State of PA recompete____Exhibit 7.pdf

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PSO Services Throughout the state of PA
Solicitation number
HSHQE3-17-R-00003
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Exhibit 7

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State of PA recompete____Attachment 3 —
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State of PA recompete____Exhibit 12 —
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Text version

Employee's Name

Employee's SSN

I hereby certify the above named instructor presented the training material and the above named employee successfully completed all blocks of instruction in accordance with this SOW.

Contractor's Name

Contract Number

Exhibit 7 Contractor's Certification of Training and Qualification

Trng/Qual Type

Instructor's Name

Company's Name

Trng/Qual Date to

TRAINING CONDUCTED BY

Score (if applicable)

Qualification

Instructor's Signature (Required)

Authorized Contractor Representative Signature (Required)

Information provided in this certification is subject to investigation and verification under Title 18, Section 1001, United States Code.

Any false or misleading information may be punishable by fine and/or imprisonment.

Authorized Contractor Representative

(Specify)

Representative's Name

FPS REPRESENTATIVE (if applicable)

First/MI/Last

First/MI/Last

Title/First Initial/Last

First/MI/Last

Total Hours/Minutes

Representative's Signature (when applicable)

Employee's Signature (Required)

Signature Date

Signature Date

Signature Date

Signature Date

Last 4 only

I hereby certify the above named instructor presented the training material and the above named employee successfully completed all blocks of instruction in accordance with this SOW.

Exhibit 7 Contractor's Certification of Training and Qualification to

TRAINING CONDUCTED BY

Instructor's Signature (Required) Authorized Contractor Representative Signature (Required) Information provided in this certification is subject to investigation and verification under Title 18, Section 1001, United States Code. Any false or misleading information may be punishable by fine and/or imprisonment.

FPS REPRESENTATIVE (if applicable) First/MI/Last First/MI/Last Title/First Initial/Last First/MI/Last Representative's Signature (when applicable) Employee's Signature (Required) Last 4 only 8.2.1.4029.1.523496.503679

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File details come from the government source that posted it. Updated .