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Date:
Company Name:
Attention:
Address:
Phone Number:
E-Mail:
Project Name:
Onsite Contact:
Jobsite Address:
Is Special Training Required:
Yes
No
Quote is subject to rate increase without above details.
IF YES:
Type:
Duration:
Is Project a Davis-Bacon Prevailing Wage(PW) Job:
Yes
No
Quote is subject to rate increase without above details.
IF YES:
County and State:
Wage Determination #:
Customer's Work to be done:
Project Schedule:
Routine
Premium
Date:
Type of Service:
Freeze
Hot Tap
Line Stop
Bladder Stop
Additional Notes:
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