Exhibit B Safety Data Sheet.docx
DOCX document 17 KB Posted
- Solicitation number
- N69450-21-R-0004
About this file
This document contains details for two federal construction contract opportunities. The Naval Facilities Engineering Command is soliciting offers to construct a Communications Facility and a Contingency Response and Deployment Processing Facility at Muniz Air National Guard Base in Puerto Rico. The Communications Facility will be designed for permanent construction according to DoD facilities criteria and include a reinforced concrete foundation and standby power generator. The Contingency Response Facility will also be permanent construction and require reinforced foundations, drainage improvements, and utility upgrades due to soil and water conditions at the site. Both facilities must meet DoD antiterrorism standards. The NAICS code is 236220 and the project magnitude is between $25-100 million. Prime contractors must self-perform at least 20% of the work. The anticipated award date is Q4 FY2021. Offerors must submit safety data and narratives according to the provided template.
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Other files
| File | Type | Posted |
|---|---|---|
| N69450-21-R-0004 0001.pdf | ||
| Exhibit B Safety Data Sheet Revised.docx | DOCX document | |
| Exhibit C Past Performance Questionnaire.docx | DOCX document | |
| Exhibit E Historical SB Utilization.docx | DOCX document | |
| Exhibit D Attachment E ProjNet How To Guide.pdf | ||
| Exhibit F SB Participation Commitment Doc.docx | DOCX document | |
| Exhibit A Construction and Design Experience Project Data Sheet.docx | DOCX document | |
| N69450-21-R-0004.pdf | ||
| Exhibit H Small Business Subcontracting Plan.doc | DOC document |
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Text version
Exhibit B
SAFETY DATA SHEET
This form is to be completed by the Offeror. Use this form to provide safety information for the Safety factor. EMR, DART and TRC rates shall not be submitted for subcontractors.
Joint Venture (JV) or Partnership: Provide a Safety Data Sheet for each contractor who is part of the JV or partnership; however, only one safety narrative is required.
1. Offeror Name:
Name of JV partner providing the information below (if applicable):
Offeror’s Three Previous Complete Calendar Years of Reported Safety Data:
Only complete year safety data will be considered. Indicate data rates as decimal figures, not whole numbers.
| 2. Experience Modification Rate (EMR): |
| 2018 |
| 2017 |
| 2016 |
2a. Explain any extenuating circumstances resulting in any EMRs greater than 1.0:
2b. Explain any upward or downward EMR trends:
2c. If you do not have an EMR for a given year, state so here and explain why:
3. Insurance Carrier Information:
Insurance Carrier Name:
| Agent’s name: |
| Phone No.: |
| Email: |
| 4. U.S. Dept. of Labor, OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) Rate |
| 2018 |
| 2017 |
| 2016 |
4a. Explain any extenuating circumstances resulting in any DART Rates of 3.0 or greater:
4b. Explain any upward or downward DART Rate trends:
4c. If you do not have a DART Rate for a given year, state so here and explain why:
| 5. Total Recordable Case (TRC) Rate |
| 2018 |
| 2017 |
| 2016 |
5a. Explain any extenuating circumstances resulting in any TRC Rates of 4.5 or greater:
5b. Explain any upward or downward TRC Rate trends:
5c. If you do not have a DART Rate for a given year, state so here and explain why:
Exhibit B (Continuation)
SAFETY NARRATIVE
6. Technical Approach for Safety: Provide the Safety Narrative using this form. Do not exceed 2 pages. Any additional pages will not be considered.
Describe the plan that the Offeror will implement to evaluate safety performance of potential subcontractors, as a part of the selection process for all levels of subcontractors:
Describe any innovative methods that the Offeror will employ to ensure and monitor safe work practices at all subcontractor levels:
File details come from the government source that posted it. Updated .