Appendix A Daily Diary.pdf

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Uniontown Pine NNIS for Hoosier National Forest - Tell City Ranger District
Solicitation number
12444524Q0047
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This document is a Contract Daily Diary form from the USDA Forest Service. It is used to track and document various aspects of a federal contract, including the work completed, equipment used, materials furnished, and personnel on-site. The form includes fields to record information such as the forest, contract number, project, contractor, weather conditions, work schedule, changes orders, and a narrative report.

The related federal contract opportunity is for a solicitation to improve habitat by managing infestations of non-native invasive plant species on the Hoosier National Forest - Tell City Ranger District. The procurement will be set-aside for small businesses and conducted in accordance with FAR Parts 12, 13, and 19. The contractor or supervisor must possess a current State of Indiana Commercial Applicator License.

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Page of

USDA - Forest Service

CONTRACT DAILY DIARY

(Reference FSH 6309.32)

1. FOREST

2. CONTRACT NO.

3. PROJECT

4. CONTRACTOR 5. CONTRACTOR

REPRESENTATIVE ON SITE

6. GOVERNMENT OFFICIALS ON SITE

7. DATE 8. DAY OF WEEK 9. TIME ARRIVED 10. TIME DEPARTED 11. WEATHER

12. TEMPERATURE °F. 13. GROUND CONDITION 14. CONTRACT TIME 15. DAYS USED 16. COMPLETION DATE

Min. Max.

17. TIME USED (%) 18. WORK COMPLETED (%) 19. WORK ON SCHEDULE 20. CONTRACTOR'S WORK - (X Appropriate Box)

YES NO Acceptable Unacceptable - Explain in narrative

21. CHANGE ORDERS/AMENDMENTS ISSUED 22. WORK ORDERS ISSUED (Include SUSPEND/RESUME)

23. MATERIALS FURNISHED TO JOB SITE (Furnished By: G-Govt.; C-Cont.; S-Subcont.) 24. LIST EQUIPMENT ON SITE (Furnished by G-Govt.; C-Cont.; S-Subcont.)

Type Contract Item Number and Location of Use Hours Used

25. LIST CONTRACT PAYMENTS, REPORTS, CORRESPONDENCE, ETC. 26. WORKERS ON SITE Number Item Prep Submit Classification PRIME SUB

27. GOVERNMENT PROVIDED SERVICES ADEQUATELY AND TIMELY

YES NO - Explain in narrative

28. NARRATIVE REPORT

29. SIGNATURE 30. TITLE 31. ADDTL SPACE NEEDED

(continued on 6300-21)

Distribution: Original - CO (weekly); COR, SO, PROJ ENG Previous editions of this form are obsolete.

FS-6300-20 (Rev 01/17)

FS-6300-0020 Rev 01/17

Page:
FOREST:
CONTRACT NO:
PROJECT:
CONTRACTOR:
CONTRACTOR REP:
GOVERNMENT OFFICIALS ON SITE:
DATE:
DAY OF WEEK:
TIME ARRIVED:
TIME DEPARTED:
WEATHER:
GROUND CONDITION:
CONTRACT TIME:
DAYS USED:
COMPLETION DATE:
TIME USED:
WORK COMPLETED:
TEMP MIN:
TEMP MAX:
Work schedule: Off
Contractot Work: Off
CHANGE ORDERSAMENDMENTS ISSUED:
WORK ORDERS ISSUED Include SUSPENDRESUME:
Materials 1:
Materials 2:
Materials 3:
Materials 4:
Materials 5:
Materials 6:
Materials 7:
Materials 8:
Materials 9:
Materials 10:
Materials 11:
Furnished By 1:
Furnished By 2:
Furnished By 3:
Furnished By 4:
Furnished By 5:
Furnished By 6:
Furnished By 7:
Furnished By 8:
Furnished By 9:
Furnished By 10:
Furnished By 11:
Equip Furnished By 11:
Equip Furnished By 10:
Equip Furnished By 9:
Equip Furnished By 8:
Equip Furnished By 7:
Equip Furnished By 6:
Equip Furnished By 5:
Equip Furnished By 4:
Equip Furnished By 3:
Equip Furnished By 2:
Equip Furnished By 1:
Hours Used 1:
Hours Used 2:
Hours Used 3:
Hours Used 4:
Hours Used 5:
Hours Used 6:
Hours Used 7:
Hours Used 8:
Hours Used 9:
Hours Used 10:
Hours Used 11:
Contract Item1:
Contract Item2:
Contract Item3:
Contract Item4:
Contract Item5:
Contract Item6:
Contract Item7:
Contract Item8:
Contract Item9:
Contract Item10:
Contract Item11:
Type1:
Type2:
Type3:
Type4:
Type5:
Type6:
Type7:
Type8:
Type9:
Type10:
Type11:
List contract payments, reports, correspondence:
Prep:
Submit:
Classification:
Prime:
Sub:
Government Services: Off
TITLE:
Total pages:
Narrative:
Addtl space needed: Off

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