HomeMy WebLinkAboutCopy of In Kind Donation Request - City of Diamond Bar Eearth DaySo Cal MA In-Kind Request Form
Date:
Business Unit:
Franchise City:
WM Contact:
EVENT/ORGANIZATION INFORMATION
Is this a contractual requirement?
Is this a free service?
Name of the Event
Date of Event
Request Description:
OPERATIONAL SETUP INFORMATION:
X Street: Copley Dr / Golden Springs Dr HOS: Deliver the Friday before, and pick up the Monday after.
4/6/2023
2519
San Dimas
Josh Goldman
Yes
Yes
City of Diamond Bar Earth Day
Saturday, April 22, 2022
25 Event Trash Boxes & 40yd Roll Off (mulch)
Service Name
Service Contact
Service Address:
City/Zip
Service Phone Number
Service Fax
Service Cell
Billing Name
Billing Contact
BillingAddress:
City/Zip
Billing Phone Number
Billing Fax
Billing Cell
Placement Instructions:
Level Of Service
In Kind Free/Discount Amount
Level Of Service
In Kind Free/Discount Amount
Level of Service
In Kind Free/Discount Amount
Delivery Date
Exhange Date
Removal Date
`
Is this a Non Profit 5013C Orgainization?
CITY OF Diamond Bar (FREE)
Alfa Lopez
21865 Copley Dr
Diamond Bar
909-839-7015
909-839-7015
Waste Management
Josh Goldman
13940 E. Live Oak Ave
Baldwin Park
626-825-3785
626-825-3785
Contact Alfa Lopez at 909-839-7015 (see attached map).
25 Event Boxes
200
40yd Roll Off
693.82
Saturday, April 22, 2023
N/A
N/A
No
91765
91706
Franchised Rate (Must match Green Pages)
Franchised Rate (Must match Green Pages)
$8.00 Each
693.82
So Cal MA In-Kind Request Form
Date:
Business Unit:
Franchise City:
WM Contact:
EVENT/ORGANIZATION INFORMATION
Is this a contractual requirement?
Is this a free service?
Name of the Event
Date of Event
Request Description:
OPERATIONAL SETUP INFORMATION:
X Street: Edinger & Grand Ave HOS: Deliver by 11:00am and Remove by 4:00pm
12.5.18
Santa Ana Hauling #2515
Santa Ana
Hashem Shokair
Yes
Yes
Toy Drive
12.8.18
Donate 1- 3yrd Insta Bin & Event Boxes
Service Name
Service Contact
Service Address:
City/Zip
Service Phone Number
Service Fax
Service Cell
Billing Name
Billing Contact
BillingAddress:
City/Zip
Billing Phone Number
Billing Fax
Billing Cell
Placement Instructions:
Level Of Service
In Kind Free/Discount Amount
Level Of Service
In Kind Free/Discount Amount
Level of Service
In Kind Free/Discount Amount
Delivery Date
Exchange Date
Removal Date
Is this a Non Profit 5013C Orgainization?
Toy Drive
John Smith
1800 Grand Ave S
Santa Ana
714-480-9999
714-480-8888
714-480-7777
City of Santa Ana
John Smith
16122 Construction Circle East
Irvine
714-480-6666
714-480-5555
714-480-4444
Place in back parking lot
Deliver- 1-3 yard Insta Bin
-25
Remove- 1-3 yard Insta Bin
-50
20- Event Boxes
-20
12.7.18
NA
12.10.18
No
92705
92612
Franchised Rate (Must match Green Pages)
Franchised Rate (Must match Green Pages)
25
50
20