SAFETY - ENVIRONMENTAL RECORD AND EXPERIENCE MODIFICATION RATE.docx

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Solicitation Z1DA--NRM - 640-23-102 | Microbiology Lab Renovation
Solicitation number
36C26126R0013
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About this file

This document is a safety and environmental record certification requirement for a VA Microbiology Lab Renovation contract. The file outlines specific compliance criteria for contractors, mandating they have:

  1. No more than three serious, or one repeat, or one willful OSHA/EPA violations in the past 3 years, and an Experience Modification Rate (EMR) of 1.0 or less. Contractors must submit a self-certification on company letterhead documenting their safety record and provide an EMR letter from their insurance carrier. The associated federal contract opportunity is a Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside for renovating a Microbiology Lab at the VA Palo Alto facility. The project is valued between $2-5 million, with a 365-day performance period, and is expected to be solicited around December 15, 2025, using NAICS code 236220 for Commercial and Institutional Building Construction.

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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.

2022
2023
2024

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: _________________________________________________

File details come from the government source that posted it. Updated .