Attach 06 EMR.docx
DOCX document 14 KB Posted
- Solicitation number
- 36C24822R0006
About this file
This document contains a federal contract opportunity solicitation for roof replacement services. The Department of Veterans Affairs, Veterans Integrated Service Network 8 is seeking to award a construction contract to replace the roof on Building 7 at the Bruce W. Carter VA Healthcare Center in Miami, Florida. The project scope involves providing all labor, materials, equipment, transportation and supervision to complete the roof replacement. The contract value is estimated between $500,000 and $1,000,000. The solicitation is set aside for Service-Disabled Veteran-Owned Small Businesses. Interested firms must register in the System for Award Management and the request for proposal will be issued on or around October 19, 2021 via the Beta.SAM.gov website. Proposals will be accepted until November 19, 2021 at 1:00 PM Eastern Time.
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Other files
| File | Type | Posted |
|---|---|---|
| Site Visit Roster.pdf | ||
| VA Technical Information Library (TIL).pdf | ||
| 36C24822R0006 Amendment 02.pdf | ||
| Roof Building 7 RFI Tracking Log.pdf | ||
| LOS CERTIFICATION SOLICITATION VERSION 1.doc | DOC document | |
| Page 2 Amend.pdf | ||
| 36C24822R0006 0001.pdf | ||
| Attach LOS Certification.doc | DOC document | |
| Attach 01 Site Plan.pdf | ||
| Attach Specialized Experience.pdf | ||
| Attach 05 Past Performance Questionnaire.pdf | ||
| 36C24822R0006.pdf | ||
| Attach 02 Wage Dtermination.txt | TXT text file | |
| Attach 04 Price Metrix.xlsx | XLSX spreadsheet |
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Text version
EMR FORM FOR BIDDER/OFFEROR TO COMPLETE & SUBMIT WITH PROPOSAL
Pre-Award Contractor Evaluation Form Company Name: ______________________________________________
Address: _____________________________________________________
Telephone: ______________________ Fax: ________________________
Email: _______________________________________________________
Contact: ______________________________________________________
1. Utilizing your OSHA 300 Forms, please complete the following information:
| Category |
| 2018 |
| 2019 |
| 2020 |
Number of man hours (jobsite and office)
Number of cases involving days away from work, restricted activity, or both (Column H and I of OSHA 300).
Days away, restricted, or transferred rate (# of days away, restricted, or transferred cases x 200,000/# of man hours) (DART Rate).
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.)
Please attach copies of the following documents: OSHA 300 and 300a Forms. These forms can be accessed through the OSHA publications search page: http://www.osha.gov/pls/publications/publication.html.
2. Provide your six-digit North American Industrial Classification System (NAICS) Code for this acquisition: __________________________________
3. Who administers your company’s Safety and Health Program? __________________________________
4. Company’s Insurance Experience Modification Rate (EMR) for the past 3 years (an EMR of greater than 1.0 disqualifies the contractor): _____________
File details come from the government source that posted it. Updated .