EXHIBIT 4 - SAFETY SHOE AUTHORIZATION FORM - FIRE DEPT.pdf
PDF 438 KB Posted
- Attached to
- Safety and Uniform Boots
- Solicitation number
- 70FA5020A00000004
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment C - PRICING SPREADSHEET 2.xlsx | XLSX spreadsheet | |
| EXHIBIT 2 - SAFETY SHOE AUTHORIZATION FORM - SECURITY BRANCH.pdf | ||
| EXHIBIT 1 - SAMPLE PURCHASE ORDER.pdf | ||
| EXHIBIT 3 - SAFETY SHOE AUTHORIZATION FORM - POLICE DEPT.pdf | ||
| Attachment C - PRICING SPREADSHEET.xlsx | XLSX spreadsheet | |
| EXHIBIT 5 - SAFETY SHOE AUTHORIZATION FORM - FACILITIES MGMT.pdf | ||
| Attachment B - Clauses.docx | DOCX document | |
| Attachment A - Statement of Work.pdf |
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Text version
DATE:
SAFETY FOOTWEAR AUTHORIZATION FORM
DEPARTMENT OF HOMELAND SECURITY/
FEDERAL EMERGENCY MANAGEMENT AGENCY
19844 BLUE RIDGE MOUNTAIN ROAD
BLUEMONT, VA 20135
EMPLOYEE NAME:
The above named employee is entitled to (please circle - one or two) pair of safety footwear. DHS/FEMA will cover the not-to-exceed amount of $200.00 per pair. Any amount over $200.00 will be the responsibility of the employee named above.
If there are any questions, please call Steve Thomas, 540-542-2671.
SIGNATURE: ________________ _
AUTHORIZED BY (DIVISION POC): STEVE THOMAS
Fire Chief, Fire Department
EMPLOYEE SIGNATURE: ____________ _
STORE AND LOCATION: _______________
SHOE REQUIREMENTS/RESTRICTIONS: Only the styles listed below are allowed for personnel with the Fire Department.
Bates: E00942 - Dress Shoe E02263 - 8" Sport Composite Toe/ Zip
E02264 - 5" Sport Composite/ Zip E02272 - 8" Gortex Composite/ Zip E07004 - Chelsea Composite Pull On
Bellville: TR998Z- 8" Waterproof Composite Toe/ Zip 800 ST- 8" Waterproof Steel Toe Deck Boot 880 - 8" Waterproof Steel Toe/ Insulated Deck Boot
EXHIBIT 4
File details come from the government source that posted it. Updated .