Attachment IV - EMR Attachment .pdf
PDF 111 KB Posted
- Attached to
- Z2DA--Expand Emergency Department 539-20-102
- Solicitation number
- 36C25021B0075
About this file
This document contains a federal contract solicitation for construction services to expand an emergency department at a Veterans Affairs medical center. The solicitation seeks a contractor to provide all labor, materials, equipment, and supervision necessary to complete expansion and renovation of approximately 8,700 square feet of existing emergency department and office space at the Cincinnati VA Medical Center. Work includes expanding the emergency department to add 2,200 square feet of adjacent office space, significant mechanical and ventilation system modifications to allow the entire emergency department to operate on 100% outdoor air in an emergency pandemic situation, and general construction and electrical work. Hazardous material abatement may also be required. The solicitation is set aside for Service-Disabled Veteran Owned Small Businesses. The estimated value of the construction project is between $5-10 million. The invitation for bids is expected to be issued on or around June 24, 2021, with bids opening within 30-45 days thereafter. The contractor will have 740 days from notice to proceed to complete all work. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10 is the contracting agency.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25021B0075 0001.pdf | ||
| Attachment I - Addendum.pdf | ||
| Attachment II - Q and A.pdf | ||
| Attachment I - Drawings.pdf | ||
| Attachment V - RFI Attachment.pdf | ||
| 36C25021B0075_1.docx | DOCX document | |
| Attachment II - Specs.pdf | ||
| Attachment VI - Justification and Approvals (8).pdf | ||
| Attachment III - DBA WD.pdf |
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Text version
Pre-Award Contractor Safety and Environmental Record
Evaluation Form Information provided below is current and applicable to Solicitation # 36C25021B0075.
Company Name: ______________________________________________
Address: _____________________________________________________
Telephone: ______________________ Fax: ________________________
Email: _______________________________________________________
Contact: ______________________________________________________
1. Utilizing your OSHA 300 Forms, please complete the following information:
Category 2018 2019 2020
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.
Please attach copies of the following documents: OSHA 300 and 300a Forms. These forms can be accessed through the OSHA publications search page:
http://www.osha.gov/pls/publications/publication.html.
2. Provide six-digit North American Industrial Classification System (NAICS) Code for this acquisition: __________________________________
3. Who administers your company’s Safety and Health Program?
4. Company’s Insurance Experience Modification Rate (EMR):
http://www.osha.gov/pls/publications/publication.html
File details come from the government source that posted it. Updated .