Company Information Name: Address: Attn: Phone: - - Fax: - - Cell: - - Job Location Bldg Type: Physical Addr:   Service Information Quantity:  Squares/Square Feet Service: Dry-Vac   Wet-Vac     Ballast Removal    Ballasting Roof Type:  Bur    PVC   EPDM      IRMA,   does it have felt under it Yes No   Has the insulation been disturbed ?   Yes No   Urethane    Other Stone Type:  Pea Gravel   Slag    River Rock    Crushed Stone    Other Does the stone have pitch ? Yes No How many trips are required ? Stone on roof:  Light    Normal    Heavy    Extremely Heavy Dirt on roof is :  Light    Normal    Heavy    Extremely Heavy The dimensions of the roof are:   Service Information (contd....) The roof is no higher than:   feet The parapet wall is no higher than:  feet How many different areas are there:  Are all areas adjacent: Yes No How many different levels are there:  The access will be from: Parking Lot    Street    Lawn    Other How many of the sides of the building or work area are accessible: 1 2 3 4 all How many setups are reqd: 1 2 3 4 more What is the longest length of transfer line reqd: feet How close can Toyne Trucks get to the building : 5 10 15 20 other  feet How many curbs are on the roof: No more than 5 10 15 20 other  feet How many units are on the sleepers: No more than 5 10 15 20 other  Are any of the following on the roof Duct Work Monitors Sawtooths Cooling Towers Disposal of stone will be: On-site Off-site Toyne to handle Are there any special orientations and/or safety meetings: Yes No   Hours 1/2 1 2 3 Can Toyne work from 7:00 am to 7:00 pm Monday through Sunday Yes No  Are there prevailing wage requirements : Yes No  General Labor Rate/Roofer: Base  Fringe Are there drawings and/or pictures available: Yes No  Can they be Faxed: Yes No  Please have this proposal to me by