S02 EXHIBIT A CONTRACTOR EVALUATION FORM CONSTRUCTION SAFETY .docx
DOCX document 27 KB Posted
- Attached to
- Z1DA--629-20-113 - Fire Alarm System Replacement Federal contract opportunity
- Solicitation number
- 36C25620R0159
About this file
This federal solicitation requests design and construction services for a fire alarm system replacement project. The Southeast Louisiana Veterans Healthcare System is seeking a Service-Disabled Veteran-Owned Small Business to design and build a new addressable fire alarm and suppression system at its New Orleans medical center campus. Interested offerors must be verified as a SDVOSB in the Vendor Information Pages database. The tentative solicitation release date is November 3rd, 2020, with proposals due around December 3rd. The contract award is expected within 30 days thereafter. The period of performance is 365 calendar days from the notice to proceed. The project construction cost range is between $500,000 to $1 million. The NAICS code assigned is 236220 for commercial and institutional building construction.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25620R0159 0002.docx | DOCX document | |
| S02 ATTACHMENT Life Safety Drawings v2.pdf | ||
| 36C25620R0159 0001.docx | DOCX document | |
| S02 ATTACHMENT Device Decriptions v2.pdf | ||
| P09 Updated SOW Final (10.22.2020) 04.pdf | ||
| P07 Wage Decision LA20210041 (01.01.2021).pdf | ||
| 36C25620R0159_1.docx | DOCX document |
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
FOR OFFICIAL USE ONLY
36C25620R0159
Exhibit A Contractor Evaluation Form Construction Safety
Company Name:
Address:
Telephone: Fax:
Email:
Contact:
1. Utilizing your OSHA 300 Forms, please complete the following information:
| Category |
| 2018 |
| 2019 |
| 2020 |
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 may disqualify 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. Who administers your company’s Safety and Health Program?
3. Company’s current Insurance Experience Modification Rate (EMR):____________________________
File details come from the government source that posted it. Updated .