Pilot Multi-family Bulky Item Clean-up Participant Request Form: After completing and submitting the form, please contact Republic Services to schedule a pick-up, (510) 262-7100
City of Richmond, CA Multi-family Bulky Item Clean-up Pilot Program for 3 to 19-Unit Complexes. ONLY property owners or managers can complete and submit the below form.
Email address *
Building Information
Name of Account Holder for Complex *
Your answer
Complex Address *
Your answer
Number of Residential Units *
Your answer
Account Number *
Your answer
Property Manager or Owner
First and Last Name *
Your answer
Title *
Your answer
Mailing Address *
Your answer
Phone Number *
Your answer
Email Address
Your answer
Optional Authorization
Person Authorized and responsible to schedule, organize tenant participation and oversee conduct of Clean-ups
First and Last Name
Your answer
Title
Your answer
Phone Number
Your answer
Email Address
Your answer
Acknowledgments
Please read the acknowledgments and check the boxes if you understand and agree with the terms
Clean-ups must be scheduled, organized, coordinated and supervised by complex owner, or with written, authorization, their designated manager or agent.
Complexes with 3 to 19 residential units are eligible to request participation in the Multi-family Bulky Item Clean-up Pilot Program
Limit of one (1) Clean-up of up to two (2) bulky household items collected per multi-family residential unit.
Any overage above requested Clean-up items will be collected and counted against the complex Clean-up Allocation, or if no Clean-ups remain, will be billed to the complex at cost of $142.70 for each two (2)overage items, and/or $89.26 for each single overage item.
Unpaid Clean-up costs may be made a lien against the property or special assessment of property taxes.
Individual items weighing more than 200 pounds will not be collected without advance approval from Republic Services.
Commercial-sized appliances or equipment are not eligible for collection in the Pilot Program.
Hazardous waste or liquids of any kind, ordinary garbage or trash collected as a part of routine weekly collection service will not be accepted in the Pilot Program.
Clean-ups under the Multi-family Bulky Item Clean-up Pilot Program will be offered on a first-come basis to the extent of funding availability.
*
Required
I declare that I am the owner, or manager under contract with the owner, of the above property and have all necessary and proper authority to request participation in the Pilot Program, designate the above named agent to schedule, organize and coordinate/oversee any Clean-up requested. I have read, understand, acknowledge and agree to comply with and be bound by the above guidelines. *
Required
If you have submitted the form and are ready to schedule a bulky item pick-up, please contact Republic Services, (510) 262-7100.
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