Experience Modification Rate EMR Insurance Contractor Certification Solicitation 12405B23Q0445.docx

This document is an Experience Modification Rate (EMR) certification form required as part of a solicitation response for locating and repairing leaks in a greenhouse for the Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery. The form requires the contractor to disclose any OSHA violations from the past four years and provide an explanation for any violations. It also requires the contractor to disclose their current EMR rating as certified by their insurance carrier in an accompanying letter from the carrier on their letterhead. The solicitation number is 12405B23Q0445 and involves locating leaks in a greenhouse and resealing or replacing the greenhouse glazing at an unspecified location in Stuttgart, Arkansas.