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Bridgestone Retail Operations LLC..<br />

Invitation to Bid<br />

BFRC Post-ADAAG Stores Contractor ADA Compliance Certification Form<br />

(This form may only be utilized for BFRC stores which had first occupancy of any type after 1/26/93)<br />

Inspection Date:<br />

Store Number:<br />

Store Address:<br />

Store Type: Pre-ADAAG<br />

(Check one) Post-ADAAG<br />

Store Phone #:<br />

Store Manager on Duty Signature (Required):<br />

Inspector Name (Print):<br />

Contractor Co:<br />

Inspection Results: Full Compliance<br />

(Check one) Non-Compliant Issues<br />

Contractor Phone:<br />

Inspector Signature (Required):<br />

Date:<br />

Instructions for Completing the BFRC Contractor ADA Compliance Certification Form:<br />

1. If the store does not have a specific feature, check the NA box.<br />

2. For each question that can be answered, check Y for yes or N for no.<br />

3. Any question answered "No" must be reviewed with your BFRC representative.<br />

4. Use a calibrated 24" long slope meter or 24" long level and tape measure to determine slopes along the approximate longitudinal center<br />

line, near the top, middle and bottom, for both front/back slope and cross slope. If either the average or any two of the three measurements<br />

for front/back or cross slope exceeds the Allowable Tolerance, that slope condition will be considered non-conforming.<br />

© 2002 - Universal Designers & Consultants, Inc.<br />

4/8/02 www.UniversalDesign.com Page 1

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