Exhibit_13_CONTRACTOR_WEAPONS_REFRESH_TNG.pdf

PDF 138 KB Posted

Attached to
Armed Security Guard Services for DOT
Solicitation number
693JK425R500004
Issued by

About this file

Exhibit 13 is a Contractor's Certification of Weapons Refresher Training form designed to document an employee's successful completion of weapons training for a federal contract. The form requires detailed documentation of various weapons training types, including firearms, baton, OC (pepper spray), and potentially other weapon training, with specific date ranges for each training segment. The form must be completed by the contractor, signed by the employee and an authorized representative, and includes a warning that providing false information may be punishable under Title 18, Section 1001 of the United States Code. The form is specifically referenced to Section 6.6.3, 6.6.5, and 6.6.6 of the Statement of Work (SOW) for an unnamed contract number, and includes fields for the employee's name, Social Security Number, training instructor details, and the employee's training score.

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Text version

EXHIBIT 13

CONTRACTOR’S CERTIFICATION OF

WEAPONS REFRESHER TRAINING

Employee’s Name: _____________________________________________________

SSN: - -_________

I hereby certify that the above named employee successfully completed all required Weapons Training subjects including practical exercises and examinations in accordance with Section 6.6.3, Section 6.6.5, and Section 6.6.6 of the SOW as required by Contract number __________________________________.

The Firearms Training provided from ___________ to __________

(DATE) (DATE)

The Baton Training provided from ___________ to __________

The OC Training provided from ___________ to __________

__________ Training provided from ___________ to __________

(TYPE OTHER WEAPON) (DATE) (DATE)

The Weapons 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 .