Contractor Certification Regarding Safety and Environmental.docx
DOCX document 13 KB Posted
- Attached to
- Upgrade Clean Rooms Phase 4 Federal contract opportunity
- Solicitation number
- 36C25022B0066
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25022B0066 0002.pdf | ||
| Site Visit Sign-in Sheet.pdf | ||
| RFI Responses.docx | DOCX document | |
| 36C25022B0066 0001.docx | DOCX document | |
| Wage Determination.txt | TXT text file | |
| 36C25022B0066 Solicitation Document.pdf | ||
| 583-22-528 PCRA.pdf | ||
| RFI Form.doc | DOC document | |
| 583-22-528 Storage System Options And Technical Considerations.pdf | ||
| 583-22-528 Approximate Room Dimensions and Construction Requirements.pdf |
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Text version
Contractor Certification Regarding Project: 583-22-528
| 2019 |
| 2020 |
| 2021 |
Number of serious, willful, or repeat violations from OSHA within the last 3 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: ______________________________________________________
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