CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL.docx
DOCX document 14 KB Posted
- Solicitation number
- 36C26121R0044
About this file
This document contains a contractor certification form and details of a related federal contract opportunity. The contractor certification form requests information on any OSHA violations from the past three years and the company's current insurance EMR rating, which must be supported by a letter from the contractor's insurance carrier.
The related federal contract opportunity is solicitation number 36C26121R0044 to modernize elevators in Buildings 100 and 101 at the VA Palo Alto Healthcare System. The opportunity type is a solicitation issued by the Department of Veterans Affairs Veterans Health Administration VISN 21. The solicitation seeks to replace and modernize elevators to upgrade accessibility and functionality.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| PAD B100 B101 Elevator Interior Finsh Spec.docx | DOCX document | |
| S02 Price Breakdown by Division.docx | DOCX document | |
| 36C26121R0044.docx | DOCX document | |
| S02 - RFI FORM.docx | DOCX document | |
| 138-17-19 WORKING ON ELECTRICAL DISTRIBUTION SYSTEMS.doc | DOC document | |
| SECTION 01 33 32 Shop Drawings Product Data and Samples.docx | DOCX document | |
| P07 Wage Determination CA20210018 03.05.21.pdf | ||
| Addendum1-B100 B101_Elevator_Interior_Dwg.pdf | ||
| SECTION 02 41 00 Demolition.docx | DOCX document | |
| 138-18-28 Lock out Tag out.docx | DOCX document | |
| 014500 Quality Control.docx | DOCX document | |
| SECTION 01 00 00 General Requirements Elevator Updated 03.01.21.rtf | RTF text file | |
| SECTION 01 57 19 Temporary Environmental Controls.docx | DOCX document | |
| SECTION 01 35 36 Safety Requirements.docx | DOCX document | |
| SECTION 01 32 16 15 Project Schedule.docx | DOCX document | |
| SECTION 01 74 19 Construction Waste Management.docx | DOCX document |
Show all 16
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL
Contractor Certification Regarding Project: 640-21-300 Patient Privacy
| 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 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 .