Contractor Certification Regarding EMR.pdf
PDF 35 KB Posted
- Attached to
- Install Shade Structures over GOV Parking Lot Federal contract opportunity
- Solicitation number
- 12905B21R0012
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Key Personnel is not required for this project.pdf | ||
| 12905B21R0012 - Shade Structures for GOV Covered Parking Spaces Questions and Answers.pdf | ||
| Site Visit Sign In.pdf | ||
| Wage Determination AZ20200033.pdf | ||
| ARS-372.pdf | ||
| Past Performance Capability Information.docx | DOCX document | |
| 12905B21R0012.pdf | ||
| Calculation of Self Performed Work.xlsx | XLSX spreadsheet | |
| ARS-371.pdf | ||
| SOW - Construction and Installation of GOV Covered Parking Structures -.pdf |
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Text version
Contractor Certification Regarding Project: TBD
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: ______________________________________________________
Contractor Certification Regarding Project: TBD
File details come from the government source that posted it. Updated .