Mobile Shower Service Site Partner Survey
WAVE Project mobile shower service site partner survey
Please complete this form to assist with the site partner planning and evaluation process.
Name of organization *
Your answer
Organizational contact name: *
First and last
Your answer
Organizational contact phone number: *
Your answer
Organizational contact email: *
Your answer
Organizational web site:
Your answer
Service area: *
Address of service site: *
Your answer
Hours of Operation *
Please list the days/times in which you offer services
Your answer
Can the organization provide documentation of current liability insurance (listing WAVE Project as an additional insured) that will cover the mobile shower service event(s)? *
Commercial General Liability insurance with a limit of not less than $1,000,000 per occurrence for bodily injury, property damage, personal injury and contractual liability. Professional Liability insurance covering acts, errors, mistakes or omissions arising out of or related to the Services, with a limit of not less than $1,000,000 per claim.
Site foot/vehicle traffic *
Sidewalk space *
Parking type *
What services are provided by the site partner/organization? *
Your answer
Average number of people served? *
Your answer
Service site partner resources: *
Please select all available site resources that the organization is willing to provide (at the cost of the site partner).
Required
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