Attachment 5 Contractor Certification Regarding EMR.docx

DOCX document 14 KB Posted

Attached to
Upgrade/Expand Utilities and Wet Lab Construction Federal contract opportunity
Solicitation number
12805B22R0015
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area

About this file

Written by GovTribe AI ·

This document contains details for a federal contract solicitation to upgrade and expand utilities and wet lab construction at an Agricultural Research Service facility. The solicitation number is 12805B22R0015 and interested contractors must register to attend the mandatory site visit on June 29, 2022 by emailing the points of contact with company information and attendee names by June 26, 2022. The site visit will provide an opportunity to offer pricing on the services required under this solicitation issued by the Department of Agriculture. Contractors must submit the attached certification form regarding any OSHA violations within the past four years and their current insurance experience modification rate with supporting documentation from their carrier.

View the file

Other files for this federal contract opportunity

Other files attached to Upgrade/Expand Utilities and Wet Lab Construction, newest first.
File Type Posted
Amendment 0002.pdf PDF
Questions and Answers.pdf PDF
Solicitation 12805B22R0015-0001 Amendment.pdf PDF
Attachment 12 Utility Upgrade Civil Drawing Addendum 1.pdf PDF
Attachment 16 Wetlab Specifications Addendum 1.pdf PDF
Attachment 13 USDA Utility Upgrade - Addendum 1 Revision Outline.pdf PDF
Attachment 14 Civil Wet Lab-Addendum-1.pdf PDF
Attachment 17 USDA Wet Lab - Addendum 1 Revision Outline.pdf PDF
Amedment 0001.pdf PDF
Attachment 15 Wetlab Drawings Addendum 1.pdf PDF
Attachment 2 Civil Utilities Drawings.pdf PDF
Attachment 1 Wage Determination TX20220255.pdf PDF
Attachment 4 Civil Wet Lab-Addendum-1.pdf PDF
Attachment 6 SAM Reps and Certs Form.docx DOCX document
Site Visit Information.pdf PDF
Attachment 3 Civil Utilities Specifications.pdf PDF
Attachment 7 Pre-Award Survey Form.doc DOC document
Attachment 8 Drawing Wet Lab.pdf PDF
Attachment 9 Specification Wet Lab.pdf PDF
Attachment 10 Electrical Utilities Drawings.pdf PDF
Solicitation 12805B22R0015.pdf PDF
Attachment 11 Electrical Utilities Specifications.pdf PDF
Show all 22

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
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Contractor Certification Regarding Project: 12805B22R0015

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 .