6-EXHIBIT G – CONTRACTOR’S CAL-OSHA COMPLIANCE HISTORY.pdf
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- Solicitation number
- RFP-JC-3940 (Utility-scale Energy Generation Study)
- Issued by
- Riverside County, California
About this file
Exhibit G is a Cal/OSHA Compliance History form required by the Eastern Municipal Water District (EMWD) in Riverside County, California, as part of the proposal submission package for RFP #3940, a utility-scale energy generation study. Contractors must complete this form by providing their Standard Industry Code, California State Contractor's License number, company contact information, and answering two critical safety questions: whether they have been cited by Cal/OSHA or any regulatory agency for safety or environmental violations within the past seven years, and whether they have experienced a serious incident or fatality on a job site within the past ten years. If contractors answer affirmatively to either question, they must provide detailed documentation of the incidents and corrective actions taken to prevent recurrence. The form requires contractor representative signature and date, and is designated for Risk Management review and approval by EMWD prior to proposal evaluation.
This compliance form functions as a pass/fail evaluation criterion for the RFP, meaning contractors with unresolved Cal/OSHA safety violations or unremediated serious incidents may be deemed non-responsive regardless of other proposal qualifications. The form establishes EMWD's due diligence requirements to verify contractor safety records and demonstrates the district's commitment to working with vendors who maintain compliance with California occupational safety and health standards. Risk Management review is mandatory before any contractor can proceed in the competitive selection process.
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Text version
EXHIBIT G – CONTRACTOR’S CAL/OSHA COMPLIANCE HISTORY
AND SIC CODE
RFP #3940
(This document is to be submitted with the proposal package) (rev. 10/08/18)
Date:
Contractor’s Standard Industry Code:
Contractor’s Name:
California State Contractor’s License #:
Address:
Contact Person:
Phone No:
Please answer the following questions:
1. Has the contractor been cited by Cal/OSHA or any regulatory agency for a violation related to safety or environmental issues within the past seven (7) years?
No Yes
2. Within the past ten (10) years has the contractor had a serious incident or fatality on a job site?
No Yes
* If yes to # 1 or #2, please provide information specific to the incident(s) and action(s) taken to ensure that there is not a repeat violation, or incident(s) (attach additional sheets if needed)
Contractor’s Representative signature:
FOR EMWD USE ONLY: Purchasing to forward to Risk Management for review
(Risk Management)
Approved: No Yes
Reviewed by (Risk Management)
(signature required)
File details come from the government source that posted it. Updated .