![]() |
TITLE 35: ENVIRONMENTAL PROTECTION
SUBTITLE G: WASTE DISPOSAL CHAPTER I: POLLUTION CONTROL BOARD PART 740 SITE REMEDIATION PROGRAM SECTION 740.APPENDIX B REVIEW AND EVALUATION LICENSED PROFESSIONAL ENGINEER INFORMATION Section 740.APPENDIX B Review and Evaluation Licensed Professional Engineer Information
• Firm name.
• Address.
• Telephone/fax.
• Principal officials and titles.
• Number of full-time employees.
• Business structure (corporation, partnership, LLP, LLC, PSC).
• Licensed by Secretary of State? #___________
• Licensed by Dept. of Professional Regulation? #___________
• Name of Illinois Registered Managing Agent.
Names of insurance carriers and amount of coverage:
Worker's Compensation:_____________________________________________ General Liability:___________________________________________________ Professional Liability:________________________________________________ • Does the stated professional liability policy include coverage for "environmental" claims related to release of pollutants? If not covered, or covered by a different carrier or in a different amount, so state.
• Has the firm or owners ever filed bankruptcy? If "yes," state when and explain.
• Is the firm an outgrowth, result, continuation or reorganization of a former business? If "yes," explain background.
• List RELPEs and other key full-time employees that will participate on this project with the RELPE. Provide resumes for each, including Illinois P.E. License #, certifications, project role, years of experience in related work and education.
• List five projects similar in nature and identify the role of the RELPE.
• Are employees to be assigned to the project in compliance with 29 CFR 1910.120 (HAZWOPER training and medical surveillance) as applicable to their role on the project? |