18R1304-AMD4.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

N62742-18-R-1304, JFY10 GOJ J-006 Apra Medical/Dental Clinic, Naval Base, Guam.

Amendement 0004 is continued on Page 2.

1. CONTRACT ID CODE PAGE OF PAGES

1 3

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 06-Mar-2018

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X N6274218R1304

X 9B. DATED (SEE ITEM 11)

20-Dec-2017

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

06-Mar-2018

CODE

NAVFAC PACIFIC

A-E/CONSTR CONTRACTS BRANCH (CODE ACQ31)

258 MAKALAPA DR STE 100

JBPHH HI 96860-3134

N62742 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N6274218R1304

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

CORRECTION TO AMENDMENT 0002

1. Amendment no. 0002 dated 12 February 2018 is revised as follows:

Section 01 50 00 Temporary Construction Facilities and Control

Revise from: “3.2.1 Payment for Utility Service”

Revise to: “3.2.2 Payment for Utility Service”

PART 1 PROPOSAL FORMS & DOCUMENTS

DOCUMENT 00100, INSTRUCTIONS TO PROPOSERS

Delete the Individual Small Business Subcontracting Plan (Template) in its entirety and replace with the attached Small Business Subcontracting Plan (Template).

DOCUMENT 00202, EVALUATION FACTORS FOR AWARD

Replace Document 00202, Evaluation Factors for Award, Factor 3 – Safety, page 5 with the attached Document 00202, Evaluation Factors for Award, Factor 3 – Safety, page 5.

TECHNICAL SPECIFICATIONS

The following changes shall be made part of these specifications:

DOCUMENT 00 01 15 LIST OF DRAWINGS

1.2 CONTRACT DRAWINGS: The following drawings are revised as of 02/16/18. The following is the summary of the changes:

SHEET NAVFAC DWG NO. Description of Change S-501 17211174 Add the following information to the footing schedule:

For Footing marked F2500, Schedule information is as follows:

Length: 2500 Width: 2500 Depth: 650 Reinforcing: 10-#19 Each Way Bottom

SECTION 01 45 00.00 20, QUALITY CONTROL

TEST/REQUIREMENTS LIST

Delete the following references to Section 05 51 00:

N6274218R1304

“SECTION: 05 51 00 SUBPART: 1.3

Certify welder qualification by tests in accordance with AWS D1.1/D1.1M, or under an equivalent approved qualification test. In addition, perform tests on test pieces in positions and with clearances equivalent to those actually encountered. If a test weld fails to meet requirements, ensure that an immediate retest of two test welds and each test weld is made and passes. Failure in the immediate retest requires that the welder be retested after further practice or training and a complete set of test welds made.

SECTION: 05 51 00 SUBPART: 2.13.1.2

Provide gratings with nonslip nosings.”

SECTION 08 14 00, WOOD DOORS

2.2.1 Flush Doors

Delete the second sentence: “Provide hollow core doors with lock blocks and 25 mm minimum thickness hinge stile.”

SECTION 13 21 48, PREFABRICATED AUDIOMETRIC BOOTHS

2.5.2 Audiometric Booth

Replace item 2. with the following:

2. UL 60-minute fire-rated construction.

SECTION 33 56 10, FACTORY-FABRICATED FUEL STORAGE TANKS

2.4.1 Secondarily Contained Steel Tank

Revise the seventh sentence of paragraph 2.4.1 to read:

“The ladder and platform assembly shall be constructed of 316 stainless steel and shall allow personal access to the top of the tank system.”

2.5.1 Interior Services

Replace the entire paragraph with the following:

“A protective interior coating of the stainless steel tank is not required.”

(End of Summary of Changes)

JFY10 J-006 GoJ Apra Medical/Dental Clinic, WON 855727 Naval Base, Guam

N62742-18-R-1304 Amendment 0004

INDIVIDUAL SMALL BUSINESS SUBCONTRACTING PLAN

(Template)

This template is designed to be consistent with FAR 19.704, Subcontracting Plan Requirements and FAR clause 52.219-9, Small Business Subcontracting Plan (“subcontracting plan”). Other formats may be acceptable, including commercial or master subcontracting plans; however, failure to include the essential information exemplified in this individual plan template may be cause for delay in acceptance or rejection of a bid/offer.

(TO BE SUBMITTED BY LARGE BUSINESSES)

(CONTRACTOR’S NAME)

(ADDRESS)

(CONTRACTOR’S CORPORATE HEADQUARTERS ADDRESS)

[If same as above, so indicate].

JFY10 J-006 APRA MEDICAL/DENTAL CLINIC

NAVAL BASE, GUAM

(Date Prepared)

PLAN SUBMITTED BY:

Signature: __________________________________ Date: ____________________

Printed Name: ___________________________________________________________

Title: __________________________________________________________________

REVIEWED:

Small Business Professional Date

REVIEWED:

Small Business Administration Date Procurement Center Representative

ACCEPTED:

Procuring Contracting Officer Date

SUBCONTRACTING PLAN

This document, together with any attachments, is submitted as a subcontracting plan to satisfy the requirements of Federal Acquisition Regulations (FAR) 19.704. The following goals are established for the contract.

1. a. Total Contract Value $_______________ (Total of CLIN 0001)

b. Total Subcontracted $_______________ _______% of 1.a (inclusive of all planned subcontracting to all businesses, regardless of size)

c. Total Prime-performed $_______________ _______% of 1.a

2. The following dollars and percentage goals are applicable to the contract cited above. (See FAR 19.704(a)(1) and (2))

a. Large Business $_______________ _______% of 1.b

This number represents total planned subcontract dollars that will be awarded to other than small business concerns (including subcontracts awarded to Historically Black Colleges, Universities and Minority Institutions (HBCU/MIs).

b. Small Business (SB) $_______________ _______% of 1.b

This number represents total planned subcontract dollars that will be awarded to small business concerns** as well as subcontracts awarded under the AbilityOne Program to SourceAmerica (formerly NISH) and National Industries for the Blind (NIB) organizations and subcontracts awarded to Alaskan Native Corporations (ANCs) and Indian Tribes as prescribed in FAR 19.703(c) & FAR 52.219-9.

(** Small business concerns include SBs, Small Disadvantaged Businesses (SDB), Women-Owned Small Businesses (WOSB), Historically Underutilized Business Zone (HUBZone) small businesses, Veteran-Owned Small Businesses (VOSB) and Service-Disabled Veteran-Owned Small Businesses

(SDVOSB))

(Include 2.c, 2.d, 2.e, 2.f, 2.g, 2.h, and 2.i, below).

Attach supporting rationale for goals less than 65%.

Notes:

(1) Lines 1.b + 1.c=100% of Line 1.a

(2) Lines 2.a + 2.b = 100% of Line 1.b

(3) Lines 2.c, 2.d, 2.e, 2.f, 2.g, 2.h, and 2.i are calculated against Line 1.b, the total value of overall subcontract dollars.

(4) Subcontracts to companies that qualify in multiple categories of SB must be reported under each category. For example: if you are planning to subcontract $100,000 to company ABC, a woman-owned SDB that is also a certified HUBZone SB, you will report $100,000 on line 2.b (SB), 2.c (HUBZone), 2.d (WOSB) and 2.e (SDB). Accordingly, the sum of 2.c through 2.i will not necessarily equate to the value of 2.b.

(5) Designated HUBZone SBs must be certified by the Small Business Administration (SBA).

c. HUBZone SB $______________ ________% of 1.b

This number represents total planned subcontract dollars that will be awarded to qualified HUBZone small business concerns certified by SBA. Attach supporting rationale for goals less than 6%. (Included in total for 2.b, above)

d. WOSB $_______________ ________% of 1.b

This number represents total planned subcontract dollars under that will be awarded to WOSBs.

Attach supporting rationale for goals less than 15%. (Included in total for 2.b, above)

e. SDB $______________ ________% of 1.b

This number represents total planned subcontracting dollars that will be awarded to small business concerns owned and controlled by socially and economically disadvantaged individuals (include in this category the planned subcontracting dollars to ANCs and Indian Tribes shown in total for 2.i below). Attach supporting rationale for goals less than 15%. (Included in total for 2.b, above)

f. VOSB $_______________ ________% of 1.b

This number represents total planned subcontract dollars that will be awarded to small business concerns owned and controlled by veterans (include in this category the planned subcontracting dollars for SDVOSBs shown in 2.g below). (Included in total for 2.b, above)

g. SDVOSB $_______________ ________% of 1.b

This number represents total planned subcontract dollars under this contract that will be awarded to subcontractors who are small business concerns owned and controlled by service-disabled veterans. Attach supporting rationale for goals less than 5%. (Included in totals for 2.b and 2.f, above)

h. AbilityOne $_______________ ________% of l.b.

This number represents total planned subcontract dollars that will be awarded to AbilityOne associated nonprofit agencies through SourceAmerica and NIB. Per DFARS 219.703, subcontracts awarded to qualified non-profit agencies for the blind or severely disabled may be counted toward the small business subcontracting goal. (Included in total for 2.b, above)

i. Alaskan Native Corporations & Indian Tribes $_______________ ________% of l.b.

This number represents total planned subcontract dollars that will be awarded to ANCs and Indian Tribes and for which the prime contractor has been designated to receive SDB credit. (See FAR 19.703 & FAR 52.219-9) (Included in totals for 2.b and 2.e, above)

3. The following principal products and/or services will be subcontracted under this contract. (See FAR

19.704(a)(3)

a. Products/services planned to be subcontracted to LB concerns (including HBCU/MIs):

Firm subcontract commitments:

Name of Company/DUNS Products or Services

b. Products/services planned to be subcontracted to SB concerns:

Firm subcontract commitments:

Name of Company/DUNS Products or Services

c. Products/services planned to be subcontracted to certified HUBZone concerns:

Firm subcontract commitments:

Name of Company/DUNS Products or Services

d. Products/services planned to be subcontracted to WOSB concerns:

e. Products/services planned to be subcontracted to SDB concerns:

Firm subcontract commitments:

Name of Company/DUNS Products or Services

f. Products/services planned to be subcontracted to VOSB concerns:

Firm subcontract commitments:

Name of Company/DUNS Products or Services

g. Products/services planned to be subcontracted to SDVOSB concerns:

h. Products/services planned to be subcontracted to AbilityOne organizations:

Name of Organization/DUNS Products or Services

i. Planned products/services to be subcontracted to ANCs and Indian Tribe businesses (See 2.i above for explanation):

Firm subcontract commitments:

Name of Company/DUNS Products or Services

4. The following methods were used to develop the above subcontracting goals. Include a statement explaining how the products and services to be subcontracted were established, how the products and services to be subcontracted to SB, SDB, WOSB, HUBZone, VOSB, SDVOSB concerns, AbilityOne program participants, ANCs and Indian Tribes were determined, and how their capabilities were assessed. (See FAR 19.704(a)(4))

5. The following methods were/will be used to identify potential sources for solicitation purposes: (See FAR 19.704(a)(5)) The offeror may rely on the information contained in SAM as an accurate representation of a concern’s size and ownership characteristics for the purposes of maintaining a SB, VOSB, SDVOSB, HUBZone, SDB, and WOSB source list. Use of SAM as a source list does not relieve the offeror of its responsibilities (e.g., outreach, assistance, counseling, or publicizing subcontracting opportuniuties.

6. Indirect and overhead costs have have not been included in the goals specified in 1. and 2. above.

If "have" is checked, explain the method used in determining the proportionate share of indirect costs to be incurred with SBs (including all subcategories delineated above). (See FAR 19.704(a)(6))

7. The following employee will administer the subcontracting program: (See FAR 19.704(a)(7))

NAME: ________________________________________________________________

ADDRESS: ________________________________________________________________

TELEPHONE NO.:_____________________ FAX NO.: ___________________________

EMAIL: ____________________________________________________________________

TITLE: _____________________________________________________________________

This individual has general overall responsibility for the company's small business program. This person should have knowledge of the federal small business programs and be knowledgeable about federal procurement practices. If the prime decides to change the person in this position, they must notify the Contracting Officer and the Deputy for Small Business. The administrator is responsible for the development, preparation and execution of this subcontracting plan, and for monitoring performance relative to contractual subcontracting requirements contained in this plan, including:

a. Developing and maintaining bidders lists of SB, SDB, WOSB, HUBZone SB, VOSB, SDVOSB concerns, AbilityOne program participants, HBCU/MIs, ANCs, and Indian Tribes (hereafter referred to as the small business community) from all possible sources.

b. Counsel and discuss subcontracting opportunities with representatives of the small business community.

c. Ensuring that procurement packages are structured to permit the small business community to participate to the maximum extent possible.

d. Assuring inclusion of the small business community in all solicitations for products or services, which they are capable of providing.

e. Reviewing solicitations to remove statements, clauses, etc., which may tend to restrict or prohibit the small business community participation.

f. Assign each subcontract the NAICS code and corresponding size standard that best describes the principal purpose of the subcontract.

g. Confirm that a subcontractor representing itself as a HUBZone small business concern is certified by SBA as a HUBZone small business concern by SBA in accordance with 52.219-8(d)(2)

h. Provide notice to subcontractors concerning penalties and remedies for misrepresentations of business status as small, veteran-owned small business, HUBZone small, small disadvantaged, or women-owned small business for the purpose of obtaining a subcontract that is to be included as part or all of a goal contained in the subcontracting plan.

i. Ensuring periodic rotation of potential subcontractors on bidders lists.

j. Ensuring that the bid proposal review board documents its reasons for not selecting low bids submitted by the small business community.

k. Ensuring the establishment and maintenance of records of solicitations and subcontract award activity.

l. Attending or arranging for attendance of company counselors at Business Opportunity Workshops, Minority Business Enterprise Seminars, Trade Fairs, etc.

m. Conducting or arranging for the motivational training for purchasing personnel pursuant to the intent of P.L. 95-507.

n. Monitoring attainment of proposed goals.

o. Preparing and submitting required periodic subcontracting reports.

p. Coordinating contractor's activities during the conducting of compliance reviews by Federal agencies.

q. Coordinating the conduct of contractor's activities involving its small business subcontracting program.

r. Additional duties.

8. The following efforts will be taken to ensure that the small business community will have an equitable opportunity to compete for subcontracts. (See FAR 19.704(a)(8))

a. Outreach efforts will be made by identifying:

- Contacts with minority and small business trade associations.

- Contacts with business development organizations.

- Attendance at small and minority business procurement conference and trade fairs.

b. Sources will be requested from the System for Award Management (SAM) website available at https://www.sam.gov/ on the Internet.

Automated data base sources to be used, other than SAM, will be as follows.

c. The following internal efforts will be made to guide and encourage buyers:

(i) Workshops, seminars and training programs will be conducted.

(ii) Activities will be monitored to evaluate compliance with this subcontracting plan.

(iii) Arrange interviews with the small business community.

d. Describe how your small business database, source lists, guides, and other data will be maintained and utilized by buyers in soliciting subcontracts; e.g., rotation of firms in the data base, keeping data base current and useful.

9. Provide assurances the offeror agrees that the FAR clause 52.219-8 entitled "Utilization of Small

Business Concerns " will be included in all subcontracts which offer further subcontracting opportunities, and all subcontractors, except SB concerns, that receive subcontracts in excess of $700,000 ($1,500,000 for construction) will be required to adopt plans that comply with the requirements of the clause at 52.219-9, Small Business Subcontracting Plan. Such plans will be reviewed by comparing them with the provisions of P.L. 95-507 and assuring that all minimum requirements of an acceptable subcontracting plan have been satisfied. The acceptability of percentage goals shall be determined on a case-by-case basis depending on the supplies/services involved, the availability of potential small and small disadvantaged subcontractors, and prior experience. Once approved and implemented, plans will be monitored through the submission of periodic reports, and/or, as time and availability of funds permit, periodic visits to review subcontracting program progress. (See FAR 19.704(a)(9))

10. Provide assurances the offeror will submit such periodic reports and cooperate in any studies or surveys as may be required by the contracting agency or the Small Business Administration in order to determine the extent of compliance by the offeror (contractor) with the subcontracting plan and with FAR clause 52.219-8. (See FAR 19.704(a)(10))

Provide assurances the offeror will:

a. Submit the Individual Subcontract Report (ISR) and the Summary Subcontract Report (SSR) using the Electronic Subcontracting Reporting System (eSRS) at http://www.esrs.gov, following the instructions in the eSRS and FAR Clause 52.219-9.

1st reporting period – Oct 1 through March 31 Submit NLT 30 April 2nd reporting period – Oct 1 through September 30 Submit NLT 30 October

Reports are required when due, regardless of whether there has been any subcontracting activity since the inception of the contract or the previous reporting period. When a Contracting Officer rejects a report, a revised report shall be submitted within 30 days of the notice of report rejection.

A separate “Final” ISR is required at contract completion.

Upon award of the contract, the identity of the individual(s) responsible for acknowledging receipt or rejecting the ISR and the SSR will be provided to the awardee.

b. After November 30, 2017, include subcontracting data for each order when reporting subcontracting achievements for indefinite-delivery, indefinite quantity contracts intended for use by multiple agencies;

c. Ensure that its large business subcontractors with subcontracting plans agree to submit the ISR and/or the the SSR using the eSRS;

d. Provide its prime contract number and its DUNS number, and the e-mail address of the Government or contractor official responsible for acknowledging or rejecting the reports, to all first tier large business subcontractors with subcontracting plans so they can enter this information into the eSRS when submitting their ISRs;

e. Require that each large business subcontractor with a subcontracting plan provide the prime contract number and its own DUNS number, and the e-mail address of the Government or contractor official responsible for acknowledging or rejecting the reports, to its large business subcontractors with subcontracting plans; and

f. Ensure that the identified contracting officer and small business professional assigned to the contract are included on the eSRS email notification distribution for each report.

*Note 1: If contract value is $30,000 or more and the solicitation includes FAR Clause 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards, ensure additional reporting requirements are met in eSRS in accordance with this clause.

11. The offeror will maintain at least the following types of records to document compliance with this subcontracting plan: (See FAR 19.704(a)(11))

a. Source lists, guides, and other data identifying small business, HUBZone small business, women-owned small business, small disadvantaged business, veteran-owned small business and service-disabled veteran-owned small business.

b. Organizations contacted to locate small business, HUBZone small business, women-owned small business, small disadvantaged business, veteran-owned small business and service-disabled veteran-owned small business.

c. On a contract-by-contract basis, records on all subcontract solicitations over $150,000 and indicating for each solicitation:

(i) whether small business, HUBZone SBs, WOSBs, SDBs, VOSBs and SDVOSBs were solicited, and if not, why not; and

(ii) reason why the award was not made to a small business concern.

(iii) written designations from ANCs or Indian Tribes, in accordance with FAR 19.703, if applicable.

d. Records to support other outreach efforts, e.g., contacts with small business trade associations, business development organizations, and attendance at small business procurement conferences and trade fairs, and frequency of accessing SAM.

e. Maintain records of internal guidance and encouragement to buyers through:

(i) Workshops, seminars, training; and

(ii) Monitoring performance to evaluate compliance with the program’s requirement.

f. On a contract-by-contract basis, records to support award data submitted by the contractor to the

Government including the name, address, and business size of each subcontractor.

12. Assurances that the offeror will make a good faith effort to acquire articles, equipment, supplies, services, or materials, or obtain the performance of construction work from the small business concerns that the offeror used in preparing the bid or proposal, in the same or greater scope, amount, and quality used in preparing and submitting the bid or proposal. Responding to a request for a quote does not constitute use in preparing a bid or proposal. An offeror used a small business concern in preparing the bid or proposal if – (See FAR 19.704(a)(12))

a. The offeror identifies the small business concern as a subcontractor in the bid or proposal or associated small business subcontracting plan, to furnish certain supplies or perform a portion of the contract; or

b. The offeror used the small business concern’s pricing or cost information or technical expertise in preparing the bid or proposal, where there is written evidence of an intent or understanding that the small business concern will be awarded a subcontract for the related work if the offeror is awarded the contract.

13. Assurances that the contractor will provide the contracting officer with a written explanation if the contractor fails to acquire articles, equipment, supplies, services or materials or obtain the performance of construction work as described in paragraph 12 of this plan. This written explanation will be submitted to the contracting officer within 30 days of contract completion. (See FAR 19.704(a)(13))

14. Assurances that the contractor will not prohibit a subcontractor from discussing with the contracting officer any material matter pertaining to payment to or utilization of a subcontractor. (See FAR 19.704(a)(14))

15. Assurances that the offeror will pay its small business subcontractors on time and in accordance with the terms and conditions of the subcontract, and notify the contracting officer if the offeror pays a reduced or an untimely payment to a small business subcontractor (see 52.242-5). (See FAR 19.704(a)(15))

*****END OF PLAN*****

The original copy of this plan will be included in the file and made a material part of the contract.

Copy to:

Small Business Professional SBA Procurement Center Representative

JFY10 J-006 GoJ Apra Medical/Dental Clinic WON 855727

DOCUMENT 00202

Amendment 0004

Factor 3 – Safety

(a) Solicitation Submittal Requirements:

The Offeror shall submit the following information: (For a partnership, joint venture or LLC etc., the EMR, TRC and DART Rate submittal requirements are required for each partner/member; however, only one safety narrative is required. EMR, TRC and DART Rates shall not be submitted for subcontractors.)

(1) Experience Modification Rate (EMR): Submit the EMR for three previous complete calendar years (2017, 2016 and 2015). If the Offeror does not have EMR, the offeror may submit an insurance company-provided equivalent rate. If the offeror has no EMR or equivalent rate for any of the three previous complete calendar years, affirmatively state so and explain why. Provide an explanation (including any extenuating circumstances) for any negative EMR trends and any EMRs exceeding 1.1, and the actions taken to prevent future occurrences.

(2) OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) Rate and Total Recordable Case (TRC) Rate: Submit the OSHA DART and TRC rates and supporting OSHA 300 log for the three previous complete calendar years (2017, 2016 and 2015). If an offeror does not have the OSHA DART or TRC rates, submit equivalent based upon the OSHA formula used to calculate DART/TRC. Provide an explanation (including any extenuating circumstances) for any increasing DART rate trends and any DART rates exceeding 4.0 and the actions taken to prevent future occurrences. Provide an explanation (including any extenuating circumstances) for any increasing TRC rate trends and any TRC rates exceeding 5.99 and the actions taken to prevent future occurrences as part of the factor submission. The following provides the OSHA formula for DART and TRC:

Days Away from Work, Restricted Duty, or Job Transfer (DART) rate:

The DART rate is calculated by adding up the number of incidents involving work related deaths, one or more Lost Days, one or more Restricted Days, or the transfer of an employee to a different job within the same company, multiplying that number by 200,000, and then dividing that number by the number of employee labor hours worked.

Total Number of DART incidents x 200,000 DART Rate = Number of Employee Labor Hours Worked

The Total Recordable Case (TRC) is calculated by multiplying the number of recordable cases by 200,000, and then dividing that number by the number of labor hours.

Total Number of Recordable Cases x 200,000 TRC = Number of employee labor hours worked

“Recordable cases” include each work related death and each work related injury or occupational illness involving days away from work, restricted work, transfer to another job, medical treatment beyond first aid, or loss of consciousness.

(3) Technical Approach for Safety: Describe the plan for safety that will be implemented to evaluate safety performance of potential subcontractors as part of the selection process for all levels of subcontractors. The offeror shall submit a narrative that fully describes the safety management system that they will use to oversee the safety compliance and performance of self-performed and subcontractor performed work. The offeror will describe methods that will be employed to ensure and monitor safe work practices at self-performed and/or all subcontractor levels. Additionally, the contactor will describe their methodology to execute an effective program that facilitates sound mishap prevention techniques and processes, employee reporting of unsafe conditions, unsafe activities, and near-miss mishaps.