WORK TO BE PERFORMED FOR:

Company Name:
Client's Name:
Client's Address:
Client's Phone Number:
Client's Fax Number:
Client's E-mail:

MANAGEMENT COMPANY (if different from above):

Company Name:
Manager's Name:
Address:
Phone Number:
Fax Number:
E-mail:

BILLING INFORMATION (if different from above):

Company Name:
Attention To:
Address:
Phone Number:
Fax Number:
E-mail:

SITE WHERE WORK IS TO BE PERFORMED:

Property Name:
Property Address:
Block & Lot:
Phone Number:
BHI Registration Number:
Fax Number:
E-mail:
Rental Manager:
Resident Manager:

FLOOR PLAN OF UNITS - Number of Units per Apartment Style:

(0-Bedroom = Studio, Efficiency or One Room & Bathroom)
0-Bedroom -
1-Bedroom -
2-Bedroom -
3-Bedroom -  
4-Bedroom -  
Townhouse-Bedroom -  
Total Units:

SITE PLAN AND HISTORY:

*If complex was built of purchased in phase's list phases as separate sites. If complex was built in phases with the same building specifications, same construction materials and managed by same management company, with same management history, it may be considered ONE site.

*All Hallways and fire stairwells separated by a fire door or firewall must be counted as a separate area.

Year of Construction (actual date, NOT year of rehab):
Number of Separate/Detached Apartment Buildings:
Number of Buildings (Garages, Pool House, Office, etc):
Number of Common Halls:
Number of Common Stairwells:
Number of Laundry Rooms:
Number of Other Rooms:
Capital Improvements:
How is the building heated? Gas Oil
Do you have a boiler room? Yes No

By checking the below button and signing my digital signature, I hereby attest that the information listed on this page is factual and correct. Please note that any difference between information entered on this form and information gathered on-site may result in a difference in the quoted price.

Owner's or Manager's Signature/Name:
Date (MM/DD/YYYY):