S02 Att11 Contractor Safety and EMR.docx
DOCX document 21 KB Posted
- Solicitation number
- 36C25226R0038
About this file
This file is a solicitation attachment requiring bidders to submit safety and environmental compliance documentation. All bidders/offerors must certify they have no more than three serious, one repeat, or one willful OSHA or EPA violation(s) within the past three years, or provide detailed explanations if unable to make this certification. Bidders must also submit their current Experience Modification Rate (EMR) from their insurance carrier on carrier letterhead. If the EMR exceeds 1.0, bidders must provide a written explanation from their insurance carrier describing reasons for the elevated rate and the anticipated date for reduction to 1.0 or below. Self-insured contractors or those unable to provide EMR on insurance letterhead must obtain ratings from the National Council on Compensation Insurance, Inc. (NCCI) using form ERM-6, or from their state-run worker's compensation insurance rating bureau if located in CA, DE, MI, NJ, ND, OH, PA, WA, WY, or PR. Contractors lacking insurance history must submit letters from both their insurance carrier and NCCI confirming a Unity Rating of 1.0.
The attachment also includes an evaluation form requiring companies to submit OSHA 300 and 300a forms with specific safety metrics for 2023, 2024, and 2025, including man hours, DART rates, and details on serious, willful, or repeat violations. Bidders must provide their six-digit NAICS code, identify the administrator of their safety and health program, and submit their EMR. This requirement applies to all subcontracting tiers, with prime contractors responsible for verifying subcontractor responsibility. The government will use this information along with data from OSHA and EPA online inspection history databases to make initial determinations of responsibility.
View the file
Other files
Show all 19
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Solicitation Attachment 11 Safety or Environmental Violations and Experience Modification Rate
All Bidders/Offerors shall submit information pertaining to their past Safety and Environmental record. The information must contain a certification that the bidder/offeror 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. If such certification cannot be made, a Bidder/Offeror shall explain why and submit as much information as possible regarding the circumstances of its past safety and environmental record, including the number of EPA violations and/or the number of serious, repeat, and/or willful OSHA violations, along with a detailed description of those violations.
All Bidders/Offerors shall submit information regarding their current Experience Modification Rate (EMR). This information shall be obtained from the Bidder’s/Offeror’s insurance carrier and be furnished on the insurance carrier’s letterhead. If a Bidder/Offeror’s EMR is above 1.0, Bidder/Offeror must 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.
Self-insured contractors or other contractors that cannot provide their EMR rating on insurance letterhead must obtain a rating from the National Council on Compensation Insurance, Inc. (NCCI) by completing/submitting form ERM-6 and providing the rating on letterhead from NCCI. Note: Self-insured contractors or other contractors that cannot provide EMR rating on insurance letterhead from the states or territories of CA, DE, MI, NJ, ND, OH, PA, WA, WY, and PR shall obtain their EMR rating from their state-run worker’s compensation insurance rating bureau.
If the NCCI cannot issue an EMR because the Bidder/Offeror lacks insurance history, Bidder/Offeror shall submit a letter indicating so from its insurance carrier furnished on the insurance carrier’s letterhead and include a letter from the NCCI indicating that is has assigned Bidder/Offeror a Unity Rating of 1.0.
The above information, along with other information obtained from Government systems, such as the OSHA and EPA online inspection history databases, will be used to make an initial Determination of Responsibility.
This requirement is applicable to all subcontracting tiers, and prospective prime contractors are responsible for determining the responsibility of their prospective subcontractors.
Solicitation Attachment 12 Safety or Environmental Violations and Experience Modification Rate
Pre-Award Contractor Safety and Environmental Record Evaluation Form Company Name: ______________________________________________ Address: _____________________________________________________ Telephone: ___________________________________________________ Email: _______________________________________________________ Contact: ______________________________________________________
1. Utilizing your OSHA 300 Forms, please complete the following information:
| Category |
| 2023 |
| 2024 |
| 2025 |
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.
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): _____________ |
Solicitation 36C25226R00038 Page 1 of 2 578-26-004 IDIQ Abatement Services Attachment 11 Contractor Safety & EMR Rating
File details come from the government source that posted it. Updated .