Contractor_Certification_Regarding_EMR.pdf
PDF 27 KB Posted
- Attached to
- Greenhouse Upgrades Federal contract opportunity
- Solicitation number
- 1232SD18R0003
About this file
Contractor Certification Regarding EMR
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1232SD18B0001_Amd_0005.pdf | ||
| 1232SD18B0001_Amd_0004.pdf | ||
| Calculation_of_Self_Performed_Work.xlsx | XLSX spreadsheet | |
| 1232SD18B0001_Amd_0003.pdf | ||
| Pre-bid_sign_in_sheet.PDF | ||
| 1232SD18B0001_Amd_0002.pdf | ||
| Pre_Bid_Agenda.pdf | ||
| Asbestos_Report_16-02-02015.PDF | ||
| 1232SD18B0001_Amd_0001.pdf | ||
| Wage_Determination_NE180058_02-02-2018__NE58.pdf | ||
| Calculation_of_Self_Performed_Work.xlsx | XLSX spreadsheet | |
| Greenhouse_Upgrade_Phase_II_SOW.pdf | ||
| 1232SD18B0001.pdf | ||
| RFI_FORM.pdf | ||
| ars372.pdf | ||
| Specifications.pdf | ||
| ars371.pdf | ||
| Drawings.pdf |
Show all 18
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Text version
Contractor Certification Regarding Project: Greenhouse Upgrade Phase II
2013 2014 2015 2016 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: Greenhouse Upgrade Phase II
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