LiveRoof Maintenance Quote Form

1

Company Name:* This field is required.The full name of your company.

2

Property Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

3

Contact Name* This field is required.

First Name

Last Name

4

Contact Phone Number:* This field is required.

Area Code

Phone Number

5

Contact E-mail* This field is required.

6

Preferred Communication Method

7

Property Type

9

On site disposal of removed weeds/debris permitted?

YESNO

10

Size of green roof in square feet:

11

Current age of green roof:

12

Number of separate green roof areas:

13

Green roof system type

15

Any existing issues on the green roof?Check all that apply

Weed growth

Low coverage areas

Foot paths/trampling damage

Drainage issues or clogged drains

Wind scour/erosion damage

16

Are any of the green roof sections sloped?

17

Does the green roof have any of the following fall protection items in place?Check all that apply

Tie-offs

Railing

Parapet walls/railings

Unknown

18

Green roof access methodsCheck all that apply

Portable ladder (extension ladder)

Permanent ladder (built in ladder)

Roof hatch

Walkouts

Pass through residence or other occupied space

19

Do you currently have a green roof maintenance contract in place?

YESNO