SSPC QP Contractor - Job Notification Form (JN)

PLEASE COMPLETE ALL FIELDS. If a Required field does not apply then fill in with "N/A".

(SSPC Keeps all JN information in strict confidence). Certified contractors are required to submit job information on "reportable" field jobs to SSPC within 15 days of contract award. Reportable jobs are defined as follows:

• (1) All prime contracts for public work that involve coating and related work with a dollar value of $50,000 or greater.
  (2) All public contracts (issued by federal, state, or local governments) for coating related work in which you are the coating and related work Subcontractor, regardless of contract amount.
  (3) All coating and related work where QP1 or QP2 are contract specified or when QP1 or QP2 is included in the Contractor qualification / evaluation process.

1. Company Name:
2. JN Contact Name:
3. JN Contact Phone Number:
4. JN Contact Email Address: This email address will receive the confirmation email from SSPC
5. Job - Site Name:
City:
State:
Zip:
6. Project Painting cost:
7. Square Footage of Painting:
8. Job-Site Address and Nearest Airport (if no postal address, please provide detailed directions from nearest airport):
9. Estimated Job - Site Start Date:
10. Estimated Job - Completion Date:
11. Physical Description of Structure(s):
12. Job - Site Containment Specified:
13. Job - Site Surface Preparation Specified:
14. Job - Site Coating System Specified:
15. QP(s) Required by Industrial Structure Owner(s):
16. Job - Site QP Audit Contact Name:
17. Job - Site QP Audit Contact Phone Number:
18. Job - Site QP Audit Contact Email Address:
19. Notes for Auditor (e.g. safety equipment, safety training, security pass, security training, etc.):

20. Company Name:
21. Contact Name:
22. Contact Phone Number:
23. Contact Email Address:

24. Company Name:
25. Contact Name:
26. Contact Phone Number:
27. Contact Email Address: