Attachment 008 - BlastContractorInfoForm.pdf

PDF 86 KB Posted

Attached to
French Hazard WUI Project Road Improvements
Solicitation number
1282B124R0026
Issued by

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:

  1. Blaster's license information, including name, state, county, and date issued.
  2. BATF explosive license or permit number and date issued.
  3. Commercial Driver's License (CDL) information, including state, license number, date issued, and hazardous materials endorsement.
  4. Medical Examiner's Certificate expiration date.
  5. Bonding information, including the holding company and the required and actual bond amounts.
  6. List of training and certification classes attended.
  7. 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.

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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 .