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Online Application for Employment

Subcontractor Employment Application

Gasaway Maintenance Company is always looking for qualified subcontractors to provide winter weather services. Please fill out the information below in order to be considered for employment.

	(*) Required Fields
Company Name*
Contact Name*
Position*
Company Address*
Company Phone*
Contact Phone*
Email Address*
Snow Service Equipment Please indicate the number of each type of equipment available.
Pick-up with 8' plow Wheel loader with plow Wheel loader with 3-4 yd bucket Salt Truck Snow sweeper	Skidsteer Wheel loader with 1-2 yd bucket Semi Dump Truck Snow blowers Other
Can you offer sidewalk services?	Yes No
Are all employees qualified to work the equipment?	Yes No
Do all employees have a valid driver's license?	Yes No
Can the equipment be dedicated to the site?	Yes No
Is there a time when the equipment would not be available?	Yes No
If yes, please indicate when:
Do you have Comprehensive Liability Insurance Coverage?	Yes No
Will you supply a Certificate of insurance naming Gasaway Maintenance Company as an additional insured?	Yes No
References Please list at least three references.
Reference one:
Reference two:
Reference three:

The Gasaway Company
Oak Brook, Illinois
630-985-1600