EMR.pdf
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- Solicitation number
- 36C24823R0037
About this file
This document contains a solicitation for design-build services to improve the grounds of the James A. Haley Veterans Hospital campus. Key details include:
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The solicitation number is 36C24823R0037 and seeks a contractor to perform Phase 1 of improving the hospital campus grounds.
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Interested offerors should attend an optional site visit on December 7, 2022 at 10am EST at Building 42 and notify the point of contact by email in advance. Any requests for information are due by December 13th. Phase I proposals must be submitted by February 9, 2023.
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The opportunity is set aside for Service-Disabled Veteran-Owned Small Businesses. Offerors must have an experience modification rate of 1.0 or less for the past three years according to the attached safety record form. The form also requests safety data from OSHA logs for the past three years.
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The soliciting agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8. The related project number is 673-22-120.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24823R0037 0001.docx | DOCX document | |
| 36C24823R0037 0001.pdf | ||
| SPEC 01 32 16. 16 CPM.docx | DOCX document | |
| SPEC 26 05 11 Electrical Installations Requirements.docx | DOCX document | |
| Price Matrix.xlsx | XLSX spreadsheet | |
| SPEC 28 05 00 Common Work Results for Electronic Safety _ Security.docx | DOCX document | |
| Davis Bacon Wage Rates 8 Sep 2022 fl208.txt | TXT text file | |
| SPEC 01 35 26 Safety Requirements.docx | DOCX document | |
| SPEC 01 57 19 Temporary Enviromental Controls.docx | DOCX document | |
| Tampa site map.pdf | ||
| 36C24823R0037_1.docx | DOCX document | |
| 36C24823R0037_1.pdf | ||
| 673 22 120 Design Build SOW Nov 2022.pdf | ||
| 673 22 120 Perspective.pdf | ||
| Past Performance Questionnaire.pdf | ||
| SPEC 01 00 00 Gen Requirements Project 673-22-120.pdf | ||
| INSTRUCTIONS TO OFFERORS AND EVALUATION INFORMATION Improve Campus Grounds 673-22-120 -Nov 1 2022.pdf | ||
| SPEC 01 74 19 Construction Waste Management.docx | DOCX document |
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Text version
Attachment D
Safety or Environmental Violations and Experience Modification Rate
Pre-Award Contractor Safety and Environmental Record Form
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 or any EPA violations 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. Who administers your company’s Safety and Health Program?
3. Company’s Insurance Experience Modification Rate (EMR) for the past 3 years (an EMR of 1 or less is required): _____________
Please see FOPR 36C24822R0173 http://www.osha.gov/pls/publications/publication.html
| Solicitation Attachment |
| Safety or Environmental Violations and Experience Modification Rate |
| Solicitation Attachment |
| Safety or Environmental Violations and Experience Modification Rate |
File details come from the government source that posted it. Updated .