Landscape Contractor Application Form

USM is always looking for qualified service.

Company Information

*Company Name:
*Address:
*Phone #:

*Contact Person:
*City:
Fax #:

Title:
*State:
*Years in Business:
Cell Phone #:

*Zip:
 
E-mail:
Canadian Province:

Service Department Information

How many trucks do you own?
 

What is the size of your workforce?

What is your travel radius?

Please provide a list of all equipment you currently own:

Hours of operation:
Services Areas: (zip codes, cities, counties, states)

Types of Service

(Select all that apply.)

 landscape maintenance irrigation  tree trimming/ removal 
 parking lot sweeping  parking lot striping  asphalt repair   
 retaining walls/masonry  concrete work    fertilization 
Please list additional services:
*Do you sub-contract any of your work?    
*Do you provide 24 hour emergency service?       
If yes, what is the response time?      
Can you supply digital pictures of your work?      

Required Insurance Information

* USD $1 Million liability Coverage  *Workers Compensation Insurance

Additional Comments

Any additional comments or questions:

Please tell us how you heard about USM:

Thank you for taking the time to fill out the above survey; the information will be given to the Contractor Coordinator for your area.