36C25019B0056-004.docx
DOCX document 13 KB Posted
- Attached to
- Boilers Safety Update 610A4-19-513 Federal contract opportunity
- Solicitation number
- 36C25019B0056
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36C25019B0056 Contractor Certification Regarding Safety and Environmental.docx
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25019C0294-000.docx | DOCX document | |
| 36C25019B0056-005.doc | DOC document | |
| 36C25019B0056-003.pdf | ||
| 36C25019B0056-002.pdf | ||
| 36C25019B0056-001.docx | DOCX document | |
| 36C25019B0056-000.docx | DOCX document |
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Contractor Certification Regarding Project: 610A4-19-513
| 2016 |
| 2017 |
| 2018 |
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: ______________________________________________________
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