Form Cc-008 - Certificate Of Competency Application Page 8
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26CERTIFICATE OF COMPETENCY APPLICATION
Section 9 – Terms & Conditions
9.1.I agree to authorize the CILB and its agents to obtain such additional information concerning
applicant's financial condition, credit worthiness, criminal background report and experience as
necessary from any source dealing with the applicant, even though said information might be deemed
confidential.
9.2.I understand that I may withdraw my application prior to Board review provided that I submit a written
request at least (2) two business days prior to the meeting date when my application is scheduled and
then I will only be entitled to receive a 50% application fee refund.
9.3.I understand that if my application is not completed by the deadline date I will have (45) forty-five
days from application review date to complete the process. Otherwise, I forfeit any fees paid and I will
have to commence again if not deemed completed.
9.4.I understand that I will have thirteen (13) months once application has been approved by the Board to
complete any additional requirements for license issuance. Otherwise, my application becomes null
and void.
9.5.I understand that the business name shall not be misleading as to the scope of certification held.
9.6.In applying to qualify a company, corporation, partnership, limited partnership, or any type of business
entity, I understand that I, as qualifying agent, am completely responsible for the actions of said
business entity as they relate to its construction business.
9.7.I understand that the CILB, by the authority granted to it, by the Special Act 67-1876, as amended,
holds the qualifying agent (applicant) responsible for supervision of the sites as well as financial
aspects of the entity's construction business, including, but not limited to, payment to subcontractors,
suppliers, employees and Federal and State taxes.
9.8.I understand that the Construction Industry Licensing Board of Palm Beach County holds me, as
qualifying agent, responsible for any violation of Sections 10 and 11 of the Special Act 67-1876, which
may be committed by the business entity I qualify. Section 10 of the Special Act 67-1876 sets forth
various prohibited activities and Section 11 identifies those acts for which disciplinary action may be
warranted.
9.9.I certify that I will notify the CILB, in writing within 10 days if I as qualifying agent sever connections
with the entity, or if I am no longer actively supervising the construction or installation work under
contract.
9.10.
I certify that I will act for the partnership, firm or corporation for which I am qualifying in all
matters concerning the contracting business, and I will actively supervise all construction work and be
responsible for ascertaining that all such work is completed according to approved plans, applicable
codes and good construction practices.
9.11.
I certify that I will act only for myself and that I am legally qualified to act on behalf of the business
organization sought to be certified in all matters connected with its contracting business and that I have
full authority to supervise construction undertaken by myself or such business organization and that I
will continue during this certification to be able to so bind said business organization. If at any time
during this certification, I cease to be able to so bind or act for the business organization, I will notify
the CILB in writing within 10 days.
9.12.
Falsification of any information herein, including all supplemental pages and attachments, is
grounds for disqualification. An application which is found to contain false information, a material
misstatement or misrepresentation shall be denied by the Director or authorized designee.
I have read and fully understand all the terms and conditions 1 through 12 outlined and referenced in
Section 9. I have fully acknowledged the information and I am in agreement with the outlined terms
and conditions in compliance with Chapter 67-1876 Special Act, and Laws of Florida, as amended.
Page 7 of 8
Form CC-008
Certificate of Competency Application
Rev. 12/9/16
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