AGREEMENT between BROWARD COUNTY and Cummings ...

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Badging Requirements and Ramp Driving Privileges Exhibit 2 Page 340 of 379 REQUIRED PERSONAL INFORMATION FOR FLL SECURITY BADGE PRINT ALL INFORMATION EXCEPT SIGNATURE LINE! Last Name ______________________________________________________________ First Name ______________________________________________________________ Middle Name ____________________________________________________________ Other Names Used: _______________________________________________________ Sponsor Company ________________________________________________________ Contracted Company ______________________________________________________ Job Title ________________________________________________________________ Current Home Mailing Address ______________________________________________ City ____________________________________________ State ___________________ Country _________________________________________ Zip ____________________ Daytime Telephone Number (_______) ________________________________________ Date of Birth __________________________ Gender: Male _______ Female _______ Hair Color ___________ Eye Color __________ Height __________ Weight __________ Country of Birth ___________________ Country of Citizenship _____________________ If not a U.S. citizen, provide one of the following unexpired documents to the Security Office: ⁭ Alien Registration ⁭ I-94 Arrival/Departure ⁭ Non-Immigration Visa Control If a U.S. citizen born abroad or naturalized, provide one of the following unexpired documents to the Security Office: ⁭ U S Passport: ⁭ Certificate of Naturalization ⁭ Certificate of U. S. Citizenship ⁭ Certification of Birth Abroad ⁭ Certification of Report of Birth ⁭ Consular Report of Birth Abroad Signature ______________________________________ Date ___________________ BCAD Trusted Agent Only: Documents Verified by ________________ Date ____________________ 5-1-10 Revision Page 9
Badging Requirements and Ramp Driving Privileges Exhibit 2 Page 341 of 379 Disqualifying Crimes Certification BY SIGNING BELOW, I CERTIFY THAT I HAVE NOT, DURING THE PAST 10 YEARS, BEEN CONVICTED OR FOUND NOT GUILTY BY REASON OF INSANITY FOR ANY OF THE FOLLOWING CRIMES: Forgery of certificates, false marking of aircraft, and other aircraft registration violation; Interference with air navigation; Improper transportation of a hazardous material; Aircraft piracy; Interference with flight crew members or flight attendants; Commission of certain crimes aboard aircraft in flight; Carrying a weapon or explosive aboard aircraft; Conveying false information and threats; Aircraft piracy outside the special aircraft jurisdiction of the United States; Lighting violations involving transporting controlled substances; Unlawful entry into an aircraft or airport area that serves air carriers or foreign air carriers contrary to established security requirements; Destruction of an aircraft or aircraft facility; Murder; Assault with intent to murder; Espionage; Sedition; Kidnapping or hostage taking; Treason; Rape or aggravated sexual abuse; Unlawful possession, use, sale, distribution, or manufacture of an explosive or weapon; Extortion; Armed or felony unarmed robbery; Distribution of or intent to distribute, a controlled substance; Felony arson; A felony involving a threat; A felony involving: willful destruction of property; importation or manufacture of a controlled substance; burglary; theft; dishonesty, fraud, or misrepresentation; possession or distribution of stolen property; aggravated assault; bribery; or illegal possession of a controlled substance punishable by a maximum term of imprisonment of more than 1 year; Violence at international airports; or Conspiracy or attempt to commit any of the aforementioned criminal acts I, the APPLICANT, by signing below, do hereby certify that the information I have provided on this application is true, complete, and correct to the best of my knowledge and belief and is provided in good faith. I understand that a knowing and willful false statement on this application can be punished by fine or imprisonment or both (section 1001 of Title 18 United States Code). I acknowledge that the Transportation Security Administration (TSA) has determined that a withheld adjudication (court did not pronounce guilt or innocence), whether through a guilty plea or a plea of nolo contendere (no contest), constitutes a conviction for the purpose of unescorted access to the AOA (49 CFR Part 1542). I also accept that upon receipt of a directive from the TSA or a modification to the regulation, my unescorted access to the secure area of the Airport may be denied or revoked. I am also aware that under Federal regulation 49 CFR Part 1542.209, I am required to disclose to the Airport within 24 hours of being convicted of any disqualifying criminal offense that occurs while I possess unescorted access privilege. I acknowledge that I may receive a copy of my criminal record received from the FBI if I request it in writing to the Airport, and, if I have any questions concerning my criminal history record check, I may contact the Airport Security Coordinator. Applicant Name - PRINT: ___________________________________________________________________________________________________ Applicant Signature: __________________________________________________________________Date:_____________________________ 5-1-10 Revision Page 10
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Terminal 4 Gate Replacement - Weste
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Exhibit 2 Page 99 of 379 Owner Cont
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Exhibit 2 Page 101 of 379 TABLE OF
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Exhibit 2 Page 103 of 379 OVERVIEW
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Exhibit 2 Page 105 of 379 OVERVIEW
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Exhibit 2 Page 107 of 379 OCIP PROG
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Exhibit 2 Page 109 of 379 OCIP INSU
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Exhibit 2 Page 111 of 379 OCIP INSU
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Exhibit 2 Page 113 of 379 CONTRACTO
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Exhibit 2 Page 123 of 379 CLAIM REP
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Exhibit 2 Page 125 of 379 CLAIM REP
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AONWRAP WEB INSTRUCTION Exhibit 2 P
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AONWRAP WEB INSTRUCTION 10. Type yo
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AONWRAP WEB INSTRUCTION Exhibit 2 P
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Exhibit 2 Page 133 of 379 Form-3 En
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Exhibit 2 Page 135 of 379 Enrollmen
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Form-4 On-Site(s) Payroll Report In
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Form-5 Notice of Work Completion In
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Exhibit 1 - Sample Certificate of I
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Exhibit 3 - First Report of Injury
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Exhibit 2 Page 145 of 379
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TABLE OF CONTENT Exhibit 2 Page 147
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Exhibit 2 Page 149 of 379 SECURITY
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INTRODUCTION Exhibit 2 Page 151 of
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DEFINITIONS Exhibit 2 Page 153 of 3
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ACRONYMS Exhibit 2 Page 155 of 379
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Conduct hazard communication traini
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12. Review and evaluate contractors
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or minimize exposures that will or
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2) Positioning device system allows
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F. Welding and Cutting Exhibit 2 Pa
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13) Complete and file on site a Loc
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M. Job Safety Analysis Exhibit 2 Pa
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SAFETY TRAINING Exhibit 2 Page 171
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4. Contractor Safety Audit This Saf
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d) The OCIP insurance carrier perso
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Exhibit 2 Page 177 of 379 EMERGENCY
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Obtain a hurricane tracking and inf
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SECURITY Exhibit 2 Page 181 of 379
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D. Security - General Project Rules
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I. Delivery and Removal of Material
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Exhibit 2 Page 187 of 379 FIRST REP
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Exhibit 2 Page 191 of 379 d. Analyz
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Exhibit 2 Page 193 of 379 4. PPE cu
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Exhibit 2 Page 195 of 379 WITNESS S
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Exhibit 2 Page 197 of 379 Sequence
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Exhibit 2 Page 199 of 379 LOCK-OUT
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Exhibit 2 Page 201 of 379 ORIENTATI
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Exhibit 2 Page 203 of 379 SAFETY OB
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Exhibit 2 Page 207 of 379 DIVISION
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DIVISION 1 SPECIFICATIONS - SECTION
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DIVISION 1 SPECIFICATIONS SECTION 0
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Page 289 and 290: DIVISION 1 SPECIFICATIONS - SECTION
Page 303 and 304: Exhibit 2 Page 303 of 379 DIVISION
Page 305 and 306: DIVISION 1 SPECIFICATIONS SECTION 0
Page 311 and 312: Exhibit 2 Page 311 of 379 DIVISION
Page 329 and 330: Exhibit 2 Page 329 of 379 PART 1 -
Page 331 and 332: Exhibit 2 Page 331 of 379 Broward C
Page 333 and 334: Badging Requirements and Ramp Drivi
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Page 349 and 350: Exhibit 2 Page 349 of 379 EXHIBIT 1
Page 351 and 352: Exhibit 2 Page 351 of 379 NUMBER VE
Page 353 and 354: TERMINAL 4 GATE REPLACEMENT - WESTE
Page 359 and 360: Exhibit 2 Page 359 of 379 TERMINAL
Page 361 and 362: Exhibit 2 Page 361 of 379 TERMINAL
Page 363 and 364: Exhibit 2 Page 363 of 379 FORM 1: C
Page 365 and 366: Exhibit 2 Page 365 of 379 FORM 3 FO
Page 367 and 368: Exhibit 2 Page 367 of 379 FORM 4: F
Page 369 and 370: Exhibit 2 Page 369 of 379 FORM OF P
Page 371 and 372: Exhibit 2 Page 371 of 379 FORM OF P
Page 373 and 374: MONTHLY (CBE) UTILIZATION REPORT Ex
Page 375 and 376: FINAL (CBE) UTILIZATION REPORT Exhi
Page 377 and 378: Exhibit 2 Page 377 of 379 CBE UNAVA
Page 379: Exhibit 2 Page 379 of 379 CERTIFICA
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AGREEMENT between BROWARD COUNTY and Cummings ...

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