Follow the steps to accurately complete the certification form

1. To start, click the ‘Get Form’ button to access the certification form online and open it in the editor.
2. In the first field, enter the name of the project owner in the designated area labeled [Name of Project Owner:]. Make sure to use the full legal name for clarity.
3. Next, fill in the project name in the field marked [Project Name:]. This should correspond to the official name used in related documents.
4. Provide the city where the project is located in the [City:] field. Follow this by entering the applicable state in the [State:] field.
5. Input the project number in the field labeled [Project Number:]. This number should match any existing project identifiers.
6. In the area stating ‘the dangerous condition was eliminated,’ confirm that all Exigent Health and Safety (EH&S) items have been addressed as required.
7. Include the date on which you are completing the certification in the space provided. Ensure accuracy for legal compliance.
8. The certification must be signed by a duly authorized representative. Use the space under ‘By’ to include their signature.
9. Below the signature, write the full name of the signatory in the ‘Print Name’ field, ensuring it matches their official role.
10. Finally, indicate the title of the individual signing the document in the ‘Title’ field. This title must reflect their relationship to the project owner.
11. Once all fields are completed accurately, you can choose to save the changes, download, print, or share the completed form as needed.

Start completing your Project Owner's Certification online today to ensure compliance and safety.