ATTACHMENT 10 - EMR.pdf

The document is a Pre-Award Contractor Evaluation Form designed for bidders/offerors to complete and submit with their proposal. The form requires detailed safety and occupational health information, including a comprehensive review of the company's safety performance. Key requirements include providing OSHA 300 Forms, documenting man-hours, workplace incidents, days away from work, and serious violations. The form also requests the company's six-digit NAICS code, details on who administers their Safety and Health Program, and their Insurance Experience Modification Rate (EMR) for the past three years. Companies with an EMR greater than 1.0 are disqualified from the contract. Bidders must attach copies of OSHA documentation and provide explanations for any violations, with four serious, one repeat, or one willful violation potentially disqualifying the contractor.