EMR Certification.docx

DOCX document 13 KB Posted

Attached to
EAHU 1&2 Fan Retrofit and Multi-Stack Chiller Rplc Federal contract opportunity
Solicitation number
12305B21R0022
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Northeast Area

About this file

This federal solicitation requests proposals for an exhaust air handler and chiller replacement project. The United States Department of Agriculture Agricultural Research Service is seeking offers for exhaust air handler numbers 1 and 2 fan wall retrofit and multi-stack chiller replacement at the Jean Mayer Human Nutrition Research Center on Aging in Boston, Massachusetts. The solicitation will be evaluated using lowest price technically acceptable criteria and awarded on a firm-fixed price basis. The project magnitude is between $500,000 and $1,000,000 and the period of performance is 184 days for the base work and 335 days if the option is exercised. This requirement has been set aside for small businesses with a size standard of $16.5 million for NAICS code 238220. Pre-proposal site visits will be held on June 29 and 30, 2021 and questions are due by July 9, 2021. Biobased products are required to the extent available and reasonably priced.

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Text version

Contractor Certification Regarding Project: Project Title Here

2015
2016
2017
2018

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 .