Contractor_Certification_Regarding_EMR.pdf

PDF 29 KB Posted

Attached to
Replace Glazing on Greenhouses Federal contract opportunity
Solicitation number
AG-32SD-S-17-0004
Issued by
Department of Agriculture Agricultural Research Service Central Program Planning Coordination and Support

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Contractor Certification Regarding EMR

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Text version

Contractor Certification Regarding Project: Replace Glazing on Greenhouses A, B, C, D, & Aisles on East Sloping Roofs and Repair Ridge Vent Operators

2012 2013 2014 2015 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 .