Install Questionnaire Install Questionnaire Building/Community name(s) Website/URL Delivery Address City State Zip Code On-site contact/Project Manager PM Phone Number PM Email Address Is this project applying for LEED certification? Yes No Single trip install or multiple trips (phases) Single Multiple Is this an existing building or new construction? New Construction RenovationRenovation Existing Building Are hard hats required during install? Yes No How many Buildings? # of floors per building Type of flooring in hallways: LVTCarpetCeramicTileOther Type of flooring in hallways: Type of flooring in hallways LVTCarpetCeramicTileOther Type of flooring in hallways Are there elevators we can use? Yes No Freight (how many)? Passenger (how many)? Will elevator(s) be exclusive to Ecologic during install? Yes No If no elevator(s), how many steps per flight? 131415161718192021222324252627282930 Width of Stairwell? Is building accessible to 53’ trucks? Yes No Is there a dock? Yes No If no dock, how close can truck get to entrance? Can you provide floor plans or layouts Yes No Any additional requirements for access to building? *Client responsible for any special permitting for access to site. Yes No Type of worker required: Union Non-union Combination Is there a wage that must be met for laborers Yes No If yes, please supply wage info: May Ecologic Furniture visit the job site? Yes No Is so, when? If new construction, will the certificate of occupancy be secured prior to install? Yes No Date: Will the area be furniture ready at delivery (all trades clear) Yes No Anticipated date: IS there a locked or 24hr guarded area to stage furniture? Lobby Dock Covered Parking Area Other If other please explain. Will dumpsters be provided by client for Ecologic's use? Yes No If applicable, will property offer recycling services? Yes No Upload Your Floor Plan or Layout Drop a file here or click to upload Choose File Maximum file size: 52.43MB We will contact you to schedule a date and time for our visit Customer to provide dumpsters per order confirmation. Ecologic® requests the property to provide a furniture placement list by floor and/or suite prior to install. Note: During installation, the property agrees to provide Ecologic Furniture with unimpeded access to each location of furniture installation, including but not limited to, entrances and exits, stairwells, designated elevators, doorways, hallways and living units. The property agrees that Ecologic Furniture’s ability to install furniture is conditioned on the ability to have access as defined. Buyer agrees and acknowledges any costs related to a site that is not free and clear and does not meet the conditions above may result in additional fees and change order. Signature * signature keyboard Clear Submit If you are human, leave this field blank.
