INSTRUCTIONSA specificpatentedproprietarymaterialspecificationprocessshallnotrequired a contract NAME OF PROPRIETARY ITEM OR PROCESS MANUFACTURER NAME ADDRESS PHONE NUMBER LOCATION OF USE I ID: 850711
Download Pdf The PPT/PDF document "NORTH CAROLINADEPARTMENTOFTRANSPORTATION..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
1 NORTH CAROLINADEPARTMENTOFTRANSPORTATION
NORTH CAROLINADEPARTMENTOFTRANSPORTATIONPROPRIETARY ITEM - CERTIFICATIONSOR FINDING INPUBLICINTEREST(FIPI) INSTRUCTIONSA specificpatentedproprietarymaterial,specification,processshallnotrequired a contract NAME OF PROPRIETARY ITEM OR PROCESS: MANUFACTURER NAME, ADDRESS & PHONE NUMBER: LOCATION OF USE (INCLUDE PROJECT NO. AND COUNTY): CK ONLY ONE: Proprietary Item : Requires copy of data on at least 2 similar proprietary items or products. (Approval level is the State Contract Officer) Essential for Synchronization or No Equally Suitable Alternate : Requires justification signed by designer or City Engineer (whoever sealed the plans). (Approval level is the Division Engineer Research/Test/Experimental Project (NCDOT only submitted to the Office of R
2 esearch and Development with signed veri
esearch and Development with signed verification from the Designer or Consultant that sealed the plans AND the Division Engineer(Approval level is the Research and Development Engineer ��Page 1 of JUSTIFICATION: (Justification consists of information that documents the reasons marked above for use of the proprietary item or process. Attach additional pages and documentation as necessary). __ APPROVAL SIGNATURES:SignatureNCDOT State Contract Officer(Requiredrequest for Proprietary Items)Date SignatureNCDOT DivisionEngineer(Requiredfor projects essential for synchronization or no equally suitable alternative)Date SignatureNCDOT Research and Development Manager(Requiredforresearch / test / experimental projectsDate ��Pag