PROJECT MANUAL Specifications Seafood Removal Walmart Store No 1186 Liberty TX

CONTRACTOR'S QUALIFICATION STATEMENT OF CONFORMANCE
SECTION 03312
CAST-IN-PLACE CONCRETE SLAB
Project Location:_______________________________________________Date:
Project Number:____________________________Store Number:
By signing below as approved, the Contractor hereby confirms that the qualifications of the concrete finishing
subcontractor conforms to the qualifications as follows:
The concrete floor finishing subcontractor Lead Finisher and two additional members of the finishing crew are certified
under the Concrete Flatwork Finisher Training and Certification Program as granted by the American Concrete Institute.
(Attach Certificates)
The concrete floor finisher subcontractor has experience in finishing interior floors of similar size and scope in at least 5
previous projects. Projects name and location are identified as follows
1. ___________________________________________________________________
2. ___________________________________________________________________
3. ___________________________________________________________________
4. ___________________________________________________________________
5. ___________________________________________________________________
Submit one copy to the Wal-Mart Construction Manager.
Concrete Finishing Contractor Company Name and Address:
__________________________________________
__________________________________________
__________________________________________
Signature of Responsible Officer: _________________________
Typed Name and Title of Officer: _________________________
Telephone Number: ( ______ ) ___________________________
General Contractor Company Name and Address:
_______________________________________
_______________________________________
Signed by: ______________________________________ Date:_________________
Submit one copy of this Statement to the Architect
03312-30
Walmart #1186 – Liberty, TX 04/20/11
CMA/10118.034