Attachment 4 Contractor Certification Regarding EMR.pdf
PDF 143 KB Posted
- Attached to
- Fire Alarm Upgrade Federal contract opportunity
- Solicitation number
- 12805B20R0009
About this file
This document contains a solicitation for a fire alarm upgrade project along with site visit registration requirements related to COVID-19 precautions. The solicitation is being conducted by the Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area for upgrades to fire alarms at a Houston, TX facility. Interested contractors must register for mandatory site visits scheduled for the week of June 22-26 by emailing Kelly Wright by June 15th with company information and names of no more than two attendees. On-site, visitors will be screened with COVID-19 questions and denied entry if any are answered affirmatively. The solicitation number is 12805B20R0009 and the site visits are intended to provide information to support contractors' responses for the fire alarm upgrade work at the specified government facility.
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Text version
Contractor Certification Regarding Project: Houston, TX Fire Alarm Upgrade
2017 2018 2019 2020 Number of serious, willful, or repeat violations from OSHA within the last 4 years. Please attach explanation for any violations. (Four serious, one repeat, or one willful violation could 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 .