Attachment 7 Contractor Certification Regarding EMR.docx

DOCX document 14 KB Posted

Attached to
General Construction IDIQ Federal contract opportunity
Solicitation number
12805B22R0007
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area

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Attachment 6 Wage Determinations (Brazos and Burleson).pdf PDF
Attachment 8 Pre-Award Survey Form.doc DOC document
Attachment 3 Request for Task Order Proposal (RTOP) Example.pdf PDF
Attachment 9 SAM Reps and Certs Form.docx DOCX document
Attachment 10 Price Evaluation Understanding Form.docx DOCX document
Attachment 11 Upfront Questions and Answers from USDA.pdf PDF
Attachment 2 Scope of Work (SOW).pdf PDF
Attachment 4 Work Site Address List.pdf PDF
Attachment 1 Bid Schedule General Construction (MS Excel Interactive Document).xlsx XLSX spreadsheet
Solicitation 12805B22R0007.pdf PDF
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Contractor Certification Regarding Project: General Construction IDIQ

2018
2019
2020
2021

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 .