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Mold Damage Remediation Certificate

The document is a Certificate of Mold Damage Remediation, which certifies that mold contamination has been remediated according to a specified plan. It includes sections for certification by a mold assessment consultant and a mold remediation contractor, confirming the completion of remediation or inspection for mold damage. The certificate requires signatures and license information from the involved parties and is issued by the Department of State Health Services.
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0% found this document useful (0 votes)
120 views1 page

Mold Damage Remediation Certificate

The document is a Certificate of Mold Damage Remediation, which certifies that mold contamination has been remediated according to a specified plan. It includes sections for certification by a mold assessment consultant and a mold remediation contractor, confirming the completion of remediation or inspection for mold damage. The certificate requires signatures and license information from the involved parties and is issued by the Department of State Health Services.
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© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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CERTIFICATE OF MOLD DAMAGE REMEDIATION

Certificate Number Date of Issuance

Name

Mailing Address

City State Zip

Property Description:

Number Street Lot Block

Addition or Tract City County

Mold Assessment Consultant License Holder Certification


· I hereby certify that based on visual, procedural and analytical evaluation, the mold contamination
identified for this project has been remediated as outlined in the mold management plan or remediation
protocol.

· I further certify with reasonable certainty that the underlying cause or causes of the mold that were
identified for this project in the mold management plan or remediation protocol have been remediated. A
copy of the written evaluation that forms the basis for my certification has been provided to the person
named in this certificate.

Mold Assessment Consultant Department of State Health Services Date


License Holder Signature License No. and Expiration Date

Mold Remediation Contractor License Holder Certification


· I hereby certify that I completed mold remediation on this project and will provide the mold remediation
certificate to the property owner no later than the 10th day after the date of completion.

Mold Remediation Contractor Department of State Health Services Date of


License Holder Signature License No. and Expiration Date Completion

OR

Mold Assessment Consultant or Adjustor License Holder Certification


· I hereby certify that I have inspected the property described in this certificate and that based on my
inspection I have determined that the property does not contain evidence of mold damage. A copy of
the written evaluation that forms the basis for my certification has been provided to the person named in
this certificate.

Mold Assessment Consultant / Department of State Health Services Date


Adjustor License Holder License No. and Expiration Date
Signature

MDR-1 (Rev. Eff. 12/15/05)

Common questions

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State health departments play a pivotal role in the mold damage remediation certification process by licensing and regulating mold assessment consultants and remediation contractors. Their involvement ensures that the professionals conducting and certifying remediation are qualified and adhere to state-specific health and safety standards, thereby protecting public health .

The certifying process ensures quality assurance by imposing structured oversight, requiring that both the remediation actions and underlying causes of mold are addressed and verified by licensed consultants. This multi-tiered accountability, including detailed documentation and evaluation requirements, leads to rigorous adherence to health standards and increases the likelihood of successful, lasting mold elimination .

A mold remediation contractor must maintain thorough documentation of all remediation activities, including adherence to the mold management plan or remediation protocol. They should also keep copies of provided certificates and any communication with the mold assessment consultant for verification and auditing purposes, ensuring compliance with certification requirements and legal standards .

The provision of a written evaluation is significant as it provides documented evidence that the remediation was conducted as per the mold management plans or protocols, ensuring accountability and transparency. This responsibility falls on the mold assessment consultant, who must deliver this evaluation to the person named in the certificate .

Having a mold remediation protocol is crucial as it outlines the steps and procedures necessary to effectively remove mold and address its underlying causes. It not only guides the remediation process but also sets a standard for evaluation by the mold assessment consultant, ensuring that all actions meet regulatory and safety standards, thereby validating the remediation certification .

The mold remediation contractor must provide the mold remediation certificate to the property owner no later than the 10th day after the completion of the remediation. This timely delivery is important to ensure compliance with regulation and to provide assurance to the property owner that the remediation has been documented and completed officially .

Not providing a written evaluation post-remediation can lead to several consequences including disputes over the adequacy of the remediation process, lack of proof of compliance with legal and safety standards, and potential liability issues for the consultants. It also undermines the trust between the property owner and the remediation parties and may invalidate the certification if contested .

A mold remediation contractor is responsible for physically completing the mold remediation work and providing the remediation certificate to the property owner within ten days after completion. In contrast, the mold assessment consultant is tasked with evaluating and certifying that the remediation and underlying cause remediation have been effectively completed according to the specified plans and protocols .

The mold assessment consultant is responsible for certifying that the mold contamination identified for a project has been remediated according to the mold management plan or remediation protocol. They must also certify that the underlying causes of the mold have been remediated, and provide a written evaluation to the person named in the certificate .

A property can be certified as free from mold damage if the mold assessment consultant or adjustor inspects the property and determines that there is no evidence of mold damage. This decision is documented in a written evaluation provided to the person named in the certificate .

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