ABC Form B-9

May 2006


 

TO:    STATE OF ALABAMA

         BUILDING COMMISSION

         770 Washington Avenue, Suite 444

            Montgomery, Alabama 36130

            (334) 242-4082  FAX (334) 242-4182

PLEASE  FILL  OUT  THIS  FORM  COMPLETELY

PROJECT DATA FORM

Date: ____________________

BC No. __________________

PROJECT (NAME AND LOCATION)

 

 

 

 

OWNER (FULL NAME, ADDRESS, & PHONE No.)

CONTRACTOR (FULL NAME, ADDRESS, & PHONE No.)

 

 

 

 

ARCHITECT/ENGINEER (FULL NAME, ADDRESS, & PHONE No.)

 

FUNDING SOURCE:         

            G PSCA        G LOCAL      G STATE      G OTHER __________________________

 

CONTRACT AMOUNT:     $

Alternates Included in Contract:

 

CONTRACT TIME

Date Bids Rec’d:

Date of Contract:

Work Start Date:

Time Limit:

Scheduled Completion Date:

 

BONDS and INSURANCE

Performance Bond By:

Payment Bond By:

Builder’s Risk By:

Workman’s Compensation By:

Liability By:

                     `            **PRECONSTRUCTION CONFERENCE NOTE**

PLEASE CONTACT THE APPROPRIATE BUILDING COMMISSION INSPECTOR FOR THIS PROJECT (SEE BELOW) BY TELEPHONE AT LEAST SEVEN (7) DAYS PRIOR TO SCHEDULING THE PRECONSTRUCTION CONFERENCE IN ORDER TO GIVE HIM TIME TO COORDINATE HIS SCHEDULE ACCORDINGLY. 

 

Denny Hagood - (205) 993-4529

 

Len Kirk - (334) 727-7204 / 242-4808

 

Will McCall, Jr. – (256) 488-5405

 

John Vandiver - (256) 766-6051

 

Bill Wiggins - (251) 990-0019