S02 ATTACHMENT 4 - EMR.pdf
PDF 130 KB Posted
- Attached to
- N059--PROJECT 675-25-803, Design-Build (DB) Replace Inverters at Viera Outpatient Clinic
- Solicitation number
- 36C24826Q0106
About this file
The document is a Pre-Award Contractor Evaluation Form designed for bidders/offerors to complete and submit with a proposal. The form requires detailed safety and occupational health information, including OSHA-related metrics such as number of man hours, days away from work, restricted activity cases, and safety violation history. Bidders must provide their six-digit North American Industrial Classification System (NAICS) Code, identify who administers their company's Safety and Health Program, and disclose their Insurance Experience Modification Rate (EMR) for the past three years. An EMR greater than 1.0 will disqualify the contractor. Bidders are also instructed to attach copies of OSHA 300 and 300a Forms from the OSHA publications search page, and explain any serious, willful, or repeat violations within the last three years.
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Text version
Who administers your company’s Safety and Health Program?
Company’s Insurance Experience Modification Rate (EMR) for the past 3 years (an EMR of
File details come from the government source that posted it. Updated .