Attachment 4 Contractor Certification Regarding EMR.pdf

PDF 143 KB Posted

Attached to
Fire Alarm Upgrade Federal contract opportunity
Solicitation number
12805B20R0009
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area

About this file

This document contains a solicitation for a fire alarm upgrade project along with site visit registration requirements related to COVID-19 precautions. The solicitation is being conducted by the Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Plains Area for upgrades to fire alarms at a Houston, TX facility. Interested contractors must register for mandatory site visits scheduled for the week of June 22-26 by emailing Kelly Wright by June 15th with company information and names of no more than two attendees. On-site, visitors will be screened with COVID-19 questions and denied entry if any are answered affirmatively. The solicitation number is 12805B20R0009 and the site visits are intended to provide information to support contractors' responses for the fire alarm upgrade work at the specified government facility.

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Other files for this federal contract opportunity

Other files attached to Fire Alarm Upgrade, newest first.
File Type Posted
Amendment 0006.pdf PDF
Attachment 2 Rev 2 Scope of Work.pdf PDF
Amendment 0005 Questions and Answers.xlsx XLSX spreadsheet
Amendment 0005.pdf PDF
Amendment 0003 Industry QA.docx DOCX document
Amendment 0004.pdf PDF
Amendment 0003.pdf PDF
Attachment 2 Rev 1 Scope of Work.pdf PDF
Solicitation 12805B20R0009-0003.pdf PDF
Attachment 10 Rev 1 Informational Volume 1 - Specifications.pdf PDF
Amendment 0002.pdf PDF
Solicitation 12805B20R0009-0002.pdf PDF
Amendment 0001.pdf PDF
Solicitation 12805B20R0009-0001.pdf PDF
Attachment 6 ARS-372 Contractor Request For Payment Transmittal.pdf PDF
Attachment 12 Simplex 2120 Pointlist.xlsx XLSX spreadsheet
Attachment 5 ARS-371 Construction Progress and Payment Schedule.pdf PDF
Attachment 9 Informational Final Bridging Documents_Pdf Drawings.pdf PDF
Attachment 13 As-Built FP-2.pdf PDF
Attachment 11 Informational Volume 2-Appendices_Final Bridging Documents_CNRC.pdf PDF
Attachment 7 Pre-Award Survey.doc DOC document
Attachment 14 As-Built FP-3.pdf PDF
Attachment 8 SAM Reps and Certs Form.docx DOCX document
Attachment 2 SOW - Houston Upgrade Fire Alarm System 2019_05_26 (003).pdf PDF
Attachment 10 Informational Volume 1-Specifications_Final Bridging Documents_CNRC 2019_05_26.pdf PDF
Solicitation 12805B20R0009.pdf PDF
Attachment 3 Calculation of Self Performed Work.xlsx XLSX spreadsheet
Attachment 1 Wage Determination TX20200253.pdf PDF
Show all 28

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Text version

Contractor Certification Regarding Project: Houston, TX Fire Alarm Upgrade

2017 2018 2019 2020 Number of serious, willful, or repeat violations from OSHA within the last 4 years. Please attach explanation for any violations. (Four serious, one repeat, or one willful violation could result in being determined non-responsible.)

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 .