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- i Attachment A <br /> 11CEm to Employee Acknowledgement <br /> P Y 9 <br /> I hereby certify that I have read and understand the safety and health guidelines contained in Brown <br /> and Caldwell's Site Safety and Health Plan for. <br /> (Project Name) (Job No.) <br /> Emplovee name <br /> Signature Date <br /> In case of emergency, please contact: <br /> I. <br /> Name Relationship Phone number <br /> 2. <br /> Name Relationship Phone number <br /> Received by: <br /> Site Safety Officer <br /> Signature Date <br />