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32
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1
Business Legal Name
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2
DBA (if applicable)
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3
Address
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4
Web Address
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5
Line 2
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6
Federal Tax ID
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7
City
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8
State
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9
Zip Code
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10
Primary Contact Name
*
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First Name
Last Name
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11
Title
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12
Primary Contact Phone Number
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13
Email Address for Request for Proposals (RFP)
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14
Additional Contact Name
First Name
Last Name
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15
Title of Additional Contact
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16
Additional Contact Phone Number
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17
Email Address of Additional Contact
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18
Insurance Company
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19
Policy Number
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20
Expiration Date
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21
Deductible
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22
Policy Limit by Occurrence
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23
Aggregate Policy Limit
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24
Agent Email Address
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25
Certificate of Insurance (COI)
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*** Please note you will be required to submit your COI annually to prevent payment delays.
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26
W-9
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*** Please note you will be required to submit your W-9 annually to prevent payment delays.
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27
Are you currently registered through BBB?
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No
In progress
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28
Would you like to be added to Rj Community Management's preferred Vendor List? (an annual fee of $50 must be submitted)
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29
Annual Website Advertisement Fee
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Great Product Name
$20
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Great Product Name
$20
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Size:
Small
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Great Product Name
$20
Quantity:
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Size:
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Great Product Name
$20
Quantity:
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ORDER SUMMARY
Total cost
USD
New Vendor Website Fee
Advertisement fee for www.rjcmgt.com.
$
50.00
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30
Check all that apply
Alarm Monitoring
Asphalt
Attorney
Awnings
Bulk Haulers
Chimney / Fireplace
Cleaning (Carpet / Floor Care)
Cleaning (General)
Concrete / Masonry
CPA / Financial Consultant
Dog Waste Clean Up
Duct / Dryer Vent Cleaning
Disaster Remediation
Electrician
Elevator Maintenance
Engineering / Surveying
Excavation
Fence / Gate
Garage Doors
General Contractor
Gutter Cleaning
Handyman
HVAC Maintenance
Landscaping
Landscaping (Designer)
Landscaping (Irrigation / Sprinkler)
Leak Detection
Locksmith
Painting
Pests
Playground / Sports
Pool
Roofing
Safety Testing
Seal Coating
Septic / Pump Maintenance
Signage
Snow Removal
Specialty Contractor
Storm Water Management
Tree Services
Towing
Waterproofing
Window Washing
Window / Glass
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31
Description of Services
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32
Service Area
Rj Community Management manages communities from Northern Butler to Washington County, downtown Pittsburgh, just to name a few major areas.
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