Exhibit_11_CONTRACTOR_REFRESHER_TNG_CERT.pdf
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- Attached to
- Armed Security Guard Services for DOT
- Solicitation number
- 693JK425R500004
About this file
Exhibit 11 is a Contractor's Certification of Refresher Training form used to document an employee's successful completion of required training for a federal contract. The form requires detailed information including the employee's name, Social Security Number, contract number, training dates, instructor details, and employee's training score. The certification must be signed by both the employee and a contractor's authorized representative. The document includes a legal disclaimer that information provided is subject to investigation under Title 18, Section 1001 of the United States Code, with potential penalties of fine or imprisonment for false or misleading information.
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Text version
EXHIBIT 11
CONTRACTOR’S CERTIFICATION
OF REFRESHER TRAINING
Employee’s Name: _____________________________________________________
SSN: - -__________
I hereby certify that the above named employee successfully completed all required Refresher Training subjects including practical exercises and examinations in accordance with Section 6.4.1.3 of the SOW as required by Contract number __________________________.
The Refresher Training provided from ___________ to __________
(DATE) (DATE)
The Refresher Training Subjects presented by:
_________________________________ of
(Name of Instructor) (Name of Company)
Employee’s Score: _______________________
Employee’s Signature: ______________________________
CERTIFIED BY:
(Printed Name of Contractor’s Authorized Representative) (Signature) (Date)
Information provided in this certification is subject investigation and verification under Title 18, Section 1001, United States Code. Any false or misleading information may be punishable by fine or imprisonment.
File details come from the government source that posted it. Updated .