9. Safety and Environmental Questionnaire.pdf

PDF 110 KB Posted

Attached to
129JGP20B0001 - Sequoia NF SO Construction Federal contract opportunity
Solicitation number
129JGP20B0001
Issued by
Department of Agriculture Forest Service R5-Pacific Southwest Region

About this file

This document includes an invitation for bid for construction services. The Sequoia National Forest is soliciting bids to construct a new Supervisor's Office located at 480 North Henrahan Street in Porterville, California. The construction project has an estimated value between $5 million to $10 million. Bids are due by sealed bid and will be evaluated based on price and price related factors. A pre-bid conference will be held on August 25, 2020 and all requests for information must be submitted by September 1, 2020. The awarded contractor will be required to provide payment and performance bonds. The construction is set aside for small businesses with a size standard of $36.5 million as defined by NAICS code 236220. The current Davis Bacon wage determination is included as an attachment.

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Other files for this federal contract opportunity

Other files attached to 129JGP20B0001 - Sequoia NF SO Construction, newest first.
File Type Posted
Davis-Bacon Act WD - Building - CA20200016.pdf PDF
129JGP20B0001 - A00008 - Wage Determination.pdf PDF
129JGP20B0001 -A00007 - RFIs - Round 5.pdf PDF
129JGP20B0001 - A00006 - RFIs - Round 4.pdf PDF
129JGP20B0001 - A00005 - Structural - Electrical.pdf PDF
129JGP20B0001 - Addendum 4.pdf PDF
A00004 - Specifications.zip ZIP file
129JGP20B0001 - A00004 - RFIs_Drawings_Specs.pdf PDF
129JGP20B0001 - RFI Official Responses - RFIs 9-1 - Round 3.pdf PDF
A00004 - New Drawings - Part 1.zip ZIP file
A00004 - New Drawings - Part 2.zip ZIP file
129JGP20B0001 - RFI Official Responses - RFIs 8-26-9-1 - Round 2.pdf PDF
A00003 - Time Extension - Window Revision.pdf PDF
129JGP20B0001 - A00002 - RFI Official Responses.pdf PDF
Amendment A00001 - FAR 52.236-1.pdf PDF
7. Fire Plan.docx DOCX document
129JGP20B0001 - Sequoia NF SO Construction - v.2.pdf PDF
3. Geotechnical Report - 5_26_2020.pdf PDF
1. Construction Documents Compiled Drawings - Part 1 - Final.pdf PDF
2. Construction Documents Specifications - Final.pdf PDF
8. RFI Form.docx DOCX document
1. Construction Documents Compiled Drawings - Part 2 - Final.pdf PDF
4. Davis-Bacon Act WD # CA20200021 07_24_2020.pdf PDF
6. Divisional Breakdown.doc DOC document
5. Schedule Of Items.doc DOC document
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Text version

129JGP20B0001

Page | 19

CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL

Contractor Certification Regarding Project: 129JGP20B0001 - Sequoia NF SO Construction

2017 2018 2019 2020

Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations. (Four serious, one repeat, or one willful disqualifies the contractor.)

Number of violations from EPA within the last 3 years.

Please attach explanation for any violations.

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 .