1240BE26Q0019 Attachment 5 Clean Equipment Form.docx

This is an Equipment Cleaning Inspection Form, which serves as a template for documenting and certifying that equipment used on federal contracts has been properly cleaned according to contract requirements. The form is referenced as Attachment 6 in the Deschutes National Forest Site Preparation - Mowing and Road Brushing solicitation (1240BE26Q0019) issued by the Department of Agriculture Forest Service R6-Pacific Northwest Region.

The form requires contractors to record the date, contract number, contract name, and identifying information for both the contractor representative and USFS CCR/inspector conducting the inspection. Contractors must document the equipment type, cleaning method used, and the location where cleaning occurred, as well as identify whether the equipment's last operations took place at a federal, non-federal, or state location. The form includes a certification statement in which the contractor attests that all equipment cleaning contract provisions have been satisfied and that all equipment has been thoroughly cleaned of soil, seeds, and vegetative material, with contractor signature and date required. This form is a compliance and documentation tool rather than a substantive contract attachment addressing deliverable products or services.