Install Questionnaire Install Questionnaire Project Location Address City State Zip Code Is this project applying for LEED certification? Yes No Building/Community name(s) On-site contact/Project Manager PM Phone Number PM Email Address How Many floors on-site? 12345678910+10 Single trip install or multiple trips (phases) Single Multiple Are there freight capable elevators? Yes No If not, how many steps per flight of stairs? 131415161718192021222324252627282930 Width of Stairwell? Is there a dock? Yes No If not. how close can the truck get to the building? If applicable, are street parking permits required? Yes No Can you accept deliveries from 53’ semi-trucks Yes No Do you require union workers? Yes No Can you provide floor plans or layouts Yes No Upload Your Floor Plan or Layout Drop a file here or click to upload Choose File Maximum file size: 52.43MB May Ecologic Furniture visit the job site? Yes No We will contact you to schedule a date and time for our visit Is this an existing building or new construction? New Construction Existing Building If new construction, will the certificate of occupancy be secured prior to install? Yes No Are hard hats required during install? Yes No Will the area be furniture ready at delivery (all trades clear) Yes No Is there an area available to unbox and pre-assemble furniture? Lobby Dock Covered Parking Area Other If other please explain. If applicable, will property offer recycling services? Yes No 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 * Clear If you are human, leave this field blank. Submit