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Be a Part of our Team |
Thank you for inquiring about becoming a Subcontractor for Lipinski Snow Services, Inc.
Please fill out this on-line form and one of our Regional Managers will respond to you shortly. Please complete all the fields and be as detailed as possible, so we may better assess your capabilities. |
| Contact Information: |
| Company Name: |
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| Title: |
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| First Name: |
Required |
| Last Name: |
Required |
| Address: |
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| City: |
Required |
| State: |
Required |
| Zip Code: |
Required |
| Work Number: |
Required |
| Home Number: |
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| Cell Number: |
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| Fax Number: |
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| Email Address: |
Required |
| Cababilities: |
| Areas you can service - STATES |
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| Areas you can service - WHICH REGIONS, COUNTIES, TOWNS |
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| Quantity of trucks available for plowing, please list truck manufacturer, model and plow size. |
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Quantity and list of other types of equipment (loaders, backhoe loaders, skid steers, ATV's equipped with plows....)
Please list manufacturer, model and bucket sizes. |
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| Do you have Comprehensive Liability Insurance coverage? |
Yes
No |
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Can you provide a Certificate of Insurance to prove it? |
Yes
No |
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| Quantity of site Supervisors and/or shoveler's available? |
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| How many years experience in Snow Removal do you have? |
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Additional information about you, your company, your equipment, etc… |
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