ATTACHMENT 7 - EMR.pdf

This document is a Pre-Award Contractor Evaluation Form designed for bidders/offerors to complete and submit with a proposal. The form requires detailed safety and health information, including OSHA-related metrics for the past four years. Companies must provide:

1. Number of man-hours at job sites and offices
2. Number of cases involving days away from work or restricted activity
3. Days away/restricted/transferred rate
4. Number of serious, willful, or repeat OSHA violations within the last 3 years
5. Six-digit NAICS Code for the acquisition
6. Information about the company's Safety and Health Program administrator
7. Insurance Experience Modification Rate (EMR) for the past 3 years (an EMR greater than 1.0 disqualifies the contractor)

Contractors are instructed to attach copies of OSHA 300 and 300a Forms, which can be accessed through the OSHA publications search page. The form is critical for pre-award evaluation, with specific disqualification criteria related to safety violations and insurance rates.