Contractor Certification Regarding Safety and Environmental.docx
DOCX document 13 KB Posted
- Attached to
- Z1DA--Replace Windows and Doors 610-22-519 Federal contract opportunity
- Solicitation number
- 36C25022B0023
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25022B0023 0004.docx | DOCX document | |
| 36C25022B0023 0003.docx | DOCX document | |
| 36C25022B0023 0002.docx | DOCX document | |
| 610-22-519 DRAWINGS.pdf | ||
| 36C25022B0023 0001.docx | DOCX document | |
| RFI Form.docx | DOCX document | |
| 610-22-519 - SPECS.pdf | ||
| 610-22-519 - DRAWINGS.pdf | ||
| VAAR 852 219 77.docx | DOCX document | |
| Wage Determination.pdf | ||
| 36C25022B0023_1.docx | DOCX document |
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Text version
Contractor Certification Regarding Project: 610-22-519
| 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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