36C26120R0017-023.docx
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- Solicitation number
- 36C26120R0017
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This document contains a contractor certification and related federal contract opportunity for replacing HVAC units in Building 347 at the VA Palo Alto Healthcare System campus. To be eligible for consideration, contractors must have no more than three serious or one repeat or one willful OSHA or EPA violations in the past three years, and an experience modification rate of 1.0 or less. Bidders must submit a self-certification of their safety and environmental record on company letterhead, as well as documentation of their current EMR from their insurance carrier.
The related federal contract opportunity is a solicitation to issue an RFP for replacing HVAC units in Building 347 with a NAICS code of 236220 and size standard of $39.5M. The solicitation will be posted on February 2, 2020 and close on March 25, 2020. A site visit will be scheduled. All contractual and technical questions must be submitted in writing by email by March 23, 2020. The procurement is a Service-Disabled Veteran Owned Small Business set aside being conducted by the VA Network 21 Contracting Office on behalf of the VA Palo Alto Healthcare System.
36C26120R0017 CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL.docx
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CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL
Contractor Certification Regarding Project: 640A0-20-901 Replace HVAC Bldg. 347 PER VHA DIRECTIVE 7715 (06 April 2017): SAFETY & ENVIRONMENTAL RECORD AND EXPERIENCE MODIFICATION RATE (EMR): To be eligible for consideration and award, the contractor shall have no more than three serious, or one repeat, or one willful OSHA or EPA violation(s) in the past 3 years and have an EMR of equal to or less than 1.0.
All Bidders shall submit the following information pertaining to their past Safety & Environmental Record and EMR with their bid.
1. SAFETY & ENVIRONMENTAL RECORD: A self-certification on company letterhead that the bidder has no more than three (3) serious, or one (1) repeat or one (1) willful OSHA or any EPA violation(s) in the past three years.
EMR: All bidders shall submit information regarding their current EMR. This information shall be obtained from the bidder’s insurance carrier and be furnished on the insurance carrier’s letterhead.
| 2017 |
| 2018 |
| 2019 |
Number of serious, willful, or repeat violations from OSHA within the last 3 years.
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 .