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CONTRACTOR LETTERHEAD

Address, telephone number

Date

Richard Carnevale,

City Engineer

Springfield Public Works

70 Tapley Street

Springfield, MA 01104

Subject: OSHA Excavation Competent Person Training

Dear Mr. Carnevale,

I certify that the following employees are OSHA Excavation Competent Persons and that

they are responsible for overseeing the trench excavation safety requirements of the

Commonwealth of Massachusetts (520 CMR 14.00, et al) and the applicable Federal

OSHA general industry and construction health & safety regulations:

Name 1

Name 2

Name 3

Supporting OSHA training certificates(s) are attached.

Please contact me at XXX-XXX-XXXX or email if you have questions.

Sincerely,

Contractor authorized signature

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