<div class="vce-asset-background-simple-item" style="background-image: url(https://prswireless.com/wp-content/uploads/2022/09/daniel-weiss-aj2Os9mYgJU-unsplash-scaled.jpg)"></div> Notice To Proceed (NTP) Form 1Project Details2Crew Are you adding additional information to an NTP Request?NTP ID# If you have an existing NTP Request, please enter the ID number here with no additional letters or formatting. ID: NTPC-2115 would be 2115Your Contact InformationPlease enter the contact information for the person completing this form. Name(Required) First Last Phone(Required)Email(Required) Project DetailsProject Name(Required) Description of Work(Required)Site(Required)SELECTHeathway-232 Heathway Drive, Charlotte, NCVest Water Tank- 2035 Patton Ave, Charlotte, NCSharon Road-5315 Sharon Road, Charlotte, NCDavidson – 3275 Maple Way Drive, Davidson, NCMatthews -509 Teams Road, Matthews, NCNorth -7980 Babe Stillwell Farm Road, Huntersville, NCSouth Point – 2240 South Point road, Belmont, NCSugar creek WWTP - 5301 Closeburn rd, Charlotte, NCCarrier(Required)SELECTVERIZONT MOBILEAT&TFBINCHPRADIO ONEDUKEEstimated Project Duration(Required)1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950+Days/Weeks/Months(Required)DaysWeeksMonthsRequested Start Date(Required) MM slash DD slash YYYY General Contractor(Required) Phone(Required)Email(Required) Point of Contact(Required) First Last Sub Contractor 1 PhoneEmail Point of Contact First Last Sub Contractor 2 PhoneEmail Point of Contact First Last Insurance and Construction Documents General commercial liability coverage – minimum $1,000,000 Automobile liability coverage, all/owned/rented autos – minimum $1,000,000 Workers’ compensation coverage – minimum $500,000, covered for North Carolina Umbrella coverage, – minimum $5,000,000 The City of Charlotte must be listed as an additional insured under the general commercial liability coverage. Certificate holder, listed as follows: City of CharlotteAttention: Real Estate, Portfolio Management 600 E. 4th Street, CMGC 14th FloorCharlotte, NC 28112 ALSO: CD (IF applicable) (Construction Drawing) SA If applicable (Structural Analysis) Structural mod If applicationConstruction Docs + Contractor Insurance Docs(Required) Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, doc, docx, Max. file size: 20 MB. For Each Contractor Above The following documentation is required before any access may be granted on any City-owned telecommunications sites and must be submitted to the City’s consultant, PRS, via this form. Notices to Proceed (NTP) will be issued within 48 hours of verification of all required documentation. Issuance of NTPs will be delayed if the required information is incomplete. How To Add Multiple Names To This Form Safety Certifications and Identification for Site Access:I Understand I Have To Upload 1 File Per Cert(Required)SelectYesNoTower Work: Please provide the following for all Tower Crew members who will be on site (Except for civil work – See Below): OSHA certification – 30 hours, foremen; (1 person on each crew) OSHA certification - 10 hours, all other workers (note: each tower climb requires one foreman) Authorized climber and rescuer - certificates/cards for all climbers – Must be certified with a third party company under your company. Competent climber and rescuer - certificate/card for at least 2 tower crew member - Must be certified with a third party company under your company. Competent Rigger – One crew member must have this certificate RF training certificates/cards (For all tower crew members) – third-party training program Copy of a valid, current government-issued photo ID – For all crew members. CPR/First Aid – For at least 2 crew members Does This Job Require Foreman?(Required) Yes No Foreman(Required)First NameLast Name Add RemoveForeman Docs(Required) Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, doc, docx, Max. file size: 20 MB. OSHA Certification - 30 HoursDoes This Job Require Tower Climbers?(Required) Yes No Tower Climbers(Required)First NameLast Name Add RemoveTower Climber Docs(Required) Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, doc, docx, Max. file size: 20 MB. OSHA certification - 10 hours - Certificates/cards for all climbers – Must be certified with a third party company under your company.Civil Work: Please provide the following for all Civil Crew members who will be on site Copy of a valid, current government-issued photo ID, For all crew members CPR/First Aid, For at least 2 crew members Civil CrewFirst NameLast Name Add RemoveCivil Crew Docs Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, doc, docx, Max. file size: 20 MB. Integrators And Other Supervisory PersonnelFirst NameLast NameRole Add RemoveIntegrators And Other Supervisory Personnel Docs Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, doc, docx, Max. file size: 20 MB. Any Feedback On This Form?HiddenUntitled PhoneThis field is for validation purposes and should be left unchanged.
