ATT - 17 Emergency Contact List - Template.pdf
PDF 95 KB Posted
- Attached to
- Z1DA--578-23-013 Abatement Task Order D
- Solicitation number
- 36C25225B0026
About this file
This document is an Emergency Contact List for a project at Hines VA Medical Center, identified by Project Number 578-. The form provides critical emergency contact information, including key institutional contacts such as Hines VA Police (23200), Hines VA Fire (22323), and Hines Safety Office (25614). The template is designed for a contractor to fill in contact details for key project personnel, including Superintendent, Alternate Superintendent, Project Manager, Safety Manager, Contracting Officer's Representative (COR), and Backup COR, with columns for names and phone numbers (office or cell).
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Text version
Emergency Contact List
Project Title:
Project Number: 578-
Hines VA Police 23200 Hines VA Fire 22323 Hines Safety Office 25614
Contractor:
Office:
Phone:
Title Name Phone (Office or Cell) Superintendent Alt. Superintendent Project Manager Safety Manager Hines VA COR Hines VA Backup COR
Emergency Contact List
| Contractor: |
| Office: |
| Phone: |
| NameSuperintendent: |
| Phone Office or CellSuperintendent: |
| NameAlt Superintendent: |
| Phone Office or CellAlt Superintendent: |
| NameProject Manager: |
| Phone Office or CellProject Manager: |
| NameSafety Manager: |
| Phone Office or CellSafety Manager: |
| NameHines VA COR: |
| Phone Office or CellHines VA COR: |
| NameHines VA Backup COR: |
| Phone Office or CellHines VA Backup COR: |
| Text1: |
| Text2: |
File details come from the government source that posted it. Updated .