Attachment G - CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL.docx
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- Attached to
- Y1DA--Construct Primary Care at VANCHCS, Mather Campus Federal contract opportunity
- Solicitation number
- 36C26119B0014
About this file
This solicitation seeks bids for the construction of a new primary care facility at the Department of Veterans Affairs Northern California Healthcare System campus in Mather, California. The single firm-fixed price contract will be awarded to furnish all labor, materials, and services required to demolish existing structures and construct a new two-story, 14,857 gross square foot building to house primary care, compensation and pension programs, and integrated disability examination systems. The construction cost is estimated between $5-10 million and work must be completed within 425 calendar days of receiving notice to proceed. Bidders must be a general construction company with an approved NAICS code of 236220 and have the ability to provide 100% performance and payment bonds. This project is set aside only for verified Service-Disabled-Veteran-Owned-Small-Business concerns listed in the Vendor Information Pages database.
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Text version
CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL
Contractor Certification Regarding Project: 612-400
| 2017 |
| 2018 |
| 2019 |
| 2020 |
Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations.
Number of serious, willful, or repeat EPA violations within the last 3 years. Please attach explanation for any violations.
(Four serious, one repeat, or one willful violation disqualifies the contractor.)
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: ______________________________________________________
(END)
File details come from the government source that posted it. Updated .