Hilton Hotel/HSM - New Client Information Intake Form Question Title * 1. Site Name and Address Question Title * 2. If your Legal Entity Name is needed for Waste Hauler contracts, please list it here. Question Title * 3. INN Code number Question Title * 4. General Occupancy Per quarter 6 months Year Question Title * 5. Who is the point of contact for Finance? i.e. Hauler invoice related questions Primary Name Title Email Address Phone Number Secondary Name Title Email Address Phone Number Question Title * 6. Who is the point of contact for waste operational needs? Primary Name Title Email Address Phone Number Secondary Name Title Email Address Phone Number Question Title * 7. Do you use a third party to pay your trash invoices? Yes No If yes, What is the name of the third party company? Question Title * 8. Where should Cass send audited waste invoices? Via email to the site Via email to our third party bill pay company Via email to our corporate AP department Question Title * 9. Please list email address(es) for question 8. Question Title * 10. Where should Cass send our monthly invoices? Via email to the site Via email to our third party bill pay company Via email to our corporate AP department Question Title * 11. Please list email address(es) for question 10. Question Title * 12. Please provide any special approval for requests (ex: ownership contact must approve service changes) Question Title * 13. Where should Cass send contract recommendations and service change approvals for your waste services? Primary Name Email address Secondary Name Email address Question Title * 14. Do you use a compliance company? Yes No Question Title * 15. What is the name of the compliance company? (enter NA if not applicable) SOLID WASTE/RECYCLING Question Title * 16. On average how full are your containers for Solid Waste? 0% 50% 100% Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 17. Solid Waste Hauler Name Question Title * 18. Solid Waste Hauler Account Number(s) Question Title * 19. Solid Waste Hauler Recent Invoice Copy DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Solid Waste Hauler Recent Invoice Copy Question Title * 20. Solid Waste Hauler Contract Copy (Fully Executed) DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Solid Waste Hauler Contract Copy (Fully Executed) Question Title * 21. Do you own any of your trash cans or equipment? Yes No Question Title * 22. On a scale of 1 - 4 how satisfied are you with your waste hauler? Strongly Dissatisfied Dissatisfied Satisfied Very Satisfied Strongly Dissatisfied Dissatisfied Satisfied Very Satisfied Question Title * 23. Do you currently Recycle? Yes No (skip to question 30) Question Title * 24. Recycle Hauler Name Question Title * 25. Recycle Hauler Account Number(s) Question Title * 26. Recycle Hauler Recent Invoice Copy DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Recycle Hauler Recent Invoice Copy Question Title * 27. Recycle Hauler Contract Copy (Fully Executed) DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Recycle Hauler Contract Copy (Fully Executed) Question Title * 28. Do you own any of your recycling cans or equipment? Yes No Question Title * 29. On a scale of 1 - 4 how satisfied are you with your recycling hauler? Strongly Dissatisfied Dissatisfied Satisfied Very Satisfied Strongly Dissatisfied Dissatisfied Satisfied Very Satisfied Question Title * 30. If your site currently owns any equipment, please select from the examples below: (Select all that apply) Self Contained Compactor Stationary Compactor Front End Load Dumpsters Vertical Impaction Compactor (VIP) Rear Load Dumpster Please specify how many of each container you own Question Title * 31. What style dumpster works best for your site?(Select all that apply) Dumpster on wheels Slant Top with Lids Flat Top with Lids and Side Doors Question Title * 32. Do you have any special trash procedures where your dumpsters are moved out of a trash room or are moved to the location where they are serviced? Yes No Question Title * 33. Do you need to provide the waste hauler keys to a trash room, gate or compactor? Yes No Question Title * 34. If you have a Gate Code, please list it here. Question Title * 35. Site Map (mark where dumpsters/compactors are located) DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Site Map (mark where dumpsters/compactors are located) SUSTAINABILITY Question Title * 36. Are you aware of Hilton's Travel with Purpose 2030 goals? Yes No If yes, what percentage are you at? Question Title * 37. Do you have a restaurant in the hotel? Yes No If yes, how many restaurants? Question Title * 38. What type of restaurant(s)? (Select all that apply) Fast Casual Fine Dining Kiosk Buffet Other (please specify) Question Title * 39. Does each restaurant have their own dedicated kitchen? Yes No Question Title * 40. How do you dispose of food waste in the restaurant(s)? Regular trash Compost Designated equipment (i.e food grinder or food dehydrator) Other (please specify) Question Title * 41. How do you dispose of food waste left in the hotel rooms? Regular trash Compost Designated equipment (i.e food grinder or food dehydrator) Other (please specify) Question Title * 42. How do you dispose of yard waste? Regular Trash Hauler Landscape Company Repurpose Other (please specify) Question Title * 43. How do you dispose of Universal Waste? (i.e. Fluorescent bulbs, batteries, pesticides, mercury containing equipment) Regular Trash Hauler Specialized Hauler / Recycler Other (please specify) Question Title * 44. How do you dispose of E-Waste? Regular Trash Hauler Specialized Hauler / Recycler Other (please specify) Question Title * 45. Do you currently have on site: paints, stains, polishes, waxes, etc.? Yes No If Yes, How do you dispose of these items? Question Title * 46. Do you collect Medical Waste? Yes No If Yes, How do you dispose of the Medical Waste? Question Title * 47. Do you have a hazardous waste disposal provider? Yes No If Yes, Please provide their name. Done