BPA_CAPABILITIES.pdf

Contractor Name Type of Business:

Contractor UEI (SAM.gov)

Contractor Email(s)

Contractor Phone No.

Contractor Address

1 Construction Safety Coordinator (CSC) Yes No

2 Design Safety Coordinator (DSC) Yes No

3 Final Tester Yes No

1 Construction Safety Coordinator (CSC) a Yes No b Performed the role in support of a U.S. Government construction project? Yes No c Performed the role in the Vicenza Military Community? Yes No

2 Design Safety Coordinator (DSC) a Performed the role in accordance with Art. 91, paragraph 1 of D.lgs. 81/2008? Yes No b Performed the role in support of a U.S. Government construction project? Yes No c Performed the role in the Vicenza Military Community? Yes No

3 Final Tester a Yes No b Performed the role in support of a U.S. Government construction project? Yes No c Performed the role in the Vicenza Military Community? Yes No

4 Construction Site Safety a Served in a Safety role on a construction project? Yes No b Performed the role in support of a U.S. Government construction project? Yes No c Performed the role in the Vicenza Military Community? Yes No

Does contractor have experience with any of the following services? If so, was the experience within the VMC area and related to a Government contract?

VICENZA MILITARY COMMUNITY (VMC)

CONSTRUCTION SUPPORT SERVICES

RESPONSE TO SYNOPSIS / NOTICE OF INTENT

SECTION I: PURPOSE

The purpose of this document is to provide contractors interested in this requirement the opportunity to identify their capabilities and experience by completing all sections within this attachment and return, via email to the primary and secondary Points of Contact (POC), by the closing date in the synopsis.

SECTION II: CONTRACTOR INFORMATION

Firm

Individual

SECTION III: CONTRACTOR CAPABILITIES

Does contractor have each of the following capabilities?

SECTION IV: CONTRACTOR EXPERIENCE

Performed the role in accordance with Art. 92, paragraph 1 of D.lgs. 81/2008?

Performed the role in accordance with Law n. 1086/1971, Decree 17 January 2018 and Enforcement Communication to NTC 2018 n. 7?

SECTION V: PROFESSIONAL QUALIFICATIONS

1 Construction Safety Coordinator (CSC) Proof of Qualification Attached:

a Academic Degree or School Certification Yes No b Safety Course Attendance Yes No c Revalidation Yes No

2 Design Safety Coordinator (DSC) Proof of Qualification Attached:

a Academic Degree or School Certification Yes No b Safety Course Attendance Yes No c Revalidation Yes No

3 Final Tester Proof of Qualification Attached:

a Qualification Yes No

Proof of successful completion of an academic degree and proof of enrollment in the Professional Engineers and/or Registered Architects association for at least ten years as per article 67, paragraph 2 of the Decree of the President of the Republic 380/2001.

Professional qualifications required by the Art. 98 of D.lgs. 81/2008 and Art. 67, paragraph 2 of the D.P.R 380/2001. If construction-related services will be performed by more than one (1) person, provide credentials for all individuals

In addition to 1b above, include a revalidation of course completion as specified in Enclosure XIV of D.Lgs 81/2008, if/as necessary to extend validity as minimum until 31 December 2025

Proof of successful completion of an academic degree or school certification to legally perform the duties of a construction safety coordinator under Italian Legislative Decree 81/2008 as detailed in article 98

Certificate of attendance, with verification of completion, of a safety course conforming to the requirements of Art.98 of D.Lgs 81/2008

In addition to 1b above, include a revalidation of course completion as specified in Enclosure XIV of D.Lgs 81/2008, if/as necessary to extend validity as minimum until 31 December 2025

Proof of successful completion of an academic degree or school certification to legally perform the duties of a construction safety coordinator under Italian Legislative Decree 81/2008 as detailed in article 98

Certificate of attendance, with verification of completion, of a safety course conforming to the requirements of Art.98 of D.Lgs 81/2008

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