CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL.docx
DOCX document 14 KB Posted
- Attached to
- Z1LC-- 640A0-22-903 Repair Steamlines
- Solicitation number
- 36C26123R0014
About this file
This document contains a contractor certification form and details of a related federal contract opportunity for repairing steam lines. The contractor certification form requests information on any OSHA violations from the past three years and the contractor's current insurance EMR. The related federal contract opportunity is solicitation number 36C26123R0014 to repair steamlines for the Department of Veterans Affairs Veterans Health Administration VISN 21. The description provided is to repair steamlines. No further details are included on pricing, response dates, set asides, or other contract terms.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26123R0014 Amendment 0002.docx | DOCX document | |
| SIte Walk Log Steam Lines.pdf | ||
| 36C26123R0014 0001.docx | DOCX document | |
| DIVISONAL COST BREAKOUT SHEET.docx | DOCX document | |
| 36C26123R0014_1.docx | DOCX document | |
| S02 - RFI FORM.docx | DOCX document | |
| 640.000000.000.MPD-UTILITY EXHIBIT.201323.pdf | ||
| Previous RFI.docx | DOCX document | |
| mpd steam vault pics.pdf | ||
| VHA Supplemental Contract Requirements for Combatting COVID-19 02.docx | DOCX document | |
| P07 Wage Determination CA20220018 12.16.2022.pdf | ||
| Attachement A - mpd_utility_steam excerpt.pdf | ||
| SPEC 2023.01.30.pdf | ||
| VHA Supplemental Contract Requirements for Combatting COVID-19.docx | DOCX document |
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Text version
CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL
Contractor Certification Regarding Project: Repair Steam Tunnels 36C26123R0014
| 2018 |
| 2019 |
| 2020 |
| 2021 |
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.)
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 .