CERTIFIED CONSTRUCTION CONTRACT ADMINISTRATOR (CCCA) DESIGNATION

Similar documents
APPLICATION FORM CERTIFIED TECHINCAL REPRESENTATIVE (CTR) DESIGNATION

CSP APPLICATION FORM

Candidate Manual Certified Commissioning Firm (CCF) Program

Version No: 1.0 Approved by: Francine Seskin Approved on: 3/28/2018. CEA Exam with Live In-House Seminar Version

1.2 Applicant An individual applying for initial, upgraded, reciprocity or renewal by submission of a standard application to the administrator.

Candidate Handbook Certified Commissioning Firm (CCF) Program

Municipal Law Enforcement Officer Certified-M.L.E.O. (c) Certification Application Guide Program Features

MEMBER GRADE APPLICATION/ELEVATION FORM

Version No: 1.0 Approved by: Francine Seskin Approved on: 3/28/2018

CCST Examination Application

Municipal Law Enforcement Officer Certified-M.L.E.O. (c) Certification Application Guide

National Association of Construction Auditors Instructions

TOWING VESSEL INSPECTION BUREAU (TVIB)

APPLICATION FOR RE-CERTIFICATION IN ELDER LAW

Certified Recovery Peer Advocate-Provisional Application

ESTATE PLANNING COUNCIL OF BERGEN COUNTY, INC. MEMBERSHIP APPLICATION

ACADC Renewal Changes

Certified Recovery Peer Advocate Application

CAP Examination Application

Fire Prevention Officers Association of British Columbia

CADC Renewal Changes

HONG KONG ASSOCIATION OF INTERACTIVE MARKETING (HKAIM) 香港互動市務商會 Certified Digital Marketer (CDM) Application Form

IAAPA CERTIFICATION APPLICATION FORM

CLTC RE-CERTIFICATION Candidate Information & Application

Certification Requirements and Application Procedures for Persons and Firms.

TOWING VESSEL INSPECTION BUREAU (TVIB)

Certified Assessor. Application for COBIT Certified Assessor

CONTINUING EDUCATION PROVIDER GUIDE

Appendix B: Certified Technology Specialist Design (CTS-D) - Exam Application

CPRC Renewal Changes

Certified Addiction Recovery Coach Application

CERTIFICATE IN LUXEMBOURG COMPANY SECRETARIAL & GOVERNANCE PRACTICE

Requirements for Certification under the Grandfathering Provision

OFFICE OF THE MEMBERSHIP SECRETARY

SDR EDUCATIONAL CONSULTANTS

Certified Recovery Peer Advocate Application

TOWING VESSEL INSPECTION BUREAU (TVIB)

CCS Renewal Changes. Page 1 of 6

OHIO PUBLIC LIBRARIAN CERTIFICATION PROGRAM

Requirements for Initial Certification

China Code of Ethics Certification 2018 CHECKLIST

APPLICATION HANDBOOK

Appendix B: Certified Technology Specialist - Installation (CTS-I) Exam Application

FREQUENTLY ASKED QUESTIONS REGARDING THE CAPLA CERTIFICATION EXAMINATION

OHIO PUBLIC LIBRARY STAFF CERTIFICATION PROGRAM

APPLICATION FOR CERTIFICATE OF QUALIFICATION

RULES GOVERNING CERTIFICATION FOR Water Treatment Operators & Associates

Certified Service Centers Application Packet

CERTIFICATION RENEWAL APPLICATION CERTIFIED HEALTHCARE ENVIRONMENTAL SERVICES PROFESSIONAL

APPLICATION PART A: POLICY CERTIFICATION PROGRAM FOR CERTIFIED GEOTHERMAL DESIGNERS (CGD ) PRESENTED BY ASSOCIATION OF ENERGY ENGINEERS

CERTIFIED GLAZIER APPLICATION AND PORTFOLIO

Society for Range Management

Certified Commissioning Technician (CxT) Application

Choose only one. If you are registered in both category, PEPC & Accredited Checker, separate FORM H is required for each category.

NATIONAL ASSOCIATION OF LEGAL INVESTIGATORS, INC. Certified Legal Investigator EXAMINATION APPLICATION

Washington State Construction Crane Certifier Program

Certified Revenue Management Executive Certification Application

AOSA/SCST APPLICATION FOR PURITY AND GERMINATION EXAMINATIONS

RENEWAL APPLICATION CERTIFIED NURSE MANAGER AND LEADER

CERTIFICATION RENEWAL APPLICATION CERTIFIED PROFESSIONAL IN HEALTHCARE RISK MANAGEMENT

INTERNATIONAL BOARD OF FORENSIC ENGINEERING SCIENCES Stirling Road, Hollywood, FL Re-certification Application IDENTIFICATION

INSTRUCTOR CERTIFICATION PROGRAM

APPLICATION FOR ADMISSION TO MEMBERSHIP AS A CA (SINGAPORE) - FOR SINGAPORE QP GRADUATES

1. The application should be sponsored by two existing members of ICAM (proposer and seconder).

MRS Certified Member Application Form

ISACA s CSX Cybersecurity Practitioner Certification CPE Policy Table of Contents

NARI. Please initial each page and mail, or FAX your completed application to: Milwaukee NARI W. Dearbourn Ave Wauwatosa, WI 53226

The New Mexico Public Procurement Association (NMPPA) Presents the N M P C NEW MEXICO PROCUREMENT CERTIFICATION PROGRAM

Certified Trainer Program Guide

1. The application should be sponsored by two existing members of ICAM (proposer and seconder).

Kennesaw Scholarship. Please note: to AFP Atlanta with. Name: Work Address: Employer: Your Title: Work Fax Number: this position?

Application and Instructions for Firms

National Accredited Housing Maintenance Technician NAHMT. and National Accredited Housing Maintenance Supervisor NAHMS. Credential Application

Master EMC Design Engineer Certification Application during Grandfathering Period ---FORMS MAY BE PHOTOCOPIED---

National Fitness Professionals Association. Certification Renewal Packet

Participation Agreement for the ehealth Exchange

EXCEL HEALTHCARE STAFFING AND REFERRAL AGENCY

OFFICIAL APPLICATION For Certified Measurement & Verification Professional (CMVP)

Certified SRW Installer (CSRWI) Recertification Requirements

ACEDS. Certified E-Discovery Specialist RECERTIFICATION APPLICATION ACEDS.ORG. A BARBRI Professional Association

Code of Ethics Certification 2018 CHECKLIST

Name (who the activity is for): Address: City: Postal Code: Home phone: Bus. Phone: Name of Primary Contact:

Certified Professional in Supply Management Application for Recertification

Renewal Registration & CPE for CPAs in Iowa

RET CONSTRUCTION MANAGER CERTIFICATION INSTITUTE. Retired Handbook

NATIONAL REGISTRY OF CERTIFIED CHEMISTS 125 Rose Ann Lane, West Grove, PA (phone) / (fax) /

Appendix F: CTS Renewal Application

Requirements for NCOWCICB certification with Business Succession Exemption Please read and follow carefully.

St Neots, Cambs. PE19 8EP or to:

Certified Professional Patient Navigator (CPPN)

Payment Card Industry (PCI) Data Security Standard Validation Requirements

STEP 1: Register with Accurate Environmental Training Center: STEP 2: Complete an ODEQ Exam Application IMPORTANT: and Jeff Clarke

Please initial each page and mail, FAX, or your completed application to: Milwaukee NARI W. Dearbourn Ave Wauwatosa, WI

11 CERTIFICATION HANDBOOK

CERTIFICATION BODY (CB) APPROVAL REQUIREMENTS FOR THE IFFO RESPONSIBLE SUPPLY (IFFO RS) AUDITS AND CERTIFICATION

Continuing Professional Development Program Guidelines

Certification Guidelines: Credential Standards and Requirements Table

Certification Guidelines: Credential Standards and Requirements Table

Examination will be conducted in English Medium and you are required to answer in English Medium.

Constitution Towson University Sport Clubs Organization Campus Recreation Services. Article I Name. Article II Membership

Transcription:

APPLICATION FORM CERTIFIED CONSTRUCTION CONTRACT ADMINISTRATOR (CCCA) DESIGNATION Construction Specifications Canada Devis de Construction Canada 120 Carlton Street, Suite 312, Toronto, Ontario, M5A 4K2 Tel(416) 777-2198 Fax(416) 777-2197 (Toronto) Fax (800) 668-5684 (Canada) Email: info@csc-dcc.ca WebSite: www.csc-dcc.ca

APPLICATION FORM: CERTIFIED CONSTRUCTION CONTRACT ADMINISTRATOR (CCCA) DESIGNATION CSC (Construction Specifications Canada) has developed an education system and certification designation for construction contract administration. Those who complete the requirements will be certified and will be allowed to refer to themselves as Certified Construction Contract Administrators (CCCA). Objectives Eligibility The objective is to improve construction contract administration by providing education related to the understanding, administration, and enforcement of conditions of the contract during the bidding and construction phases of the project. Prior to completing this application form for CCCA designation, ensure that all of the following pre-qualifications are met: 1. You must be a current CSC member. (Non-member applicants must include a completed membership application form and fee, which will be processed concurrently with the CCCA application). 2. The applicant must have a minimum of five (5) years experience in the administration of construction contracts. (Applicants must complete the CCCA Application Experience Log). 3. Successful completion of CSC Level 1 Principles of Construction Specifications or Principles of Construction Documentation (PCD); and the successful completion of CSC CCA Education Course. Successful completion of the education portions is based on a minimum 70% pass mark at each level. Application Fee Course Fees Dues Register Certification & Title Enclose the required application fee of $120.00 PLUS HST. Make cheque payable to Construction Specifications Canada. Course registration fees will vary by location. Education course details and registration forms are available on request from Construction Specifications Canada. Certified Construction Contract Administrators shall pay annual Certification dues, which shall be established by the CCCA Subcommittee, in addition to CSC membership dues. Dues shall be payable to Construction Specifications Canada on receipt of invoice within time limits established by CSC By- Laws. The Executive Director will maintain a Register at the Corporate CSC Office. The name, address, and date of certification of each member approved for certification by the CCCA Subcommittee, and who have paid the required dues and signed the agreement to abide by the Code of Conduct and Practice will be entered into the register. The register shall be open to inspection by any persons so requesting. Each member whose name is inscribed in the Register will receive a CCCA Certificate bearing the member s name, date of certification, the seal of the Corporation and the signatures of the President and the Chair of the Education Certification Committee (ECC). The Certificate remains the property of CSC. Members so registered are titled Certified Construction Contract Administrator (CCCA) or Administrateur de Contract de Construction (ACC) and are entitled to use this designation provided they continue to abide by the Code of Conduct and Practice and remain members in good standing of CSC. Conduct Certified Construction Contract Administrators are required to comply with the Code of Conduct and Practice of the CCCA Subcommittee. 1

APPLICATION FOR CERTIFIED CONSTRUCTION CONTRACT ADMINISTRATOR (CCCA) DESIGNATION Please complete the following form, including recent job descriptions, and contact information, or attach a curriculum vitae listing in chronological sequence your work experience, including references. This information will be used to confirm your eligibility for certification, and will remain confidential based on the CSC Privacy Act found at www.csc-dcc.ca. 1. PERSONAL AND BUSINESS INFORMATION (Please type or print clearly. This information will be used on any certificates issued) Name (Last, First, Middle): Home Address: Company Name: Company Address: Phone: Job Title: Fax: 2. ACADEMIC TRAINING* Name and Address of Institution From Attendance To Certificate/Diploma/Degree Obtained * Include any CSC courses taken 3. RELATED ASSOCIATION/SOCIETY MEMBERSHIPS Organization Dates of Membership Offices Held 2

4. WORK EXPERIENCE Describe experience showing its relationship to Contract Administration. Use attachments to supplement data on this page, and to explain responsibilities. Provide complete mailing addresses. Company Name and Full Mailing Address: From: To: Title: Immediate Supervisor: Major Clients: (provide min. three each, as applicable) Firms: Schools: Contractors: Others: Customer/Client References (two requested): 1. 2. Duties: Company Name and Full Mailing Address: From: To: Title: Immediate Supervisor: Major Clients: (provide min. three each, as applicable) Firms: Schools: Contractors: Others: Customer/Client References (two requested): 1. 2. Duties: Company Name and Full Mailing Address: From: To: Title: Immediate Supervisor: Major Clients: (provide min. three each, as applicable) Firms: Schools: Contractors: Others: Customer/Client References (two requested): 1. 2. Duties: 3

A) CCCA APPLICATION EXPERIENCE LOG Record the actual hours of work experience, over the past five or more years, on the activities listed below. The actual hours shall total more than 9,375 hours. Minimum hours of contract administration experience required for the CCCA designation is 9,375, based on an average of 37.5 hours a week, 50 weeks per year, for 5 years. ACTIVITY: MINIMUM HOURS: ACTUAL HOURS: Group A Construction Review Site Review To Determine Progress & Compliance Determine Substantial Performance Determine Contract Completion Deal With Warranty Items Review Shop Drawings Review Samples Evaluate And Approve Progress Payments Evaluate Requests for Substitutions Review Testing Agency Reports 2500 hours SUB-TOTAL 3600 hours Group B Documentation Preparation/Review Prepare And Issue Change Orders Prepare And Issue Change Directives Evaluate Change Notices Prepare And Issue Supplementary Instructions Prepare Site Review Reports Progress Claim Certification Substantial Performance Certification Release Of Holdback Certification Progress Requests For Information Review As Built (Record) Drawings Review Operation And Maintenance Manuals Review Progress Schedules Completion of Contract Certification SUB-TOTAL 400 hours 400 hours 500 hours 22 Group C Meetings Project Meetings Pre-Construction Meetings Pre-Installation Meetings Wrap-Up Meetings SUB-TOTAL 500 hours 6 Group D Other Contract Administration Activities Not Indicated Above (Note: Provide clear description of activity as it relates to Contract Administration) TOTAL: 4

Signature Information submitted with this application will be used by Construction Specifications Canada only to verify representations made by the applicant. Such information will not be divulged to any other person. I hereby certify that the information presented herein is true, accurate and complete and I authorize Construction Specifications Canada to verify any information provided by me with my current employer, past employer(s) or other references. Signature of Applicant Date Print The information within will adhere to the CSC Privacy Act. If approved by the Committee, a certificate will be issued to the applicant, or to the Chapter Education Officer for distribution to the applicant at a future Chapter meeting. I M P O R T A N T M E S S A G E: CSC Members who hold a Certified Construction Contract Administrator (CCCA) designation are required to maintain their status through a documented program of Continuing Professional Development and Education Hours. In each membership year (calendar year) the member is required to participate in a total of 15 hours of Continuing Professional Development and Education (CPDE) activities. This program is meant to aid in furthering the recognition by industry participants of CSC Designations by building on the value of integrity of the programs as well as that of the registered or certified members. The renewal program will ensure that registered/certified members of CSC continue to learn and develop their skills as well as share their expertise with others in the industry. As a Certified Construction Contract Administrator, you will be asked on a yearly basis (during the Membership renewal) to complete a Registration and Certification Renewal Form, failure to complete this form may result in the revoking of your designation by the Education Certification Committee (ECC). 5

~Office Use Only~ Do Not Write In This Area Verification of Eligibility Completed the CSC Level 1 or PCD course Date of completion Completed the CSC CCA or CCCA course Date of completion Required Experience Membership Status Date Date Comments CCCA Sub-Committee Chair Acceptance Date CCCA Sub-Committee Vice-Chair Acceptance Date CCCA Certificate to Applicant Confirmation of Mailing Mailing Date to Chapter 6