PER VHA DIRECTIVE 7715 EMR.docx
VHA Directive DOCX document 16 KB Posted
- Solicitation number
- 36C26124R0009-0005
About this file
This document is a contracting directive from the Department of Veterans Affairs (VA) regarding safety and environmental record requirements and Experience Modification Rate (EMR) certification for contractors.
The directive states that to be eligible for consideration and award, contractors must certify they have no more than three serious, one repeat, or one willful OSHA or EPA violations in the past 3 years, and have an EMR of 1.0 or less. Contractors must provide this information, including supporting documentation from their insurance carrier, with their proposal. If the EMR is above 1.0, the contractor must provide a written explanation from their insurance carrier regarding the reasons and anticipated date the EMR may be reduced to 1.0 or below.
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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 Offerors’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.
| 2021 |
| 2022 |
| 2023 |
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: _________________________________________________
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