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Certification
Program
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| Sole Proprietorship | Owner |
| Partnership | Managing partner, general
partner, or partner with a minimum of 25% ownership interest |
| Corporation | Executive officer, or majority owner of voting stock |
I
am applying for:
q Certified Commercial
Roofing Contractor (CCRC)
q Certified Residential Roofing Contractor (CRRC)
q Certified Commercial and Residential Roofing Contractor (CC-RRC)
Application and exam fee must be received no latter than 30 days prior to the examination date.
PLEASE TYPE OR PRINT
Name:__________________________________________________ Home
Phone(____)______________
Last
First
Middle
Home Address:_________________________________________________________________________
City:____________________ State:__________ Zip:______________ County:________________________
Firm Name:____________________________________________ Phone(____)_____________________
Firm Address:_____________________________________________ Fax: (____)___________________
City:____________________ State:__________ Zip:______________ County:________________________
Your Position with Firm:__________________________________________________________________
Roof
Contracting Experience:
Years
of experience in roof contracting
business:______________________________________________
Years
of roof contracting business with a firm domiciled in
Montana:_______________________________
Name
of firm or firms with which you were employed in the last three (3) years:
_____________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Three credit references for firm:
1. Bank_________________________________ Address________________________________________
Phone Number (______)_________________ Name of contact person
__________________________
2.
Commercial credit reference_______________ Address_______________________________________
Phone Number (______)_________________ Name of contact person
__________________________
3. Other credit reference____________________ Address_______________________________________
Phone Number (______)_________________ Name of contact person___________________________
Financial information on current firm:
Please include copies or evidence of the following, as minimums, with this application:
For certification as Commercial Roofing Contractor - $1000,000 combined single limit general liability insurance and evidence you can obtain a $100,000 surety bond, cash bond, property bond or irrevocable letter of credit.
For certification as Residential Roofing Contractor - $500,000 combined single limit general liability insurance or evidence you can obtain a $10,000 surety bond, cash bond, property bond or irrevocable letter of credit.
If your firm has one or more employees, check if you carry:
q Worker’s Compensation – please submit evidence of coverage, including employer liability limit of 500/500/500,000 or greater
EXAMINATIONS: Examinations will consist of a business and safety knowledge portion and a technical roofing portion. Upon receipt of a satisfactory application, applicant will be notified of manual and resources to help prepare for the examination. The certification examinations will be given each year at the Annual Conference site and at other times and in other cities as scheduled by the MRCA Certification Committee. Exams become the property of MRCA and the results will remain confidential.
RENEWAL: The certification period is for two years following date of certification. At expiration, certification can be renewed by:
INACTIVE STATUS: If a certified person leaves the employment of the company under which form for certification was obtained and does not obtain other employment with an employer meeting requirements for a Certified Roofing Contractor, that person may apply for inactive status by notice to the Certification Committee within sixty days. To maintain inactive status, the person:
Inactive status will be granted for no longer than two years, at which time the person must qualify for active status again or have certification terminated.
TERMINATION: Certification may be terminated for any person by the Certification Committee for any one of the following reasons:
After termination, a new application and examination, at the full fee, will be required for Certification, and all requirements in effect at the time of the new application must be met.
| FEES: |
MRCA Member |
Non- Member |
| Commercial Certification | $250 | $425 |
| Residential Certification | $250 | $425 |
| Both exams on same day | $300 | $475 |
| Re-Take Exam | $75 | $150 |
For member rate, MRCA dues must be current.
Fees include application, processing, exam, recording, certificate, and one re-exam if not passed the first time. The application and fee are valid for one (1) year from the date of submission.
BUSINESS REFERENCES [ ] General Contractor
[ ] Customer
[ ] Supplier
[ ] Architect/Engineer
A total of four (4) business references, one of each listed above, must be submitted to complete your application for certification. Check which one this is and have that person of your choice complete the bottom portion as your reference and return directly to the MRCA office.
APPLICANTS NAME ____________________________________________________________
COMPANY NAME ______________________________________________________________
CERTIFICATION APPLICATION FOR (circle one or both): COMMERCIAL - RESIDENTIAL
I certify that I have known the above named applicant for ________________years and find him/her to be competent and reputable in the roofing contracting business for which certification application is being made.
________________________________________
__________________________________
Name
and Position
Date
________________________________________
_________________________________
Company
Name
Street
or Box #
_________________________________
City,
State
Zip
_________________________________
Telephone
Comments: ___________________________________________________________________
_____________________________________________________________________________
Return
this form directly to:
Montana Roofing Contractors Association
120 East Main
Sidney, MT 59270
Attn: Certification Committee
The following is a suggested list of reading materials or study resources for persons wanting to prepare for the Certification exams. If you do not have them, you may want to borrow them, or, if you wish to have your own library, ordering information is given below. The exam questions have been drawn from these materials;
COMMERCIAL SECTION
NRCA Roofing and Waterproofing Manual,
5th Edition, 2001
(available
from NRCA, 10255 W. Higgins Road, Ste. 600, Rosemont, IL 60018-5607, telephone
708-299-9070)
| General Roofing Product Considerations pages 11-24 |
Roof Decks pages 41-74 |
Rigid Board Insulation pages 83-126 |
||
| Section 1.0 | Section 10.0 | Section 1.2 | Section 2.1 | Section 2.7 |
| Section 4.0 | Section 11.1 | Section 1.3 | Section 2.4 | Section 3.1 |
| Section 4.1 | Section 12.3 | Section 2.5 | Section 2.5 | Section 2.8 |
| Section 6.0 | Section 12.4 | Section 2.8 | Section 2.6 | |
| Section 7.0 | Section 14.0 | |||
| Section 8.0 | Section 18.0 | |||
| Roof Membranes pages 131-166 |
Built-Up Roof Assembly pages179-187 |
Thermoplastic Roof Assembly pages 271-277 |
|
| Section 2.0 | Section 4.3 | Section 1.2 | Section 6.1 |
| Section 4.1 | Section 4.1 | Section 5.6 | |
| Section 4.2 | Section 6.1 | ||
| Polymer-Modified Bitumen Roof Assembly pages 215-223 |
Thermoset Roof Assembly pages 251-257 |
| Section 5.3 | Section 1.2 |
| Section 6.1 | |
| Section 7.1 |
| Architectural
Sheet Metal & Metal Roofing pages 477-577 |
|||
| Section 1.1 | Section 2.5 | Section 3.4 | Section 4.3 |
| Section 1.2 | Section 2.7 | Section 3.11 | Section 4.6 |
| Section 1.5 | Section 2.9 | Section 3.13 | Section 4.9 |
| Section 1.6 | Section 3.1 | Section 3.14 | Section 5.0 |
| Section 1.7 | Section 3.2 | Section 3.16 | Section 5.1 |
| Section 1.8 | Section 3.3 | Section 4.0 | Section 5.3 |
| Section 2.3 | |||
|
Re-Roofing
Part 1 - Low-Slope |
Quality Control Guidelines For The Application Of Thermoset Single-Ply Roof Membrane, pages 878-891 |
|
| Section 1.0 | Section 2.6 | Insulation Criterion |
| Section 2.1 | Section 2.7 | System Construction Criterion |
| Section 2.2 | Section 2.9 | Appendix 3 |
| Section 2.3 | Section 2.10 | |
| Section 2.4 | Section 3.1 | |
| Section 2.5 | Section 4.1 | |
| Moisture
Control For Low-Slope Roof Assembly pages 813-826 |
Glossary | |
| Section 2.5 | Section 3.2 | |
| Low-Slope
Membrane Roofing pages 1029-1265 |
| BUR |
| Data Sheet 1-28 | Data Sheet 1-28R | Data Sheet 1-29 | Data Sheet 1-2 |
| Chapter 15, 1506.1 | Chapter 15, Table 15-A | Chapter 15, Table 15-E |
SAFETY SECTION
NRLRC OSHA Citation Defense Manual
(Available
from NRCA, 10255 W. Higgins Road, Ste. 600, Rosemont, IL 60018-5607, telephone
708-299-9070)
Managing a Roofing Company in Montana,
Oliver, Edis. 1983
(available
from MRCA , 120 East Main, Sidney, MT 59270, telephone 406-482-1884)
Department of Labor, OSHA, Title CFR
29, Part 1926, “Construction Standards”, revised 7/1/91
(available
from U.S. Government Book Store, 1100 Commerce Street, Room 1-C46, Dallas, TX
75242, telephone 214/767-0076 or U.S. Government Printing Office, Washington,
DC, telephone 202/783-3238)
NRLRC OSHA Citation Defense Manual
RESIDENTIAL SECTION
NRCA Roofing and Waterproofing Manual, 5th
Edition, 2001
(available
from NRCA, 10255 W. Higgins Road, Ste. 600, Rosemont, IL 60018-5607, telephone
708-299-9070)
| Asphalt Shingle Roof Systems pages 327-358 |
|||
| Section 2.2 | Section 3.6 | Figure 16 | Figure 26 |
| Section 3.1 | Section 3.7 | Figure 23 | Figure27 |
| Section 3.3 | Table 1 | Figure24 | Figure 28 |
| Section 3.4 | Figure 14 | Figure 25 | |
|
Wood
Roofing pages 435-462 |
||
| Section 2.2 | Figure 1 | Figure 21 |
| Section 3.7 | Figure 20 | Figure 22 |
| Re-Roofing Part 2 - Steep-Slope pages 729-757 |
|||
| Section 1.0 | Section 3.1 | Section 4.1 | Figure 2 |
| Section 2.2 | Section 3.2 | Section 4.2 | Figure 3 |
| Section 2.3 | Section 3.4 | Section 4.3 | Figure 10 |
| Moisture Control & Ventilation For
Steep-Slope Roof Assemblies pages 829-844 |
||
| Section 1.1 | Section 3.2 | Section 3.3 |
Glossary
| Steep-Slope Roofing pages 1266-1310 |
|
| ASPH | SHK |
Uniform Building Code, 1997 Edition
Appendix,
Chapter 15, Table A-15-A
Appendix,
Chapter 15, Table A-15-A, 1516.3
BUSINESS SECTION
Managing a Roofing Company in Montana,
Oliver, Edis. 1983
(available
from MRCA , 120 East Main, Sidney, MT 59270, telephone 406-482-1884)
Please sign below. If you answer “Yes” to any of the statements below, you must attach a full explanation giving the nature of the event, dates and place of event.
HAVE YOU (or a partnership to which you were a partner or an authorized representative, or a corporation in which you were an officer or an authorized representative) within the last five (5) years:
| YES | NO | |
| __________ | __________ |
A.
Undertaken roofing contracts or work that a surety company completed or made financial settlements on? |
| __________ | __________ |
B.
Had claims or lawsuits filed for unpaid or past due accounts by your creditors, including a governmental agency, as a result of roofing roof-related operations, or filed bankruptcy? |
| __________ | __________ | C. Been convicted of any felony? |
STATEMENT: I affirm that the information I have given in this application is true and accurate, and I understand that any willful falsification or legal felony conviction while certified constitutes grounds for disqualification or revocation of certification. I hereby authorize MRCA to verify any information on references listed herein. I understand that the Certification Committee has the final authority to approve or disapprove all applications and agree that the fees cover the costs of this application and are not refundable,
_____________________________________________________________________________________
Applicant’s
Signature
Date
State
of Montana
County
of
Before me, a Notary Public, on this day personally
appeared______________________________
Known to me to be the person whose name is subscribed
to the Affidavit above.
Given under my hand and seal this __________the day of ________________________,20____.
(Seal or Stamp) ___________________________________
Notary Public for the State of <Montana
Residing at _________________, Montana
My Commission expires ______________
Study
Manual
$_____________
Preparation
Seminar Fee $_____________
Certification
Fee
$_____________
Total
$______________
q Check
Enclosed (Make payable to MRCA)
q Credit
Card
q American Express
Discover Master Card Visa
Cardholder Name:__________________________ Account
Number_________________________
Billing Address:________________________________________ Exp.
Date:___________________
Signature:________________________________________________________________________
In consideration of ( name of individual ) , a principal of ( name of affiliated roofing contractor company ) being certified by the Roofing Contractors Association of Montana (hereinafter referred to as the “Association”) and thereby being entitled to represent themselves as, and to have the benefit of being a certified Montana roofing contractor, and for other good and valuable consideration, the receipt of which is hereby acknowledged, ( name of individual certified ) and ( name of affiliated roofing company ) (hereinafter referred to as “Indemnitors”) agree to hold harmless and indemnify the Association, its officers, directors, members, agents, representatives, and employees (hereinafter referred to as “Indemnitees”) against any claims, suits, losses, damages, and expenses, including attorneys fees, which the Indemnitees, or any of them, may suffer as a result of the Association’s certification of the Indemnitors and Indemnitors’ holding themselves out to the public as a certified Montana roofing contractor.
Indemnitors further agree to satisfy and maintain the requirements of the certification program of the Association and to conduct themselves in a manner so as not to cause public disrepute of the Association and its certification program.
_______________________________
Signed name of individual_______________________________
Typed name of individualDate:___________________________
_______________________________
Typed name of companyBy:_____________________________
_______________________________
Typed name of officer of companyDate:___________________________
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