8(a) MACC - Exhibit D - Safety Data Sheet - 10-10.docx
DOCX document 29 KB Posted
- Solicitation number
- N6247318R5816
About this file
This document provides details for a multiple award construction contract (MACC) solicitation. The solicitation is restricted to 8(a) firms located in California, Arizona, Nevada, Utah, Colorado, and New Mexico. It will result in the award of three or more indefinite delivery indefinite quantity construction contracts for new construction, renovation, and repair projects at various government installations in these states. Project types may include office buildings, schools, hospitals, and other facilities. The North American Industry Classification System code is 236220 and the size standard is $36.5 million annually. Each contract will have a one year base period and four one-year options, for a total potential duration of five years. The estimated maximum value for all contracts combined is $249 million. Individual task order values will range from $100,000 to $5 million. Evaluation will be in two phases, with the Navy Facilities Engineering Command Southwest as the contracting agency. The solicitation will be available electronically starting October 26, 2017 on the Navy Electronic Commerce Online and Federal Business Opportunities websites.
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Other files
| File | Type | Posted |
|---|---|---|
| 8aMACCPhaseOneQandA.pdf | ||
| N62473-18-R-5816_Amendment_0001.pdf | ||
| MACC Frequently Asked Questions 10-11-16.pdf | ||
| 8(a) MACC - Exhibit C - Past Performance Questionnaire.docx | DOCX document | |
| 8(a) MACC Financial Questionnaire.doc | DOC document | |
| 8(a) MACC - Exhibit B - Experience - Designer.docx | DOCX document | |
| 8(a) MACC - Exhibit B - Experience - Offeror.docx | DOCX document | |
| 8(a) MACC RFI Form.doc | DOC document | |
| N62473-18-R-5816_RFP.pdf | ||
| 8(a) MACC Surety Form.doc | DOC document | |
| 8(a) MACC - Exhibit A - Offeror Team Composition & Management.docx | DOCX document | |
| 8(a) MACC - Offeror's Team Consent Form.doc | DOC document |
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Text version
EXHIBIT “D”
SAFETY DATA SHEET
N62473-18-R-5816
This form is to be completed by the Offeror. Use this form to provide safety information for the Safety factor. EMR and DART rates shall not be submitted for subcontractors.
Joint Venture (JV) or Partnership: Complete Blocks 1 through 5 for each contractor who is part of the JV or partnership. Only one safety narrative (Block 6) 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): |
| 2014 |
| 2015 |
| 2016 |
2a. Explain any extenuating circumstances resulting for 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 |
| 2014 |
| 2015 |
| 2016 |
Instructions for calculating the DART rate can be found at http://www.bls.gov/iif/osheval.htm.
4a. Explain any extenuating circumstances resulting for 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. U.S. Dept. of Labor, Total Recordable Case (TRC) Rate | |
| 2014 | |
| 2015 | |
| 2016 |
5a. Explain any extenuating circumstances resulting for TRC Rates of 4.5 or greater:
5b. Explain any upward or downward TRC Rate trends:
5c. If you do not have a TRC Rate for a given year, state so here and explain why:
Note: Form may be expanded.
EXHIBIT “D” (continuation)
SAFETY NARRATIVE
N62473-18-R-5816
6. Technical Approach for Safety: Provide the Safety Narrative using this form. Do not exceed page limitation specified in the RFP. 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 the plan to monitor subcontractor safety:
Describe any innovative methods that the Offeror will employ to ensure and monitor safe work practices at all subcontractor levels:
Describe the methodology to execute an effective program that facilitates sound mishap prevention techniques and processes, including defining a Good Catch Program:
Note: Form may be expanded up to the page limit specified in the RFP.
Exhibit “D” – Safety Data Sheet/Safety Narrative, Page 3 of 3
(Rev 7/14)
File details come from the government source that posted it. Updated .