Uniform Certification Application-annotated


Complete for all Officers, Directors, Managers, and Key Personnel who are responsible for the following



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uniform-certification-application 2.8.2021
2. Complete for all Officers, Directors, Managers, and Key Personnel who are responsible for the following
functions of the firm.
(Attach separate sheets as needed.
A= Always
F = Frequently
S = Seldom
N = Never
Officer/Director/Manager/Key Personnel
Name:
Title: Race and Gender:
Percent Owned:
Officer/Director/Manager/ Key Personnel Name
Title:
Race and Gender:
Percent Owned:
Sets policy for company direction/scope of operations AF SN AF SN Bidding and estimating AF SN AF SN Major purchasing decisions AF SN AF SN Marketing and sales AF SN AF SN Supervises field operations AF SN AF SN Attend bid opening and lettings AF SN AF SN Perform office management (billing, accounts receivable/payable, etc) AF SN AF SN Hires and fires management staff AF SN AF SN Hire and fire field staff or crew AF SN AF SN Designates profits spending or investment AF SN AF SN Obligates business by contract/credit AF SN AF SN Purchase equipment AF SN AF SN Signs business checks AF SN AF SN Do any of the persons listed in B or B perform a management or supervisory function for any other business If Yes, identify the person, the business, and their title/function: Do any of the persons listed above own or work for any other firms) that has a relationship with this firm
(e.g.,
ownership interest, shared office space, financial investments, equipment, leases, personnel sharing, etc.
) If Yes, describe the nature of the business relationship:
C. Inventory Indicate your firm’s inventory in the following categories
(Please attach additional sheets if needed):

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