Contractor_Certification_Regarding_EMR.pdf
PDF 88 KB Posted
- Attached to
- Install HVAC Federal contract opportunity
- Solicitation number
- AG-32SD-S-17-0012
About this file
Contractor Certification Regarding EMR
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| HVAC_Install_SOW_-_Corvallis_OR__12-9.pdf | ||
| Wage_Determination_OR170022_02-03-2017__OR22.pdf | ||
| RFI_FORM.pdf | ||
| Calculation_of_Self_Performed_Work.pdf | ||
| AG-32SD-S-17-0012.pdf | ||
| ars371.pdf | ||
| ars372.pdf |
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: Install HVAC
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 .