PROJECT MEMBERS

It is CRITICAL to fill this form out as completely and as accurately as possible. Please include addresses,
Phone, Fax and Email addresses so that we can contact people if necessary.
Project Owner / Developer
Firm Name:

Contact Name:

Mailing Address:

City:

Phone:

Fax:

State:

Zip:

State:

Zip:

State:

Zip:

State:

Zip:

Entry Form

Email:

Engineering Firm
Firm Name:

Contact Name:

Mailing Address:

City:

Phone:

Fax:

Email:

Remit entries by
October 21 , 2011

Architectural Firm
Firm Name:

Contact Name:

Mailing Address:

City:

Phone:

Fax:

Email:

General Contractor
Firm Name:

Contact Name:

Mailing Address:

City:

Phone:

Fax:

Email:

Concrete Finisher
Firm Name:

Contact Name:

Mailing Address:

City:

Phone:

Fax:

Indiana Ready Mixed Concrete Association

State:

Zip:

3500 DePauw Blvd., Suite 1081

Indianapolis, Indiana 46268
317-872-6302
317-872-6313 (fax)

Email:

Other
Firm Name:

Contact Name:

Mailing Address:

City:

Phone:

Fax:

State:

Zip:

Email:

Entries MUST BE submitted from Indiana Ready Mixed Concrete Association member producer
Firm Name:

Contact Name:

Mailing Address:

City:

Phone:

Fax:

State:
Email:

Zip:

COMMITTED TO EXCELLENCE
IN CONSTRUCTION
Web: www.irmca.com

Email: joegruz@irmca.com

PROJECT INFORMATION
Submitted by: ____________________________________________
Project Name: ____________________________________________
Project Address: ___________________________________________
City, State, Zip: ____________________________________________

PROJECT INFORMATION
3. Project Significance: Indicate significance on the concrete market in the area.
________________________________________________________________
________________________________________________________________
________________________________________________________________
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Categories:

Please check the category for the project.

4. Cubic Yards Of Concrete Used:________________ c.y.

Concrete Residential Projects:

Patterned/Decorative
ICF
Stormwater Management Projects Pervious Other

Concrete Commercial & Industrial Projects

Commercial Building Projects
Cast-In-Place Frame Projects
Stormwater Management Projects
Patterned/Decorative

Industrial Projects
Public/Institutional
Pervious
Other

Municipal Streets
Parking Lots over 500 c.y.
Parking Lots under 500 c.y.
Flowable Fill
Stormwater Management Projects

Tilt-Up

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________________________________________________________________
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6. Photographs:

State & Primary Roads Whitetopping

Commercial & Industrial Bridges
County Roads
Airports
Pervious
Other

1. Project Schedule:
Scheduled Start Date ___/___/___
Scheduled End Date ___/___/___

Unique Scheduling, public relations, special concrete mixes,

innovative procedures, equipment, techniques, etc.
________________________________________________________________

Concrete Infrastructure Projects

5. Innovation:

Actual Start Date ___/___/___

Actual End Date ___/___/___

2. Executive Summary: Include a summary that highlights the unique aspects of this project. This should
explain why this it is an award winning project. This summary should be NO LONGER than one page.
________________________________________________________________
________________________________________________________________
________________________________________________________________
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Finished Project and Construction

The nominator shall submit a minimum of five and a maximum of eight photographs for the
nominated project. Photographs should include the construction process, as well as the finished
project.

Images can be submitted in one of the following formats:

a. JPeg or Tiff image emailed to: joeg@irmca.com.
b. Images on CDs should be mailed with your entry to:
Joe Gruszczynski, IRMCA, 3500 DePauw Blvd, Suite 1081, Indianapolis, Indiana 46268.
c. High quality photographs should be mailed with your entry to:
Joe Gruszczynski, IRMCA, 3500 DePauw Blvd, Suite 1081, Indianapolis, Indiana 46268.

Submission Deadline:
Friday, October 21, 2011
Judging will take place in early November
Submit to: IRMCA
3500 DePauw Blvd, Suite 1081
Indianapolis, IN 46268

$50 per entry payable to IRMCA

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NOTE: If more space is needed, please attach sheets of paper with coordinating information.
If you need extra forms, feel free to copy this form.