Please complete All Information as Outlined and Fax to: 419-523-5689
(Allow 48 hours for quote to be faxed back to you – no verbal quotes given)
Dealer Name: ______________________________ Telephone #: ________________________
Sales Contact: ____________________________ Fax Number: ________________________
PROJECT INFORMATION
Owner/Contact Name: _____________________ Phone #:___________________________________
City: _______________________ State:______________ Zip
Projected Date of Installation_________________________________________________________________
POURED – IN – PLACE PROJECT INFORMATION
Total Number of Square Feet: ____________________________________________________________
Edge Detail:(Circle) Rolled Bevel Square/inset Liner Feet of edge=
Colors: (cost will fluctuate): ____________________________________________________________
Fall Height Guide
3’ to 4’ Deck = 1 ½” Thick
Up to 5’ Deck = 2” Thick
6’ to 7’ Deck = 2½” Thick
Up to 8’ Deck = 3” Thick
Up to 9’ Deck = 3 1/2” Thick
Up to 10’ Deck = 4” Thick
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Color Breakdown by %:________% Black ________% ________% ________%
Thickness (Please Circle): ½” 1” 1 ½” 2” 2 ½” 3” 4”
Any other thickness of color request: ______________________
(SITE PLAN must be provided to ensure accurate tapering requirements)
Would you like a supervised installation in quote price Yes No
Would you like a surface repair kit included in quote Yes No
SITE LOCATION INFORMATION (Please Check
Type of Base (Material): Concrete______ Asphalt______ Aggregate______ Other______
Site Accessibility: Locked Gate ______ Truck & Equipment Access ______
Location: Ground Level ______ Rooftop ______ Indoor ______ Outdoors ______
Security: Provided by Owner ____ Gen. Contractor ____ Installer ____ Dealer Rep ____
Site must be secured (Pedestrian traffic, theft, vandalism, & other subcontractors) from the time work starts to 72 hours after finish, to allow cure time. A security guard or fence may be needed.
Storage: Covered ______ Uncovered ______
Clean Up: Is there a dumpster on site? Yes______ No______Dumpster to be provided by
Play Equipment: To be removed? ______ by PIP installer ______ by site personnel ______
SPECIAL CONDITIONS
Prevailing Wage Required __________________ Grant Specifications: _____________________
Additional information we should be aware of:
____________________________________________________________________________________________________________
Estimates are only as good as the information supplied. Prices are based on all conditions, not just square footage, thickness & color. Any variations will change the quoted amount & the final invoiced amount.
Quotes are good for 60 days from date of fax to you. At least three (3) weeks notice is required to schedule job. Purchase Orders and verification forms are required before any material will be ordered or job scheduled.
Estimate Prepared by: ______________________________________ Date: _______________
