LET’S BUILD BRIGHTER FUTURES TOGETHER

Service Partner Application

Company Name

Account Payable To

Organizational Form

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?

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.

Applicant will name All Green Site Management as an Additional Insured.

Applicant will maintain workers compensation insurance for himself/herself and all employees.

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.