SUBMISSION OF THIS FORM DOES NOT GUARANTEE AVAILABILITY OFF ROLL OFF FROM BSSI.

A CUSTOMER REPRESENTATIVE WILL CONTACT YOU TO CONFIRM DELIVERY DATE

BSSI offers many different packages. Some may not be shown on line. Commercial businesses who need long term service can obtain personalized quotes. Please fill out this form with as much details as you can so we can offer the best service level!

By filling out this form you are NOT obligated to our service.

We will respond to this form within 2 hours during normal business hours.

Please select which service you would like

Pricing will be confirmed before any confirmation or payment is made

Customer is responsible for any additional fees assessed by any State, County, City, or Federal agency of all cost, fines, penalties, or other actions taken for said disposal, the customer is fully responsible for any and all associated charges. Costs may include but are not limited to cleanup, monitoring, legal fees, penalties, or any other charges associated with unauthorized material disposal.

Customer is responsible for a $200.00 fee if there are items over the labeled fill line on the top of the container. Customer is responsible for any tipping fees over 2.5 tons at $150.00 per ton. Payment for all fees will be billed monthly in accordance with Bartenfelder Sanitations billing schedule.

While the container is in your possession, customer agrees NOT to place or allow to be placed into the dumpster, substances hazardous to health such as toxic or corrosive materials, liquids of any kind, medical waste, animal carcasses, yard waste such as dirt, rock, or concrete, propane tanks, and tires. Customer agrees not to fill any dumpster higher than the labeled line, if there are materials past the line there will be a fee placed. Customer agrees not to light fires in the dumpster. Customer is responsible for any damages to the container other than normal wear and tear while in the customer's possession. This includes but is not limited to fire, theft, vandalism, negligence, graffiti, natural disaster, or any other activity which may cause damages.

Access, Ground Conditions, Liability Release Customers will be responsible for the provision of free and suitable access to and from the delivery site and for ensuring suitable ground conditions for the delivery, placement, and removal of the dumpster. Bartenfelder Sanitation Services, Inc is not responsible for property damage, including but not limited to ruts, driveway damage, landscape damage or any other damage. Customer should take steps to protect surfaces (e.g. driveway, paving slabs, and soft ground) before delivery. Customer agrees to indemnify and hold harmless Bartenfelder Sanitation Services, Inc of any and all damage which may occur to the property where the container is located. All reasonable care will be taken during placement and removal of the container to protect the property. Bartenfelder Sanitation Services, INC will not be responsible for damage to road surfaces, sod, lawn, asphalt, landscaping, overhead obstructions, etc. Customer acknowledges that during the container rental they will retain, care for, and control container contents. Customer will indemnify and hold harmless Bartenfelder Sanitation Services, Inc, its owners, employees, agents, and corporate associates of any damage or injury to persons or property while the container is in the customer’s possession and until the contents are disposed of. Customer is fully responsible for the entire contents of the container and is the rightful owner of the contents until the contents are disposed of and accepted without protest by the prospective disposal facility.

I, the undersigned, release Bartenfelder Sanitation Services, Inc from all responsibility for damages that may occur during the placement or retrieval of the container, damages caused by the weight of the truck or the weight of the container.

I agree unconditionally to pay for all services rendered, including reasonable attorney’s fees incurred in the collection of monies owed.

The undersigned understands that payment is due prior delivery of the container. The undersigned agrees that any balances due may be charged to authorized credit cards on file. Balances are subject to a $25 late charge on any outstanding balance, if not received according to terms.

PAYMENT IS DUE PRIOR TO DELIVERY. YOU MAY MAKE PAYMENT WHEN BSSI CALLS TO CONFIRM DELIVERY DATE