A04_Statement_of_Work_LABE_Boiler.pdf

LAVA BEDS NATIONAL MONUMENT

REPLACE VISITOR CENTER BOILER

PMIS No. 331120

STATEMENT OF WORK

NATIONAL PARK SERVICE

PACIFIC WEST REGION

Solicitation # 140P8424Q0019

LABE – 331120 GENERAL REQUIREMENTS Page 1

DIVISION 01

GENERAL REQUIREMENTS

PART 1 – SUMMARY OF WORK (SECTION 01 11 00)

1.1 WORK COVERED BY CONTRACT DOCUMENTS

A. General: All work outlined below will be performed under a single contract.

B. Project Location: This project is located at The Visitor Center at Lava Beds National Monument

C. Project Background: The Visitor Center building is the main visitor contact/information center and houses the Interpretation and Law Enforcement operations for Lava Beds. The building is a single-story structure. The building is primarily heated using a hot water heating system (boiler). The existing boiler (TAKAGI model TR2H installed in 2011) has reached the end of its life cycle and needs to be replaced.

D. Project Scope of Work: The Work consists of the following: The scope of this project is to remove and replace the existing gas-fired boiler located in the Lava Beds Visitor Center.

1.2 DEFINITION OF CONTRACT LINE ITEMS

The Work consists of the following:

1. Contract Line Item No. 0001: Remove and Replace VC Boiler

This item shall consist of furnishing all labor, equipment, and materials to remove and replace the existing Visitor Center Boiler according to the specifications.

Measurement and payment shall be on a Lump Sum Basis.

1.3 REFERENCE DOCUMENTS / REPORTS

A. General: The following reference documents / reports are attached or available upon request to supplement the information in the specifications:

1. NPS Forms (RFI, CM-16, and QC Daily Report)

2. Site Location Map

1.3 GOVERNMENT-FURNISHED ITEMS

A. The Government may furnish products and materials for incorporation into the work.

1. The government will arrange and pay for delivery of government furnished items to the project site based on the contractor’s approved construction schedule.

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2. After delivery, the government will inspect delivered items for damage. If items are damaged, defective, or missing, the government will arrange for replacement.

3. The contractor is responsible for receiving, unloading, and handling government furnished items at project site for use in the work.

4. The contractor is responsible for protecting government furnished items during storage, handling, and the work, including damage from exposure to the elements.

5. If government furnished items are damaged as a result of the contractor’s operations, the contractor shall repair or replace the items in-kind.

B. Government-Furnished Items: The government will furnish the following products or materials for use on this contract: None

1.4 PUBLIC / STAFF USE OF THE SITE

A. General: The project site will be open to the public during construction. The contractor shall at all times conduct their operations to ensure the least inconvenience to the public and staff.

Temporary closures may be permitted upon specific written approval of the Contracting Officer.

1.5 CONTRACTOR USE OF SITE

A. General: Limit use of the site during the construction period to the project area limits as outlined on the attached site map.

B. Park Regulations: Ensure all personnel (contractors, subcontractors, and vendors) entering or working in the park are familiar with and obey all park regulations. Law enforcement rangers will intervene if they perceive any unsafe or unlawful activity.

C. Park Entry: Vehicles associated with the Contractor shall be waived the entrance fee upon entering in a marked company vehicle or by providing the names of employees entering in personal vehicle(s). Please note that the entrance fee is waived only for the purpose of reporting directly to a specific work location. Any deviation for recreational purposes is subject to payment of required entrance fees.

1. Provide the Contracting Officer with a listing of all contract personnel and their associated vehicles entering the park on a daily basis.

2. Provide the Contracting Officer with a listing of anticipated deliveries for each week.

D. Site Access: The contractor shall access the project site as outlined on the attached site map.

Do not drive vehicles off road or access non-project areas without permission from the contracting officer or their representative.

E. Working Hours: Regular work hours shall be limited to daylight hours from 8:00 a.m. until 5:00 p.m. Monday through Friday, excluding government holidays. Work outside regular hours requires approval from the contracting officer.

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F. Staging and Storage: Confine the storage of equipment and materials to the staging / lay-down / storage areas as established at the preconstruction meeting.

G. Property Damage: The Contractor is required to report missing, lost, stolen, or damaged property occurring within the park. This report must be made to a Law Enforcement Ranger or Park Dispatch at the first available opportunity.

H. No Smoking Policy: Smoking is prohibited inside or outside within 25 feet of any buildings in the park. This applies to existing buildings and buildings under construction or renovation.

Discarding of tobacco products or debris anywhere other than into designated tobacco receptacles is considered littering and subject to fines.

PART 2 – WORK RESTRICTIONS (SECTION 01 11 40)

2.1 WORK RESTRICTIONS

A. General: The Contractor must comply with the following work restrictions:

B. Vehicles / Heavy Equipment:

1. Rules of the Road: All vehicles and heavy equipment will comply with posted traffic regulations, including speed limits and double-yellow center lane markings. Vehicles and heavy equipment shall take every safe opportunity to use paved roadside pullouts in order to allow faster moving traffic to pass. Failure to comply with traffic regulations will result in a citation being issued to the driver.

2. Vehicle Parking: The contractor shall park vehicles and heavy equipment in designated areas as established at the preconstruction meeting. Vehicles are not permitted within long-term or overnight parking along park roads or in associated overlooks / pullouts.

3. Driveways and Entrances: The contractor shall keep driveways and entrances serving the premises clear and available to the government, government employees, and emergency vehicles at all times.

4. Vehicle Exhaust: All vehicles will be properly maintained to ensure that the exhaust produced is within legal limits. Effects of excessive vehicle exhaust may be subject to enforcement of State and Federal laws regarding emissions as well as those regarding threatened and endangered species.

5. Spills: The Contractor shall be responsible for any cleanup efforts required in accordance with 40 CFR and all applicable state environmental quality laws regarding disposal and cleanup of hazardous / industrial wastes. Contractor must immediately notify the Contracting Officer of spills.

6. DOT Compliance: All vehicles are to be compliant with all DOT requirements including but not limited to driver with appropriate license class, medical examiner card as appropriate with license class, carrying three (3) triangles or three (3) flares, mounted fire extinguisher, and valid DOT safety sticker.

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7. Road & Weight Restrictions: All vehicle load, weight, and size limitations, as established by State law, apply to vehicles operated on the Park road (36 CFR § 4.11).

No loads heavier than the current load rating for park roads and bridges will be permitted.

C. Resource Protection:

1. General: The Park is committed to protecting natural and cultural resources found within the park and adjacent lands. The Contractor must comply with the following rules and conditions:

2. Preservation of Natural Features: Prevent damage to natural surroundings. Do not attach ropes, wires, guy lines, cables, or chains to trees or vegetation. Restore damaged areas and replace damaged trees, vegetation, and grass at no expense to the government.

3. Invasive Species: The introduction of non-native invasive species can threaten rare and endangered species or can create new populations of non-native species not traditionally found in the park. The contractor is required to inform personnel, subcontractors, and vendors to thoroughly clean all vehicles (especially the tires), equipment, tools, supplies, and materials prior to packing / loading. The park requires and will perform inspections to prevent transport of non-native species PRIOR to arriving at the park entrance.

4. Endangered Species: Endangered species are protected by Federal law. Obey all park regulations. Drivers must obey all traffic laws and watch for animals on or alongside road or at the jobsite.

5. Soundscape / Noise: The contractor shall minimize noise levels at the project site to protect the soundscape of the park. Perform noise-producing work in less sensitive hours of the day or week or as directed by the contracting officer.

PART 3 – PROJECT MANAGEMENT (SECTION 01 31 00)

3.1 SUBMITTALS

A. Division 01 Submittal Documents: The following documents shall be submitted a minimum of one week prior to the Preconstruction Meeting. If all of these documents have not been received one week prior to the scheduled Preconstruction Meeting date, the meeting will be cancelled and the Notice to Proceed (NTP) will not be issued. Work shall not commence until written Notice to Proceed has been issued.

1. Letter designating the Project Superintendent.

2. Construction Schedule - Submit a baseline schedule with start date, end date, major work activities and durations, estimated pre-final inspection date, and other major milestones.

Provide updates to baseline schedule as needed / requested during construction.

LABE – 331120 GENERAL REQUIREMENTS Page 5

3. Schedule of Values (SOV) – Submit a schedule of values with a breakdown of component work activities for which progress payments will be requested. The total costs for the component work activities shall equal the total contract price.

4. Accident Prevention Plan (APP) – Submit an accident prevention plan with the name of the supervisor responsible for executing the plan, a job hazard analysis for each major work activity, first aid procedures, and planning for potential emergency situations.

5. A list of Subcontractors for this project.

6. Written statements from subcontractors certifying compliance with applicable labor standard clauses.

7. Satisfactory evidence of liability insurance coverage and workman’s compensation for the Contactor and all subcontractors.

B. Division 02-49 Submittal Documents: The following documents shall be submitted to the

Contracting Officer prior to construction start. If these documents have not been received and approved by the NPS prior to construction, the construction start date may be delayed.

1. Product Data – Submit product cut sheets / material data on all products to be used for approval. Indicate the size, model, or type of each recommended product.

3.2 PRECONSTRUCTION MEETING

A. Preconstruction Meeting: Before the start of construction, the Contracting Officer will arrange for a preconstruction meeting either on site or via teleconference. The meeting agenda will include the following topics:

1. NPS Roles & Responsibilities

2. Key Contractor Personnel

3. Coordination with Subcontractors

4. Correspondence & Submittal Procedures

5. Submittals

a. Status of Division 01 Submittals

b. Schedule & SOV

c. Safety & Accident Prevention Plan

d. Storm Water Pollution Prevention Plan

e. Status of Division 02-49 Submittals

6. Park Rules & Regulations

7. Work Hours and Weekend, Holiday, and Night Work

8. Project Information

a. Park Access & Vehicle Reporting

b. Jobsite Access & Parking

c. Staging, Storage, and Lay Down Area(s)

d. Temporary Facilities & Controls

e. Jobsite Restrictions

f. Resource Protection

g. Weather, Climate, Environmental Conditions

LABE – 331120 GENERAL REQUIREMENTS Page 6

h. Reference Documents

i. Other Contracts / Ongoing Work

9. Labor Standards Provisions

10. Labor Interviews

11. Payroll Reports

12. Payments to the Contractor

13. Change Orders / Modifications

14. Progress Meetings

15. QC Daily Reports

16. Inspections

17. Acceptance and Rejection of Work

18. Closeout Procedures & Submittals

19. Contract Period of Performance

20. Notice to Proceed

3.3 REQUESTS FOR INFORMATION (RFIs)

A. General: On discovery of the need for additional information or interpretation of the Contract Documents, the Contractor shall prepare and submit a RFI utilizing the form attached.

1. Contracting Officer will only respond to RFIs submitted by the Contractor.

2. Coordinate and submit RFIs in a prompt manner to avoid delays in the work.

B. RFI Form: Include a detailed, legible description of the subject or item needing information or interpretation on the RFI Form with:

1. RFI number, numbered sequentially.

2. Date.

3. RFI subject.

4. Specification Section number and title and related paragraphs, as appropriate.

5. Drawing number and detail references, if applicable.

6. Photographs or sketches if applicable.

7. Contractor's suggested resolution. If the Contractor's suggested resolution impacts the contract time or the contract sum, Contractor shall state impact in the RFI.

C. Response to the RFI: The Contracting Officer will review each RFI, determine the action required, and respond accordingly.

PART 4 – SUBMITTAL PROCEDURES (SECTION 01 33 23)

4.1 SUBMITTAL PROCEDURES

A. CM-16 Transmittal Form: All submittals shall be transmitted using National Park Service CM- 16 form attached to the end of this specification section. No action will be taken on a submittal item unless accompanied by the CM-16 transmittal form. Complete all applicable fields, sign the form, and attach all supporting documentation.

PART 5 – SAFETY REQUIREMENTS (SECTION 01 35 23)

5.1 SAFETY REQUIREMENTS

LABE – 331120 GENERAL REQUIREMENTS Page 7

1. First Aid Equipment: Provide adequate first aid equipment for all contract employees and the hazards associated with the types of ongoing construction work at the site.

2. First Aid Training: Provide adequate training to all Contractor personnel to ensure prompt and efficient application of first aid.

3. Personal Protective Equipment (PPE): Provide personal protective equipment (PPE) that meets applicable OSHA and ANSI standards for all contract employees.

4. Hazardous Materials: Hazardous materials are defined as explosive, flammable, poisonous, corrosive, oxidizing, irritating, or otherwise harmful substances that could cause death or injury. Store hazardous materials in accordance with manufacturer’s and OSHA recommendations. Maintain MSDS onsite for each chemical used on the jobsite.

Immediately report all spills of hazardous materials to the contracting officer.

5. Safety Meetings: At a minimum, conduct weekly "toolbox" safety meetings. These meetings shall be conducted by a foreman or supervisor and attended by all construction personnel at the worksite. Topics need to coincide with work scheduled for the week.

6. Emergency Contacts: Post telephone numbers and reporting instructions for ambulance, hospital, fire department, police, and park dispatch in conspicuous locations at the site.

7. Emergency Reporting: In the event of an emergency medical incident, the Contractor shall Dial 911 as needed. The Contractor shall also contact Park Dispatch for any medical emergency, traffic accident, or personal injury occurring within the Park. Park Dispatch is called so that the entrance station will be prepared should any emergency vehicles need to enter the Park and so that any available Emergency Medical Services personnel in the Park might respond until such time as the ambulance arrives.

PART 6 – QUALITY REQUIREMENTS (SECTION 01 40 00)

5.1 QUALITY REQUIREMENTS

A. General: The Contractor is responsible for all quality control to guard against defects and deficiencies in the work. Inspect and test work as needed to ensure that the quality of materials, workmanship, construction, finishes, and functional performance are in compliance with applicable specifications, drawings, building codes and standards.

B. Quality Control (QC) Daily Reports: Submit quality control daily reports documenting the progress and quality of the work. The Contractor’s Quality Control Supervisor shall utilize the forms attached at the end of this Section. The submission frequency of the QC Daily Report to the contracting officer will be determined at the preconstruction meeting.

PART 7 – TEMPORARY FACILITIES & CONTROLS (SECTION 01 50 00)

7.1 TEMPORARY FACILITIES & CONTROLS

A. This project involves the replacement of the primary heating system for the park’s Visitor Center. Work shall be scheduled and/or planned to ensure that the building does not freeze.

LABE – 331120 GENERAL REQUIREMENTS Page 8

If work is to take place during the winter months, provide the park at least three days advance notice.

B. In general, it is not anticipated that the installation of the new unit will take long enough to require supplemental heating. However, at a minimum the building shall be protected from freezing throughout construction.

PART 8 – EXECUTION (SECTION 01 73 40)

8.1 EXECUTION

A. Examination: Examine the project area and site facilities and verify compatibility between existing conditions and the scope of work.

B. Preparation: Take field measurements or conduct surveys to verify dimensions before fabrication or installation.

C. Cutting: Cut in-place construction by sawing, drilling, breaking, chipping, grinding, and similar operations, including excavation, using methods least likely to damage elements retained or adjoining construction. If possible, review proposed procedures with original Installer and original Installer's written recommendations.

1. In general, use hand or small power tools designed for sawing and grinding, not hammering and chopping. Cut holes and slots as small as possible, neatly to size required, and with minimum disturbance of adjacent surfaces. Temporarily cover openings when not in use.

2. Finished Surfaces: Cut or drill from exposed or finished side into concealed surfaces.

3. Concrete and Masonry: Cut using an abrasive saw or a diamond-core drill.

4. Mechanical and Electrical Services: Cut off pipe or conduit in walls or partitions to be removed. cap, valve, or plug and seal remaining portion of pipe or conduit to prevent entrance of moisture or other foreign matter after cutting.

5. Proceed with patching after construction operations cutting are complete.

D. Patching: Patch construction by filling, repairing, refinishing, closing up, and similar operations following performance of other Work. Patch with durable seams as invisible as possible. Provide materials and comply with installation requirements specified in other Sections.

1. Inspection: Where feasible, test and inspect patched areas after completion to demonstrate integrity of installation.

2. Exposed Finishes: Restore exposed finishes of patched areas and extend finish restoration into retained adjoining construction in a manner that will eliminate evidence of patching and refinishing.

3. Floors and Walls: Where walls or partitions that are removed extend one finished area into another. Patch and repair floor and wall surfaces in new space. Provide an even surface of uniform finish, color, texture, and appearance. Remove in-place floor and wall coverings and replace with new materials, if necessary, to achieve uniform color and appearance.

4. Ceilings: Patch, repair, or re-hang in-place ceilings as necessary to provide an even-plane surface of uniform appearance.

5. Exterior Building Enclosure: Patch components in a manner that restores enclosure to a weather tight condition.

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E. Cleaning: Clean areas and spaces where cutting and patching are performed. Remove paint, mortar, oils, putty, and similar materials.

F. Correction of the Work: Upon discovery of defects or damage of new work or to existing facilities damaged by new work, repair or replace damaged systems or components and restore substrates and finishes.

G. Progress Cleaning: Clean the project site and work area on a daily basis. Keep site free of waste and debris in proper containment. Properly dispose of all waste and debris offsite.

H. Final Cleaning & Waste Disposal: At the completion of the work, clean all surfaces and remove all waste materials, trash, tools, equipment, machinery, and surplus items from the project site and legally dispose of all waste items.

PART 9 – CLOSEOUT PROCEDURES (SECTION 01 77 00)

9.1 SUBSTANTIAL COMPLETION AND FINAL INSPECTION

A. When the project, or a designated portion of the project, is substantially complete, the Contractor shall request a final inspection in writing. Upon receipt of the written request that the project is substantially complete, the Contracting Officer will proceed with a final inspection within ten (10) days of receipt of request or will advise the Contractor of items that prevent the project from being designated as substantially complete.

B. If the work is determined to be substantially complete at the final inspection, the Contracting Officer will prepare a Letter of Substantial Completion with a Punch List of deficiencies to be corrected before final acceptance. The Contractor shall complete the work described in the Punch List within thirty (30) calendar days, as weather permits. If the Contractor fails to complete the work within this time frame, the Contracting Officer may either replace or correct the work with an appropriate reduction in the contract price or charge for re-inspection costs in accordance with the Inspection of Construction clause of the contract.

C. If the work is determined to be not substantially complete, the Contracting Officer will notify the Contractor in writing. The Contractor may request a new final inspection. All re-inspection costs may be charged against the Contractor in accordance with the Inspection of Construction clause of the contract.

D. After all deficiencies have been corrected and the project is complete, a Letter of Final Acceptance will be issued by the Contracting Officer.

9.2 CLOSEOUT SUBMITTALS

A. Operation & Maintenance (O&M) Manual: Submit three (3) hard copies with all operation and maintenance information including but not limited to a preventative maintenance schedule, operating instructions, product / material cut sheets, system diagrams, as-built drawings, progress photos, product warranties, and a one (1) year Contractor-issued warranty on all workmanship starting from the date of final acceptance.

9.3 DEMONSTRATION & TRAINING

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A. Demonstration & Training: Provide onsite demonstration and training to NPS operators and staff on the proper, safe operation of all new systems and components.

SECTION 23 52 00

HEATING BOILERS

PART 1 – GENERAL

1.1 SCOPE

This section includes specifications for hot water and steam heating equipment.

1.2 REFERENCE

Applicable provisions of Division 1 govern work under this section.

1.3 REFERENCE STANDARDS

ASME CSD-1 Control and Safety Devices for Automatically Fired Boilers ASME Boiler and Pressure Vessel Code I - Rules of Construction of Power Boilers ASME Boiler and Pressure Vessel Code VIII - Rules for Construction of Pressure Vessels ASME Boiler and Pressure Vessel Code IX - Welding and Brazing Qualifications ASME Boiler and Pressure Vessel Code I V - Rules for Construction of Heating Boilers UL 795 Commercial Industrial Gas Heating Equipment NFPA 70 Electrical wiring and devices NEC National Electric Code

1.4 QUALITY ASSURANCE

Refer to division 1, General Conditions, Equals and Substitutions

1.5 ENERGY EFFICIENCY

All boilers with a capacity of 300,000 btu/hr input must meet the efficiencies specified.

16 SUBMITTALS

Refer to Division 1, General Conditions, Submittals.

Include data concerning dimensions, capacities, and material of construction, ratings, weights, manufacturer's installation requirements and performance limitations.

Submit manufacturer's installation instructions including required clearance to combustible materials.

1.7 OPERATION AND MAINTENANCE DATA

All operations and maintenance data shall comply with the submission and content requirements specified under Division 01.

1.8 WARRANTY

Provide 10-year (minimum) limited warranty.

PART 2 - PRODUCTS

2.1 NON-CONDENSING BOILER FIRE TUBE BOILER

Boiler Characteristics 439 stainless steel fire-tube condensing boiler Capacity Range: 275,0000 – 300,000 BTU/HR Input Modulating Burner with 10:1 Turn Down Efficiency: 95% AFUE Fuel: Propane at 11” w.c.

Floor Mount Direct Spark Ignition Low NOx Operation Electrical: 120V, 60Hz, 1-Phase Rated for High Altitude Condensate Trap Warranty: 10-year limited (min)

Boiler shall be Lochinvar KHB285L-M7 or preapproved equal.

2.2 GENERAL:

Provide boiler listed and rated by American Boiler Manufacturer's Association with capacity and operating characteristics indicated.

Furnish units complete with boiler, boiler fittings, burner equipment, forced draft fans, combustion and safety controls, insulation and asbestos free refractory, boiler trim and accessories; all piped, wired and assembled on structural steel base frames.

Provide complete UL listed and labeled boiler-burner units completely preassembled, and fire tested at manufacturer's facilities prior to shipment.

Furnish boilers with flanges and/or threaded openings for trimmings and external connections, sufficient hand-holes and manhole for thorough inspection and cleaning and lifting loops.

Furnish boilers with front hinged or davited and rear hinged or davited access doors to provide access to fireside surfaces without removal of door plates, baffles, or refractories. Access to tube sheets and fire tubes for inspection and/or cleaning to be provided without disconnecting any fuel piping or electrical wiring.

Entire fuel burning equipment to bear UL label and be factory assembled, wired, mounted and tested.

Furnish units with burner, forced draft fan with combustion air damper, fuel control, limit control, operating control and flame sensing device.

Burner shall burn specified fuel without objectionable vibration, noise or pulsation with not more than 15% excess air for gas, not more than 200 ppm of CO in products of combustion on gas firing.

Furnish units with fuel trains conforming to the latest UL requirements and be factory assembled, wired, mounted and tested.

Provide gas pressure regulators at burners to reduce pressure suitable to burner operation.

PART 3 - EXECUTION

3.1 INSTALLATION

Remove existing boiler unit and required components.

Install units as according to manufacturer's installation instructions.

Install all items shipped loose by equipment manufacturer under supervision of equipment manufacturer's field service personnel.

Furnish and install all fittings, adaptors and ancillary parts and equipment required for a fully functional system.

3.2 BOILERS

After piping system has been flushed, boil out boilers using chemical and procedure as recommended by boiler manufacturer. Perform boil-out under supervision of boiler manufacturer's representative.

Manufacturer shall verify in writing that boilers have been cleaned according to their recommendations and are ready for operation.

Isolate boilers from piping system during boil-out.

Pipe vents from gas train to atmosphere. Size of each vent shall not be less than connection size to device.

Pipe boiler drains to nearest floor drains.

Owner's representative and/or Engineer will observe boil-out. Contractor must notify Engineer at least 72 hours prior to boil-out.

Install gas pressure gauges at downstream of gas pressure regulators.

If remote control panels are used, install all interconnecting wiring and pneumatic tubing if used between panels and units.

3.4 AGENCY TRAINING

Contractor to provide factory authorized representative and/or field personnel knowledgeable with the operations, maintenance and troubleshooting of the system and/or components defined within this section for a minimum period of 2 hours.

END OF SECTION

Lava Beds National Monument

Month Year

National Park Service U.S. Department of the Interior

0 0.0550.0275 Mi

0 0.10.05 Km

Siskiyou County, California SITE MAP

VISITOR'S CENTER

(PROJECT)

ADMIN BUILDING

Request for Information (RFI) Form, 2-18-20 page 1 of 1

Request for Information (RFI) Form National Park Service (NPS) - Denver Service Center (DSC) | 2-18-20

RFI Number:

Project: Replace Water and Propane Distribution Systems at Drakesbad Guest Ranch

Contract Number:

Date:

To:

Carbon Copy (CC):

From:

Subject:

Please provide the following information or clarification:

Response Required By:

Date:

To:

From:

Subject: Response to RFI Number:

Response:

Transmittal Form (CM-16) National Park Service (NPS) - Denver Service Center (DSC) | 10-7-20 ACRONYMS: A/E: Architect/Engineer; CMR: Construction Management Representative; FAR: Federal Acquisition Regulation; LEED: Leadership in Energy & Environmental Design; N/A: Not Applicable; PMIS: Project Management Information System

Submittal Number: PARK Acronym: PMIS Number: Project: Contract Number: Date: Sheet: 1 of 2 Transmittal Number:

Construction Contractor: Subcontractor / Supplier:

Ac tio n

Su bm itt al

In fo rm at io na l S ub m itt al

Ite m

N um be r

Sp ec ifi ca tio n

Se ct io n

N um be r

Pa ra gr ap h N um be r

Description of Item (Size, Type, Name, Manufacturer, Use, etc.) Al te rn at e M at er ia ls

Pr op os ed

A/E ACTION

Action Submittal

Ap pr ov ed

Ap pr ov ed w ith

N ot at io ns

D is ap pr ov ed

R es ub m it

NPS ACTION

Action Submittal

Ap pr ov ed

Ap pr ov ed w ith N ot at io ns

D is ap pr ov ed

R es ub m it

Informational Submittal

Ac ce pt

R ej ec t

Construction Contractor - Name, Title, & Signature: Date:

I hereby certify this submittal has been reviewed for accuracy, completeness, and compliance with contract requirements. FAR 52-236-21

CMR - Name, Title, & Signature: Date:

A/E - Name, Title, & Signature: Date:

Review Comments - Name: Comment(s):

Recommended By - NPS COR or Alternate COR - Name, Title, & Signature: Date:

Action By - NPS Name, Title, & Signature: Date:

Approval of this submittal is subject to the provisions of the contract drawings and specifications.

This action is for general concurrence only and the Government is not responsible for errors or omissions.

Date Received: Date to Construction Contractor:

Distribute 1 copy each: CMR Interim, A/E, DSC, & Construction Contractor.

NPS Review Comments - Name: Comment(s):

Transmittal Form (CM-16) - Continuation National Park Service (NPS) - Denver Service Center (DSC) | 10-7-20 ACRONYMS: A/E: Architect/Engineer; CMR: Construction Management Representative; FAR: Federal Acquisition Regulation; LEED: Leadership in Energy & Environmental Design; N/A: Not Applicable; PMIS: Project Management Information System

Submittal Number: PARK Acronym: PMIS Number: Project: Contract Number: Date: Sheet: 2 of 2 Transmittal Number:

Construction Contractor: Subcontractor / Supplier:

Ac tio n

Su bm itt al

In fo rm at io na l S ub m itt al

Ite m

N um be r

Sp ec ifi ca tio n

Se ct io n

N um be r

Pa ra gr ap h N um be r

Description of Item (Size, Type, Name, Manufacturer, Use, etc.) Al te rn at e M at er ia ls

Pr op os ed

A/E ACTION

Action Submittal

Ap pr ov ed w ith N ot at io ns

D is ap pr ov ed

R es ub m it

NPS ACTION

Action Submittal

Ap pr ov ed w ith N ot at io ns

D is ap pr ov ed

R es ub m it

Informational Submittal

Ac ce pt

R ej ec t

Review Comments - Name: Comment(s):

REPORT

NUMBER

PROJECT MANAGEMENT

INFORMATION SYSTEM

NUMBER (PMIS No.):

PROJECT CONTRACT NUMBER DATE

PARK CONTRACTOR CMR REPORTING

WEATHER

(Rain, Snow, Cloudy, Windy)

MOISTURE

AMOUNT

(INCHES)

TEMPERATURE

WEATHER

DELAY

DESCRIBE WEATHER DELAYED WORK GROUND CONDITIONS

(Dry, Damp, Wet, Frozen)

MAXIMUM MINIMUM Yes

No

PRIME CONTRACTOR:

EMPLOYEES BY JOB CATEGORIES NUMBER HOURS

EQUIPMENT ON JOB

(Include model, manufacture, size, year.)

NUMBER

OF UNITS

EQUIPMENT HOURS WORKING

YES STANDBY MOBILIZED/

DEMOBILIZED DATE

Project Manager (PM)

Superintendent

Quality Control Officer

Safety Officer

Laborers

MATERIALS DELIVERED QUANTITY OFFICIAL VISITORS

WORK PERFORMED BY PRIME: (Include detail description per each activity including location, quantities, and production.)

SPECIFIC INSPECTIONS: (Inspections performed, results, and corrective actions, and Primes and Subprimes.)

TESTING:

Was any testing performed today YES / NO. (Complete and attach Test Report Information Sheets.)

Type and Location of Testing:

Construction Management Representative (CMR) & Contractor Quality Control (CQC) Daily Report

National Park Service (NPS) - Denver Service Center (DSC) | 2-6-18

SUBCONTRACTOR(S): PMIS Number: Date:

SUBCONTRACTOR NAME

EMPLOYEES BY JOB CATEGORIES NUMBER HOURS

EQUIPMENT ON JOB

(Include model, manufacturer, size, and year.)

NUMBER

OF UNITS

EQUIPMENT HOURS WORKING

YES STANDBY MOBILIZED/

DEMOBILIZED DATE

MATERIALS DELIVERED QUANTITY EQUIPMENT MOBILIZIED/DEMOBILIZED

WORK PERFORMED BY SUBCONTRACTOR: Include detail description per each activity. Include location, quantity, and production.

SUBCONTRACTOR NAME

EMPLOYEES BY JOB CATEGORIES NUMBER HOURS

EQUIPMENT ON JOB

(Include model, manufacturer, size, and year.)

NUMBER

OF UNITS

EQUIPMENT HOURS WORKING

YES STANDBY MOBILIZED/

DEMOBILIZED DATE

MATERIALS DELIVERED QUANTITY EQUIPMENT MOBILIZIED/DEMOBILIZED

WORK PERFORMED BY SUBCONTRACTOR: Include detail description per each activity. Include location, quantity, and production.

SUBCONTRACTOR NAME

EMPLOYEES BY JOB CATEGORIES NUMBER HOURS

EQUIPMENT ON JOB

(Include model, manufacturer, size, and year.)

NUMBER

OF UNITS

EQUIPMENT HOURS WORKING

YES STANDBY MOBILIZED/

DEMOBILIZED DATE

MATERIALS DELIVERED QUANTITY EQUIPMENT MOBILIZIED/DEMOBILIZED

WORK PERFORMED BY SUBCONTRACTOR: Include detail description per each activity. Include location, quantity, and production.

SUBCONTRACTOR(S): PMIS Number: Date:

SUBCONTRACTOR NAME

EMPLOYEES BY JOB CATEGORIES NUMBER HOURS

EQUIPMENT ON JOB

(Include model, manufacturer, size, and year.)

NUMBER

OF UNITS

EQUIPMENT HOURS WORKING

YES STANDBY MOBILIZED/

DEMOBILIZED DATE

MATERIALS DELIVERED QUANTITY EQUIPMENT MOBILIZIED/DEMOBILIZED

WORK PERFORMED BY SUBCONTRACTOR: Include detail description per each activity. Include location, quantity, and production.

SUBCONTRACTOR NAME

EMPLOYEES BY JOB CATEGORIES NUMBER HOURS

EQUIPMENT ON JOB

(Include model, manufacturer, size, and year.)

NUMBER

OF UNITS

EQUIPMENT HOURS WORKING

YES STANDBY MOBILIZED/

DEMOBILIZED DATE

MATERIALS DELIVERED QUANTITY EQUIPMENT MOBILIZIED/DEMOBILIZED

WORK PERFORMED BY SUBCONTRACTOR: Include detail description per each activity. Include location, quantity, and production.

SUBCONTRACTOR NAME

EMPLOYEES BY JOB CATEGORIES NUMBER HOURS

EQUIPMENT ON JOB

(Include model, manufacturer, size, and year.)

NUMBER

OF UNITS

EQUIPMENT HOURS WORKING

YES STANDBY MOBILIZED/

DEMOBILIZED DATE

MATERIALS DELIVERED QUANTITY EQUIPMENT MOBILIZIED/DEMOBILIZED

WORK PERFORMED BY SUBCONTRACTOR: Include detail description per each activity. Include location, quantity, and production.

PMIS Number: Date:

CRITICAL POINT/MILESTONE OBSERVATIONS (Describe item inspected, observations, problems, and action items.)

DESCRIPTION OF WORK BEING MONITORED ON A TIME AND MATERIAL BASIS AND WHY

BREAKDOWN OF TIME AND MATERIAL WORK PERFORMED

Location:

Labor:

Equipment:

Material:

Production Rates:

STATUS OF GOVERNMENT FURNISHED SERVICES AND/OR SUPPLIES

SAFETY COMMENTS

Accidents / Lost Time:

Incidents:

First Aid Administered:

Other:

DIFFICULTIES WITH CONSTRUCTION CONTRACTOR

UNFORESEEN DEVELOPMENTS (Describe conditions, action taken, person contacted, and recommended actions.)

CONSTRUCTION DEFICIENCIES OR RE-TESTING REQUIRED

OTHER COMMENTS

CERTIFICATION

For Construction Management Representative (CMR): I certify the above report is complete and correct and that I, or my authorized representative, have inspected all work performed this day by the Prime Contractor and each Subcontractor and determined all materials, equipment, and workmanship are in strict compliance with plans and specifications except as may be noted above.

I certify that I or my authorized representative have reviewed and reconciled all differences between this daily report and the Construction Contractors. In the event a discrepancy is found, the Construction Contractor was notified and an acceptable revision was completed and resubmitted by either or both parties within this document. If unable to agree with the Construction Contractor, explain nature of disagreement in "Other Comments" above as needed.

For Contractor's Representative: I certify that the above report is complete and correct and that I, or my authorized representative, have inspected all work performed this day by the Prime Contractor and each Subcontractor and determined that all materials, equipment, and workmanship are in strict compliance with the plans and specifications except as may be noted above. I have reconciled all differences found when comparing this CQC daily diary with the CMR's daily diary. All unresolved issues are described under "Other Comments" above.

SIGNATURE TITLE:

RParrish Rectangle

RParrish Rectangle

Date:PMIS Number:

ADDITIONAL COMMENTS OR INFORMATION (Describe item inspected, observations, problems, and action items.)

Date:

IMAGES IN SUPPORT OF REPORT INFORMATION

PMIS Number:

Accessibility Report

Filename:

CMR-DailyReport_12-17_AF_12-17wElaine___KrystalTitleChange1.pdf

Report created by:

Organization:

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Summary

The checker found no problems in this document.

Needs manual check: 2

Passed manually: 0

Failed manually: 0

Skipped: 1

Passed: 29

Failed: 0

Detailed Report

Document

Rule Name Status Description

Accessibility permission flag Passed Accessibility permission flag must be set

Image-only PDF Passed Document is not image-only PDF

Tagged PDF Passed Document is tagged PDF

Logical Reading Order Needs manual check Document structure provides a logical reading order

Primary language Passed Text language is specified

Title Passed Document title is showing in title bar

Bookmarks Passed Bookmarks are present in large documents

Color contrast Needs manual check Document has appropriate color contrast

Page Content

Rule Name Status Description

Tagged content Passed All page content is tagged

Tagged annotations Passed All annotations are tagged

Tab order Passed Tab order is consistent with structure order

Character encoding Passed Reliable character encoding is provided

Tagged multimedia Passed All multimedia objects are tagged

Screen flicker Passed Page will not cause screen flicker

Scripts Passed No inaccessible scripts

Timed responses Passed Page does not require timed responses

Navigation links Passed Navigation links are not repetitive

Forms

Rule Name Status Description

Tagged form fields Passed All form fields are tagged

Field descriptions Passed All form fields have description

Alternate Text

Rule Name Status Description

Figures alternate text Passed Figures require alternate text

Nested alternate text Passed Alternate text that will never be read

Associated with content Passed Alternate text must be associated with some content

Hides annotation Passed Alternate text should not hide annotation

Other elements alternate text Passed Other elements that require alternate text

Tables

Rule Name Status Description

Rows Passed TR must be a child of Table, THead, TBody, or TFoot

TH and TD Passed TH and TD must be children of TR

Headers Passed Tables should have headers

Regularity Passed Tables must contain the same number of columns in each row and rows in each column

Summary Skipped Tables must have a summary

Lists

Rule Name Status Description

List items Passed LI must be a child of L

Lbl and LBody Passed Lbl and LBody must be children of LI

Headings

Rule Name Status Description

Appropriate nesting Passed Appropriate nesting

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