Attachment 8 - Contractor Safety and Environmental Record Evaluation Form.docx
DOCX document 14 KB Posted
- Attached to
- Y1DA--Modernize Elevators 1 through 4 Marion IL VAMC (P/N 657A5-19-903) (VA-20-00084527)
- Solicitation number
- 36E77621B0001
About this file
This solicitation seeks proposals for the modernization of four existing overhead traction elevators at the Marion VA Medical Center in Marion, Illinois. The work includes mechanical, electrical, communication, and HVAC upgrades to the elevator systems as well as minor architectural and hazardous material mitigation. The solicitation will be issued as an Invitation for Bid to Service-Disabled Veteran-Owned Small Businesses only, with a size standard of $39.5 million under NAICS code 236220. Proposals are due on November 5, 2020 and the period of performance is approximately 255 calendar days from notice to proceed. The magnitude of construction is estimated between $1,000,000 and $5,000,000. Questions must be submitted in writing by email to the point of contact listed by the deadline.
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Other files
| File | Type | Posted |
|---|---|---|
| 36E77621B0001 0004.docx | DOCX document | |
| 36E77621B0001 0003.docx | DOCX document | |
| Responses to Technical Questions Marion 20210108 .docx | DOCX document | |
| 36E77621B0001 0002.docx | DOCX document | |
| New Price Schedule.docx | DOCX document | |
| 36E77621B0001 0001.docx | DOCX document | |
| 36E77621B0001.docx | DOCX document | |
| Attachment 4 - Drawings pt2 Modernize Elevators Marion.pdf | ||
| Attachment 9 - Release of Claims.docx | DOCX document | |
| Attachment 7 - Wage Determination Marion - 20201113.pdf | ||
| Attachment 5 - Drawings pt3 Modernize Elevators Marion.pdf | ||
| Attachment 6 - Drawings pt4 Modernize Elevators Marion.pdf | ||
| Attachment 1 - Final SOW 657A5-19-903 Modernize Elevators.pdf | ||
| Attachment 2 - Specifications Modernize Elevators Marion.pdf | ||
| Attachment 3 - Drawings pt1 Modernize Elevators Marion.pdf |
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Text version
Contractor Safety and Environmental Record Evaluation Form
Information provide below is current and applicable to Solicitation 36E77620R0027 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 .