36E77620R0009-008.docx
DOCX document Posted
- Solicitation number
- 36E77620R0009
About this file
This document contains a contractor safety and environmental record evaluation form and details of a federal contract opportunity for the Improve Traffic Flow and Upgrade Physical Security Design-Build project at the Fort Meade VA Medical Center in Fort Meade, South Dakota. The evaluation form requests safety-related data from 2017 to 2020, including man-hours, OSHA recordable incidents, and serious violations. The contract opportunity is a design-build project to improve traffic flow, parking, road conditions, access, lighting, signage and physical security. The solicitation will be issued on January 20, 2020 as a service-disabled veteran-owned small business set aside with bids due on the date specified. The period of performance is approximately 198 calendar days from notice to proceed, for a project magnitude between $1,000,000 to $2,000,000.
36E77620R0009 ATTACHMENT 7 - CONTRACTOR SAFETY AND ENVIRONMENTAL RECORD EVALUATION FORM.docx
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Other files
| File | Type | Posted |
|---|---|---|
| 36E77620R0009-0001000.docx | DOCX document | |
| 36E77620R0009-0001001.pdf | ||
| 36E77620R0009-005.pdf | ||
| 36E77620R0009-001.docx | DOCX document | |
| 36E77620R0009-007.pdf | ||
| 36E77620R0009-004.zip | ZIP file | |
| 36E77620R0009-003.zip | ZIP file | |
| 36E77620R0009-002.pdf | ||
| 36E77620R0009-006.pdf |
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Text version
Contractor Safety and Environmental Record Evaluation Form
Information provide below is current and applicable to Solicitation 36E77620R0009 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.
File details come from the government source that posted it. Updated .