Attachment 008 - BlastContractorInfoForm.pdf
PDF 86 KB Posted
- Attached to
- French Hazard WUI Project Road Improvements
- Solicitation number
- 1282B124R0026
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Attachment 008 - BlastContractorInfoForm, which is a form for a blasting contractor to provide information related to a federal contract opportunity.
The key details in the form include:
- Blaster's license information, including name, state, county, and date issued.
- BATF explosive license or permit number and date issued.
- Commercial Driver's License (CDL) information, including state, license number, date issued, and hazardous materials endorsement.
- Medical Examiner's Certificate expiration date.
- Bonding information, including the holding company and the required and actual bond amounts.
- List of training and certification classes attended.
- Blasting experience, including details on the types of blasting work performed, locations, and dates.
This form appears to be related to the "French Hazard WUI Project Road Improvements" solicitation, which involves road construction and reconstruction to facilitate future vegetation and prescribed fire treatment activities. The solicitation is being issued by the Department of Agriculture Forest Service.
View the file
Other files
Show all 15
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment 008 - BlastContractorInfoForm Blasting Contractor Information
1. Blaster’s License
Name (Contractor)___________________________________
Name (Blaster-In-Charge) _____________________________
State _____________ County______________ Date Issued _____________
2. BATF explosive license or permit number _________________ Date Issued ____________
3. Commercial Drivers License (CDL)
State ____________ License Number _____________ Date Issued __________
Hazardous Materials Endorsement: Yes _______ No ________
4. Medical Examiner’s Certificate
Yes ____ No _____ Expiration Date ____________
5. Bonding
Holding Company _____________________________
Amount (Contract requirement) _______________ Actual _______________
6. List training and certification classes attended:
7. Experience: List a brief explanation of blasting experience that is similar in scope and complexity to the blasting to be performed in this contract.
Experience Dates Location
Quarry
Bored Hole Shot
Boulder Blasting
Trail Construction
Ditching
Tree Topping
Pond Construction
Stream Work
Other (Specify)
Attachment 008 - BlastContractorInfoForm
File details come from the government source that posted it. Updated .