S02 - Soil Boring Logs - 515-21-110.pdf
PDF 10 MB Posted
- Solicitation number
- 36C25022B0016
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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