Contractor_Certification_Regarding_EMR.pdf
PDF 57 KB Posted
- Attached to
- Install 45kw Generator and Transfer Switches Federal contract opportunity
- Solicitation number
- AG-32SD-S-16-0044
About this file
Contractor Certification Regarding EMR
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| AG-32SD-S-16-0044_000002.pdf | ||
| Wage_Determination_CA160029_8-12-2016_CA29.pdf | ||
| AG-32SD-S-16-0044_Sign_In_Sheet.pdf | ||
| AG-32SD-S-16-0044-000001.pdf | ||
| RFI_FORM.pdf | ||
| CALCULATION_OF_SELF_PERFORMED_WORK.pdf | ||
| Wage_Determination_CA160029_7-22-2016.pdf | ||
| SOW_Install_Generator_and_Automatic_Transfer_Switches_-_Parlier_CA_7-13.pdf | ||
| AG-32SD-S-16-0044.pdf |
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Text version
Contractor Certification Regarding Project: Install Generator and ATS
2012 2013 2014 2015
Number of serious, willful, or repeat violations from OSHA within the last 4 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 .