By signing I give authorization for Black Diamond / Paving Pros L.L.C and or its agent(s) to contact my references and otherwise investigate my background. I also request and authorize each person to whom this form is presented, to provide Black Diamond / Paving Pros L.L.C and its agent(s) with any information about me that may be requested including, without limitation, information related to my character, job performance, and work habits. I understand that additional background screening may include inquiries into the following areas: motor vehicle and criminal records, verification of education and license, employment verification, and verification of submitted application information.

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.