S02 PRE-AWARD CONTRACTOR EVALUATION FORM.pdf
PDF 93 KB Posted
- Attached to
- 4130--608-20-110 - Bldg. 1 Chiller Replacement
- Solicitation number
- 36C24124B0019
About this file
This solicitation requests bids for a building chiller replacement project. The solicitation will be awarded as a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses. Bids are due by January 08, 2024 and must include all necessary forms such as a bid guarantee, safety records, and insurance information. The project involves replacing the chillers at Building 1 according to the specifications in the Statement of Work. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1 is the agency issuing this solicitation. The apparent low bidder must complete a pre-award survey and be determined responsible prior to contract award.
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Other files
| File | Type | Posted |
|---|---|---|
| SF 1409 Abstract.pdf | ||
| 36C24124B0019 0008.docx | DOCX document | |
| 36C24124B0019 0007.docx | DOCX document | |
| NEW RFI answers for CHILLERS REPLACEMENT_Alares responses.docx | DOCX document | |
| 36C24124B0019 0006.docx | DOCX document | |
| 36C24124B0019 0005.docx | DOCX document | |
| Limitations on Subcontracting.pdf | ||
| 36C24124B0019 0004.docx | DOCX document | |
| RFI answers Chiller Replacement.docx | DOCX document | |
| 36C24124B0019 0003.docx | DOCX document | |
| sign in 608-20-110.pdf | ||
| 36C24124B0019 0002.docx | DOCX document | |
| 36C24124B0019 0001.docx | DOCX document | |
| Manchester Chiller 100 CD R2 Electrical Drawings.pdf | ||
| WD NH 20230021 09-29-2023.pdf | ||
| Manchester Chiller 100_CD_R1 Narrative.pdf | ||
| 608-20-110 Building 1 Chiller Repacement SOW.docx | DOCX document | |
| 36C24124B0019_1.docx | DOCX document | |
| Manchester Chiller 100_CD R1 Construction Specifications.pdf | ||
| For construction package - Manchester Chiller 100_CD_R2 Drawings.pdf |
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Text version
PRE-AWARD CONTRACTOR EVALUATION FORM
COMPLETE & SUBMIT WITH PROPOSAL
(FROM CFM WEBSITE)
Company Name: ______________________________________________
Address: _____________________________________________________
Telephone: ______________________ Fax: ________________________
Email: _______________________________________________________
Contact: ______________________________________________________
1. Utilizing your OSHA 300 Forms, please complete the following information:
Category 2020 2021 2022 Number of man hours (jobsite and office).
Number of cases involving days away from work, restricted activity, or both (Column H and I of OSHA 300).
Days away, restricted, or transferred rate (# of days away, restricted, or transferred cases x 200,000/# of man hours) (DART Rate).
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 disqualifies the contractor.)
Please attach copies of the following documents: OSHA 300 and 300a Forms. These forms can be accessed through the OSHA publications search page: http://www.osha.gov/pls/publications/publication.html.
2. Provide your six-digit North American Industrial Classification System (NAICS) Code for this acquisition:
3. Who administers your company’s Safety and Health Program? __________________________________
4. Company’s Insurance Experience Modification Rate (EMR) for the past 3 years: _____________
File details come from the government source that posted it. Updated .