17793 CR 4 Wiggins, CO 80654 720-666-8893 Bulletproof Electric, LLC - Sub-Contractor Health and Safety Requirements: Please note that as a subcontractor to Bulletproof Electric, LLC you are governed by the same mandatory requirements in place for Bulletproof Electric, LLC as stated for our client Western Midstream (WES). You will be provided with a list of requirements and must follow both that and any/all OSHA regulations. The following is a list of all Mandatory Requirement Training items. Employees should carry or be able to provide certification cards and you may be asked to provide training sign-in sheets. WE request that your employees join any Tool Talk Health and Safety Sessions held during the time you are performing work as a subcontractor to us. Please sign and date this form and return to us along with our PO. Sub-contractor Information: Name: _____________________________ Address: _____________________________ _____________________________ _____________________________ Phone: _____________________________ Contact Name: _____________________________ Signature: _____________________________ Date: _____/_____/_________