S02-ATTACHMENT - Contractor Certification Regarding Safety and Environmental.docx
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- Solicitation number
- 36C26123R0035
About this file
This solicitation requests proposals for a firm-fixed price construction contract to upgrade pharmacy areas at the North Las Vegas VA Medical Center to meet USP 800 compounding standards. Offerors must furnish all labor, materials, transportation, overhead and profit to remodel main pharmacy compounding spaces. The requirement is set aside for verified service-disabled veteran-owned small businesses. Proposals are due no later than May 4, 2023 at 2:00pm PDT. To be eligible for award, offerors must have no more than three serious or one repeat/willful OSHA or EPA violations in the past three years, and an experience modification rate of 1.0 or less from their insurance carrier. The contract will have a period of performance of 180 days after notice to proceed. The Department of Veterans Affairs Veterans Health Administration VISN 21 is the contracting agency.
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Other files
| File | Type | Posted |
|---|---|---|
| RFI-Answers the Questions Final_17May2023.pdf | ||
| 36C26123R0035 0004.docx | DOCX document | |
| 36C26123R0035 0003.docx | DOCX document | |
| 36C26123R0035 0002.docx | DOCX document | |
| S04-Attachment Site Vistit Present_Pharmacy_12Apr2023.pdf | ||
| S02-Attachment_Pharmacy Photos.pdf | ||
| S04-Site Visit Attendees_12Apr2023.pdf | ||
| 36C26123R0035 0001.docx | DOCX document | |
| S02-NLV Bid Set Combined Drawings - 20220517.pdf | ||
| S02-Wage Rate_NV20230038_17Mar2023.pdf | ||
| S02-Price Breakdown Worksheet1.pdf | ||
| 36C26123R0035.docx | DOCX document | |
| S02-Request for Information (RFI) Form.docx | DOCX document | |
| S02-NLV Bid Set Combined Specs - 20220517 - 1(28Mar2023).pdf | ||
| S02-SOW - Main Pharmacy_FINAL.pdf |
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Text version
ATTACHMENT – 36C26123R0035
CONTRACTOR CERTIFICATION REGARDING SAFETY AND ENVIRONMENTAL
Contractor Certification Regarding Project: 593-18-104 Titled Remodel of Main Pharmacy Compounding Spaces - VASNHCS PER VHA DIRECTIVE 7715 (06 April 2017): SAFETY & ENVIRONMENTAL RECORD AND EXPERIENCE MODIFICATION RATE (EMR): 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 Bidders shall submit the following information pertaining to their past Safety & Environmental Record and EMR with their bid/proposal:
SAFETY & ENVIRONMENTAL RECORD: A self-certification on company letterhead that the bidder 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. Include the following table and signature block.
| 2019 |
| 2020 |
| 2021 |
Number of serious, willful, or repeat violations from OSHA within the last 3 years.
Number of EPA violations within the last 3 years
Signature: ______________________________________________ Typed Name: ______________________________________________________ Title: ______________________________________________________
EMR: All bidders shall submit information regarding their current EMR. This information shall be obtained from the bidder’s insurance carrier and be furnished on the insurance carrier’s letterhead.
Company’s Current Insurance Experience Modification Rate (EMR) = _____________ (Note: Contractor must support the EMR with a signed letter from Insurance Carrier on their letterhead.)
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