Facility*: Select Facility401 - Nelnet401 Day Porter - NelnetAlpha MediaBryan HeartBryan Medical Center - Epic ITCelerion - Main CampusCelerion Day Porter - Main CampusCelerion - StockwellCircle City ABAContinental Western Ins. CoCrete CarrierCrown PlazaElizabeth Park CommonsElway Powersports of LincolnFedEx ExpressHappy Moose Properties Air BnBHabitat For Humanity - Office - 4615 Orchard StHabitat For Humanity - Restore - 5601 S 59th StHoly Family Medical AssociatesHopeSpokeHudl - Nelnet SuitesHudl Day Porter - Nelnet SuitesILC (Integrated Life Choices)Lincoln Square - NelnetLincoln Square Day Porter - NelnetLNK Commercial GroupLuthern Student CenterMolex, Inc. (Kingbird)Molex, Inc. (Kingbird) - Day PorterMolex, Inc. (Kingbird) - 3rd ShiftMolex, Inc. (Bond)Molex, Inc. (Bond) - Day PorterNE Dept of Transportation - CentralNE Dept of Transportation - Day ShiftNE Dept of Transportation - Materials LabNE Dept of Transportation - ScalesNE Dept of Transportation - South 14thNE Dept of Transportation - State PatrolNE Dept of Transportation - SuperiorNE Dept of Corrections - PharmacyNeurological & Spinal SurgeryNRECAOlsson’s & AssociatesUnicoUnion Bank - 21st & Hwy 2Union Bank - 3560 S 48th StUnion Bank - 3606 S 48th StUnion Bank - 3615 S 48th StUnion Bank - 3705 S 48th StUnion Bank - 40th & Old CheneyUnion Bank - 48th & NormalUnion Bank - 68th & OUnion Bank - 70th & PioneersUnion Bank - 84th & Nebraska Parkway (Hwy 2)Union Bank - CalvertUnion Bank - Center - 3643 S 48th StUnion Bank - Coddington & AUnion Bank - DepotUnion Bank - FallbrookUnion Bank - North 27thUnion Bank - North 48thUnion Bank - North 84th & LexingtonUnion Bank - Pine RidgeUnion Bank - Pine Lake EastUnion Bank - Pine Lake WestWest Gate Bank - 17th & SouthWest Gate Bank - 27th & CornhuskerWest Gate Bank - 50th & OWest Gate Bank (Main) - 60th & Old CheneyWest Gate Bank - 84th & HoldredgeWest Gate Bank - West O
Date*:
Is the floor in your area vacuumed/mopped regularly? YesNo
Is your trash removed regularly? YesNo
When you clear your desk, do we dust? YesNo
Is the restroom that you use cleaned regularly? YesNo
Are the public areas of this building acceptable? YesNo
Name*:
Select One: Chili’sOlive GardenVenue
*Eligibility dependent upon your company’s gift policy.
Comments: Phone Number*: Email Address*: