36E77620R0023-074.docx

This document contains a contractor safety and environmental record evaluation form and information on a related federal contract opportunity. The evaluation form requests information from a contractor's OSHA 300 forms including man hours, cases involving days away from work or restricted activity, days away from work rate, and OSHA violations from the last three years.

The related federal contract opportunity is a solicitation from the Department of Veterans Affairs to provide design-build services for repairs to Building 5 at the Sioux Falls VA Medical Center. The project scope includes evaluating and repairing the building's roof, gutters, downspouts, flashing, and expansion joints. The solicitation will be issued as a request for proposal on March 6, 2020, with a performance period of approximately 450 calendar days. The estimated value is between $3,000,000 to $5,000,000. The solicitation is a Service-Disabled Veteran-Owned Small Business set-aside.