Attach 07 Contractor Certification Regarding EMR.docx

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Grand Forks HNRC Labs 150 152 154 156 Renovation
Solicitation number
12805B22R0010
Issued by

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This document contains a federal contract solicitation for renovation services. The Grand Forks HNRC Labs 150 152 154 156 Renovation project requires mandatory site visit attendance by 19 May 2022, with questions due by 2 June 2022. The price range is between $1,000,000 to $5,000,000. This small business set aside solicitation is issued by the USDA Agricultural Research Service Plains Area seeking renovation of four labs. Offerors must be registered in the System for Award Management and monitor the site for release of the request for proposal and amendments.

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Contractor Certification Regarding Project: 12805B22R0010

2018
2019
2020
2021

Number of serious, willful, or repeat violations from OSHA within the last 4 years. Please attach explanation for any violations. (Three serious, one repeat, or one willful violation shall 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 .