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The document is a VHA Directive 7715 safety and environmental certification requirement for contractors bidding on VA projects. Contractors must meet specific safety criteria, including having no more than three serious, one repeat, or one willful OSHA or EPA violations in the past three years, and maintaining an Experience Modification Rate (EMR) of 1.0 or less. Bidders are required to submit a self-certification on company letterhead detailing their safety record and provide documentation from their insurance carrier verifying their current EMR.

The related federal contract opportunity is a task order proposal for replacing the B20 Cooling Tower at the VA Northern California Health Care System's Martinez campus, located at 150 Muir Road, Martinez, CA. The solicitation is limited to contractors already awarded a Veterans Integrated Service Network 21 (VISN 21) Multiple-Award Construction Contract (MACC). Key dates include a site visit on Monday, July 7, 2025, at 9:00 AM PDT, Request for Information (RFI) due by 8:00 AM PDT on Wednesday, July 9th, 2025, and offer submissions due by 4:00 PM PDT on Tuesday, July 15th, 2025, to be emailed to specified VA contracting personnel.

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Other files

File Type Posted
36C26125R0064 0003.docx DOCX document
Responses to RFIs Replace B20 Cooling Tower 07.11.2025.docx DOCX document
SITE VISIT Sign-in LOG 2025-07-07-25_Redacted.pdf PDF
36C26125R0064 0002.docx DOCX document
36C26125R0064 0001.docx DOCX document
36C26125R0064 06.26.2025.pdf PDF
Exhibit A - Cooling Tower Location.pdf PDF
Exhibit B - Utility Drawings.pdf PDF
Specifications revised TOC 06.26.2025.pdf PDF
Cost Breakdown.docx DOCX document
S02 RFI FORM.docx DOCX document
Martinez Campus Site Visit Location.jpg JPG image
Wage Determination CA2025008 05.23.2025.pdf PDF
852.219-75 JAN 23 DEV VA NOTICE OF LIMITATIONS ON SUBCONTRACTING Services and construction.docx DOCX document
Spec Electrical 260519.docx DOCX document
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Text version

PER VHA DIRECTIVE 7715 (06 April 2017) - SAFETY & ENVIRONMENTAL RECORD AND EXPERIENCE MODIFICATION RATE (EMR):

Contractor Certification Regarding Project:

To be eligible for consideration and award, the contractor shall have no more than three serious, or one repeat, or one willful OSHA or EPA violation(s) in the past 3 years and have an EMR of equal to or less than 1.0.

All Offerors shall submit the following information pertaining to their past Safety & Environmental Record and EMR with their offer.

1. SAFETY & ENVIRONMENTAL RECORD: A self-certification on company letterhead that the contractor has no more than three (3) serious, or one (1) repeat or one (1) willful OSHA or any EPA violation(s) in the past three years.

2. EMR: All Offerors shall submit information regarding their current EMR. This information shall be obtained from the Offeror’s insurance carrier and be furnished on the insurance carrier’s letterhead. If an Offeror’s EMR is above 1.0, Offeror shall submit a written explanation of the EMR from its insurance carrier furnished on the insurance carrier’s letterhead, describing the reasons for the EMR, and the anticipated date the EMR may be reduced to 1.0 or below.

2022
2023
2024

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 disqualifies the contractor.)

Number of violations from EPA within the last 3 years. Please attach explanation for any violations.

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:

Print Name:

File details come from the government source that posted it. Updated .