S02 Att03 Emergency Contact List - Template.pdf

PDF 104 KB Posted

Attached to
Z1DA--578-26-004: IDIQ ACM Abatement Services at the Hines VA Hospital in Hines, IL
Solicitation number
36C25226R0038
Issued by

About this file

This is an Emergency Contact List template for a federal construction project at Hines VA (Veterans Affairs facility) with project number 578-XX-XXX. The document provides a standardized format for organizing critical contact information required during project execution.

The template includes three pre-populated emergency service numbers for the Hines VA facility: Police (23200), Fire (22323), and Safety Office (25614). It contains blank fields for contractor information (name, office location, and phone number) and a table for key project personnel contact details, including positions for Superintendent, Alternate Superintendent, Project Manager, Safety Manager, Hines VA Contracting Officer Representative (COR), and Hines VA Backup COR. Each personnel entry requires name and phone number (office or cell). This template is designed to be completed by the contractor and serves as a quick-reference document for emergency and project coordination purposes during construction activities at the Hines VA facility.

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Text version

Emergency Contact List

Project Title:

Project Number: 578-XX-XXX

Hines VA Police 23200

Hines VA Fire 22323

Hines Safety Office 25614

Contractor:

Office:

Phone:

Title Name Phone (Office or Cell)

Superintendent

Alt. Superintendent

Project Manager

Safety Manager

Hines VA COR

Hines VA Backup COR

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