S02 SAFETY AND ENVIRONMENTAL RECORD.docx
DOCX document 16 KB Posted
- Attached to
- Y1DA-- CT Scan AC Unit Replacement Brooklyn VAMC Federal contract opportunity
- Solicitation number
- 36C24226Q0187
About this file
This document is a Safety and Environmental Record requirement for a federal contract opportunity with the Department of Veterans Affairs Veterans Health Administration. The document mandates that bidders/offerors demonstrate compliance with specific safety and environmental standards, including:
- Having no more than three serious, or one repeat or willful OSHA/EPA violations in the past three years
- Maintaining an Experience Modification Rate (EMR) of 1.0 or less, verified by insurance carrier documentation or the National Council on Compensation Insurance
- Submitting a certification of compliance, signed by an authorized company representative
The document outlines a rigorous pre-award responsibility determination process, where the government will review the submitted safety information along with OSHA and EPA inspection history databases. Failure to meet these requirements or provide the requested documentation will result in a "Non-Responsibility" determination, making the bidder ineligible for contract award. The requirement applies to all subcontracting tiers, with prime contractors responsible for verifying their subcontractors' compliance.
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| S02 NY Tax Exempt Form.pdf | ||
| FAR 52.225-2 BUY AMERICAN CERTIFICATE.pdf | ||
| 630A4-26-XXX CT Scan AC Unit Replacement SOW 11-12-25.docx | DOCX document | |
| S02 LIMITATION ON SUBCONTRACTING.docx | DOCX document | |
| VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING Certificate of Compliance (1).docx | DOCX document | |
| P07 WAGE DETERMINATION 12_12_25.pdf | ||
| 36C24226Q0187_1.docx | DOCX document | |
| S02 VA ID PACKAGE UPDATED 10-29-2025.pdf | ||
| S02 PARTICIPATION FOR MINORITIES AND FEMALES.pdf | ||
| S02 ADDITIONAL INSERTS.pdf |
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Text version
SAFETY AND ENVIRONMENTAL RECORD
All Bidders/Offerors shall submit the following information pertaining to their past Safety and Environmental record. The information shall contain, at a minimum, 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. All Bidders/Offerors shall submit information regarding their current Experience Modification Rate (EMR) equal to or less than 1.0. This information shall be obtained from the bidder’s/offeror’s insurance company and be furnished on the insurance carrier’s letterhead. 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. A Determination of Responsibility will be accomplished for the apparent awardee prior to processing the award. 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 the Determination of Responsibility. Failure to affirm being within the guidelines above or submit this information will result in a determination of “Non-Responsibility” for the bidder/offeror. NOTE: Any information received by the Government that would cause a negative Determination of Responsibility will make the bidder/offeror ineligible for award. This requirement is applicable to all subcontracting tiers, and prospective prime contractors are responsible for determining the responsibility of their prospective subcontractors.
Certification:
I hereby certify that if awarded the contract, COMPANY NAME will comply with the limitations on subcontracting specified in this clause and in the resultant contract. I further certify that I am authorized to execute this certification on behalf of COMPANY NAME.
Printed Name of Signee: _____________________________________
Printed Title of Signee: ________________________________________
Signature: ___________________________________________________
Date: _______________________________________________________
Company Name and Address: ____________________________________________________________
File details come from the government source that posted it. Updated .