Project Name and Number: Project PIN: Certification requirements for the following material(s) are hereby waived in accordance with Subsection 700.01, paragraph 3 of the Standard Specifications for the requirement for submitting a Construction, which states, “The Agency may waive certification for projects with small quantities of material having a cost of less than $5,000 and that are not directly involved with the safety of the structure or the roadway. The material must still meet or exceed the specified material requirements.” Note that Approved Products List (APL) requirements cannot be waived. Line Item Number Material Number Quantity Manufacturer Number: and Name: and Name: and Units: and Supplier: Additional Information: Date of Material Installation: Submitted by: Date of Form Submission: Resident Engineer
Project Name and Number: Project PIN: Certification requirements for the following material(s) are hereby waived in accordance with Subsection 700.01, paragraph 3 of the Standard Specifications for Construction, which states, “The Agency may waive the requirement for submitting a certification for projects with small quantities of material having a cost of less than $5,000 and that are not directly involved with the safety of the structure or the roadway. The material must still meet or exceed the specified material requirements.” Note that Approved Products List (APL) requirements cannot be waived. Line Number: Item Number and Name: Material Number and Name: Quantity and Units: Manufacturer and Supplier: Additional Information: Date of Material Installation: Submitted by: Date of Form Submission: Resident Engineer
TA555%20Waive%20Small%20Quantity.docx