FEE Service or Supply up to three 3 services 500. AGREEMENT Ordinance revised March 11 1993 by Resolution 93-40-JJR* 2. TERO VENDOR/SUPPLIER LICENSE FEE Service or Supply up to three 3 services 500. 00 per annum HEREBY shall pay 500. 00 per annum to perform services for the privilege to perform the service s on the Fort Berthold Indian Reservation* Please be advised that services that are not listed but are displayed on site will be subject to sanction* 3. 00 per annum HEREBY shall pay 500. 00 per annum to perform services for the privilege to perform the service s on the Fort Berthold Indian Reservation* Please be advised that services that are not listed but are displayed on site will be subject to sanction* 3. COVERAGE This TERO Vendor/Supplier License shall be limited to covered employers who do business enter into contracts or projects directly involving the Three Affiliated Tribes or to covered employers agencies who provide services to the resident Indians of the Fort Berthold Indian Reservation* This TERO Business License shall not conflict with the Business License Issued by the Three Affiliated Tribes Legal Department. .

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