Subcontractor Questionnaire

Territories Interested In:
 Palm Beach 
 Daytona Beach/Ormond Beach 
 Naples/Fort Myers 
 Oxon Hill, Maryland 
 Inner harbor, Maryland 
 Tysons Corner, Virginia 
 Baltimore, Maryland 
Ability To Clean Cheesecake Factory Restaurant:
Ability To Handle Restaurants:
Company Name: *
Address: *
Principal Owner: *
Contact: *
Business Number: *
Cellular Number: *
Email *
Confirm *
Certificate of Insurance: *
Insurance Company Name, Address, and Phone Number:
Number of Years of Experience: *
Number of Employees in Company: *
Overall Quality of Qualified Labor Force Able to Provide: *
Ability to Handle Large Accounts: *
Cleaning Experience (Check all that Apply):
 Kitchen Cleaning 
 Kitchen Equipment Cleaning 
 Restaurant Cleaning 
 Window Cleaning 
 Hotel Cleaning 
 Country Club Cleaning 
Floor Care (Check all that Apply):
 Wood Floor Care 
 Vinyl Floors 
 Carpet Extraction 
 Carpet Shampooing 
 Bonnet & Cleantronics Cleaning 
 Pressure Cleaning 
 Auto Scrubbing Experience 
Equipment you own (Check all that apply):
 High Speed burnisher 
 Low speed swing scrubbing machine 
 Pressure washer 
 Hot water extractor 
 Low moisture encapsulation carpet cleaner 
 Back Pack Vacuum 
 Wet Vacuum 
 Walk behind auto scrubber 
 Spray and Vac Machine 
 Diamond pads for grinding stone floors 
 Bricks for flat top grill cleaning 
 String Mops 
 Flat Mops 
 Microfibers pads for flat mop 
 Microfibers towels 
 Yellow buckets for string mops 
Additional experience (Check all that apply):
 Strip and wax Vinyl, linoleum floors 
 Diamond Grind stone floors 
 Stone floors polishing 
 Tile and Grout Cleaning and sealing 
 Restore and seal concrete floors 
 Window cleaning with extension poles 
 Carpet extraction and Spot Removal 
 Sanding and apply sealer to hard and soft wood floors 
 Spider stoves clean up 
 Salamanders cleaning 
 Conventional Ovens clean up 
 Grills clean up 
 Flat top grill cleaning using a brick 
 Degreaser and clean filters and hoods 
 Clean up of hotline equipment 
 Drains clean up 
 Degreaser and polish stainless steel equipment and firewalls 
 Mats Cleaning 
 Dust AC vents and returns 
 Polishing cooper pipes 
Please list the names of restaurants, hotels or country clubs you have provided cleaning services to (if any)? *
Do you have any friends or family contracted with Emmaculate Reflections? *
Are you bilingual? If yes, please list languages. *
Would you be willing to be available
on an emergency on-call basis?
General Comments