Service Provider

Snow Service Provider

Thank you for inquiring about becoming a BCLS Snow and Ice Management, LLC subcontractor. Please fill out this online form, and one of our staff will respond. Complete all fields and be as detailed as possible, so we may better assess your capabilities.

Contact Information

Company Name(Required)

Name(Required)

First Last

Office Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Office Phone(Required)

Primary Contact Information

Name(Required)

First Last

Cell Phone(Required)

Email(Required)

Service area

Areas you service – Which counties, towns (List all that apply):(Required)

Capabilities

Types of service your company performs (Check all that apply):(Required)

Plowing

Salting

Shoveling

De-icing

Risk Management

Number of available employees:(Required)

Quantity of trucks available for plowing, please include truck make, model and plow size:(Required)

Quantity and list of other types of equipment (loaders, backhoes, skid steers, etc…) Please include make, model and bucket sizes:(Required)

Additional Information about your company

Do you have Comprehensive Liability Insurance Coverage?(Required)

Yes

Can you provide a Certificate of Insurance?(Required)

Yes

Name

This field is for validation purposes and should be left unchanged.