EMR Certification.docx
DOCX document 13 KB Posted
- Attached to
- Magnesium Hydroxide System
- Solicitation number
- 12305B24R0031
About this file
This document is a Contractor Certification regarding a federal contract opportunity for a Magnesium Hydroxide System at the Beltsville Agriculture Research Center in Beltsville, MD. The certification requires the contractor to report any OSHA violations within the last 3 years and provide their current Insurance Experience Modification Rate (EMR).
The related federal contract opportunity is a Request for Proposals (RFP) issued by the United States Department of Agriculture (USDA) Agricultural Research Service (ARS). The solicitation is for the Magnesium Hydroxide System with a construction value between $500,000 and $1,000,000. The period of performance is 373 days after receipt of the Notice to Proceed. This procurement is a Total Small Business Set-Aside with a NAICS code of 237110 (Water and Sewer Line and Related Structures Construction) and a size standard of $45 million. Interested offerors must submit proposals in accordance with the evaluation factors in Sections L and M of the solicitation. The agency will award a Firm Fixed Price contract. Site visits are scheduled for June 10 and 11, 2024, and all questions are due by June 14, 2024.
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Text version
Contractor Certification Regarding Project: Project Title Here
| 2020 |
| 2021 |
| 2023 |
| 2023 |
Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations. (Four serious, one repeat, or one willful violation could result in being determined non-responsible.)
Company’s Current Insurance Experience Modification Rate (EMR) = _____________ (Note: Contractor must support the EMR with a signed letter from Insurance Carrier on their letterhead.)
Signature: ______________________________________________
Typed Name: ______________________________________________________
Title: ______________________________________________________
File details come from the government source that posted it. Updated .