36C25020B0013-014.docx

DOCX document Posted Feb 18, 2020

Attached to: Refurbish Trash and Linen Chutes Bldg 172 - 610-19-515
Solicitation number: 36C25020B0013
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10

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36C25020B0013 Contractor Certification Regarding Safety and Environmental-UP.docx

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Other files

File	Type	Posted
36C25020B0013-0006000.docx	DOCX document	Apr 16, 2020
36C25020B0013-0005000.docx	DOCX document	Apr 16, 2020
36C25020B0013-0004000.docx	DOCX document	Mar 31, 2020
36C25020B0013-0003000.docx	DOCX document	Mar 18, 2020
36C25020B0013-0002000.docx	DOCX document	Mar 18, 2020
36C25020B0013-0001000.docx	DOCX document	Feb 19, 2020
36C25020B0013-011.docx	DOCX document	Feb 18, 2020
36C25020B0013-012.doc	DOC document	Feb 18, 2020
36C25020B0013-015.pdf	PDF	Feb 18, 2020
36C25020B0013-013.pdf	PDF	Feb 18, 2020

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Contractor Certification Regarding Project: 610-19-515

2017

2018

2019

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. Updated Feb 18, 2020.