36C25020B0015-022.docx

This document contains a pre-award contractor safety and environmental record evaluation form and details for a federal contract opportunity to renovate waiting rooms. The evaluation form requests contractor safety data from 2016 to 2019 including man hours, OSHA recordable incidents, DART and total case rates, and OSHA violations. It also requests the contractor's NAICS code and information on their safety program administration and insurance EMR.

The federal contract opportunity is a 100% service-disabled veteran-owned small business set aside issued by the Department of Veterans Affairs Network Contracting Office 10. The solicitation number is 36C25020B0015 to renovate waiting rooms at an Indianapolis VA facility with a project magnitude between $500,000 to $1,000,000 under NAICS code 236210. The SDVOSB must be registered in VIP and SAM databases and able to provide safety and environmental violations data and an EMR of 1.0 or less. The performance period is 365 days from NTP receipt. The pre-proposal site visit and solicitation with 30-day response deadline will be posted to FBO in June and December 2018 respectively.