36C25020B0033-023.docx
DOCX document Posted
- Attached to
- Z1DA--Replace CAT Scan AHU 539-20-213 Federal contract opportunity
- Solicitation number
- 36C25020B0033
About this file
This document contains a contractor certification form and details of a federal contract opportunity for replacing a CAT scan air handling unit. The contractor certification form requests information on any OSHA or EPA violations in the past three years, as well as the company's current insurance experience modification rate.
The federal contract opportunity is set aside 100% for Service-Disabled Veteran-Owned Small Businesses under NAICS code 236210. It is seeking to replace a CAT scan air handling unit at the Veterans Administration Medical Center in Indianapolis. The solicitation number is 36C25020B0033 and will be posted on July 15, 2018 on www.fbo.gov. The requirement is for the SDVOSB prime contractor to self-perform at least 25% of the construction work. The project duration is 365 calendar days with bonds and a site visit required. The agency is the Department of Veterans Affairs Veterans Health Administration VISN 10 Network Contracting Office.
36C25020B0033 Attach 5 Contractor Certification Regarding EMR.docx
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25020B0033 0007.docx | DOCX document | |
| 36C25020B0033 0006.docx | DOCX document | |
| 36C25020B0033 0005.docx | DOCX document | |
| 36C25020B0033 0004.pdf | ||
| 36C25020B0033 0003.docx | DOCX document | |
| 36C25020B0033-0002000.docx | DOCX document | |
| 36C25020B0033-0001000.docx | DOCX document | |
| 36C25020B0033-019.pdf | ||
| 36C25020B0033-018.docx | DOCX document | |
| 36C25020B0033-022.pdf | ||
| 36C25020B0033-025.pdf | ||
| 36C25020B0033-021.pdf | ||
| 36C25020B0033-024.docx | DOCX document | |
| 36C25020B0033-020.pdf |
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Text version
Contractor Certification Regarding Project: 539-20-213
| 2013 |
| 2014 |
| 2015 |
| 2016 |
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 .