2025 ICPA CONCRETE PAVING AWARD NOMINATION FORM (Municipal)

2025 ICPA CONCRETE PAVING AWARDS

OFFICIAL MUNICIPAL NOMINATION FORM
DEADLINE: September 15, 2025
PROJECT MUST BE COMPLETED BETWEEN OCTOBER 1, 2024 – OCTOBER 1, 2025
Official Project Title*
City*
Project Contracting Authority/Owner
Project Location & Description (If this project were to win it its category, what information would you like noted about this project)*
Size of Project (Minimum 5,000 SY of pavement)*
Pavement Thickness
SECURED SITE

YESNO
If yes, Contact Name
Secured Site: Contact Phone No
Secured Site: Contact Email
CATEGORY (MINIMUM PROJECT SIZE IS 5,000 SY FOR NOMINATION)

Municipal OverlaysMunicipal Streets/Intersections (< 15,000 SY)Municipal Streets/Intersections (>15,000 SY)Subdivisions (< 15,000 SY)Subdivisions (>15,000 SY)Concrete Pavement Restoration (CPR)Urban Arterials/Collectors (< 15,000 SY)Urban Arterials/Collectors (>15,000 SY)Parking Lots (< 15,000 SY)Parking Lots (>15,000 SY)Mega Slab (>100,000 SY)Recreational TrailsCommercial Service/Military AirportsReliever/General Aviation AirportsAirport OverlaysState/Federal Park and Institutional RoadsIndustrial Paving
ENGINEERING FIRM
ENGINEERING FIRM*
Project Engineer*
Email*
Phone
City of Engineering Firm
PRIME CONTRACTOR
PRIME/GENERAL CONTRACTOR COMPANY
Contact
Email
Phone
City
PAVING CONTRACTOR
PAVING CONTRACTOR COMPANY*
Contact*
Title
Email
Phone
City
READY MIX SUPPLIER
READY MIX SUPPLIER COMPANY*
Contact
Email
Phone
City
SAFETY INFORMATION
Total # of accidents incurred
# of lost-time accidents
PROJECT PHOTOS and LOCATION MAPS *REQUIRED*

*PLEASE UPLOAD PROJECT PHOTOS AND LOCATION MAPS WITH YOUR SUBMISSION
In an effort to help judges locate and rate this project, please provide MAPS with the project location clearly marked. One map should show general location and one map should show more precise location (see examples).

Project photos are REQUIRED for each project. (Please incude photo(s) of project upon completetion if possible)
File Upload

Please upload PHOTOS and MAPS here.
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PLEASE LIST ALL PERSONNEL WHO SHOULD RECEIVE CERTIFICATES OF RECOGNITION IF PROJECT IS SELECTED AS A WINNER (ENGINEER, PROJECT DESIGN TEAM, PROJECT MANAGERS, INSPECTORS, SURVEY CREW, ETC)
SUBMITTED BY
The information provided in this nomination is true and valid to the best of my knowledge. The project has been/will be completed between October 1, 2024 – October 1, 2025.
SUBMITTED BY: Name*
Phone*
Company*
Email*
Nominations must be received by September 15, 2025

If questions, please contact our office at 515-963-0606

or Email: rbangs@concretestate.org

* Either SAVE below and finish nomination at a later time, OR

* SUBMIT and you will receive an e-mailed copy for your records

* NOTE*- You also have the ability to edit your document after hitting SUBMIT. There will be an "edit submission" link at the top of the confirmation e-mail sent to you. This also allows you to work on multiple forms at one time with the ability to edit them.
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2025 ICPA CONCRETE PAVING AWARDS

DEADLINE: September 15, 2025

PROJECT MUST BE COMPLETED BETWEEN OCTOBER 1, 2024 – OCTOBER 1, 2025

ENGINEERING FIRM

PRIME CONTRACTOR

PAVING CONTRACTOR

READY MIX SUPPLIER

SAFETY INFORMATION

PROJECT PHOTOS and LOCATION MAPS *REQUIRED*

PLEASE LIST ALL PERSONNEL WHO SHOULD RECEIVE CERTIFICATES OF RECOGNITION IF PROJECT IS SELECTED AS A WINNER (ENGINEER, PROJECT DESIGN TEAM, PROJECT MANAGERS, INSPECTORS, SURVEY CREW, ETC)

SUBMITTED BY

PROJECT PHOTOS and LOCATION MAPS REQUIRED