Attachment 6 -(Exhibit C) EMR.docx
DOCX document 14 KB Posted
- Attached to
- Z1DZ--FY22: NRM - Tier 2 (PROJ: 516-19-102) BB - Resolve Site Security Assessment Deficiencies
- Solicitation number
- 36C24822R0152
About this file
This document contains a pre-solicitation notice for a federal contract opportunity to resolve site security assessment deficiencies at a Department of Veterans Affairs medical center. The contractor will be responsible for demolishing existing structures, securing the site, and performing all required work in accordance with applicable codes and regulations. The project is estimated to cost between $5 million and $10 million and will have an anticipated completion period of 232 calendar days from notice to proceed. This opportunity is a 100% Service-Disabled Veteran-Owned Small Business set-aside to be awarded using a trade-off best value selection process. Questions should be directed to the point of contact.
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Other files
| File | Type | Posted |
|---|---|---|
| 516-19-102.Bay.Pines.IFC.Specifications. 08112022 - Copy.pdf | ||
| 516-19-102.Bay.Pines.IFC.Drawings. 100% 08112022 - Copy.pdf | ||
| 36C24822R0152 0002.pdf | ||
| RFIs 36C24822R0152.xlsx | XLSX spreadsheet | |
| 36C24822R0152 0001.pdf | ||
| 516-19-102 Bay Pines Specifications 20210901.pdf | ||
| Attachment 8 (Exhibit B) Past and Present Performance Questionnaire.docx | DOCX document | |
| Attachment 7- (Exhibit A) Performance Relevancy Survey v2.docx | DOCX document | |
| Copy of Attachment 4 - Price Matrix.xlsx | XLSX spreadsheet | |
| Wage Determination 2022.pdf | ||
| Copy of attachment 9 - q_a rfis.xlsx | XLSX spreadsheet | |
| 36C24822R0152_1.pdf | ||
| 36C24822R0152.docx | DOCX document |
Show all 13
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Text version
EMR FORM FOR BIDDER/OFFEROR TO COMPLETE & SUBMIT WITH PROPOSAL
Pre-Award Contractor Evaluation Form Company Name: ______________________________________________
Address: _____________________________________________________
Telephone: ______________________ Fax: ________________________
Email: _______________________________________________________
Contact: ______________________________________________________
1. Utilizing your OSHA 300 Forms, please complete the following information:
| Category |
| 2018 |
| 2019 |
| 2020 |
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 (an EMR of greater than 1.0 disqualifies the contractor): _____________
File details come from the government source that posted it. Updated .