SPAN Form - SMI Disaster Recovery & Maintenance

PREPARED FOR EVERYTHING

Service Provider and Associates
Network (SPAN)

Welcome to our team of outstanding providers! Please complete the information
below or email us at SPAN@smi247.com.

Do You Carry Insurance?

Workers Compensation:YesNo

General Liability:YesNo

Do You Subcontract?YesNo

Are you a Minority Owned Business?:YesNo

Do you have a Government License:YesNo

What trades do you perform?

Fire & Smoke Restoration:YesNo

Flood Emergencies & Sewage:YesNo

Floor Care:YesNo

High Dusting:YesNo

Janitorial Services:YesNo

Mold Testing & Remediation:YesNo

Power Washing:YesNo

Window/Awning Cover:YesNo

Handyman/Break Fix:YesNo

138 Montauk Highway
East Moriches, NY 11940