Amend 0001 Attachment E - Employee Certification Form.pdf
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- Solicitation number
- N6247025R9003
About this file
The document is an Employee Certification form for a federal contract opportunity related to Missile Magazines at Naval Station Rota, Spain. The form provides a template for certifying employees who will be traveling to Spain, requiring details such as the company name, insurance policy number, purpose of travel (contract performance, site survey, or other), and a table to list employee names, nationalities, and passport numbers. The form is part of Solicitation Number N6247025R9003 issued by the Department of the Navy Naval Facilities Engineering Command, indicating a need for documentation to verify employee credentials and insurance coverage for international work at the naval facility.
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Text version
Employee Certification
Date:
To Whom It May Concern:
This is to certify that the individuals listed below are employees of (insert name of company)__ and are covered for civil liability purposes under Policy Number (insert policy number) taken out with __(insert name of insurance company)__, copy of which is attached.
Said employees will be in Spain:
In the performance of contract number ___(insert contract number)__.
To conduct a site survey for the awarding of a contract.
Other (please specify): ____________________________________________________
Name Nationality Passport Number
Signed: (insert corporate signature and title)
File details come from the government source that posted it. Updated .