36C25018B0461-005.docx
DOCX document 13 KB Posted
- Attached to
- Upgrade Primary Loop 610-16-105 Federal contract opportunity
- Solicitation number
- 36C25018B0461
About this file
36C25018B0461 Attachment 4. Contractor Certification Regarding Safety and Environmental.docx
View the file
Other files for this federal contract opportunity
Show all 45
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Contractor Certification Regarding Project: 610-16-105
| 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: ______________________________________________________
File details come from the government source that posted it.