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REFRIGERATION SUPERVISOR REFERENCE LETTER
(MUST BE COMPLETED AND SIGNED BY REFERENCE AND NOTARIZED DIRECTLY ON THE FORM BY A NOTARY PUBLIC)
I,
, ,
(REFERENCE'S NAME) (REFERENCE'S JOB TITLE)
represent ,
(REFERENCE'S COMPANY)
a company engaged in the pipe fitting or refrigeration trade. I hereby attest that ,
(APPLICANT'S NAME)
who is applying for a refrigeration supervisor certificate of qualification through the City of Kansas City, Missouri, has more
than three years of full-time, practical, hands-on experience in all aspects of the refrigeration trade, including all of these
areas, as described in section 18-327 of the Kansas City, Missouri, Building and Rehabilitation Code:
Installation, maintenance, repair, servicing, and alteration of a system of mechanical refrigeration or a
system where refrigerant piping must be installed and/or where a refrigerant-containing part must be cut
into for connection or assembly; installation of pipe insulation; and installation of low-voltage wiring which
does not exceed 48 volts when such wiring is not enclosed in conduit or raceway.
I affirm that all of the applicant's refrigeration trades experience has been legally gained in the direct employ of one or
more licensed contractors.
I also affirm that I have personally overseen this individual performing refrigeration tradeswork during that period of time
and that he/she is competent at the trade and has demonstrated sufficient mastery of the trade to act in a supervisory
capacity. My relationship to the applicant is:
___ Employer/employee
___ Supervisor/employee
___ Contractor/subcontractor
___ Competitor
___ Apprenticeship training coordinator or other official representing
union or trades association
___ Other:
I am not a past or present employee of the applicant, nor have I ever worked under the applicant’s direction.
I certify that all the statements contained herein are true; and I hereby authorize verification of the information given in this
reference letter. My daytime telephone number is:
. I understand that misstatement of any
pertinent facts may be grounds for disqualifying the applicant and/or for charges of making a false statement on an official
document.
(REFERENCE'S SIGNATURE) (DATE)
I HEREBY CERTIFY THAT THE SIGNATORY ABOVE APPEARED BEFORE ME, A NOTARY PUBLIC, ON THIS
DATE.
NOTARY PUBLIC’S SIGNATURE:
DATE:
NOTARY PUBLIC’S STAMP AND SEAL:
11/28/05
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