Attachment 4 Contractor Certification Regarding EMR.docx
DOCX document 14 KB Posted
- Attached to
- Replace Fire Alarm Bldg 22 and 24 Federal contract opportunity
- Solicitation number
- 12805B22R0005
About this file
This document contains an attachment regarding contractor certification and a related federal contract opportunity notice. The attachment requests information on any OSHA violations from the past four years and the contractor's current insurance EMR rating, to be supported by a signed letter from the carrier.
The related federal contract opportunity is a solicitation to replace fire alarms at buildings 22 and 24 of the USDA Agricultural Research Service facility in Lubbock, Texas. Interested contractors must register by March 7th to attend an optional site visit on March 9th at 9:00am CST. The agency listed is the USDA Agricultural Research Service Plains Area Field Research Implementation and Information Delivery office.
View the file
Other files for this federal contract opportunity
Show all 21
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Contractor Certification Regarding Project: 12805B22R0005
| 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 .