Contractor_Certification_Regarding_EMR.pdf
PDF 29 KB Posted
- Attached to
- Install Boiler Federal contract opportunity
- Solicitation number
- AG-32SD-S-17-0014
About this file
Contractor Certification Regarding EMR
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| AG-32SD-S-17-0014_001.pdf | ||
| RFI_FORM.pdf | ||
| Calculation_of_Self_Performed_Work.pdf | ||
| Wage_Determination_OR170022_01-13-2017__OR22.pdf | ||
| AG-32SD-S-17-0014-1.pdf | ||
| Condensing_Boiler_SOW.pdf |
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Text version
Contractor Certification Regarding Project: Install 6 miles of 4-Wire Fence
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 .