U.S. PLY, INC. PROJECT REGISTRATION FORM - (NOTICE OF INTENT)


INSTRUCTIONS:
1. Complete Page 2 & 3 (Project Registration) and Page 4 (Roof Plan) of the Project Registration Form and
send to U.S. PLY Technical Services by fax or mail (fax # is 817-413-8221, or mail to 2000 E. Richmond Ave.,
2nd FL, Ft. Worth, TX, 76104) within seven (7) business days prior to job start. Be sure to fill out the Project Registration Form completely, sign and date the bottom the portion. All information submitted on this form must
be in accordance with the most current U.S. PLY, INC application and specification requirements. THIS FORM REPRESENTS YOUR NOTICE OF INTENT TO RECEIVE AN NDL GUARANTEE.

2. U.S. PLY will review the Project Registration Form and fax (if applicable) or mail a Project Confirmation back.
Once you receive your confirmation, you may proceed with the project installation as soon as practical.
Note: You should review the confirmation and advise us if any information is incorrect.
(The information on the form is used to process the Guarantee).

3. Projects for which unacceptable, inaccurate or incomplete information is received may not be accepted unless
all issues are addressed and/or clarified to the satisfaction of the U.S. PLY Technical Services Department prior
to the start of the job.  If you have not received your Project Confirmation when you are ready to proceed, please
call the U.S. PLY Technical Services TOLL-FREE @ 866-PUSH-PLY (866-787-4759).

NOTICE OF FINAL PROJECT COMPLETION
1. Upon final project completion, fill in the date of completion and any applicable sections on Notice of Completion

(Page 5).  Mail Page 5 with a check for the balance of the Guarantee fee to U.S. PLY, INC., 2000 E Richmond -
Ave., 2nd FL, Ft. Worth, TX 76104. If the Roof Plan (Page 4) was not included when registering the project, then
be sure to include it when mailing in the Notice of Completion Form.

2. Schedule and attend the Final inspection with the U.S. PLY inspector. Inspections will not be conducted
without your attendance unless directed by you.

3. If a punch list is issued, complete the punch list by making all repairs/corrections in accordance with the requirements of U.S. PLY. Return the signed punch list and any required photographic documentation of repairs/corrections to the U.S. PLY Technical Services Department.

4. If a re-inspection is required contact the U.S. PLY Technical Services Department @ 1-866-PUSH-PLY

(866-787- 4759) to schedule an inspection.
Date:
Guarantee Length:  


OWNER/BUILDING CONTACT INFORMATION:
Building Name:
Address:
City:    State:    Zip:
(List name or company that the guarantee is to be issued to)
Owner:
Address:
City:    State:    Zip:
Contact:    Phone:
Email:


CONTRACTOR INFORMATION
Contractor:
Address:
City:    State:    Zip:
Contact:    Phone:
Email:
Certification #:    Type:


ARCHITECT/CONSULTANT INFORMATION
Specifier:
Address:
City:    State:    Zip:
Contact:    Phone:
Email:


BUILDING INFORMATION
Building Use:
Age:
Building Frame:
Building Height:
Construction Type:  


EXISTING ROOF INFORMATION
Roof Area (1)
Sq. Ft.:
Deck Type:
Insulation Type:
Insulation Thickness:
Existing Roof Type(s) Explain:
 
Base Flashing Type:
Approx. Roof Age:
Moisture Scan Results:  
Core Cut Results:

Roof Area (2)
Sq. Ft.:
Deck Type:
Insulation Type:
Insulation Thickness:
Existing Roof Type(s) Explain:
 
Base Flashing Type:
Approx. Roof Age:
Moisture Scan Results:  
Core Cut Results:


SURFACE PREPARATION

Other (explain):

Describe Preparation of Existing Roof:


NEW ROOF INFORMATION
Roof Area (1)
Sq. Ft.:
Deck Type:
US PLY Spec #:
Base Flashing Type:
Vapor Retarder/Type:
  Attachment:     # of Plies:
Insulation (Base Layer):    Mfg:
  Attachment:     Thickness:
Insulation (2nd Layer):    Mfg:
  Attachment:     Thickness:
Insulation (3rd Layer):    Mfg:
  Attachment:     Thickness:
Fastener Type:    Mfg:
  Application Rate:    Length: 
Bitumen Type:    Mfg:
  Application Rate: 
Adhesive Type:    Mfg:
  Application Rate: 
Base Sheet:    Mfg:
  Attachment: 
US PLY Interply Sheet(s):      # of Plies:
  Attachment: 
US PLY Membrane:
  Attachment: 
Base Flashing Membrane:
  Attachment: 
Surfacing:
Metal Flashing Type:
Accessories:
Describe in detail the preparation and the installation procedure:
 

Roof Area (2)
Sq. Ft.:
Deck Type:
US PLY Spec #:
Base Flashing Type:
Vapor Retarder/Type:
  Attachment:     # of Plies:
Insulation (Base Layer):    Mfg:
  Attachment:     Thickness:
Insulation (2nd Layer):    Mfg:
  Attachment:     Thickness:
Insulation (3rd Layer):    Mfg:
  Attachment:     Thickness:
Fastener Type:    Mfg:
  Application Rate:    Length: 
Bitumen Type:    Mfg:
  Application Rate: 
Adhesive Type:    Mfg:
  Application Rate: 
Base Sheet:    Mfg:
  Attachment: 
US PLY Interply Sheet(s):      # of Plies:
  Attachment: 
US PLY Membrane:
  Attachment: 
Base Flashing Membrane:
  Attachment: 
Surfacing:
Metal Flashing Type:
Accessories:
Describe in detail the preparation and the installation procedure:
 

Start Date:
U.S. PLY Sales Representative: 
Expected Completion Date:



Contractor's Certification: I affirm that the this project will be completed in accordance with

the U.S. PLY specifications as set forth in the most recent U.S. PLY Modified Bitumen and

Built-Up Roofing Systems Application and Specification Manual. I understand that U.S. PLY is

relying upon the above information in issuing a guarantee.
Authorized Contractor Representative:

Phone: 
Fax:
Date:

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Guarantee Policy:

U.S. PLY will not issue a Project Confirmation until we have received a completed Project -

Registration Form (Page 2 & 3, and/or this online form request). It is recommended not to start
a project until you have received a Project Confirmation. This is only a recommendation.

U.S. PLY will send a Project Confirmation back only when the information submitted is (in our

opinion) correct and in accordance with our published requirements. We are relying on your

representations that this information is correct. Confirmations are issued in good faith and are

based upon the contractor's certification that the project will be completed in accordance with

U.S. PLY specifications as set forth in our most recent U.S. PLY Modified Bitumen and BUR -

Specification and Applications Manual. U.S. PLY reserves the right not to issue a guarantee

when our requirements have not been met.

The guarantee, once issued, will be sent to the contractor for delivery to the owner.

Some states require that taxes be collected on the sale of guarantees (fees). U.S. PLY, INC. is

not responsible for the collection or the distribution of sales taxes of guarantees to the applicable

taxing authority. The roofing contractor shall bear the responsibility to collect and remit all

appropriate sales taxes to the applicable taxing authority. Contractor agrees by submitting this

Registration to execute this obligation. 

By clicking submit (below), I affirm that I have read, understand, and will comply with

U.S. PLY, INC.'s Guarantee Policy as stated above: