S02 - Soil Boring Logs - 515-21-110.pdf

PDF 10 MB Posted

Attached to
Z2LB--Repair Roads, Sidewalks, and Parking Areas 515-21-110
Solicitation number
36C25022B0016
Issued by

About this file

This document is a pre-award contractor experience modification rate form for solicitation number 36C25022B0016 to repair roads, sidewalks, and parking areas for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10. The form requests contact information and safety statistics for the past three years, including man hours, OSHA recordable incidents, days away from work rates, and violations. Attachments requested include 2020 OSHA forms and a letter from the bidder's insurance carrier with the current experience modification rate. The bidder must also provide their six-digit NAICS code and the name and title of the person who administers their safety and health program.

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Text version

Project Number

Contact Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

C-13.0

100% BID DOCUMENTS

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

PhaseENGINEER OF RECORD A/E:

STAMP

MONUMENT ENGINEERING GROUP ASSOCIATES, INC. (MEGA)

298 Veterans Drive Fowlerville, Michigan, 48836 (517)-223-3512 Kevin C. McDevitt, PE

Replace Roads and Side Walk Areas Battle Creek VAMC

515-21-110

36C25018D0016 Project Director

6/25/2021 KM MNRevisions: Date:

FOR OFFICIAL USE ONLY

5500 Armstrong Road Battle Creek, MI 49037

L

IC

E N

S

ED

PROFESS IONAL

E

NG

IN

E E

R

S

TA

TE OF MICHIGAN

KEVIN C.

MCDEVITT

ENGINEER

NO.

6201043260

Soil Boring Logs 1 - 8

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

C-13.1

100% BID DOCUMENTS

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

PhaseENGINEER OF RECORD A/E:

STAMP

MONUMENT ENGINEERING GROUP ASSOCIATES, INC. (MEGA)

298 Veterans Drive Fowlerville, Michigan, 48836 (517)-223-3512 Kevin C. McDevitt, PE

Replace Roads and Side Walk Areas Battle Creek VAMC

515-21-110

36C25018D0016 Project Director

6/25/2021 KM MNRevisions: Date:

FOR OFFICIAL USE ONLY

5500 Armstrong Road Battle Creek, MI 49037

L

IC

E N

S

ED

PROFESS IONAL

E

NG

IN

E E

R

S

TA

TE OF MICHIGAN

KEVIN C.

MCDEVITT

ENGINEER

NO.

Soil Boring Logs 9 - 16

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

C-13.2

100% BID DOCUMENTS

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

PhaseENGINEER OF RECORD A/E:

STAMP

MONUMENT ENGINEERING GROUP ASSOCIATES, INC. (MEGA)

298 Veterans Drive Fowlerville, Michigan, 48836 (517)-223-3512 Kevin C. McDevitt, PE

Replace Roads and Side Walk Areas Battle Creek VAMC

515-21-110

36C25018D0016 Project Director

6/25/2021 KM MNRevisions: Date:

FOR OFFICIAL USE ONLY

5500 Armstrong Road Battle Creek, MI 49037

L

IC

E N

S

ED

PROFESS IONAL

E

NG

IN

E E

R

S

TA

TE OF MICHIGAN

KEVIN C.

MCDEVITT

ENGINEER

NO.

Soil Boring Logs 17 - 24

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

C-13.3

100% BID DOCUMENTS

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

PhaseENGINEER OF RECORD A/E:

STAMP

MONUMENT ENGINEERING GROUP ASSOCIATES, INC. (MEGA)

298 Veterans Drive Fowlerville, Michigan, 48836 (517)-223-3512 Kevin C. McDevitt, PE

Replace Roads and Side Walk Areas Battle Creek VAMC

515-21-110

36C25018D0016 Project Director

6/25/2021 KM MNRevisions: Date:

FOR OFFICIAL USE ONLY

5500 Armstrong Road Battle Creek, MI 49037

L

IC

E N

S

ED

PROFESS IONAL

E

NG

IN

E E

R

S

TA

TE OF MICHIGAN

KEVIN C.

MCDEVITT

ENGINEER

NO.

Soil Boring Logs 25 - 32

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

C-13.4

100% BID DOCUMENTS

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

PhaseENGINEER OF RECORD A/E:

STAMP

MONUMENT ENGINEERING GROUP ASSOCIATES, INC. (MEGA)

298 Veterans Drive Fowlerville, Michigan, 48836 (517)-223-3512 Kevin C. McDevitt, PE

Replace Roads and Side Walk Areas Battle Creek VAMC

515-21-110

36C25018D0016 Project Director

6/25/2021 KM MNRevisions: Date:

FOR OFFICIAL USE ONLY

5500 Armstrong Road Battle Creek, MI 49037

L

IC

E N

S

ED

PROFESS IONAL

E

NG

IN

E E

R

S

TA

TE OF MICHIGAN

KEVIN C.

MCDEVITT

ENGINEER

NO.

Soil Boring Log 33

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