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10HOURSOSHATRAININGCONFIRMATION
Chapter306oftheActsof2004
CONSTRUCTIONPROJECTS
ANACTRELATIVETOTHEHEALTHANDSAFETYONPUBLIC
The undersigned hereby certifies that all employees to be employed at a worksite for
construction, reconstruction, alteration, remodeling, repair, installation, demolition,
maintenance or repair of any public work or any public building estimated to cost more than
$10,000.00havesuccessfullycompletedacourseinconstructionsafetyandhealthapprovedby
the United States Occupational Safety and Health Administration that is at least 10 hours in
duration at the time the employee begins work and who shall furnish documentation of
successful completion of said course with the first payroll report for each employee and will
complywithalllawsandregulationsapplicabletoawardsofsubcontractssubjecttosection44F.
CompanyName:________________________________________________________________
Address:_______________________________________________________________________
Signature:_____________________________________________________________________
Title:__________________________________________________________________________
PrintName:____________________________________________________________________
Date:___________________________
SeeChapter306oftheActsof2004
NOTE
Failuretosubmitanyoftherequireddocuments,inthisorinothersections,withyourbid
responsepackagewillbecauseforthedisqualificationofyourcompany.
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