9. Safety and Environmental Questionnaire.pdf
PDF 110 KB Posted
- Attached to
- 129JGP20B0001 - Sequoia NF SO Construction Federal contract opportunity
- Solicitation number
- 129JGP20B0001
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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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 .