5 Colo. Code Regs. § 1001-23-B-V

Current through Register Vol. 47, No. 24, December 25, 2024

Section 5 CCR 1001-23-B-V - Acknowledgment and Certification Statements

V.A. Acknowledgment statement

V.A.1. As required in Section III.D.1. of this Regulation Number 19, Part B, acknowledgments must include a statement of receipt of the pamphlet prior to the start of renovation, the address of the unit undergoing renovation, the signature of the owner or occupant as applicable, and the date of signature.

V.A.2. Sample acknowledgment language. The following is a sample of language that could be used for such acknowledgments:

I have received a copy of the lead hazard information pamphlet, [insert the title of the pamphlet provided], informing me of the potential risk of lead hazard exposure from renovation activity to be performed in my dwelling unit. I received this pamphlet before the work began.

__________________________________

Printed Name

__________________________________

Signature

__________________________________

Date

__________________________________

Unit Address

__________________________________

V.B. Certification of attempted delivery

V.B.1. When an occupant is unavailable for signature or refuses to sign the acknowledgment of receipt of the pamphlet, the renovator is permitted by Section III.A.2.b. of this Regulation Number 19, Part B to certify delivery for each instance. The certification must include the address of the unit undergoing renovation, the date and method of delivery of the pamphlet, names of the persons delivering the pamphlet, reason for lack of acknowledgment (e.g. occupant refuses to sign, no adult occupant available), the signature of the renovator, and the date of signature.

V.B.2. Sample certification language. The following is a sample of language that could be used under those circumstances:

V.B.2.a. Refusal to sign

I certify that I have made a good faith effort to deliver the lead hazard information pamphlet, [insert the title of the pamphlet], to the unit listed, and that the occupant refused to sign the acknowledgment. I further certify that I have left a copy of the pamphlet at the unit with the occupant.

__________________________________

Printed Name

__________________________________

Signature

__________________________________

Date

__________________________________

Unit Address

__________________________________

Attempted delivery dates and times

V.B.2.b. Unavailable for signature

I certify that I have made a good faith effort to deliver the lead hazard information pamphlet, [insert the title of the pamphlet], to the unit listed at the dates and times indicated, and that the occupant was unavailable to sign the acknowledgment. I further certify that I have left a copy of the pamphlet at the unit by sliding it under the door or by [fill in how the pamphlet was left at the dwelling unit].

__________________________________

Printed Name

__________________________________

Signature

__________________________________

Date

__________________________________

Unit Address

__________________________________

Attempted delivery dates and times

5 CCR 1001-23-B-V

44 CR 24, December 25, 2021, effective 1/14/2022