CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL.docx

This is a Contractor Certification form regarding safety and environmental compliance for Solicitation No. 36C26126R0041. The form requires contractors to certify their safety and environmental history as a prerequisite for award consideration on the Renovate Education Building Training Hub project at VA Southern Nevada Healthcare System (6900 North Pecos Road, N. Las Vegas, NV 89086).

Contractors must disclose the number of serious, willful, or repeat violations from OSHA within the last three years with attached explanations for any violations identified. Similarly, contractors must report serious, willful, or repeat EPA violations within the last three years with supporting documentation. The form establishes a disqualification threshold of four serious violations, one repeat violation, or one willful violation. Additionally, contractors must provide their current Insurance Experience Modification Rate (EMR) supported by a signed letter from their insurance carrier on company letterhead. The certification requires the contractor's signature, typed name, and title, affirming compliance with these safety and environmental requirements as part of the firm-fixed-price construction contract with a 120-calendar-day period of performance. This is a Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside requirement, and all offerors must maintain current eligible SDVOSB registration prior to RFP evaluation and award.