ATTACHMENT 6 - Contractor Safety - Environmental Record Evaluation Form.docx

DOCX document 14 KB Posted

Attached to
Y1LZ--Construct Parking Structure for Patient Access (Minor) - St Cloud VAMC Federal contract opportunity
Solicitation number
36E77620B0006
Issued by
Department of Veterans Affairs Headquarters

About this file

This document provides details on a forthcoming federal solicitation to construct a parking structure at the St. Cloud VA Medical Center. The Department of Veterans Affairs will issue an Invitation for Bid solicitation by late July or early August 2020 seeking proposals for design-build construction services. Offerors will furnish all labor, materials, tools and equipment to complete demolition, site utilities, and architectural, structural, mechanical, plumbing and electrical work in accordance with the specifications and contract drawings. The period of performance is approximately 487 calendar days from notice to proceed. The solicitation will be set aside exclusively for Service-Disabled Veteran-Owned Small Businesses and have a magnitude between $10-20 million. Questions must be submitted in writing by the stated deadline to the issuing office.

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Other files for this federal contract opportunity

Other files attached to Y1LZ--Construct Parking Structure for Patient Access (Minor) - St Cloud VAMC, newest first.
File Type Posted
36E77620B0006 0003.docx DOCX document
Technical Questions - FINAL No. 2 - St. Cloud Parking 8-28-2020.pdf PDF
Pavement Sections.pdf PDF
079200 JointSealants ADDENDUM.pdf PDF
071800 Traffic Coatings ADDENDUM.pdf PDF
Addendum Cover Sheet.pdf PDF
36E77620B0006 0002.docx DOCX document
Technical Questions - FINAL - St. Cloud Parking 8-26-2020.pdf PDF
071916 Silane Water Repellent Sealer ADDENDUM.pdf PDF
36E77620B0006 0001.pdf PDF
Sign In Sheet Site Visit.pdf PDF
ATTACHMENT 4 - Brand Name Justification - St. Cloud Parking.pdf PDF
36E77620B0006_1.docx DOCX document
ATTACHMENT 2 - Drawings 1 of 2.pdf PDF
ATTACHMENT 5 - Construction Wage Rates - Stearns County - 7-10-20.pdf PDF
ATTACHMENT 7 - Campus Map - COVID Security Information.pdf PDF
ATTACHMENT 1 - Specifications.pdf PDF
ATTACHMENT 3 - Drawings 2 of 2.pdf PDF
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Text version

Contractor Safety and Environmental Record Evaluation Form

Information provide below is current and applicable to Solicitation 36E77620B0006 Company Name: ______________________________________________ Address: _____________________________________________________ Telephone: ______________________ Fax: ________________________ Email: _______________________________________________________ Contact: ______________________________________________________ Utilizing your OSHA 300 Forms, please complete the following information:

Category
2016
2017
2018
2019

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.

File details come from the government source that posted it. Updated .