7. CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL.docx
DOCX document 14 KB Posted
- Attached to
- Z1DA-- Modernize Elevators P1, P2, S3 & S4, Building 1 | 570-24-801 | Fresno VA Medical Center
- Solicitation number
- 36C26124R0060
About this file
This document is a Contractor Certification Regarding Safety and Environmental for the federal contract opportunity "Modernize Elevators Fresno VA Medical Center, Bldg. 1". The contractor must provide details on any serious, willful, or repeat violations from OSHA or EPA within the last 3 years, and their current Insurance Experience Modification Rate (EMR). The contractor must attach explanations for any violations, and the EMR must be supported by a signed letter from the Insurance Carrier. The related federal contract opportunity is for the modernization of four elevators (2 passenger and 2 service) at the Fresno VA Medical Center. This is a firm-fixed price requirement with a period of performance of 365 calendar days from notice to proceed. The contractor must provide all materials, labor, tools, equipment, and specialized expertise to perform the work outlined in the Statement of Work and Specifications. Proposals are due by 8/30/2024.
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Other files
| File | Type | Posted |
|---|---|---|
| JA- Fire Alarm Work Fresno Elevators_Redacted.pdf | ||
| 36C26124R0060 0002 RFI Responses.docx | DOCX document | |
| CA202400018 8 23 2024.pdf | ||
| RFI Respones Fresno Modernize Elevators.pdf | ||
| FA 3 thru FA 9 Drawings.pdf | ||
| Pre-Proposal Site Visit Sign-in 8 7 24.pdf | ||
| 36C26124R0060 0001 Sign Visit Sign in Sheet.docx | DOCX document | |
| 36C26124R0060_ Solicitation.docx | DOCX document | |
| 6. REQUEST FOR INFORMATION RFI_ FORM Blank.docx | DOCX document | |
| 3. SOW Attach C Elevator As_Builts.pdf | ||
| 2. SOW Attach B Bldg. 1 As-Builts.pdf | ||
| 1. SOW Attach A Specifications.pdf | ||
| 4. Pre-Proposal Site Visit Information.pptx | PPTX presentation | |
| 8. Factor 1 Key Personnel Resumes Evaluation.docx | DOCX document | |
| 5. DBA WD CA202400018 07 26 2024.pdf | ||
| 10. Factor 4 Cost Breakdown Worksheet.docx | DOCX document | |
| 9. Factor 3 Past Performance Questionnaire.docx | DOCX document |
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Text version
CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL
Contractor Certification Regarding Project: 570-24-801 (Modernize Elevators Fresno VA Medical Center, Bldg. 1)
| 2022 |
| 2023 |
| 2023 |
| 2024 |
Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations.
Number of serious, willful, or repeat EPA violations within the last 3 years. Please attach explanation for any violations.
(Three (3) serious, one (1) repeat, or one willful violation disqualifies the contractor.)
Company’s Current Insurance Experience Modification Rate (EMR) = _____________ (Note: Contractor must support the EMR with a signed letter from Insurance Carrier on their letterhead.)
Signature: ______________________________________________
Typed Name: ______________________________________________________
Title: ______________________________________________________
File details come from the government source that posted it. Updated .