MICAH GROUP, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	562000
Sponsor’s telephone number	8592607760
Plan sponsor’s address	389 WALLER AVENUE - SUITE 210, LEXINGTON, KY, 40504

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	562000
Sponsor’s telephone number	8592607760
Plan sponsor’s address	389 WALLER AVENUE - SUITE 210, LEXINGTON, KY, 40504

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	562000
Sponsor’s telephone number	8592607760
Plan sponsor’s address	389 WALLER AVENUE - SUITE 210, LEXINGTON, KY, 40504

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	562000
Sponsor’s telephone number	8592607760
Plan sponsor’s address	389 WALLER AVENUE - SUITE 210, LEXINGTON, KY, 40504

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	562000
Sponsor’s telephone number	8592607760
Plan sponsor’s address	389 WALLER AVENUE - SUITE 210, LEXINGTON, KY, 40504

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	562000
Sponsor’s telephone number	8592607760
Plan sponsor’s address	389 WALLER AVENUE - SUITE 210, LEXINGTON, KY, 40504

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	562000
Sponsor’s telephone number	8592607760
Plan sponsor’s address	389 WALLER AVENUE - SUITE 210, LEXINGTON, KY, 40504

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	562000
Sponsor’s telephone number	8592607760
Plan sponsor’s address	389 WALLER AVENUE - SUITE 210, LEXINGTON, KY, 40504

Signature of

Role	Plan administrator
Date	2013-10-13
Name of individual signing	AARON JAMISON
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2013-10-13
Name of individual signing	AARON JAMISON
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	562000
Sponsor’s telephone number	8592607760
Plan sponsor’s address	389 WALLER AVENUE - SUITE 210, LEXINGTON, KY, 40504

Plan administrator’s name and address

Administrator’s EIN	522166182
Plan administrator’s name	MICAH GROUP, LLC
Plan administrator’s address	389 WALLER AVENUE - SUITE 210, LEXINGTON, KY, 40504
Administrator’s telephone number	8592607760

Signature of

Role	Plan administrator
Date	2012-10-15
Name of individual signing	AARON JAMISON
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2012-10-15
Name of individual signing	AARON JAMISON
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	562000
Sponsor’s telephone number	8592607760
Plan sponsor’s address	746 WESTLAND DRIVE - SUITE 110, LEXINGTON, KY, 40504

Plan administrator’s name and address

Administrator’s EIN	522166182
Plan administrator’s name	MICAH GROUP, LLC
Plan administrator’s address	746 WESTLAND DRIVE - SUITE 110, LEXINGTON, KY, 40504
Administrator’s telephone number	8592607760

Signature of

Role	Plan administrator
Date	2011-10-14
Name of individual signing	AARON JAMISON
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2011-10-14
Name of individual signing	AARON JAMISON
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/05/20101005091359P030003363522001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	562000
Sponsor’s telephone number	8592607760
Plan sponsor’s address	746 WESTLAND DRIVE - SUITE 110, LEXINGTON, KY, 40504

Plan administrator’s name and address

Administrator’s EIN	522166182
Plan administrator’s name	MICAH GROUP, LLC
Plan administrator’s address	746 WESTLAND DRIVE - SUITE 110, LEXINGTON, KY, 40504
Administrator’s telephone number	8592607760

Signature of

Role	Plan administrator
Date	2010-10-05
Name of individual signing	AARON JAMISON
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2010-10-05
Name of individual signing	AARON JAMISON
Valid signature	Filed with authorized/valid electronic signature

Unique Award Key	CONT_AWD_VA859J05008_3600_-NONE-_-NONE-
Awarding Agency	Department of Veterans Affairs
Link	View Page

Description

Title	MOLD ABATEMENT AT MARIETTA NATIONAL CEMETERY LODGE
NAICS Code	541690: OTHER SCIENTIFIC AND TECHNICAL CONSULTING SERVICES
Product and Service Codes	Y243: CONSTRUCT/POLLUTE ABATEMENT & CONTR

Recipient Details

Recipient	MICAH GROUP, LLC
UEI	X4BHAB9NYBL7
Legacy DUNS	090014965
Recipient Address	746 WESTLAND DRIVE STE 110, LEXINGTON, 405041005, UNITED STATES

Inspection Type	Planned
Scope	Complete
Safety/Health	Safety
Close Conference	2013-07-09
Emphasis	L: FEDCONST, P: FEDCONST
Case Closed	2013-09-12

Related Activity

Type	Inspection
Activity Nr	929864
Safety	Yes
Type	Inspection
Activity Nr	917519
Health	Yes

Violation Items

Citation ID	01001
Citaton Type	Other
Standard Cited	19260404 B01 III D 1
Issuance Date	2013-08-29
Abatement Due Date	2013-09-25
Current Penalty	0.0
Initial Penalty	0.0
Final Order	2013-09-25
Nr Instances	1
Nr Exposed	4
FTA Current Penalty	0.0
Citation text line	29 CFR 1926.404(b)(1)(iii)(D)(1): All equipment grounding conductors were not tested for continuity and were not electrically continuous. a) 1101 Veterans Drive - On or about 7/9/13, employees were exposed to electrical hazards when ground prong was missing on extension cord. In accordance with 29 CFR 1903.19(c), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET).

Inspection Type	Planned
Scope	Complete
Safety/Health	Health
Close Conference	2013-07-09
Emphasis	P: FEDCONST, L: FEDCONST
Case Closed	2013-09-12

Related Activity

Type	Inspection
Activity Nr	929804
Safety	Yes

Violation Items

Citation ID	01001
Citaton Type	Other
Standard Cited	19101200 E01
Issuance Date	2013-08-30
Abatement Due Date	2013-09-26
Current Penalty	0.0
Initial Penalty	0.0
Final Order	2013-09-25
Nr Instances	1
Nr Exposed	2
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.1200(e)(1): The employer did not develop, implement, and/or maintain at the workplace a written hazard communication program which describes how the criteria specified in 29 CFR 1910.1200(f), (g), and (h) will be met: (Construction Reference: 1926.59) (a) On or about 7/9/2013, the Micah Group was working at the VA Medical Center located at 1101 Veterans Dr in Lexington, KY and did not have a copy of thier written hazard communication program on site. Without proper information on hazardous materials, employees could mis-handle hazardous materials and expose themselves to allergic reactions, skin and respiratory irritations. In accordance with 29 CFR 1903.19(c), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET).
Citation ID	01002
Citaton Type	Other
Standard Cited	19101200 E01 I
Issuance Date	2013-08-30
Abatement Due Date	2013-09-26
Current Penalty	0.0
Initial Penalty	0.0
Final Order	2013-09-25
Nr Instances	1
Nr Exposed	2
FTA Current Penalty	0.0
Citation text line	29 CFR 1910.1200(e)(1)(i): The written hazard communication program did not include a list of the hazardous chemicals known to be present using an identity that was referenced on the appropriate material safety data sheet: (Construction Reference: 1926.59) (a) On or about 7/9/2013, at the VA Medical Center located at 1101 Veterans Dr in Lexington, KY, in the 5th floor mechanical room of the main building, employees were exposed to various hazardous materials (to include but limited to paints, flammables, adhesives, and cleaners) for which the employer did not have a chemical inventory list of all materials used on site by employees. Without proper information on hazardous materials employees could mis-handle hazardous materials and expose themselves to bodily injury, and/or disease, allergic reactions, and various irritations both internal and external. In accordance with 29 CFR 1903.19(c), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET).