A07_17T0322.pdf

SEE BELOW FOR SEPARATE SHIPPING INSTRUCT

XXX

XXX PA 00000

TEL: FAX:

SEE SCHEDULE

REQUEST FOR QUOTATIONS

(THIS IS NOT AN ORDER) 1

PAGE OF PAGES

1. REQUEST NO. 2. DATE ISSUED RATING

W25G1V-17-T-0322 22-Jun-2017 5a. ISSUED BY

8. TO: NAME AND ADDRESS, INCLUDING ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this

Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State, and local taxes)

ITEM NO.

(a)

SUPPLIES/ SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e) (f)

SEE SCHEDULE

AMOUNT

% No. %

NOTE: Additional provisions and representations [ ] are [ ] are not attached.

13. NAME AND ADDRESS OF QUOTER (Street, City, County, State, and ZIP Code)

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF

QUOTATION

16. NAME AND TITLE OF SIGNER (Type or print) (Include area code)

TELEPHONE NO.

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (REV. 6-95)

PREVIOUS EDITION NOT USABLE Prescribed by GSA FAR (48 CFR) 53.215-1(a)

THIS RFQ X[ ] IS [ ] IS NOT A SMALL BUSINESS SET-ASIDE

6. DELIVER BY (Date)

SEE SCHEDULE

AND/OR DMS REG. 1

UNDER BDSA REG. 2

4. CERT. FOR NAT. DEF.3. REQUISITION/PURCHASE

REQUEST NO.

ACC-APG DIVISION E

11 HAP ARNOLD BLVD

TOBYHANNA PA 18466-5100

9. DESTINATION (Consignee and address, including ZIP Code)

7. DELIVERY

[ ]X FOB

DESTINATION

[ ] OTHER

(See Schedule)

26-Jun-2017(Date)

PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS:10.

570-615-7520NICOLE STEVENS

(Name and Telephone no.) (No collect calls)5b. FOR INFORMATION CALL:

d. CALENDAR DAYSc. 30 CALENDAR DAYSb. 20 CALENDAR DAYS12. DISCOUNT FOR PROMPT PAYMENT a. 10 CALENDAR DAYS

W25G1V-17-T-0322

Section Supplies or Services and Price

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Lot

BASE YEAR - BLDG 66

FFP

**CONTRACT AWARD WILL BE BASED ON THE BEST VALUE TO THE

GOVERNMENT, CONSIDERING PRICE, DELIVERY, AND PAST

PERFORMANCE*

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov Determination No. 2015-5797 Rev. No. 1. Date of revision 3/6/17 FOB: Destination

NSN: AASSVC7090007E

MILSTRIP: W25G1V7090007E

PURCHASE REQUEST NUMBER: W25G1V7090007E

NET AMT

Section B - Supplies or Services and Prices

0002 1 Lot

BASE YEAR- SECURITY POST 2,7,8, BLDG 606

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov Determination No. 2015-5797 Rev. No. 1. Date of revision 3/6/17 FOB: Destination

NSN: AASSVC70900074

MILSTRIP: W25G1V70900074

PURCHASE REQUEST NUMBER: W25G1V70900074

0003 1 Lot

BASE YEAR - BLDG 72A

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov Determination No. 2015-5797 Rev. No. 1. Date of revision 3/6/17 FOB: Destination

NSN: AASSVC70900076

MILSTRIP: W25G1V70900076

PURCHASE REQUEST NUMBER: W25G1V70900076

0004 1 Lot

BASE YEAR - BLDG 69

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov Determination No. 2015-5797 Rev. No. 1. Date of revision 3/6/17 FOB: Destination

NSN: AASSVC70900077

MILSTRIP: W25G1V70900077

PURCHASE REQUEST NUMBER: W25G1V70900077

0005 1 Lot

OPTION OPTION YEAR 1 - BLDG 66

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov Determination No. 2015-5797 Rev. No. 1. Date of revision 3/6/17 FOB: Destination

0006 1 Lot

OPTION OPTION YEAR 1 - SECURITY 2,7,8, BLDG 606

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0007 1 Lot

OPTION OPTION YEAR 1 - BLDG 72A

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0008 1 Lot

OPTION OPTION YEAR 1 - BLDG 69

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0009 1 Lot

OPTION OPTION YEAR 2 - BLDG 66

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0010 1 Lot

OPTION OPTION YEAR 2 - SECURITY 2,7,8, BLDG 606

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0011 1 Lot

OPTION OPTION YEAR 2 - BLDG 72A

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0012 1 Lot

OPTION OPTION YEAR 2 - BLDG 69

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0013 1 Lot

OPTION OPTION YEAR 3 - BLDG 66

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0014 1 Lot

OPTION OPTION YEAR 3 - SECURITY 2,7,8, BLDG 606

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0015 1 Lot

OPTION OPTION YEAR 3 - BLDG 72A

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0016 1 Lot

OPTION OPTION YEAR 3 - BLDG 69

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0017 1 Lot

OPTION OPTION YEAR 4 - BLDG 66

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0018 1 Lot

OPTION OPTION YEAR 4 - SECURITY 2,7,8, BLDG 606

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0019 1 Lot

OPTION OPTION YEAR 4 - BLDG 72A

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

0020 1 Lot

OPTION OPTION YEAR 4 - BLDG 69

FFP

Description: SERVICE CONTRACT FOR BOTTLED WATER

TYAD POC: BERNADETTE GIRGENTI, 570-615-9413

Wage rates can be found on the Service Contract Act side of www.wdol.gov

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 0008 Destination Government Destination Government 0009 Destination Government Destination Government 0010 Destination Government Destination Government 0011 Destination Government Destination Government 0012 Destination Government Destination Government 0013 Destination Government Destination Government 0014 Destination Government Destination Government 0015 Destination Government Destination Government 0016 Destination Government Destination Government 0017 Destination Government Destination Government 0018 Destination Government Destination Government 0019 Destination Government Destination Government 0020 Destination Government Destination Government

Section C - Description and Specificiations

STATEMENT OF WORK

STATEMENT OF WORK

1. Period of Service shall be 1 YEAR + 4 OPTION YEARS.

2. Provide rental of dispenser and delivery of bottled water (5 gal. container). Delivery shall be bi-weekly to the following areas:

a. Security Post #2 (Truck Gate), one (1) Hot/Cold dispenser; six (6) containers of water every two (2) weeks; two (2) cases of cups.

BASE YEAR:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 1:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 2:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 3:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 4:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

b. Building 72A, one (1) each Hot/Cold dispenser; eight (8) containers water every two

(2) weeks; four (4) cases of cups.

BASE YEAR:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 8 bottles = Total cost $_____ Cases of cups $______ea x 4 cases = Total cost $_______

OPTION YEAR 1:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 8 bottles = Total cost $_____ Cases of cups $______ea x 4 cases = Total cost $_______

OPTION YEAR 2:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 8 bottles = Total cost $_____ Cases of cups $______ea x 4 cases = Total cost $_______

OPTION YEAR 3:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 8 bottles = Total cost $_____ Cases of cups $______ea x 4 cases = Total cost $_______

OPTION YEAR 4:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____

c. Building 69, one (1) each Hot/Cold dispenser; eight (8) containers water every two

(2) weeks; four (4) cases of cups.

BASE YEAR:

Hot Cold Dispenser $_____ ea per month x 6ea = Total Monthly cost $_____ Bottle of Water $____ea x 8 bottles = Total cost $_____ Cases of cups $______ea x 4 cases = Total cost $_______

OPTION YEAR 1:

Hot Cold Dispenser $_____ ea per month x 6ea = Total Monthly cost $_____ Bottle of Water $____ea x 8 bottles = Total cost $_____ Cases of cups $______ea x 4 cases = Total cost $_______

OPTION YEAR 2:

Hot Cold Dispenser $_____ ea per month x 6ea = Total Monthly cost $_____ Bottle of Water $____ea x 8 bottles = Total cost $_____ Cases of cups $______ea x 4 cases = Total cost $_______

OPTION YEAR 3:

Hot Cold Dispenser $_____ ea per month x 6ea = Total Monthly cost $_____

OPTION YEAR 4:

Hot Cold Dispenser $_____ ea per month x 6ea = Total Monthly cost $_____

d. Building 66, Recycling Center, one (1) each Hot/Cold dispenser; four (4) containers of water each every two (2) weeks; two (2) cases of cups.

BASE YEAR:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 4 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 1:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 4 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 2:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 4 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 3:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 4 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 4:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 4 bottles = Total cost $_____

e. Security Post #7 (Stroudsburg Gate): one (1) each Hot/Cold dispenser; six (6) containers of water every two (2) weeks; two (2) cases cups.

BASE YEAR:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____

Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 2:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 3:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 4:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____

f. Security Post #8 (Scranton Gate): one (1) each Hot/Cold dispenser; six (6) containers of water every two (2) weeks; two (2) cases cups.

BASE YEAR:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 1:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 2:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 2 cases = Total cost $_______

OPTION YEAR 3:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____

OPTION YEAR 4:

g. Veterans Clinic, (Bldg. 220) one (1) each Hot/Cold dispenser; two (2) containers of water every two (2) weeks; one (1) case of cups.

BASE YEAR:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 2 bottles = Total cost $_____ Cases of cups $______ea x 1 case = Total cost $_______

OPTION YEAR 1:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 2 bottles = Total cost $_____ Cases of cups $______ea x 1 case = Total cost $_______

OPTION YEAR 2:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 2 bottles = Total cost $_____ Cases of cups $______ea x 1 case = Total cost $_______

OPTION YEAR 3:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 2 bottles = Total cost $_____ Cases of cups $______ea x 1 case = Total cost $_______

OPTION YEAR 4:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 2 bottles = Total cost $_____ Cases of cups $______ea x 1 case = Total cost $_______

h. Security, Building 606, Visitor Control Center (Scranton Gate): one (1) each Hot/Cold dispenser; six (6) containers of water every two (2) weeks; one (1) case cups.

BASE YEAR:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____

Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 1 case = Total cost $_______

OPTION YEAR 2:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 1 case = Total cost $_______

OPTION YEAR 3:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____ Bottle of Water $____ea x 6 bottles = Total cost $_____ Cases of cups $______ea x 1 case = Total cost $_______

OPTION YEAR 4:

Hot Cold Dispenser $_____ ea per month x 1ea = Total Monthly cost $_____

DEPOT ACCESS:

A background check and approval from TYAD Security Branch is required for all contractor and subcontractor personnel prior to on-site access at TYAD. All persons seeking entrance to TYAD shall submit to and comply with all security standards and requirements in force at the time such persons are seeking entry. All contractors, regardless of resident status or citizenship, will be subject to vehicle search and intense in-processing by TYAD security personnel prior to being granted access to TYAD. This security screening process may be time consuming and access may be delayed or denied. The contractor shall ensure ELTY Form 648-C is completed for all contractor and subcontractor personnel requiring depot access to include warranty services. The TYAD point of contact (POC) will provide ELTY Form 648-C, Request Access to Tobyhanna Army Depot, to the contractor/vendor at least ten days prior to the expected visit date for completion. The contractor/vendor shall return the completed ELTY Form 648-C to the TYAD POC in a timely manner so the same may be submitted to Security for processing no later than seven days prior to the visit. All of the required fields on the form shall be complete and accurate by the contractor/vendor for timely processing.

This requirement is inclusive of on-site supervisory or managerial personnel and sub-contractor personnel that the Contractor anticipates will be performing work or visiting on-site. This security screening does not relieve the contractor of any responsibilities to conduct thorough pre-employment background checks and drug screening. Contractor workers will not be granted access to the work site until security screening is completed and access is approved. Any contractor personnel on-site who fail screening will not be permitted further access to TYAD. See “Access and General Protection/Security Policy and Procedures” below.

Please submit the completed ELTY Forms 648-C form(s) to the COR or POC.

SECURITY REQUIREMENTS

ANTITERRORISM (AT) / OPERATIONS SECURITY (OPSEC) REQUIREMENTS

All security training certificates shall be provided to the Contracting Officer’s Representative (COR)/Point of Contact (POC) and the Contract Specialist/Purchasing Agent.

Antiterrorism (AT) Level I Training. All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level I awareness training prior to contract report date. This training is required for any additional or new contractor employees, who start after that period. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR/POC within 10 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website:

https://jkodirect.jten.mil for CAC holders. Non-CAC holders may go to http://jko.jten.mil/courses/atl1/launch.html for their training. Completion of contractor employee training will be documented on ELTY form 583, TYAD On-Post Training Record, or contractor equivalent. As applicable, contractor employees must complete annual AT awareness training as it pertains the length of the contract.

iWATCH Army Training. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH Army Program. This will consist of utilizing the tools and media products on the informational iWATCH Army website to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR/POC. The iWATCH training is available at the following website:

https://myarmyonesource.com select Family Programs and Services, in the drop down boxes select: Go To, iWATCH Army –“See Something, Say Something”. The contractor shall notify the COR/POC within 10 calendar days of the completed training for any new employees or subcontractor personnel to assure the ELTY form 583 or contractor equivalent is properly documented. Completion of contractor employee training will be documented on ELTY form 583, TYAD On-Post Training Record or contractor equivalent.

Operations Security (OPSEC) Training. Per AR 530-1, Operations Security, contractor employees must complete Level I OPSEC training prior to the contract report date and for any additional or new contractor employees, who start after that period.

The training is available at the following website:

http://cdsetrain.dtic.mil/opsec/index.htm The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR/POC within 10 calendar days after completion of training. Completion of contractor employee training will be documented on ELTY form 583, TYAD On-Post Training Record or contractor equivalent.

Access and General Protection/Security Policy and Procedures. Contractor and all associated sub-contractors employees shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by TYAD Security Branch. Contractor workforce must comply with all personal identity verification requirements as directed by DoD, HQDA, and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by the government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

CONTRACTOR SAFETY STANDARDS

CONTRACTOR SAFETY STANDARDS FOR TYAD

January 2017

Below are the contractor requirements for any work done on Tobyhanna Army Depot (TYAD). It is the responsibility of the contractor to enforce the below requirements.

Failure to enforce safety requirements on the depot can result in termination of the contract.

Important phone numbers

Emergency: 911 (or from a cell phone: 570-615-7117) Security: 570-615-7550 Fire Department: 570-615-7300 Safety: 570 615 7027

S.10.0 SAFETY REQUIREMENTS:

Contractors shall comply with:

Title 29 Code of Federal Regulations-1910 (OSHA General Industry Standards), Title 29 Code of Federal Regulations-1926 (Construction Industry Standards), National Fire Protection Association Codes, Uniform Facilities Code, other codes as required to maintain safety standards.

All Safety requirements as stated in the statement of work.

S 10.1 OSHA VOLUNTARY PROTECTION PROGRAM STAR SITE – Tobyhanna Army Depot is an Occupational Safety and Health Administration (OSHA) Voluntary Protection Program (VPP) site. Tobyhanna Army Depot requires full contractor compliance with all safety regulations and standards. The Contractor is responsible for maintaining, monitoring and enforcing all rules, regulations and codes.

S.10.2 JOB HAZARD ANALYSIS (JHA) – Prior to the start of work, the contractor shall prepare a JHA for each phase of work that will be done under the contract. A phase is any operations involving a certain type of work. Some examples would be demolition, excavation, masonry work, concrete pouring, roofing, and electrical wiring.

Work done by each subcontractor is also a phase. The JHA will:

1. List the activity being performed and identify the sequence of work steps,

2. List the hazards associated with each step, and the procedures and training required to eliminate or reduce the risk to an acceptable level.

NOTE: Review of the JHAs does not constitute approval of the adequacy of the safety measures identified for the job or compliance with OSHA rules and regulations.

S.10.3 SAFETY PLAN - Contractors with ten (10) or more employees will submit a written Contractor Safety Plan prior to beginning construction. The Safety Plan is the formal plan on how the contractor intends to have zero accidents. The safety plan typically includes:

1. Statement of safety and health policy.

2. Administrative responsibilities for implementing the safety plan, including identification of personnel responsible for safety and accident prevention.

3. A means for coordinating and controlling work activities of contractors, subcontractors, and suppliers.

4. Initial safety indoctrination and follow up safety training.

5. Provisions for frequent safety inspections of work sites to ensure compliance with the

Plan.

Records showing the inspections and deficiencies and the means, timetable, and individual responsible for their correction.

6. Who is responsible for investigating and reporting accidents, reporting occupational health exposure and maintaining accident and exposure data.

7. Emergency response capability to minimize the consequences of accidents.

8. Contingency plans for severe weather such as windstorms, lightning, tornados, etc.

9. Plans for maintaining job site cleanup and safe access.

10. Public safety requirements such as signs and barricades.

11. Prevention of alcohol and drug abuse on the job.

12. Details of hazard communication program.

13. Provisions for updating the plan.

14. The plan should also address any unusual aspects of the project.

16. Contractor shall erect a board on site for the purpose of posting all permits, Safety data sheets, wage determinations, safety plans etc. An updated copy of the Safety Plan will be available on the job site at all times. It is the contractor's responsibility to ensure that adequate safety measures are instituted to comply with OSHA requirements and prevent accidents.

S.10.4 FALL PROTECTION – Personnel performing any work on elevated surfaces, six (6) feet or more above a lower level, shall comply with 29CFR 1926.500 through

1926.503. There are no certified anchorage points or permanent guardrail systems on any Tobyhanna Army Depot roof.

S.10.5 ELECTRICAL SAFETY – Follow the current Tobyhanna Army Depot standard referenced in Appendix G in the SOW. This standard is based on NFPA 70E.

S.10.6 DEPOT REQUIRED PERMITS/APPROVALS:

Permits are required for:

1. Excavation: Contractors must utilize the PA 1 Call system and coordinate with contracting officer representative (COR) for excavations prior to any groundbreaking including digging, drilling and stake driving. See appendix L for permitting details.

2. Trenching: Contractors must obtain approval from the Safety Branch before any trenching deeper than 5 feet. The contractor must have a trenching plan and the appropriate safety equipment. The contractor is to request approval from the Safety Branch by e-mail through the contracting officer representative.

3. Burning/fire: permits must be obtained daily from the Fire Department.

4. Use of cranes on the depot: see S.10.13

S.10.7 CONFINED SPACES: Contractors must follow all OSHA requirements. The contractor must request access from TYAD Safety Branch before entering any confined space area. The contractor is to request approval from the Safety Branch by e-mail through the contracting officer representative.

S.10.8 LOCKOUT/TAGOUT PROCEDURE: - The Contractor shall perform this work in accordance with 29 CFR 1910.147, The Control of Hazardous Energy.

Sequence of Lockout/Tagout Procedure:

Locate and identify all isolating devices. More than one energy source (electrical, steam, etc.) may be involved.

Notify the COR that a lockout/tagout system is going to be used.

Shut down the equipment normally.

1. Operate energy isolating device (switch, valve, etc) to isolate the equipment from the energy source. Using safe management practices, ensure any energy that may be stored in the equipment is dissipated. Attempt to start the equipment using the normal technique. If the equipment does start, determine where the energy is coming from and why the isolating device did not work. After the equipment is truly isolated, make certain all starting devices are in the “off” position. If more than one person will be working on the equipment they should each have their own lock.

2. After work is complete, ensure all personnel are safely out of the way, all tools are removed, all safety guards are in place, and the equipment is safe to operate. Each individual who worked on the equipment should remove their own lock. If that person is not available, he or she should be contacted to ensure their work is safe.

4. Remove the energy isolating device and restore the equipment to service.

5. The equipment is now energized again.

S.10.9 PROTECTION TO THE DRINKING WATER SYSTEM: - The contractor will not perform any work on the depot potable water system until prior approval is obtained from the Environmental Branch and the certified operator through the Directorate, Installation Services COR.

S.10.10 PROTECTION OF PERSONNEL: - At no time is any depot employee to be put at risk to illness or injury. No construction actions are exempt from this requirement.

1. Where pedestrian and driver safety is endangered, use appropriate traffic barricades.

Anchor barricades to prevent displacement by wind. Notify the COR prior to beginning such work.

2. Where demolition is required, continuously evaluate the condition of the structure being demolished and take action to protect personnel working around the project site.

No structural element will be left standing without sufficient support to prevent collapse.

3. Personal Protective Equipment for visitors: three complete sets of personal protective equipment shall be available to visitors for entry to the regulated area.

Visitors shall be provided with training equivalent to that provided to Contractor employees in the use of personal protective equipment and the site safety and health requirements.

S.10.11 FIRE AND EMERGENCY SERVICES: - Hot work permits to be issued by the fire department between the hours of 0800 and 1600.

1. Contractors required must have to an appropriate number and correct type of fire extinguishers.

2. A fire watch must be set during the hot work and for 30 minutes after operation.

The fire department will be notified when flammable or hazardous materials are used.

3. Use of a plasma torch will require special approval by the fire department.

4. Any fire, even one that is extinguished must be reported to the fire department.

5. Ambulance services provided at a cost to contractors and the fire department will transport to the nearest hospital. Advanced life support, helicopter transport, etc. is all at the contractor's expense.

6. The fire department will respond to the fire, ambulance, hazmat and confined space incidents.

S.10.12 IF AN INCIDENT HAPPENS: -

1. Any serious injury or medical emergency:

a. Dial 911 and give accurate location and nature of emergency. Make sure to tell the operator that you are calling from Tobyhanna Army Depot.

b. Send someone to the nearest exit to assist responders.

c. Treat victims to the best of your ability.

d. Call the work order desk at 570-615-7805 if there is any blood or body fluids that must be cleaned up.

2. In the event of the smell of natural gas:

a. Call the fire company at 570-615-7117 or dial 911.

b. Have all personnel evacuate the area, if the smell is significant.

c. Assist the fire company to determine the leak as appropriate.

3. In the case of a fire:

a. If the fire is small, use a fire extinguisher.

b. Otherwise, dial 911 and pull the fire alarm.

c. Evacuate the building.

S.10.13 CRANE LIFT OPERATIONS AT TOBYHANNA ARMY DEPOT:

A Lift Plan for Crane Operations will be submitted to the Safety and Occupational Health Office (SOHO) at least five business days prior to a lift operation. It shall include:

1. A description of the operation to be performed, specific personnel assignments (Lift Director, Safety Coordinator, Operator, rigger, etc.) and signaling and any other details pertaining to activities during the lift.

2. A drawn Site Plan with specifications including work zone, support equipment locations, evacuation area, traffic control, electrical power line clearances (if applicable), lift path, surface conditions at crane location, etc.

3. Training/Certifications (scans) for crane operator and other lift-team members included in the lift operation.

4. Equipment nomenclature and a certificate of comprehensive annual inspection records, including any deficiencies and corrective action.

5. Load chart for crane, with target capacities specific to the crane/boom configuration and lift details clearly marked.

6. Lift calculations, including rigging components and configuration.

7. Weather conditions are always part of the ongoing safety assessment and may result in rescheduling of the lift.

A Production Lift Plan pertains to repetitive lifts within a work project, and may be outlined with one lift plan depicting the nomenclature and general capacities of the equipment to be utilized. Besides the 7 items above, the plan will also include how often the crane will be used and how traffic and personnel safety will be handled.

THE CONTRACTOR IS RESPONSIBLE FOR JOB-SITE SAFETY.

IN ANY CONFLICT BETWEEN STANDARDS, THE STRICTER OF THE TWO SHALL

APPLY. IF UNSURE CONTACT TYAD SOHO at 570-615-7027

ENVIRONMENTAL

11.0 ENVIRONMENTAL PROTECTION REQUIREMENTS - In addition to the following conditions, the contractor shall provide and maintain, during the life of the contract, environmental protection. Plan for and provide environmental protective measures during normal construction practice. Plan for and provide environmental protective measures required to correct conditions that develop during the construction of permanent or temporary environmental features associated with the project. Comply with all Federal, State of Pennsylvania, and local environmental regulations pertaining to the environment, including but not limited to, hazardous waste, stormwater discharge, erosion control, water, air, soil, and noise pollution. See Appendix I (Standard Specifications for Projects Under the National Environmental Policy Act).

A. The contractor shall submit MSDSs for all hazardous materials proposed for use including paints, solvents, adhesives, etc. These copies of MSDSs will be provided to the EMD through the COR prior to material being brought on post.

B. The contractor shall not install any equipment, switches, or devices (including thermostats) that contain mercury or lead.

C. The contractor shall not pollute streams, lakes, or reservoirs with fuels, oils, bitumens, calcium chloride, acid, construction wastes, or any other harmful materials. All work under this contract shall be performed in such a manner that pollution will not be created in streams, surface waters, or underground water located within, or adjacent to the project area. The contractor shall not spill, emit, dump, or otherwise discharge any hazardous, toxic, harmful, or unauthorized pollutant, substance, or material, including petroleum products, cleaning agents, or paints, onto the ground, into the air, or into any waters or nearby storm drain. The contractor shall execute any preventative measures required to prevent any hazardous, toxic, or harmful material stored, or used on the project site from entering any storm water drain. Nothing shall be allowed to spill, emit, dump, or otherwise discharge any hazardous, toxic, or harmful material or pollutant into any sink, toilet, drain, utility, or receptacle without written permission from the EMD through the COR. The contractor shall protect streams, lakes, and wetlands from sediment discharges caused by his activities.

D. The Contractor shall comply with the Public Law 42 U.S.C. 6962, Resource

Conservation and Recovery Act (RCRA) in the acquisition of materials with recycled content to meet the standards of Executive Order 13423. Specific designated items in this contract for which recycled content standards have been established have been set forth in the specification (e.g., insulation, roofing materials, carpet, carpet pad, paint, floor tiles, shower, and restroom dividers). Recovered Material Certification: As required by the RCRA, the contractor will certify that the percentage of recovered materials to be used in the performance of the contract will be at least the amount required by the applicable contract specifications (see Federal Acquisition Regulation (FAR) Provision 52.223-4, Recovered Material Certification). In contracts exceeding $100,000, prior to application for final payment, the contractor shall provide a report in accordance with FAR Clause 52.223-9, Estimate of Percentage of Recovered Material Content for Environmental Protection Agency (EPA) Designated Products, to the Contracting Office. Compliance with this program does not relieve the contractor from meeting all other specification requirements.

E. The contractor will ensure that no Asbestos-Containing Materials (ACM) are used in the performance of this contract. Unless specified for abatement in the contract, the contractor will not disturb any existing ACM in the performance of this contract. If ACM, or suspect ACM might be disturbed by the work, the contractor shall avoid coming in contact with the material and immediately notify the DPW POC and the Contract Administrator in writing (fax or e-mail acceptable) of the possible ACM. The DPW POC will coordinate with the Environmental Management Division (EMD) to obtain laboratory tests to determine if there is ACM. If the material is determined to be ACM, and disturbing it cannot be avoided, the DPW POC will notify the Contracting Officer. The Contracting Officer will direct a change pursuant to the contract clauses entitled “Changes” and “Differing Site Conditions.” If ACM, or suspect ACM has been disturbed, the contractor shall immediately notify the DPW POC and call the EMD at (570) 895-7098. The contractor will shut down and not move any equipment or supplies near the damaged ACM.

The contractor will evacuate all non-contaminated contractor personnel from the immediate vicinity. Any contractor personnel thought to be contaminated with asbestos (e.g., evidence of dust on clothing) should remain in the area, but as far away as possible from the damage, until the EMD responds. If the damaged material is determined to be ACM and there is potential for further damage, the Contracting Officer will direct a change pursuant to the clauses of the contract clauses entitled “Changes” and “Differing Site Conditions.”

Asbestos abatement required under the contract as originally awarded shall be in accordance with Section 13280, Removal and Disposal of Asbestos Materials, and as otherwise required in the contract. Asbestos abatement not required under the contract as originally awarded, can be incorporated into the existing contract via contract modification, or with the government taking responsibility for the asbestos abatement. The method of acquiring the abatement is at the discretion of the Government.

F. If a project involves the demolition of any load-bearing structural members, whether or not asbestos is present, twenty (20) days prior to the demolition, the Commonwealth of Pennsylvania, Asbestos Abatement and Demolition/Renovation Notification, Form 2700-FM-AQ0021, revised 8/2005 (or the most recent version), shall be submitted to the proper authorities as specified in Section 13280, Removal and Disposal of Asbestos Materials.

The form is available from the EMD.

G. The contractor is to collect, containerize, recycle, and manage florescent and mercury bearing lamps in accordance with 40 CFR 273. A copy of the manifest/Bill of Lading shall be given to the EMD five days in advance of shipment by the contractor through the COR so that it can be reviewed for accuracy and completeness.

H. The contractor shall ensure that all hazardous wastes at the work site are properly stored and labeled in a pre-approved location designated by the EMD. The contractor shall provide copies of any shipping documents for Hazardous Waste/Universal Waste/Toxic Substances Control Act waste. If the depot EPA number is being used for shipping purposes, only EMD is authorized to sign a manifest and the manifest (or copy) must be supplied prior to the day of shipment for review. The EMD will keep originals. If hazardous waste or waste requiring special handling (e.g., asbestos) is being turned over to the government for disposal, the contactor shall notify the EMD through the DPW POC when the waste is ready to be moved.

I. The contractor will not perform any work on the depot potable water system until prior approval is obtained from the EMD and the D/EL certified operator through the DPW POC. If a permit is required due to construction or proposed chemical feed changes, it will be the responsibility of the contractor to obtain all permits associated with the project. Any piping or additions added to the depot water system must be disinfected following American Water Works Association (AWWA) circular C601-68 "Disinfecting Water Mains."

J. The contractor shall have a backflow prevention device installed on all contractor equipment that is connected to the depot's water distribution system. The contractor shall have a water meter installed to monitor water consumption of all new buildings constructed.

K. The contractor shall protect streams, lakes, and wetlands from sediment discharges caused by the contractor's activities. The contractor shall also provide (where applicable) an erosion and sedimentation control plan in compliance with state and local laws and regulations, to the COR for approval prior to executing any soil disturbing activities. The contractor shall not disturb any wetlands. The contractor shall submit a storm water permit to PADEP prior to any construction activity that encompasses more than one acre.

L. During the performance of all construction, renovation, and demolition projects, a minimum of 50 percent of all non-hazardous construction demolition debris shall be diverted from the landfill for reuse or recycling. The contractor shall provide written certification to the COR of the type and tonnage of debris reused or recycled from the contract. All refuse and the construction demolition debris not recovered for reuse or recycling shall be disposed of at a PADEP permitted and Monroe County Municipal Waste Management Authority authorized facility. The contractor shall comply with the Monroe County Solid Waste Management Plan and PA Act 90, including all licensing requirements. The contractor shall provide a disposal certificate or landfill weight slip to the DPW POC for all solid waste disposed of during the performance of this contract.

M. The contractor shall not bring items containing PCBs onto the depot. Light ballasts that are clearly marked "Contains no PCBs", or that are marked with a manufacture date after 1978 shall be disposed of by the contractor as construction demolition debris. Any light ballast that is not marked as containing no PCBs that has a manufacture date prior to 1978, or that cannot be determined whether it contains PCBs, shall be disposed of by the contractor at an approved and licensed facility.

N. The contractor shall submit a shipping manifest and certificate of disposal of the PCB-containing items to the EMD through the DPW POC.

O. The contractor shall not use paints containing zinc chromate or strontium chromate pigments and paints containing lead in excess of 0.06 percent by weight of the total nonvolatile content (calculated as lead metal).

P. At no time during the execution of this contract shall the contractor provide a food source or harborage for any pests. The contractor shall coordinate all herbicide and pesticide usage and report all usage through the DPW POC to the EMD prior to application. After completion of the contract, the contractor shall ensure there is no passage for pest to enter facilities or structures related to work performed by the contractor.

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

0001 POP 29-JUN-2017 TO

28-JUN-2018

N/A SEE BELOW FOR SEPARATE SHIPPING

INSTRUCT

XXX

XXX PA 00000

W25G1V

0002 POP 29-JUN-2017 TO

28-JUN-2018

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 29-JUN-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 29-JUN-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 N/A N/A N/A N/A

0006 N/A N/A N/A N/A

0007 N/A N/A N/A N/A

0008 N/A N/A N/A N/A

0009 N/A N/A N/A N/A

0010 N/A N/A N/A N/A

0011 N/A N/A N/A N/A

0012 N/A N/A N/A N/A

0013 N/A N/A N/A N/A

0014 N/A N/A N/A N/A

0015 N/A N/A N/A N/A

0016 N/A N/A N/A N/A

0017 N/A N/A N/A N/A

0018 N/A N/A N/A N/A

0019 N/A N/A N/A N/A

0020 N/A N/A N/A N/A

Section I - Contract Clause

CLAUSES INCORPORATED BY REFERENCE

52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

NOV 2015

52.222-41 Service Contract Labor Standards MAY 2014 52.222-50 Combating Trafficking in Persons MAR 2015 52.222-62 Paid Sick Leave Under Executive Order 13706 JAN 2017 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

252.203-7000 Requirements Relating to Compensation of Former DoD Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.204-7002 Payment For Subline Items Not Separately Priced DEC 1991 252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

OCT 2016

252.213-7000 Notice to Prospective Suppliers on Use of Past Performance Information Retrieval System--Statistical Reporting in Past Performance Evaluations

JUN 2015

252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

CLAUSES INCORPORATED BY FULL TEXT

52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS--

REPRESENTATION (NOV 2015)

(a) Definitions. Inverted domestic corporation and subsidiary have the meaning given in the clause of this contract entitled Prohibition on Contracting with Inverted Domestic Corporations (52.209-10).

(b) Government agencies are not permitted to use appropriated (or otherwise made available) funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation, unless the exception at 9.108-2(b) applies or the requirement is waived in accordance with the procedures at 9.108-4.

(c) Representation. The Offeror represents that--

(1) It [ ___ ] is, [ ___ ] is not an inverted domestic corporation; and

(2) It [ ___ ] is, [ ___ ] is not a subsidiary of an inverted domestic corporation.

(End of provision)

52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY OR A

FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that--

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that--

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

(End of provision)

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 10 DAYS.

(End of clause)

52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 2014)

In compliance with the Service Contract Labor Standards statute and the regulations of the Secretary of Labor (29 CFR part 4), this clause identifies the classes of service employees expected to be employed under the contract and states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the provisions of 5 U.S.C. 5341 or 5332.

THIS STATEMENT IS FOR…