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Service Partner Application
Company Name
Account Payable To
Organizational Form
Corporation
LLC
Partnership
Sole Proprietorship
Other
Company Address
Primary Contact- Name (First, Last)
Primary Contact- Title
Primary Contact - Mobile Phone
Primary Contact - Office Phone
Primary Contact - Email
How many years has your company provided snow and ice removal services?
How many years has your company provided other maintenance services?
Are you willing to take on jobs with hand work or sidewalks only?
Yes
No
Applicant will carry Comprehensive Liability Insurance in the amount of $2,000,000 combined single coverage and Automobile Liability Insurance covering bodily injury and property damage in the amount of $1,000,000 combined single limit.
Agree
Disagree
Applicant will name All Green Site Management as an Additional Insured.
Agree
Disagree
Applicant will maintain workers compensation insurance for himself/herself and all employees.
Agree
Disagree
Applicant understands that if he/she has any sub-contractors, service providers, or agents, these same requirements apply to each sub-contractor, service provider, or agent.
Agree
Disagree
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