PRE-AWARD CONTRACTOR EVALUATION FORM.pdf
PDF 93 KB Posted
- Attached to
- Z1DA--608-23-116 SPS Compliance Corrections Construction Federal contract opportunity
- Solicitation number
- 36C24123B0006
About this file
This is a pre-award contractor evaluation form for federal construction contracts. The form requests information from prospective contractors including OSHA 300 forms from the past three years detailing man hours, cases involving days away from work, and DART rates. Contractors must provide their six-digit NAICS code, identify who administers their safety and health program, and provide their experience modification rates for the past three years. Copies of OSHA 300 and 300a forms from the past three years must also be attached.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C24123B0006 0002.docx | DOCX document | |
| 36C24123B0006 0001.docx | DOCX document | |
| Facility drawings with CSB - bare.pdf | ||
| Med Req 50098-1520-EN US R.pdf | ||
| VFD SW addition Aquavar AV2V2S050D.pdf | ||
| Technical-Information-SSH - existing pumps set 1022-9SH184JM2-2.pdf | ||
| 36C24123B0006.docx | DOCX document | |
| EndoDry Site Requirements.pdf | ||
| Instrument Air compressor spec sheet.pdf | ||
| New medivators installation 50098-15.pdf | ||
| Medivator Specs.pdf | ||
| Sterlizer utility requirements.jpg | JPG image | |
| 608-23-116 project sketches.pdf | ||
| SOW - 608-23-116 SPS steam and sterilization r1.docx | DOCX document | |
| Medivator installation specs.pdf | ||
| VFD old AC shop abb acs550-u1-046a-2.pdf | ||
| PH-WHV-Spec-sheet-LR expansion tank - replace with WHV 75 or eqiv.pdf | ||
| SAM WD NH NH20230021 revised 040723.pdf |
Show all 18
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PRE-AWARD CONTRACTOR EVALUATION FORM
COMPLETE & SUBMIT WITH PROPOSAL
(FROM CFM WEBSITE)
Company Name: ______________________________________________
Address: _____________________________________________________
Telephone: ______________________ Fax: ________________________
Email: _______________________________________________________
Contact: ______________________________________________________
1. Utilizing your OSHA 300 Forms, please complete the following information:
Category 2020 2021 2022 Number of man hours (jobsite and office).
Number of cases involving days away from work, restricted activity, or both (Column H and I of OSHA 300).
Days away, restricted, or transferred rate (# of days away, restricted, or transferred cases x 200,000/# of man hours) (DART Rate).
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.)
Please attach copies of the following documents: OSHA 300 and 300a Forms. These forms can be accessed through the OSHA publications search page: http://www.osha.gov/pls/publications/publication.html.
2. Provide your six-digit North American Industrial Classification System (NAICS) Code for this acquisition:
3. Who administers your company’s Safety and Health Program? __________________________________
4. Company’s Insurance Experience Modification Rate (EMR) for the past 3 years: _____________
File details come from the government source that posted it. Updated .