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Debris_Management
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First
*
Type of Business-Fedral Certification
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Small Business
Your Position or Title
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Small Disadvantaged Business
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Please fil in the number of pieces of equipment you have for each type of equipment listed below.
Phone Number
Descrpition of Equipment
Amount of pieces
Fax Number
Truck, Dump Single Axie
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Owner Name
Truck, Dump, Tandom Axie
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Type of Ownership
Corporation
Tractor / Trailer End Dump
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Annual Revenue (Dollar Amount)
Tractor Trailer Live Bottom
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Liability Insurance Limit (Dollar Amount)
Skid Steer
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Number of Crews Available
0
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w / Grapple (Bobcat)
0
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Number of Employees
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Wheel Loader, Front End, 4 yard
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Number of Managerial Employees
0
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10
Knuckleboom,Prentice style/ self loader
0
1
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10
Do you have experience in any of the following Disaster Recovery ?
Air Curtain Banner
0
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8
9
10
Years Experience with Ceres Enviromental
0
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5
6
7
8
9
10
Other Equipment
Security Code
*
Years Experience with USACE
0
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5
6
7
8
9
10
Years Experience with Disaster Recovery
0
1
2
3
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9
10
Have you or your staff taken off the FEMA Courses
ICS 100 Introduction to Incident Command System
Yes
No
ICS 100 Single Resources and Intial Action Incidents
Yes
No
ICS 700 National Incident Management System
Yes
No
IS 800 B- Introduction to National Response Framework
Yes
No
Is 632 - Introduction to Debris operations in FEMA'S Public Assistance Program
Yes
No
State or Federal Traffic / Flagger Certification
Yes
No
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