LCML Cooperative Purchasing Survey

Question Title

1. Contact Information (Required.)

Name

Municipality

Email Address

Phone Number

Question Title

2. Please indicate your interest in the following cooperative purchasing services. Please know that maps,
quantities and other specifications will be requested at a later date:

Cold patch materials

Crack sealing

Hydrant painting

Landscaping

Pavement marking

Pavement patching

Street sweeping

Tree removal

Tree trimming

Water tower washing

Sewer televising

Other (please specify)

Question Title

3. Insurance requirements will be added to all documents. If possible, please indicate your insurance and/or other requirements:

Requirements:

Thank you! LCML will contact you with the results and further information about the 2015 cooperative purchasing program. (Please click "done" to submit your responses.

Question Title

* 1. Contact Information (Required.)

Question Title

* 2. Please indicate your interest in the following cooperative purchasing services. Please know that maps, quantities and other specifications will be requested at a later date:

Question Title

* 3. Insurance requirements will be added to all documents. If possible, please indicate your insurance and/or other requirements:

1. Contact Information (Required.)

2. Please indicate your interest in the following cooperative purchasing services. Please know that maps,
quantities and other specifications will be requested at a later date:

3. Insurance requirements will be added to all documents. If possible, please indicate your insurance and/or other requirements: