Contractor Certification Regarding Safety and Environmental.docx

DOCX document 13 KB Posted

Attached to
Z1DA--Replace A-Wing Roof 583-21-203 Federal contract opportunity
Solicitation number
36C25021B0054
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10

About this file

This document provides details for a federal contract opportunity to replace the A-wing roof at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. The solicitation number is 36C25021B0054 and will be released on or around July 1, 2021 via www.sam.gov. This is a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses, who must be registered in the Vendor Information Pages and System for Award Management databases. Offerors must be able to demonstrate no more than three serious, one repeat, or one willful OSHA or EPA violations in the past three years and a current Experience Modification Rate of 1.0 or less. The contractor must perform at least 25% of the construction work. The project scope is between $500,000 to $1,000,000 according to NAICS code 238160 with a $16.5 million size standard. The period of performance is 120 calendar days from notice to proceed. Payment and performance bonds will be required.

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Other files for this federal contract opportunity

Other files attached to Z1DA--Replace A-Wing Roof 583-21-203, newest first.
File Type Posted
Attachment - Site Visit Sign-In Sheet (8 Jul 21).pdf PDF
36C25021B0054 0002.docx DOCX document
Attachment 3__6F Specifications Rev 1.pdf PDF
Attachment 7__Staging Area.pdf PDF
Attachment 6__Roof Data.pdf PDF
Attachment 5__7G Drawings-A-Wg Roof Replacement Rev 1.pdf PDF
Attachment 2__Site Walk Q_As.pdf PDF
Attachment 4__8H SOW-Replace A-Wing Roofs Revision 1.pdf PDF
Attachment 1_Summary of changes.pdf PDF
36C25021B0054 0001.docx DOCX document
36C25021B0054.docx DOCX document
Specifications.pdf PDF
Drawings-Replace A-wing roof-583-21-203.pdf PDF
RFI Form.docx DOCX document
IN Wage Determination June 2021.txt TXT text file
36C25021B0054 published solicitation.pdf PDF
Show all 16

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Text version

Contractor Certification Regarding Project: 583-21-203

2018
2019
2020

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 .