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PASSDOWN REQUEST FORM
*
A valid Certificate of Insurance (COI) is required prior to Vendor access
. Please contact
summitadmin@urbanrengroup.com
for information about Certificate of Insurance requirements.
*
Company:
*
AvalonBay Communities
Bayland Health
Bright Horizons
Café Pogacha
Delta Air Lines
First Republic Bank
Grace SEA104
Limeade
New York Life
Perkins Coie
Puget Sound Energy
UnitedHealth
Urban Renaissance Group
URG Vendor
WeWork
Suite Number:
*
Vendor/Contractor Company Name:
*
Name of Individual Needing Access:
*
Contact E-mail:
*
Contact Phone:
*
Access Start Date:
*
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Access End Date:
*
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Access Start Time:
*
12:00 AM
12:30 AM
1:00 AM
1:30 AM
2:00 AM
2:30 AM
3:00 AM
3:30 AM
4:00 AM
4:30 AM
5:00 AM
5:30 AM
6:00 AM
6:30 AM
7:00 AM
7:30 AM
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
7:00 PM
7:30 PM
8:00 PM
8:30 PM
9:00 PM
9:30 PM
10:00 PM
10:30 PM
11:00 PM
11:30 PM
Access End Time:
*
12:00 AM
12:30 AM
1:00 AM
1:30 AM
2:00 AM
2:30 AM
3:00 AM
3:30 AM
4:00 AM
4:30 AM
5:00 AM
5:30 AM
6:00 AM
6:30 AM
7:00 AM
7:30 AM
8:00 AM
8:30 AM
9:00 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
7:00 PM
7:30 PM
8:00 PM
8:30 PM
9:00 PM
9:30 PM
10:00 PM
10:30 PM
11:00 PM
11:30 PM
Purpose for Requesting Access (Please include ALL details, including scope of work/delivery details):
*
My Vendor will require loading dock access:
*
Yes
No
What type of vehicle will need access (Note, only
ONE
vehicle will be permitted):
*
Large Box Truck (20' to 28')
Small/Medium Box Truck (10' to 19')
Cargo Van
Passenger Vehicle/Pick-Up Truck
Other (Please include dimensions)
Other (Please include dimensions)
Additional Access Requested (optional):
Vendor Access Badge
Freight Elevator
I have read and understand the Loading Dock & Deliveries information page on The Summit's website
HERE
.
*
I AGREE
I will share all relevant information to our Vendor from the Loading Dock & Deliveries information page as it pertains to this visit.
*
I AGREE
PLEASE ALLOW 48 HOURS TO REVIEW AND APPROVE YOUR REQUEST.
Requestor Name:
*
Authorized Signature:
*
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