6) Contractor Safety and Environmental Record Evaluation Form.docx

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Y1DA--504-225 Amarillo Renovate CLC Construction
Solicitation number
36C77622B0007
Issued by

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This document includes a solicitation for the renovation of a Community Living Center at the Amarillo Veterans Affairs Health Care System in Amarillo, Texas. The Department of Veterans Affairs seeks to award a firm-fixed price contract for design-bid-build services including deck to deck demolition and rebuild of approximately 5,940 square feet to house a new 10 bed Hospice Unit as well as construction of a new 1,080 square foot Chapel. The scope of work entails minor demolition, new construction of walls, ceilings and floors, general construction, mechanical, electrical and plumbing work, controls, telecom and other items to create a complete and usable space. The solicitation will be issued on December 17, 2021 as a total Service-Disabled Veteran-Owned Small Business set-aside, with a period of performance of approximately 395 calendar days from notice to proceed.

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Other files

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Attachment 1 - Amarillo Revised Pricing Schedule.pdf PDF
Amendment 36C77622B0007 0005.pdf PDF
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Amendment - 36C77622B0007 0004.pdf PDF
Attachment 1 - RFI - VA Amarillo CLC Response.zip ZIP file
Attachment 2 - Pre-bid Sign In Sheet Amarillo.pdf PDF
Amendment - 36C77622B0007 0003.pdf PDF
Attachment 1 - CLVC Sign In Sheet 1.25.22.pdf PDF
Amendment - 36C77622B0007 0002.pdf PDF
Amendment - 36C77622B0007 0001.pdf PDF
9) Amarillo VAMC CLC Specific COVID-19 Guidance.pdf PDF
1) 504-225 Master Specification.pdf PDF
3) 504-225 BID SET PAGES 31-60.pdf PDF
7) Brand Name Justification Amarillo FE 12.9.21.pdf PDF
8) VHA Supplemental Contract Requirements for Combatting COVID-19 12-14-2021.docx DOCX document
2) 504-225 BID SET PAGES 1-30.pdf PDF
5) DBA Potter County Amarillo 1.13.22.pdf PDF
4) 504-225 BID SET PAGES 61-94.pdf PDF
36C77622B0007.docx DOCX document
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Contractor Safety and Environmental Record Evaluation Form

Information provide below is current and applicable to Solicitation 36C77622B0007 Company Name: ______________________________________________ Address: _____________________________________________________ Telephone: ______________________ Fax: ________________________ Email: _______________________________________________________ Contact: ______________________________________________________ Utilizing your OSHA 300 Forms, please complete the following information:

Category
2017
2018
2019
2020

Number of man hours (jobsite and office).

Number of cases involving days away from work, restricted activity, or both (Column H and I of OSHA 300).

Days away, restricted, or transferred rate (# of days away, restricted, or transferred cases x 200,000/# of man hours) (DART Rate).

Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations.

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