1999 Awards Program



2020 Awards Program - Data Sheet 1

Official Project Name: ___________________________

Location: ______________________________________

______________________________________

Individual to Contact for this Submission:

Name: ________________________________________

Firm: _________________________________________

Address: ______________________________________

______________________________________

Tel: ___________________________

Cell: ___________________________

Fax: ___________________________

E-mail: _________________________

The Concrete Industry Board recognizes all companies that contribute to the concrete work for award-winning projects. Please help us to acknowledge the members of your team by providing complete information on the following Data Sheets. Insert “NONE” when there is no consultant, contractor or supplier for a category.

Please coordinate with other team members to ensure only one submission is made per project.

Insert “NONE” where not applicable

2020 Awards Program - Data Sheet 2

Owner/Client

Contact Name: Tel:

Firm: Fax:

Address: _________

E-mail:

Architect of Record

Contact Name: Tel:

Firm: Fax:

Address: _________

E-mail:

Structural Engineer of Record

Contact Name: Tel:

Firm: Fax:

Address: _________

E-mail:

Construction Manager

Contact Name: Tel:

Firm: Fax:

Address: ___________

E-mail:

General Contractor

Contact Name: Tel:

Firm: Fax:

Address: _________

E-mail:

Concrete Subcontractor (Foundation)

Contact Name: Tel:

Firm: Fax:

Address: _________

E-mail:

Insert “NONE” where not applicable

2020 Awards Program - Data Sheet 3

Concrete Subcontractor (Superstructure)

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Concrete Subcontractor (Precast)

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Ready Mix Concrete Supplier

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Concrete Mix Designer

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Field Testing Lab

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Concrete Consultant

Contact Name: Tel:

Firm: Fax:

Address:

E-mail:

Insert “NONE” where not applicable

2020 Awards Program - Data Sheet 4

Cement Manufacturers

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Pozzolan Manufacturer (Fly Ash or Blast Furnace Slag)

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Coarse Aggregate

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Fine Aggregate

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Concrete Admixture Manufacturer # 1

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Concrete Admixture Manufacturer # 2

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Insert “NONE” where not applicable

2020 Awards Program - Data Sheet 5

Formwork System Supplier

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Formwork Accessory Supplier

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Formwork Shoring Supplier

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Reinforcing Steel Supplier

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Reinforcing Accessories Manufacturer

Contact Name: Tel:

Company: Fax:

Address:

E-mail:

Insert “NONE” where not applicable

2020 Awards Program - Data Sheet 6

Please add below any additional suppliers who contributed to the concrete work for this project.

_______________

Contact Name: Tel:

Firm: Fax:

Address:

E-mail:

_______________

Contact Name: Tel:

Firm: Fax:

Address:

E-mail:

_______________

Contact Name: Tel:

Firm: Fax:

Address:

E-mail:

Project Title:

Category-

Owner/Client-

Architect of Record-

Structural Engineer of Record-

Construction Manager-

General Contractor-

Concrete Subcontractor (Foundation)-

Concrete Subcontractor (Superstructure)-

Concrete Subcontractor (Precast)-

Ready Mix Concrete Supplier-

Concrete Mix Designer-

Field Testing Laboratories -

Concrete Consultant-

Cement Manufacturers-

Pozzolan Manufacturer (Fly Ash or Blast Furnace Slag)

Coarse Aggregate-

Fine Aggregate-

Concrete Admixture Manufacturer #1-

Concrete Admixture Manufacturer #2-

Formwork System Supplier-

Formwork Accessory Supplier-

Formwork Shoring Supplier-

Reinforcing Steel Supplier-

Reinforcing Accessories Manufacturer-

ADDITIONAL:

-----------------------

The Concrete Industry

Board, Inc.

PO Box 638,

Ringoes NJ 08551-0638

Tel: 718-459-4900

Email: erich@

Website:

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