EMR_certification.pdf
PDF 33 KB Posted
- Attached to
- Replace & Relocate 2 Electric Panels Bldg 177C Federal contract opportunity
- Solicitation number
- 1232SC18R0019
About this file
EMR certification
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment_2_-_Bid_Bond.pdf | ||
| Q&A_Memo_-_Rplc_&_Relocate_2_Elect_Panels_6-12-18_rev1_(IT).pdf | ||
| Amendment_1_-_Q&A.pdf | ||
| SOW_&_Specs_Bldg_177C_Electric_Panel_Relocation_4-10-18_(IT).pdf | ||
| Calculation_of_Self_Performed_Work.docx | DOCX document | |
| Sol_1232SC18R0019_Rplc_&_Relocate_2_Elect_Panels_Bldg_177C.pdf | ||
| Bldg_177C_(1972)_Floor_Plan_&_Panels_Locations_Rev.pdf | ||
| Attachment_-_Pictures_4-10-18_(IT).pdf | ||
| Wage_Decision_MD58_-_Rplc_&_Relocate_2_Elect_Panels_BARC.pdf |
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Text version
Contractor Certification Regarding Project: Replace & Relocate Two Electric Panels, Bldg 177C
2014 2015 2016 2017 Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations. (Four serious, one repeat, or one willful violation could result in being determined non-responsible.)
Company’s Current Insurance Experience Modification Rate (EMR) = _____________
(Note: Contractor must support the EMR with a signed letter from Insurance Carrier on their letterhead.)
Signature: ______________________________________________
Typed Name: ______________________________________________________
Title: ______________________________________________________
Contractor Certification Regarding Project: Replace & Relocate Two Electric Panels, Bldg 177C
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