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The young man who came out was very nice and professional, lowered the quote after he took a look at the gutters noting some sides were relatively clean already - I appreciate an honest company. Not sure if he was able to tell the downspouts were open, but wish he would have ran some water through to make sure everything was working. I'll be out there to check it during our next rain, and hopefully they will be willing to come back if I find any issues.
Try this reputable company if you're looking for some of the pros who provide waste management services in Des Moines. They are always ready to help.