CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL.docx
DOCX document 14 KB Posted
- Attached to
- Y1DA--NRM: 640-19-100 Replace and Modernize Elevators at Building 100 Federal contract opportunity
- 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 for this federal contract opportunity
Show all 16
On GovTribe
Work with this file on GovTribe
- 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 .