Contractor Safety - Environmental Form.docx
DOCX document 14 KB Posted
- Solicitation number
- 36C77622B0039
About this file
This document contains a contractor safety and environmental record evaluation form and details of a federal contract opportunity for infrastructure upgrades at a Veterans Affairs medical center. The evaluation form requests contractor safety information including total man-hours, OSHA recordable incidents, injury rates, and any serious violations over the past three years. The related federal contract opportunity is a planned invitation for bid to upgrade electrical, mechanical and IT infrastructure at the Cleveland VAMC. Services will include general construction, site work and necessary removals. The solicitation will be set aside for SDVOSB concerns only and has an estimated value between $20-50 million based on a 365-day period of performance. The applicable NAICS code is 236220 for commercial and institutional building construction.
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Other files
| File | Type | Posted |
|---|---|---|
| Technical Questions - Final.docx | DOCX document | |
| 36C77622B0039 0004.pdf | ||
| 36C77622B0039 0003.pdf | ||
| Pre-Bid RFI Responses.pdf | ||
| 36C77622B0039 002.pdf | ||
| Cleveland EHRM Site visit.pdf | ||
| 36C77622B0039 0001.pdf | ||
| 541 21 701 Master Specification Revised 6-22.pdf | ||
| Drawings 191-200.zip | ZIP file | |
| 36C77622B0039.pdf | ||
| Drawings 166-190.zip | ZIP file | |
| Drawings 236-241.zip | ZIP file | |
| Drawings 221-235.zip | ZIP file | |
| Wage Rates - Cuyahoga - 7.15.22.pdf | ||
| 01 00 00 General Requirements.pdf | ||
| Drawings 121-145.zip | ZIP file | |
| Drawings 76-90.zip | ZIP file | |
| COVID-19 Safety Protocols 12-14-21.pdf | ||
| Drawings 46-75.zip | ZIP file | |
| Drawings 91-120.zip | ZIP file | |
| Drawings 201-220.zip | ZIP file | |
| 01 33 23 Shop Drawings Product Data and Samples.pdf | ||
| Drawings 20-45.zip | ZIP file | |
| 23 09 23 Direct-Digital Control System for HVAC.pdf | ||
| Drawings 146-165.zip | ZIP file | |
| JA - Brand Name - Cleveland -Redacted.pdf | ||
| Drawings 1-19.zip | ZIP file |
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Text version
Contractor Safety and Environmental Record Evaluation Form
Information provide below is current and applicable to Solicitation 36C77622B0039 Company Name: ______________________________________________ Address: _____________________________________________________ Telephone: ______________________ Fax: ________________________ Email: _______________________________________________________ Contact: ______________________________________________________ Utilizing your OSHA 300 Forms, please complete the following information:
| Category |
| 2018 |
| 2019 |
| 2020 |
| 2021 |
Number of man hours (jobsite and office).
Number of cases involving days away from work, restricted activity, or both (Column H and I of OSHA 300).
Days away, restricted, or transferred rate (# of days away, restricted, or transferred cases x 200,000/# of man hours) (DART Rate).
Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations.
File details come from the government source that posted it. Updated .