HomeMy WebLinkAboutTPI2008-00025 STATEMENT OF RESPONSIBILITY FROM KIRBY CONSTRUCTION.TIFContractor's Statement of Responsibility
Each contractor responsible for the construction or fabrication of a system or component designated in
the Duality Assurance Plan must submit a Statement of Rasponsibility.
Project. Pin Station Newton N.C.
Contractor's Name: Kirby Construction Services Inc.
Address: 901 E Street SW. Conover N.D. 28613
License No.: 47269
Description of designated building systems and components included in the Statement of Responsibility:
Masonry Construction /Seismic Force Resistance System — Reinforced Concrete Masonry Shear Walls
Contractor's Acknowledgment of Special Requirements
I hereby acknowledge that I have received, read, and understand the Quality Assurance Plan and Special
Inspection program.
I hereby acknowledge that control will be exercised to obtain conformance with the construction
documents approved by the Building Official,
V v r
Signs ur ate
Contractor's Provisions for duality Control
Procedures for exercising control within the contractor's organization, the method and frequency of
reporting and the distribution of reports is attached to this Statement
Identification and qualifications of the person(s) exercising such control and their position(s) in the
organization are attached to this Statement.
SEE ATTACHED LETTER
Contractor's Statement of Responsibility .