36C24618R0711-016.pdf
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- Attached to
- Renovate Building 2-Medical Surgical 659-17-101
- Solicitation number
- 36C24618R0711
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36C24618R0711 S02 - Contractor Certification Regarding Safety and Environmental - 659-17-101.pdf
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| File | Type | Posted |
|---|---|---|
| 36C24618R0711-0007000.docx | DOCX document | |
| 36C24618R0711-0007002.pdf | ||
| 36C24618R0711-0007003.pdf | ||
| 36C24618R0711-0007004.pdf | ||
| 36C24618R0711-0007001.pdf | ||
| 36C24618R0711-0005000.docx | DOCX document | |
| 36C24618R0711-0004002.pdf | ||
| 36C24618R0711-0004001.pdf | ||
| 36C24618R0711-0004000.docx | DOCX document | |
| 36C24618R0711-0004003.pdf | ||
| 36C24618R0711-0003001.docx | DOCX document | |
| 36C24618R0711-0002001.pdf | ||
| 36C24618R0711-0002002.pdf | ||
| 36C24618R0711-0002000.docx | DOCX document | |
| 36C24618R0711-00001000.docx | DOCX document | |
| S02_-_Drawings_-_659-17-101.pdf | ||
| 36C24618R0711-014.pdf | ||
| 36C24618R0711-018.pdf | ||
| 36C24618R0711-015.txt | TXT text file | |
| 36C24618R0711-017.pdf | ||
| 36C24618R0711-013.docx | DOCX document | |
| 36C24618R0711-000.docx | DOCX document |
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Text version
CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL
(PROJ 659-17-101)
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 disqualifies the contractor.)
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: ______________________________________________________
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