EMR Attachment.docx
DOCX document 14 KB Posted
- Attached to
- J045--Repair Condensate System 583-22-506
- Solicitation number
- 36C25022B0070
About this file
This federal solicitation requests bids for repair work on a condensate system at a Veterans Affairs medical center. Key details include the project location, scope of work involving plumbing and HVAC repairs, a period of performance of 180 days from notice to proceed, and a project value between $250,000 and $500,000. This opportunity is set aside 100% for veteran-owned small businesses. The solicitation provides instructions for bid submissions, certifications required, bonding and insurance requirements, and background checks for contractor employees. Bidders must also submit safety and environmental records with explanations for any violations along with current experience modification ratings.
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Other files
| File | Type | Posted |
|---|---|---|
| Revised Wage Determination Sept 2022.txt | TXT text file | |
| 36C25022B0070 0001.docx | DOCX document | |
| 36C25022B0070.docx | DOCX document | |
| Specifications-Repair Condensate System.pdf | ||
| RFI Form.docx | DOCX document | |
| VHA Directive 1192-01 Seasonal Influenza Prevention Program.pdf | ||
| Wage Determination August 2022.txt | TXT text file | |
| DRAWINGS-Repair Condensate System.pdf |
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Text version
Pre-Award Contractor Safety and Environmental Record Evaluation Form Information provided below is current and applicable to Solicitation 36C2522B0070 for the Repair Condensate System – 583-22-506:
Company Name: ______________________________________________ Address: _____________________________________________________ Telephone: ______________________ Fax: ________________________ Email: _______________________________________________________ Contact: ______________________________________________________
1. Utilizing your OSHA 300 Forms, please complete the following information:
| Category |
| 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.
Please attach copies of the following documents: OSHA 300 and 300a Forms. These forms can be accessed through the OSHA publications search page: http://www.osha.gov/pls/publications/publication.html.
| 2. | Provide six-digit North American Industrial Classification System (NAICS) Code for this acquisition: 238220 |
| 3. | Who administers your company’s Safety and Health Program? ____________________________ |
| 4. | Company’s Insurance Experience Modification Rate (EMR): ____________________________ |
File details come from the government source that posted it. Updated .