Janitorial Contractor

Highlands Agency Untitled Document
Your Name:
Your Email Address:
Client Name:
Client Web Site - If none type NONE:
How Many Years In Business?
How many employees?  Over 10 does not qualify.
Annual gross receipts:  Over 2.5 million does not qualify.
What percentage of work is subcontracted?  Over 25 percent does not qualify.
Does applicant require USL&H or other federal coverage (Jones Act, etc.)?  If YES - does not qualify.
Does applicant or subcontractor perform building exterior window washing?  If YES - does not qualify.
Does applicant perform any chimney cleaning, roofing or rain gutter repairs?  If YES - does not qualify.
Does applicant perform any exterior painting over 3 stories?  If YES - does not qualify.
Does applicant perform any tree trimming?  If YES - does not qualify.
Does applicant provide any fire damage, fire restoration, flood cleaning or flood restoration services?  If YES - does not qualify.
Does applicant perform any extermination services?  If YES - does not qualify.
Is security provided by the applicant (watchmen, guards)?  If YES - does not qualify.
Provide complete description of applicant's operations:
Percentage of Residential Work:
Percentage of Commercial Work:
Does applicant provide PPE (gloves, boots and eye wear) to employees and mandate its use?
Are hand trucks and other equipment provided for moving bulky or heavy items?
Have employees been trained in proper lifting techniques and in the correct use of material handling devices?
Provide specific description of operations subcontracted (roofing, carpentry, etc.). (Aplicant must obtain Certificates of WC coverage from all subcontractors).
Provide radius of operation:
Does applicant screen drivers (check MVRs pre-employment and annually thereafter)?

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