Attachment IV - Safety and Environmental Record.pdf
PDF 111 KB Posted
- Solicitation number
- 36C25021B0010
About this file
This solicitation package outlines requirements for a parking garage assessment and remediation project. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10 seeks to install safety barriers and modify entrance/exit gates at the Cincinnati VA Medical Center parking garage to address suicide abatement. Services required include installation of rigid fencing on the top level, flexible stainless-steel wire mesh in openings at intermediate levels, and reconfiguration of the ground level exit gate, along with associated construction and electrical work. The estimated value ranges from $500,000 to $1,000,000. Requests for the invitation for bid should be submitted by December 2, 2020. Bids will open within 30-45 days thereafter, with a completion deadline of 140 days from notice to proceed. The solicitation provides for full and open competition with no set-aside requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25021B0010 0001.docx | DOCX document | |
| Attachment II - Specs.pdf | ||
| Attachment I - Drawings.pdf | ||
| Attachment III - DBA - OH20200082.pdf | ||
| Attachment V - RFI Form.pdf | ||
| 36C25021B0010_1.docx | DOCX document |
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Pre-Award Contractor Safety and Environmental Record
Evaluation Form Information provided below is current and applicable to Solicitation # 36C25021B0010.
Company Name: ______________________________________________
Address: _____________________________________________________
Telephone: ______________________ Fax: ________________________
Email: _______________________________________________________
Contact: ______________________________________________________
1. Utilizing your OSHA 300 Forms, please complete the following information:
Category 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.
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 .