QP MAINTENANCE APPLICATION FORM

INSTRUCTIONS

If you have any questions or problems with this form, please contact certification@sspc.org.

Application Instructions: Please fill in all fields and check-off all boxes. Type “N/A” in fields where the information is not applicable.

NOTE: This is the Maintenance Application Form for QP 1, 2, 3, 4, 6, 7, 8 and 9, as well as QS 1 and QN 1. If you need to submit a Maintenance Application for QP 5, please use the form found here.


QP 1QP 2QP 3QP 4QP 6QP 7QP 8QP 9QS 1QN 1

A copy of this form will be sent to this email.

Section 1 Company Information


Section 2: Acknowledgements
Check the boxes as necessary to acknowledge/verify each item. Upload the Corresponding Files. Organization Chart is Required.

Section 3: environmental, Health and Safety Compliance Information

Section 4: Company Practices

If answering Yes to any of these questions please upload a detailed explanation and supporting documentation. Otherwise, a file upload is not necessary


YesNo


YesNo


YesNo


YesNo


YesNo


YesNo


YesNo


YesNo

If applicable to the applicant


YesNoN/A


YesNoN/A


YesNo

YesNoN/A

Section 5: Special Notices

EXHIBIT A
“Affiliates.” Business concerns, organizations, or individuals are affiliates of each other if, directly or indirectly: (1) either one controls or has the power to controlthe other, or (2) a third party controls or has the power to control both. (Indicia of control include, but are not limited to, interlocking management or ownership,identity of interests among family members, shared facilities and equipment, common use of employees), (3) Is a business entity organized following the revocation,suspension, or proposed for same of a contractor which has the same or similar management, ownership, or principal employees as the contractor that was subject torevocation or debarred, suspended, or proposed for such.

JOINT VENTURES
When SSPC audits a project being done by one or more QP certified firms as a Joint Venture (JV), the audit counts as an audit for all the QP certified companies involvedin the JV. That is, if the audit is successful, all the JV QP companies audited would share this success. If the audit is not successful, the audit is unsuccessful forall QP firms involved. See Special Provisions "D" and "E. "In addition, SSPC reserves the right to audit a non-JV project being done by one or more of the joint venturecontractors. See Special Provisions "D" and "E" in program instructions and rules.

FAILURE OF AUDIT
Companies who fail the annual maintenance audit will be given 45 days after notification of audit results to submit a Corrective Action Plan and request that SSPCre-evaluate. SSPC reserves the right to withhold certification from firms who fail a maintenance or follow-up evaluation until a Corrective Action Plan (CAP) issubmitted and accepted by SSPC. SSPC may opt, in certain cases, to extend the company's certification status following acceptance of a CAP for a limited periodsubject to certain conditions.

Companies placed on suspension for failing a maintenance audit during their certification term will be formally notified in writing (e.g. by letter or email) of the suspension.

The company is given 45 days from notification to make corrective actions and be re-audited.
The company is asked to return original certificates.
The company is asked not to represent itself as QP certified, while the suspension is in effect

During a suspension period, SSPC will remove the company's name from the SSPC website search function of QP certified companies and post notice of the suspension onthe SSPC website. Companies will be formally notified in writing when a suspension is lifted, valid certificates will be reissued, and the company's name will bere-added to the appropriate list of certified companies.

Section 6: Verification and Acknowlegement of Principal Office
Note: By typing my initials and name on this form, I acknowledge that I have read and understand the documents listed below:


The QP Certification Program Application Form Instructions and Program Rules


The QP procedure set forth therein


The Disciplinary Action Criteria (DAC)

As a principal officer of the certified company, I indicate that we agree to abide by and be bound by the rules, regulations, and procedures set forth therein for the QP certification(s) held.