Contractor Certification Regarding EMR.docx

DOCX document 13 KB Posted

Attached to
C1DA--Prepare Site for PET-CT 539-CSI-204
Solicitation number
36C25020B0056
Issued by

About this file

This document provides details for a federal contract opportunity to prepare a site for PET-CT at the Veterans Administration Cincinnati VAMC. The solicitation number is 36C25020B0056 and will be released on or about July 29, 2020 via Federal Business Opportunities. The project magnitude is between $500,000 and $1,000,000, it must be completed within 180 calendar days from receipt of the notice to proceed, and bonds will be required. This is a 100% set-aside for a small business with a service-disabled veteran-owned small business preference. Offerors must be registered in the Vendor Information Pages and System for Award Management databases and ensure their registrations are accurate and not expired by the award date. The North American Industry Classification System code is 236220 and the business size standard is $39.5 million. Offerors must be able to provide details on any OSHA or EPA safety or environmental violations and their current experience modification rate prior to award.

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539-CSI-204 DRAWINGS ADDENDUM 1.pdf PDF
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539-CSI-204 CD DRAWINGS 0127-2020.pdf PDF
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RFI Form.docx DOCX document
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Text version

Contractor Certification Regarding Project: 539-20-212

2016
2017
2018
2019

Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations. (Four serious, one repeat, or one willful violation could result in being determined non-responsible.)

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: ______________________________________________________

Title: ______________________________________________________

File details come from the government source that posted it. Updated .