Midwest Roofing Contractors Association

4840 Bob Billings Parkway

Lawrence, KS 66049

1-800-497-6722

FAX: 1-785-843-7555

Email:

(Use HR Pro on a PC with Internet Explorer ONLY!)

INSTALLATION QUESTIONNAIRE

COMPANY NAME: ____Wm. Molnar Roofing Co., Inc.______DATE: _June 5, 2008______

STREET ADDRESS: __12455 Hale St.______

CITY: ___Riverview______STATE __MI_ ZIP: ___48193______

PHONE: __734-281-0591______FAX: ___734-281-7303_____ EMAIL:

COMPANY PRIMARY CONTACT NAME: ___William Molnar / Robert Molnar______

“BILLING CONTACT” (If different from above.)______

A.General Access Questions
  1. ___x_We would like to customize the site to include our company logo.

__x__ Our company logo can be found on the web site

_____ We have provided our company logo on diskette or e-mail

_____We do not want our logo on the website and will use the standard MRCA HR PRO logo.

  1. We have __18___employees that we would like to have access to the site.
  1. Our on-site administrator(s) will be:

NAME Direct Phone Number Secure E-Mail Address

______Robert Molnar______(734)

______Nancy Benso______(734)_

  1. __x__We would like our management members to have access to all management content on the site.
  1. __x_We would like our employees to have access to all employee information on the site.
  1. For companies with multiple locations:

_____ N/A. We are a stand alone Company location.

__x__We would like all of our locations to be built as one website.

_____We would like each individual location to have its own separate website.

  1. Employee List and Position Titles

__x__ We have completed the Excel spreadsheet as providedby MRCA HR Pro and thereby furnished our most recent list of active employees along with the departments they work in, the department supervisor and the employee’s job title. (Please email this information to: .)

C.Forms

_____ We would like to utilize the current forms on the MRCA HR PROwebsite.

__x__ We would like to utilize the current forms on MRCA HR PROwebsite as well as adding new forms. We have attached a diskette (Microsoft Word Format) with the additional forms we would like to have added to our site.

_____ We want to remove the forms currently on the site and utilize our own forms exclusively. We have attached a diskette (Microsoft Word Format) with the entirety of those forms we would like to have up-loaded onto our MRCA HR PROsite.

D.Management Procedures

_____We would like to utilize the current management procedures as provided by MRCA HR PRO.

_____We have our own management procedures regarding human resources and would like to have those procedures replace the current procedures provided by MRCA HR PRO. We have attached a diskette (Microsoft Word Format) with our management procedures on it.

__x__ We would like to have MRCA HR PROcombine our existing management procedures with the management procedures currently available on the site. We would like to have MRCA HR PROsubmit a draft for our review of the finalized procedures. We have attached a diskette (Microsoft Word Format) with our management procedures on it.

E. Employee Handbook

_____ We would like to have MRCAS HR Pro assist us in developing an Employee Handbook and have completed the attached Employee Handbook Questionnaire. NOTE: There is an hourly charge of $125.00 for this service.

_x___ We would like to have our Employee Handbook up-loaded onto our home page on the MRCA HR PRO system as it is currently written. We will/have provide(d) our manual in electronic form suitable to MRCA HR PRO(preferably Microsoft Word Format), and understand there is no additional charge for this option.

_____ We would like to have MRCA HR PRO combine our existing handbook with the written handbook currently available on the site. We understand that MRCA HR PRO will submit a draft of the completed handbook for our review prior to posing same on the system. We will/have provide(d) our manual in electronic form suitable to MRCA HR PRO (preferably in Microsoft Word Format), and have/will also indicate(d) which provisions of the MRCA HR PRO handbook we wish to adopt and incorporate into our manual. NOTE: There is an hourly charge of $125.00 for this service.

NOTE: Handbook materials are in English ONLY. If you want your handbook translated into Spanish, there is a charge of $35.00 per page of written material.

 Check here if you want your Employee Manual translated into Spanish.

F.Additional Manuals

_x___Wehave a Company Safety Manual that we would like MRCA HR Pro to up-load onto our home page on the MRCA HR Pro system.

_____We have a Company Haz Com Manualthat we would like MRCA HR Pro to up-load onto our home page on the MRCA HR Pro system.

_x___We have additional manuals as listed below that we would like MRCA HR Pro to up-load onto our home page on the MRCA HR Pro system.

______

______

______

NOTE: All manuals are in English ONLY. If you want your handbook translated into Spanish, there is a charge of $35.00 per page of written material.

 Check here if you want your ______Manual translated into Spanish.

G. Benefits

__x__ We would like to have a link to our health insurance provider:

Our provider is _Principal Financial Group__Website:__

Our contact ______can be reached by calling __800-843-1371______.

___x_ We would like to have a link to our life insurance provider:

Our provider is ___Aflac______Website:___

Our contact ____Mark Majoros______can be reached by calling ____248-746-3360 ext.11_____.

_x___ We would like to have a link to our 401K provider:

Our provider is __Lincoln Financial Group___Website:____

Our contact ______can be reached by calling ___800-510-4015______.

__x__We would like to have a link to our ____Dental______provider:

Our provider is ____Midwestern Dental Plans midwesterndentalplansinc.com____.

Our contact ______can be reached by calling ___313-582-8150______.

_____ We would like to have a link to our ______provider:

Our provider is ______Website:______.

Our contact ______can be reached by calling ______.

H.Employee Safety Questions

Inspections

_____We currently utilize an outside third party to inspect and train employees on topics involving safety and/or hazard issues.

___x_We do not use an outside company for safety inspections and rely on our current management staff to maintain safety compliance.

_____ We request MRCA HR PROto perform an in-depth Safety Inspection of our facilities and understand that this study is optional and is outside our normal set-up process. Accordingly, the Company recognizes that the rate for this service is $125.00 per hour plus travel expense and is above and beyond the MRCA HR PROsystem.

Training

__x__ We understand that in order to be OSHA compliant, several training topics need to be designed specific to our needs.

_____We have completed, or will complete, the attached “OSHA Requirements for Written Training Programs” questionnaire.

Completed by:

__Robert Molnar______

PRINTED NAME

______

SIGNED

__Administrator/Estimator/Tech______

TITLE

__June 5, 2008______

DATE

Confidential

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