CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL.docx

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Z1DA--Solicitation No. 36C26126R0049 Project No. 570-23-223, Renovate First Floor for Acute Respiratory Clinic at Fresno VA Medical Center
Solicitation number
36C26126R0049
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This is a Contractor Certification form regarding safety and environmental compliance for Solicitation No. 36C26126R0049, which covers the renovation of Building 1, 1st Floor Acute Respiratory Clinic at Fresno VA Medical Center (Project No. 570-23-223). The form requires contractors to disclose the number of serious, willful, or repeat violations from OSHA and EPA within the last three years, with explanations required for any violations cited. Contractors with four or more serious violations, one repeat violation, or one willful violation are automatically disqualified. Additionally, contractors must provide their current Experience Modification Rate (EMR) from their insurance carrier and support this figure with a signed letter on the carrier's letterhead. The certification must be signed by an authorized company representative with their typed name and title.

This firm-fixed-price construction requirement is a total service-disabled veteran-owned small business (SDVOSB) set-aside under NAICS Code 236220 with a small business size standard of $45 million. The solicitation closes on June 15, 2026, at 2:00 P.M. PDT, with performance scheduled for 224 calendar days after Notice to Proceed at the Fresno VA Medical Center location in California. A pre-proposal site visit is scheduled for May 20, 2026, at 11:00 A.M. PDT, and written requests for information must be submitted by May 28, 2026, at 10:00 A.M. PDT. Bid bonds, payment bonds, and performance bonds are required submissions with proposals.

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570-23-223-90134-Fresno ARC-Electrical-E701R 1.pdf PDF
BULLETIN NO1 3.pdf PDF
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S06 - Amendment to Solicitation No. 36C26126R0049 0003.docx DOCX document
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570-23-223-90134-Fresno ARC-Mechanical Bulletin No 2 - 2026.06.18.pdf PDF
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S06 - 36C26126R0049 0001.docx DOCX document
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S02 - Solicitation No. 36C26126R0049.docx DOCX document
Attachment - Price Breakdown.xlsx XLSX spreadsheet
REQUEST FOR INFORMATION FORM.docx DOCX document
90134 - 570-23-223 - Fresno Design to Renovate 1st floor ARC Fi.pdf PDF
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ATTACHMENT A - FACTOR 2 - PROJECT EXPERIENCE.xlsx XLSX spreadsheet
DBA Wage Determination No. CA20260018 dated 20260130.docx DOCX document
ATTACHMENT B - FACTOR 3 - Past Performance Questionnaire.docx DOCX document
VAAR 852.219-75.pdf PDF
Pre-proposal Site Visit Briefing Slide.pptx PPTX presentation
90134 - 570-23-223- Final Bid Set Fresno ARC BOD - 20260407.pdf PDF
570-23-223_SOW Fresno ARC.pdf PDF
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CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL

Contractor Certification: Solicitation No. 36C26126R0049, Project No. 570-23-223, Renovate Building 1, 1st Floor Acute Respiratory Clinic at Fresno VA Medical Center

2023
2024
2025
2026

Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations.

Number of serious, willful, or repeat EPA violations within the last 3 years. Please attach explanation for any violations.

(Four serious, one repeat, or one willful violation disqualifies the contractor.)

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 .