PER VHA DIRECTIVE 7715 EMR.pdf
VHA Directive PDF 138 KB Posted
- Attached to
- VA Palo Alto Health Care System: B710 VMU – Install Removable Guard Rails at Edge of Loading Dock
- Solicitation number
- 36C26123R0051
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| File | Type | Posted |
|---|---|---|
| 36C26123R0051 0001.pdf | ||
| Loading Dock.pdf | ||
| Suggested Railing Sample.pdf | ||
| S02 - RFI FORM.pdf | ||
| Wage Determination CA20220018 08.12.2022.pdf | ||
| Images 0172 and 0174.pdf | ||
| 36C26123R0051.pdf |
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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.
2018 2019 2020 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: _________________________________________________
PER VHA DIRECTIVE 7715 (06 April 2017) - SAFETY & ENVIRONMENTAL RECORD AND EXPERIENCE MODIFICATION RATE (EMR):
File details come from the government source that posted it. Updated .