Contractor Qualification Renewal Form To renew your ASA Contractor Qualification, please complete this form, along with the attached Excel Projects Form to document 5 projects you’ve completed at the level of your qualification within the last 5 years. Renewal Fee: $950 upon submission OR $500 upon submission, if your Qualifying Individual (QI) attended an ASA Shotcrete Convention & Technology Conference within the last 5 years Renewal Process: Results of renewal review will be issued within 30 days. Company: * Qualifying Individual: * Qualifying Individual: First Name: First Name: Last Name: Last Name: Company Structure Please review the copy of your original application which was attached to email that was sent. Review and describe any changes to your company to the areas below. Each of the following fields require an answer. If there are no changes, enter NA. Company Ownership: * Business Address: * Yard Address(es): * # of Crews: * Superintendents/Foremen: * Project Management: * # of Certified Shotcreters (formerly known as nozzlemen): * # of Pumps/Guns: * Additional Equipment of Significance: volumetric mixers, trucks, etc. * Continuing Education List participation on ACI 506, C660, C661 Committee work, ASA Committees, or ASA Convention, please list participation & dates. Continuing Education List: * Capability to Perform Please provide details on and describe the changes in the volume of shotcrete work and changes in the percentage of the shotcrete portion of your company’s work. Volume of shotcrete work, please describe: * Percentage of the shotcrete portion of work, please describe: * Project Form Click here to download Project Form. Complete then upload, to document your 5 projects. Upload Project Form: 5 projects within the last 5 years: * Drop a file here or click to upload Choose File Maximum file size: 18.43MB Renewal Fees $950 $500 – with proof of QI attendance at one ASA Convention within the last 5 years Submit year and location of Convention. (Subject to verification) Select Fee Option: * Full Renewal Fee – $950 Discounted Renewal Fee – $500 Submit year and location of Convention for discount fee: CC Number CC Number CC Number CC Number Month 123456789101112 CC Number Year 20252026202720282029203020312032203320342035 CC Number If you are human, leave this field blank. Submit