36E77619R0025-008.docx
DOCX document 13 KB Posted
- Attached to
- Construct Lab Addition Minor Construction Sioux Falls VAMC Federal contract opportunity
- Solicitation number
- 36E77619R0025
About this file
This document provides details regarding a federal contract opportunity for construction services. The Department of Veterans Affairs seeks to award a firm-fixed price contract for the design and construction of a new laboratory addition at the Sioux Falls VA Medical Center. The project scope involves building a new lab facility on the roof of an existing building and includes structural work that must be coordinated to minimize impacts on patient care areas. The solicitation will be issued as a request for proposal on April 23, 2019, with a 60-day response window. The contract period of performance is approximately 450 calendar days. The anticipated value of the construction is between $10-20 million. The opportunity is set aside exclusively for Service-Disabled Veteran-Owned Small Businesses. All questions must be submitted in writing to the point of contact by the specified deadline.
36E77619R0025 ATTACHMENT 7 - CONTRACTOR SAFETY AND ENVIRONMENTAL RECORD EVALUATION FORM.docx
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| 36E77619R0025-0001001.pdf | ||
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| 36E77619R0025-003.pdf | ||
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| 36E77619R0025-002.pdf | ||
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| 36E77619R0025-001.docx | DOCX document | |
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Text version
Contractor Safety and Environmental Record Evaluation Form
Information provide below is current and applicable to Solicitation 36E77619R0025 Company Name: ______________________________________________ Address: _____________________________________________________ Telephone: ______________________ Fax: ________________________ Email: _______________________________________________________ Contact: ______________________________________________________ Utilizing your OSHA 300 Forms, please complete the following information:
| Category |
| 2016 |
| 2017 |
| 2018 |
| 2019 |
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.
File details come from the government source that posted it. Updated .