7 Contractors Safety Record.pdf

This is a Contractor's Safety Record form for the City of Corona Utilities Department's Plumbing Services RFP No. 27-010SB in California. The form requires prospective contractors to disclose their occupational safety and health (OSHA) violations history as part of their proposal submission. Contractors must report the number of serious OSHA violations occurring within the last two years, willful violations within the last five years, repeat violations, other violations, and unclassified violations. The form requires contractors to indicate zero if no violations exist. All prospective consultants must access and download RFP documents from the PlanetBids website, complete required forms in their entirety, and submit electronically through the PlanetBids system prior to the proposal submission deadline. Proposals submitted after the deadline will not be accepted, and failure to submit all required documents electronically will result in a non-responsive finding and disqualification from consideration for award.

The Contractor's Safety Record form does not contain pricing information, set-asides, or funding details, as it functions solely as a compliance and disclosure document within the broader RFP package. Contractors must complete the form with their firm name, authorized signature, and date of submission. This safety record disclosure requirement is mandatory for all bidders and serves as an evaluation criterion for contractor qualification and past performance in the plumbing services solicitation.