Orange County NC Website
Browse       Search
DocuSign Envelope ID:A9CF8A9E-4CDB-4BB9-A678-D4AD80CD1393 <br /> YEAR CONTRACTOR INDUSTRY INDUSTRY FIELD AND CODE <br /> DART DART <br /> INCIDENT RATE INCIDENT RAZE <br /> 2015 0.71 2 . 0 (eft) Roofinaf 23816 <br /> 2014 1. 14 2 . 0 Roofing / 23816 <br /> 2013 0 .53 2 .2 Roofing / 23816 <br /> 2. Experience Modification Rate(EMR). Provide the bidder's most recent <br /> Experience Modification Rate(EMR)based on insurance claims history. The bidder <br /> must provide the source of the EMR information and contact information of insurer entity <br /> providing the EMR. <br /> YEAR CONTRACTOR INDUSTRY FIELD AND NAME AND CONTACT <br /> EHR CODE INFO FOR FAIR <br /> INFORMATION <br /> 2016 . 8s Mitzi Hines <br /> Roofing / 23816 NFP <br /> 704-7 00-9399 <br /> 3. Answer the following OSHA Specific Questions: <br /> (a) Within the last 2 years,has the bidder received any citations classified by <br /> OSHA as being(1)serious,(2) willful and/or(3)repeat violations where your <br /> company operates? <br /> Yes No x <br /> If yes,attach a copy of each such citation and violation. <br /> (b) Has the bidder experienced any work-related fatalities within the last five <br /> years? <br /> Yes No X <br />