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CDRG - Canadian Disaster
Restoration Group

1084 Kenaston Street
Ottawa, Ontario, K1B 3P5

Toll Free 1.866.736.9222 or
Email us at storm@cdrg.ca

Join CDRG

CDRG Membership Application

This is an application for CDRG Membership. CDRG Members are companies that provide
residential, commercial, and/or industrial restoration services. If your firm does not provide
complete restoration services, it cannot be accepted for Certified Membership. However,
you can be accepted for Professional membership (ie. Duct cleaners, Dry cleaners, Engineers,
Mould remediators, specialized services). CDRG also maintains an Associate Membership category for suppliers of products and services to the restoration industry.

Section I - Membership category

Dry Cleaning Specialist
Duct Cleaning Specialist
Engineer
Plumber and Drain Specialist
Restoration Contractor
Specialized Service

Section II - Business Information

Legal business name :
^*

Operating as:
^*

* Business Address (physical):

Street Address :
^*

City:
^*

Province :
^*

Postal Code:
^*

Main Contact :
^*

Google Map Link :

* Contact information:

Phone :
^*

Toll free:

Fax :
^*

Email:
^*

Website :

* Other:

Annual Sales :
^*

Number of years in business:
^*

Is your company a member of the Better Business Bureau?
No Yes

Is your company a franchise?
No Yes (is yes, please explain) ^*

General Liability:

Carrier:
^*

Coverage amount:
^*

Expiration Date:
^*

Contractors Pollution Liability:

Carrier:

Coverage amount:

Expiration Date:

Worker's Comp:

Carrier:

Coverage amount:

Expiration Date:

Name 3 insurance companies you work for:

Company Name:	Contact Name:	Phone Number:
Company Name:	Contact Name:	Phone Number:
Company Name:	Contact Name:	Phone Number:

Insurance Companies that your company currently participates in Preferred Vendor Programs:

List 3 references:

Company Name: ^*	Contact Name: ^*	Phone Number: ^*
Company Name: ^*	Contact Name: ^*	Phone Number: ^*
Company Name: ^*	Contact Name: ^*	Phone Number: ^*

AREA(s) OF SPECIALTY (Check all applicable areas):
General Contractor: Commercial Residential
% subbed out:

Employee Information :

# of employees: ^*

Do your employees wear uniforms? No Yes

Do your company vehicles have logos? No Yes

What estimating software you currently have and use:
Symbility Xactimate Other

Additional Locations Information:

1	Street Address:	City:	Province:	Postal Code:
1	Phone:	Fax:	Branch Manager:	Google Map Link:
2	Street Address:	City:	Province:	Postal Code:
2	Phone:	Fax:	Branch Manager:	Google Map Link:
3	Street Address:	City:	Province:	Postal Code:
3	Phone:	Fax:	Branch Manager:	Google Map Link:
4	Street Address:	City:	Province:	Postal Code:
4	Phone:	Fax:	Branch Manager:	Google Map Link:
5	Street Address:	City:	Province:	Postal Code:
5	Phone:	Fax:	Branch Manager:	Google Map Link:

Service areas : (please list all of the cities/towns your companies services)

Section III - Certifications

IICRC
Certified Firm
RIA member
Other
Please specify if you selected Other or RIA Member:

Section IV - Name of IICRC courses

AMRT - Applied Microbial Remediation Technician
ASD - Applied Structural Drying Technician
FCT - Floor Care (Hard Surfaces) Technician
HST - Health and Safety Technician
ISSI - Introduction to Substrate Subfloor Inspection
MR – Master Restorer
OCT - Odor Control Technician
RRT - Carpet Repair & Reinstallation Technician
RRT - Carpet Repair & Reinstallation Technician
SMT - Stone, Masonry and Ceramic Tile Cleaning Technician
SRT - Fire & Smoke Damage Restoration Technician
UFT - Upholstery & Fabric Cleaning Technician
WRT - Water Damage Restoration Technician

Section V - CDRG Member Company Survey

Please complete and return this survey with your application. This information is used internally by staff to help us understand more about your company.

Fleet of vehicles :
# of vehicles
# of Cube vans
# of Regular vans
# of Project Managers & staff vehicles
# of truck mount vehicles

List of equipment :
# of DH
# of Drying fans
# of Air scrubbers
# of Extractors
# of Negative airs
# of others (specify)

In addition to restoration services, what other services does your company offer?

Asbestos Abatement
Large loss drying
Mould remediation
Reconstruction
Other
If other, please specify:

Section VI - Submittal

I, the undersigned, certify that all the information provided in this application is true and accurate. The Canadian Disaster Restoration Group, its directors, committee members, employees (“CDRG”) may review my application and I will cooperate promptly and fully in such review. I will submit to CDRG such documents and information deemed necessary to confirm the information in this application. All documents submitted to CDRG are the property of CDRG and will not be returned to me. I waive all claims relating to or rising out of review by CDRG of this application, and I indemnify, release, discharge and exonerate CDRG for any action taken relating to such review, including denial of my application, revocation, suspension or other sanction for any action taken pursuant to the rules and standards of CDRG. I understand that I shall be notified of membership acceptance by CDRG in writing and that receipt of this application by CDRG and the deposit of dues DO NOT constitute approval of membership.

We further understand that CDRG membership dues are non-refundable. We agree to meet all membership criteria within 12 months of applying and we understand that failure to meet such requirements within 12 months will result in rejection of our application and forfeiture of all fees and dues.

I shall not make any claims of holding CDRG membership until such official notification, has been received in writing from CDRG. I also agree not to use the CDRG logo until my application is approved, and I understand that unauthorized use of the logo may result in rejection of my application and forfeiture of all payments, as well as further legal action. By signing, I acknowledge that I have read and understand the information in this application and agree to abide by these terms and rules.

Associate member Certified member Professional member Supplier

I Agree with Submittal and comply with CDRG No Yes ^*