Contractor Certification Regarding Safety and Environmental 610-24-508.docx

This document is a Contractor Certification Regarding Safety and Environmental for a federal contract opportunity. It requires the contractor to report any serious, willful, or repeat violations from OSHA within the last 3 years and provide an explanation for any violations. The contractor must also provide their current Insurance Experience Modification Rate (EMR) with a signed letter from their Insurance Carrier.

The related federal contract opportunity is Solicitation Number 36C25024B0043 to provide asphalt sealcoating and line striping services for multiple buildings and parking lots at a Department of Veterans Affairs facility. The contractor will be responsible for all labor, equipment, materials, and supervision necessary to prep existing asphalt, repair cracks, remove old markings, and install asphalt seal coating and line striping per the provided specifications. The work will require coordination to ensure operational entrances at all times, with some high traffic areas requiring after-hours or weekend work. Only electronic bids are being accepted via email to the Contracting Officer.