PER VHA DIRECTIVE 7715.docx
VHA Directive DOCX document 16 KB Posted
- Attached to
- J061--Fiber Optics Replacement
- Solicitation number
- 36C26124R0013
About this file
This document outlines safety and environmental record requirements for a Department of Veterans Affairs contract solicitation. To be eligible for consideration, contractors must have no more than three serious, one repeat, or one willful OSHA or EPA violations in the past three years and an Experience Modification Rate (EMR) of 1.0 or below from their insurance carrier. Offerors must submit a letter certifying their safety and environmental record and violations over the past three years, as well as an EMR verification letter from their insurance carrier explaining any rate over 1.0 and projected reduction date. The related solicitation is for fiber optics replacement services for Veterans Integrated Service Network 21 under solicitation number 36C26124R0013.
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| File | Type | Posted |
|---|---|---|
| 36C26124R0013 0001.docx | DOCX document | |
| 27 11 00 TELECOMMUNICATIONS ROOM FITTINGS.docx | DOCX document | |
| 27 05 26 GROUNDING AND BONDING FOR COMMUNICATIONS SYSTEMS.docx | DOCX document | |
| 01 35 26 Safety Requirements.docx | DOCX document | |
| 36C26124R0013_1.docx | DOCX document | |
| 27 10 00 CONTROL COMMUNICATION AND SIGNAL WIRING.docx | DOCX document | |
| S02 - RFI FORM.docx | DOCX document | |
| 27 05 11 Requirements for Communications Installations.docx | DOCX document | |
| 01 00 00 General Requirements.docx | DOCX document | |
| 27 05 33 RACEWAYS AND BOXES FOR COMMUNICATIONS SYSTEMS.docx | DOCX document |
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Text version
PER VHA DIRECTIVE 7715 (06 April 2017) - SAFETY & ENVIRONMENTAL RECORD AND EXPERIENCE MODIFICATION RATE (EMR):
Contractor Certification Regarding Project:
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 Offerors shall submit the following information pertaining to their past Safety & Environmental Record and EMR with their offer.
1. SAFETY & ENVIRONMENTAL RECORD: A self-certification on company letterhead that the contractor 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.
2. EMR: All Offerors shall submit information regarding their current EMR. This information shall be obtained from the Offerors’s insurance carrier and be furnished on the insurance carrier’s letterhead. If an Offeror’s EMR is above 1.0, Offeror shall submit a written explanation of the EMR from its insurance carrier furnished on the insurance carrier’s letterhead, describing the reasons for the EMR, and the anticipated date the EMR may be reduced to 1.0 or below.
| 2020 |
| 2021 |
| 2022 |
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.)
Number of violations from EPA within the last 3 years. Please attach explanation for any violations.
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:
Print Name:
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