Membership Information You have selected the Forest Contractor - 6-10 Employees membership level. Forest Contractor – Trucking Only or Forest Road Construction: 50% or more of business is from forest activities – voting member, dividend eligible*, not eligible for Board Membership. 2025 Membership dues are based on 2024 data (number of employees 1/1/24 – 12/31/24) The price for membership is $500.00 now. Membership expires after 1 Year. Do you have a discount code? Click here to enter your discount code Discount Code Account Information Username Password Show Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here Make a Gift Donation Amount $ Log-A-Load Donation: Please accept my additional donation on behalf of the Log-A-Load for Kids program. Contractor Information Name Company Name Street Address City State Zip Code Phone Email Additional emails for weekly newsletter Website Contractor Company Information The undersigned, on behalf of the above-named company (applicant), hereby applies for membership in the PLC of the Northeast. As a condition of membership, I agree that: - The burden of proof for eligibility rests with the applicant and all questions must be completed. Is your company responsible for the execution of all phases of your harvesting operation from stump to roadside? Yes No Do you have a Federal Tax ID #? Yes No Do you have an Unemployment Insurance Account Number? Yes No Do you have a current Workers’ Compensation Policy? Yes No * PLC policy is that Members must have a current workers comp. insurance policy. However, affiliated sole proprietor applicants may also qualify for membership if they do not have a current policy by being Master Logger Certified® company. (Your insurance agent will have all of the information below) Workers Comp. Agency: Workers Comp. Underwriter: Workers Comp. Mod. rating: If you do not know your workers comp. mod. #, may we contact your agent to get the information? Yes No Do you have a current General Liability (GL) Insurance Policy? Yes No General Liability Agency: General Liability Underwriter: Current number of employees: Is your company third-party certified and/or do your employees participate in a logger training program (please check all that apply): Northeast Master Logger Program Certified Logging Professional Program Qualified Logging Professional Program LEAP Trained None Other Do you have a written safety program on file? Yes No Do you have ongoing workplace safety inspections? Yes No Has your company violated the standards of a state Forest Practices Act or had state civil violations (i.e. timber theft or trespass) within the past five years? If yes, please explain. During the past 12 months, have there been any significant changes in your company? If yes, please explain. Contractor Company Data (Harvest/Equipment) How many tons of wood did your company harvest last year? Type of harvesting operation: Whole Tree Cut to length Conventional Does not apply How many of each crew do you have? Type of Harvester: 6 wheel 8 wheel Tracked Does not apply How many of each kind do you have? Type of buncher: Rubber tires Tracked Does not apply How many of each kind do you have? Type of skidder: Cable Grapple N/A How many of each kind do you have? Type of forwarder: Over 18 ton Under 18 ton Does not apply How many of each kind do you have? Type of delimber: Stroke Pull through Does not apply How many of each kind do you have? Trucking: In-house Contracted Does not apply Number of 6 axle log trucks/trailers: Number of 6 axle trucks/chip van: Number of wheelers: Acadia Dividend & Logger Code of Practice Would your company like to participate in the PLC/Acadia Insurance Dividend Group? (*participation in the Dividend Group is subject to underwriting approval by Acadia Insurance) Yes - (if your answer is yes, please proceed to the next question.) No Acadia Confidentiality Waiver- As a condition of participation in the PLC/Acadia Insurance Dividend Group, Acadia Insurance requires the PLC to obtain a signed confidentiality waiver from each participating company. On behalf of (“Company”), as a member of the PLC/Acadia Insurance Dividend Program, I hereby authorize Acadia Insurance and/or its appointed agents to release information relating to my insurance policies with Acadia Insurance, including but not limited to premiums and loss history, to the Executive Director of the PLC. The Executive Director of the PLC will keep this information confidential and will not share company specific information with the Executive Board, Full Board, or individual members of the PLC. I acknowledge and agree that the fore- going authorization will remain valid as long as the Company remains a member of the PLC and the PLC/Acadia Insurance Dividend program, unless expressly revoked in writing to Acadia Insurance and the PLC. The undersigned certifies that he/she is duly authorized to sign this authorization on behalf of the Company. Signature required to participate in the dividend program. Loggers Code of Practice: (All PLC members must sign) Loggers Code of Practice: It is understood that all members of the PLC will adhere to its “Logger’s Code of Practice”. As a professional logging contractor, I will strive to operate in such a way as to engender the public’s trust including meeting or exceeding the standards and principles as follows: • Promote ethical conduct for all loggers. • Strive to always meet standards for harvesting practices, which are consistent with the principles of sustainable forestry. • To operate responsibly in all phases of the harvesting operation, from the actual harvesting activities to clean-up requirements following the harvest. • Recognizing private landowner rights, I will strive to meet the landowners objectives as long as they are consistent with sustainable forestry principles, federal, state and local laws. • I will do all I can to educate and inform landowners, loggers and others about the need to meet sustainable forestry principles. • I will participate in the Northeast Master Logger, Certified Logging Professional, Qualified Logging Professional or other third party recognized program that will provide me with recognition as having met the appropriate requirements for logger education and training as envisioned by sustainable forestry principles. •Comply with all federal, state and local laws and regulations, industry standards and guidelines applicable to the conduct of forest harvest operations. • Conduct harvest operations in a safe manner which are in compliance with Occupational Safety and Health Administration regulations including safety planning and all provisions of such requirements. • To operate my company profitably as a responsible member of the business community including compliance with all requirements and practices as they relate to my employees, vendors and others I do business with. • Continually strive to maintain positive relationships with landowners, procurement and mill personnel and the public in general. • Do my part to assure that my industry has a positive image and to work with peer groups, logger associations and others to strive to bring all loggers up to these standards. • Strive to continually improve my operations through training, innovation, employee programs and other appropriate means. • Act responsibly to uphold the integrity of the logging profession. Contractor Training Information (Maine Contractors Only) Did more than 50% of your employees attend a 2024 PLC Spring Safety Training (Logger or Fleet - CPR does not qualify)? If so, use code - nodues - at the top of this page. Yes No 2025 Dues - We understand PLC’s honor system is based on the membership level as set forth by the PLC Board of Directors on and that any member found not paying fairly for 2024 will be assessed back dues. Is your company Master Logger certified? If yes, go to the top of the page and type in the word "MLC2024" in the "discount code" link area. Dues will be reduced. Only one code can be used. Yes No New Applicants — New Applicants do not have to send dues until your application is approved by the Board. You may select "Pay by check" below and we will send you an invoice after your membership is approved. Choose Your Payment Method Pay with PayPal Pay by Check or QuickBooks Invoice Pay by Check or QuickBooks Invoice QuickBooks Invoice You will receive a link by email to pay by credit card, debit card, or free bank transfer (virtual check) via QuickBooks, questions please email jessica@plcloggers.org. To pay by Check Send a check to the PLC at: PLC Of the Northeast PO Box 1036 Augusta, ME 04332. Check Out With PayPal Processing...