2. PWS Grease traps.pdf

Performance Work Statement:

GREASE TRAP SERVICES

(Cleaning & Repair)

Eielson.Air.Force.Base

February 2025

PERFORMANCE WORK STATEMENT

Table of Contents

Chapter 1: Grease Trap Services

Section Number and Title Page Number

1.0 General Information 3

2.0 Service Delivery Summary 7

3.0 Government Furnished Property and Services 10

4.0 Additional Contractor Responsibilities 10

5.0 Security Requirements 11

6.0 Appendices 12

Appendix A, Estimated Workload Data 13

Appendix B, Required Reports/Forms 15

SECTION 1. GENERAL INFORMATION

1.0 GENERAL. This is a non-personnel services contract to provide grease trap cleaning, inspection, maintenance, and repair of grease traps located on Eielson Air Force Base (EAFB), Alaska, to include grease trap waste disposal. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.1 DESCRIPTION OF SERVICES. The contractor shall provide all management, tools, supplies, equipment and labor necessary to pump, clean, inspect, repair, and maintain grease traps located at EAFB, Alaska, to include disposal. The contractor shall perform to the standards in the contract as well as comply with all local, state and federal regulations, manufacturer’s specifications, and EAFB and Air Force Installation Policy & Procedures when performing services under this contract.

1.2 PERIOD OF PERFORMANCE. The Period of Performance (PoP) shall be for one (1) Base Year of 12 months and four (4), 12-month option years. The PoP reads as follows:

Base Year: 1 May 2025 – 30 April 2026

Option Year 01: 1 May 2026 – 30 April 2027

Option Year 02: 1 May 2027 – 30 April 2028

Option Year 03:1 May 2028 – 30 April 2029

Option Year 04: 1 May 2029 – 30 April 2030

1.3 PHASE IN /PHASE OUT PERIOD: To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel on board, during the phase in/phase out periods. During the phase in period, the Contractor shall become familiar with performance requirements in order to commence full performance of services on the contract start date.

1.4 CLEAN GREASE TRAPS. The contractor shall remove all fats, oils, and greases (FOG) and residues from all grease traps on Eielson AFB. Clean all interior and exterior surfaces of the grease traps and the area surrounding the grease traps on a frequency schedule provided in service summary. Contractor shall clear obstructions in inlet/outlet and connecting pipes in between grease traps to ensure unrestricted flow (Frequency amount stated in table below).

Contractor shall transport all materials from grease traps to an approved off-base disposal facility (please see Para 3.2). The contractor shall send a monthly report to the Contracting Officer Representative (COR) for the amount of grease trap waste, in gallons measured, that are pumped from each facility for every service conducted within 7 days from completion of the services for the month. The contractor shall clean the grease traps in accordance with the frequency indicated on Appendix A, B, and C. The contractor also may reference to the frequency in PWS Paragraph 5, Appendix A.

1.5 CLEAN/STEAM GREASE TRAP LINES. The contractor shall steam/jet rod the drain lines to ensure proper flow from the source, (e.g., kitchen sinks), to 60 feet past the last grease trap of facility. The contractor shall keep the work area reasonably clean during the work effort, and shall clean the work area after completing their tasks. The contractor shall clean all lines associated with each grease trap in accordance with a per quarter frequency rate.

1.6 REPAIRS GREASE TRAPS. Contractor shall repair grease traps to maintain fully operational conditions. The types of repairs shall include, but are not limited to, the replacement of seals/gaskets on grease trap lids, repair/replacement of interior baffles, and repair/replacement of pipes/fittings directly associated, with the grease traps (e.g., physically part of the original grease trap). During repair(s), if the contractor damages any government property/equipment, the contractor is responsible for any costs associated to returning the Government property and/or equipment back to fully operational conditions. Prior to performing repairs, the Contractor shall provide, to both the COR and Contracting Officer (CO), a repair cost estimate listing itemizing associated costs of repair, to include material costs and estimated amount of labor needed to complete repairs. No repairs shall commence without the approval of the CO via a Notice to Proceed being issued to the Contractor.

1.7 EMERGENCY SERVICE CALLS. Unexpected services may be required. In the event that servicing is required outside the Contractor’s schedule, the Contractor shall begin the service within 3 hours after notification. The Contractor shall service the affected grease traps requiring emergency service as needed to return them to a safe condition, preventing any potential damage to the grease trap, grease trap components, or other Government property. Prior to performing emergency repairs with an amount estimated to be more than $50.00, the Contractor shall immediately provide to both the COR and CO, a list of parts and associated cost estimates for approval prior to performing any further work. The estimate shall include material costs and estimated amount of labor hours and costs required to complete the repairs. No emergency repairs in excess of $50.00, shall commence without the approval of the CO via a Notice to Proceed being issued to the Contractor. Service under this paragraph includes suitable clean-up of the adjacent areas.

1.8 CONTRACTING OFFICER REPRESENTATIVE (COR). The (COR) will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract; perform inspections necessary in connection with contract performance; maintain written and oral communications with the Contractor concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, specifications; monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies;

coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.9 CONTRACT MANAGER. The contract manager or alternate(s) shall be available during normal duty hours to meet on the installation within 2 hours with the government personnel designated by the CO or the COR to discuss problem areas. Within 1 week from the start date of the contract the Contractor shall provide the CO telephone number(s) where surveillance results and complaints can be reported. The Contractor shall also provide to the CO the names and phone numbers of Contractor POCs for after business hours including nights, weekends, and holidays. This information shall be kept updated by the Contractor whenever personnel changes occur. The contract manager or alternate(s) shall have full authority to act for the Contractor on all contract matters relating to the daily operation of this contract.

1.10 PERSONNEL. Contractor personnel shall present a neat appearance. Contractor personnel shall be easily recognizable while on the installation in conjunction with this contract. This shall be accomplished through the wear of distinctive clothing, overcoats, or hats, bearing the company name or logo. The coloring or design of the items selected shall be such that identifies personnel easily and quickly for reasons of safety and personal protection. The government is authorized to restrict the employment under the contract of any Contractor employee or prospective Contractor employee, who is identified as a potential threat to the health, safety, security, general well-being, or operational mission of the installation and its population.

1.11 HOURS OF OPERATION. The Contractor shall coordinate with the COR to determine a schedule that allows the contractor to complete their work yet creates minimal disturbance for the facilities. Typically, the contractor shall perform work during normal business hours of Monday through Friday, 7:00 AM AKST and 5:00 PM AKST. A projected servicing schedule must be provided to the COR not later than (NLT) two weeks after performance start-up.

1.12 FEDERAL HOLIDAYS: Federal holidays within the applicable calendar year at:

https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/#url=Overview.

1.13 BASE CLOSURES. Work scheduled but not accomplished because of base closure due to weather, exercises, or mission, shall be accomplished as soon as possible after reopening the base.

1.14 PROCESS FOR REPAIRS. The Government or Contractor may identify recommended or required repairs pertaining to the systems identified in Appendix A. The Contractor shall adhere to the following process when submitting Letter of Recommended Repair.

1.15 LETTER OF RECOMMEND REPAIRS (LRR). Within one (1) day after identification of repair(s), the Contractor shall submit a Letter of Recommended Repairs to the COR. The Contractor shall not allow LRR’s to accumulate over any given period of time.

1.15.1 Each LRR shall include a detailed listing of all components, to include part number, model, description nomenclature, and manufacturer as well as suggested sources of procurement and lead time for arrival on site.

1.15.2 The Contractor will the supply the COR and CO a specific reference identifying which components requiring repair are out of compliance with manufacturer requirements and/or recommendations. These may include any and all components in a non-serviceable condition in accordance with manufacturer requirements/recommendations or component defects that, according to the Contractor’s opinion, require attention.

1.15.3 Each LRR shall also include a description of the component’s condition, recommended repair or replacement, a cost proposal and estimated time to complete the recommended work and the Contractor’s opinion why the repair and/or replacement is necessary.

1.15.4 Each cost proposal shall show all itemized material(s) and subcontractor costs, if any, as well as labor hours and rates.

1.15.5 The CO will review the information provided by the Contractor and decide whether or not a Notice to Proceed will be issued to proceed with the repair(s). No work shall commence until the Contractor has received approval from the CO via the Notice to Proceed.

The CO may deviate from issuing a Notice to Proceed in accordance with this PWS, but only in rare and limited circumstances. Any LRR approved for work shall not preclude the Contractor from performing other service requirements in this PWS.

1.16 SAFETY AND HEALTH STANDARDS. The contractor shall initiate and maintain programs to ensure its employees perform tasks associated with this contract in a safe, clean, and sanitary manner in accordance with any clauses in the contract and any EAFB/Air Force Installation Safety Policy and Procedures.

1.17 CONTRACTOR PROVIDED EQUIPMENT AND SUPPLIES:

1.17.1 CONTRACTOR-FURNISHED EQUIPMENT/VEHICLES. The Contractor shall provide and maintain all equipment and vehicles necessary to perform the requirements of this contract. The Contractor shall perform cleaning, minor repair and normal maintenance of equipment related to services of grease traps as necessary on site. Maintenance and repair of Contractor vehicles or their privately owned vehicles shall not be accomplished on site.

Contractor vehicles shall be maintained to present a neat, professional appearance. Contractor vehicles shall be used solely for the intended purpose of performing services of the contract in accordance with this performance work statement during normal EAFB hours of operation.

1.17.1.1 All equipment used in the performance of this contract shall be in good, operable condition. Equipment found to be unsafe and unable to function as designed, shall not be used in performance of this contract. The CO or COR may inspect the Contractor’s equipment and vehicles at any time and may also direct the removal of any unsafe or unusable equipment or vehicle from EAFB installation.

1.17.1.2 The Contractor shall provide adequate numbers of equipment items and vehicles to effectively fulfill the scope of this contract. In addition, the Contractor shall maintain or have backup capability to provide continued service in the event primary equipment or vehicles are down for extended maintenance or repairs.

Equipment failure shall not alleviate the Contractor from performing any requirement contained in this contract.

SECTION 2. SERVICE DELIVERY SUMMARY.

2.0 SERVICE REQUIREMENTS. The Contractor’s service requirements are summarized into Performance Objectives that relate directly to Mission Essential Services. The performance threshold describes the minimum acceptable levels of service required for each requirement.

These thresholds are critical to mission success and determine Contractor performance ratings.

Performance Objective PWS

Para Performance Threshold

Remedy Method of Assessment

SS-1 Contract Manager Contact information is provided and maintained throughout the contract.

Contract manager is available within 2 hours after contact is made by CO or

COR.

1.9 No more than 1

valid customer complaint per service month.

Re-performance

Within 1 business day of notification

Periodic Inspection

SS-2 Clean Grease Traps The contractor shall send a monthly report to the Contracting Officer Representative (COR) for the amount of grease trap waste, in gallons measured, that are pumped from each facility for every service conducted within 7 days from completion of the services for the month.

1.4 No more than 1

valid customer complaint per service month.

Re-performance

Within 1 business day of notification

SS-3 Clean Grease Traps Clean all grease traps according to the scope and schedule. Ensure work area left in clean and sanitary condition after performing task.

1.4 No more than 1

valid customer complaint per service month.

Re-performance

Within 1 business day of notification

Periodic Inspection

SS-4 Clean Lines The contractor shall steam/jet rod the drain lines to ensure proper flow from the source, (e.g., kitchen sinks), to 60 feet past the last grease trap of facility. The contractor shall keep the work area reasonably clean during the work effort, and shall

1.5 No more than 1

valid customer complaint per service month.

Re-performance

Within 1 business day of notification clean the work area after completing their tasks. The contractor shall clean all lines associated with each grease trap in accordance with a per quarter frequency rate.

SS-5

VPP Requirements:

The contractor shall perform work in a safe manner as required by OSHA Safety and Health Requirements.

Provide a verbal report to the COR & CO as soon as possible of each occurrence of damage to Government property or an accident resulting in death, injury, occupational disease, or adverse environmental impact. Provide a completed copy of required Accident Investigation Reports to the CO within five calendar days of each occurrence.

4.3 100% of the time; no more than 1 valid defect per month

Notify CO ASAP after occurrence.

Provide a completed copy of required incident Investigation Reports

Periodic Inspection

Customer Complaint

2.1. CONTRACTOR QUALITY CONTROL PLAN. The Contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The Contractor’s quality control program is the means by which he assures himself that his work complies with the requirement of the contract.

At a minimum, the Contractor shall develop quality control procedures that address the areas identified in Section 2, Service Delivery Summary. The Government’s COR must have a designated quality control inspector to notify in the event of any customer complaints. The Contractor shall provide a copy of the Contractor’s Quality Control Plan within twenty (20) calendar days from the date of award of the contract. After acceptance of the quality control plan the contractor shall receive the contracting officer’s acceptance in writing of any proposed change to his QC system.

2.2 QUALITY ASSURANCE. The Government shall inspect and evaluate the Contractor’s performance to ensure services are received in accordance with requirements set forth in this contract. The CO or COR shall inspect Contractor’s performance by validating actual work performed, physically checking an attribute of the completed task, checking management information report(s), investigating customer complaints, conferring with facility managers, or otherwise inspecting the task or its results to determine whether or not performance meets the standards contained in this PWS. The CO or COR shall use the contractor’s work schedule or modified version thereof, to record validation results. Results of the validation then become the official Air Force record of the Contractor’s performance. When a performance threshold has not been met or contractor performance has not been accomplished, the COR shall initiate and provide the CO a Corrective Action Report (CAR), for issuance to the Contractor. The Contractor will acknowledge by signing the CAR and re-perform at no additional cost to the Government, within two (2) hours of notification, if applicable. Re-performance beyond two (2) hours will be discussed and documented. If the Government deems that re-performance is accepted as satisfactory, the COR will file the CAR and consider that issue “Closed”. If the reperformance is not accepted, the action will be deemed as “Unsatisfactory Performance.” The CAR will be annotated as such by the COR and forwarded to the CO for validation. Once the validation has been reviewed and acknowledged as a defect, the CO will provide the necessary documentation to the Contractor.

2.3 CUSTOMER COMPLAINT RECORD TEMPLATE. Upon receiving a customer complaint, a Customer Complaint Record must be forwarded to the COR to be validated. If the complaint is valid, the COR must contact the project manager/on-site manager for him/her to acknowledge by signing block titled, “DATE/TIME CONTRACTOR INFORMED OF COMPLAINT”. The Contractor must correct the defect(s) within two (2) hours after notification unless the COR permits a longer period, based on the circumstances. At this time, the COR can ask for the Contractor to re-perform at no additional cost to the Government. The COR will annotate the block titled, “ACTION TAKEN BY CONTRACTOR” if re-performance was satisfactory, the complaint will be closed, and the COR will file the documentation. If reperformance is unsatisfactory, the COR will sign the last block titled, “RECEIVED/VALIDATED BY” and the form will come to the contracting officer for further action(s).

2.4 PERFORMANCE ASSESSMENT.

2.4.1 PERIODIC SURVEILLANCE. This method requires the COR to employ a “spot check” style of evaluation based on the Contractor’s schedule. Periodic surveillance will be conducted on a scheduled basis (daily, weekly, monthly, quarterly, semi-annual or annually) determined by the COR and may be adjusted based on quality trends. Any unsatisfactory inspection (defect) result shall be recorded, and the Contractor shall re-perform the service after notification by the CO or COR.

2.4.2 CUSTOMER COMPLAINTS. The COR will receive and investigate complaints.

The COR shall be responsible for initially validating customer complaints. The CO shall make final determination of the validity of customer complaint(s) in cases of disagreement with the COR and the Contractor. Validated customer complaints shall be re-performed after notification by the CO or COR.

Exceeding the performance threshold for a performance objective in any one month period may result in a warning or letter of concern from the CO. Exceeding the performance threshold for performance objective for any two (2) or more consecutive or non-consecutive months during a contract period may constitute an immediate Progress Meeting with the Multifunctional Team.

All remedies shall be in accordance with the FAR 52.212-4 (a), Contract Terms and Conditions - Commercial Items, Inspection/Acceptance.

2.5 POST AWARD CONFERENCE/PERIODIC PROGRESS MEETINGS. The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The CO, COR, and other Government personnel, as appropriate, may meet periodically with the Contractor to review the Contractor's performance. At these meetings the CO will apprise the contractor of how the Government views the Contractor's performance and the Contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

3.0 GOVERNMENT FURNISHED PROPERTY AND SERVICES.

3.1 GOVERNMENT FURNISHED PROPERTY. None.

3.2 SOLID WASTE COLLECTION AND DISPOSAL. The Contractor shall use Contractor supplied, bulk containers to dispose of any and all waste generated from performance of services outlined in this PWS. The Contractor shall adhere to all base level recycling programs, as well as the Resource Conservation and Recovery Act Regulations provided by the EPA and all DEC state regulations.

3.3 EMERGENCY MEDICAL SERVICE. The Government will provide emergency medical treatment and emergency patient transportation service for contractor personnel who are injured or become critically ill while at EAFB. Treated personnel will be responsible for reimbursing the Government for the cost of medical treatment and patient transportation at the current inpatient or outpatient treatment rate.

4.0 ADDITIONAL CONTRACTOR RESPONSIBILITIES

4.1 TRAFFIC LAWS. The Contractor and its employees shall comply with base traffic regulations.

4.2 WEAPONS, FIREARMS, AND AMMUNITION. Contractor employees are prohibited from possessing weapons, firearms, or ammunition, on themselves or within their Contractor owned or privately owned vehicle while on Eielson AFB.

4.3 REPORTING REQUIREMENTS. Contractor personnel shall report to an appropriate authority any information or circumstances of which they are aware may pose a threat to the security of DOD personnel, Contractor personnel, resources, and classified or unclassified defense information.

4.4 PHYSICAL SECURITY. The Contractor shall be responsible for safeguarding all government property and controlled forms provided for Contractor use. At the end of each work period, all government facilities, equipment, and materials shall be secured.

4.5 EAFB CONTRACTOR HAZARDOUS WASTE QUANTITY GENERATOR

TRAINING. All contractors performing work on Eielson AFB, Alaska must receive hazardous waste training, including but not limited to, initial and annual refresher training. This training complies with 40 CFR 262.17(a)(7). At a minimum, a primary and an alternate point of contact must attend this training. The training will cover waste management and disposal requirements for solid and hazardous waste handling, including aerosol can use and lamp disposal, along with explaining how contractors are co-generators of hazardous waste with EAFB, AK. Hazardous waste training is a federal requirement and must be completed on an annual basis. Coordination of hazardous waste training will be conducted with the contractor and COR upon contract award.

5. SECURITY REQUIREMENTS.

5.1 CONTRACTOR/EMPLOYEE BASE PASS AND IDENTIFICATION, SPECIAL

CLEARANCES AND VEHICLE PASSES. The Contractor shall be responsible for and shall pay for obtaining all necessary clearances, cards, passes, decals, or other items required for access of contractor personnel and vehicles to the base or other areas where work will be performed. The Contractor shall be required to apply for vehicle and personnel identification media at the Base Pass and Registration Section. Upon completion or termination of the contract, the contractor shall ensure all vehicle and personnel identification media are surrendered to the Base Pass and Registration Section. The contractor shall obtain the following pass and identification items: Flight line authorization and pass (Flight Line Passes shall be obtained from Base OPS, 2827 Flight line Ave) and Eielson Vehicle Pass.

5.2 SPECIAL QUALIFICATIONS. The contractor personnel shall be certified by appropriate federal and state regulatory agencies to meet federal and local certification requirements in cleaning grease traps. As well as all federal and state certifications regarding the disposal of grease.

5.3 PERFORMANCE OF SERVICES DURING CRISIS DECLARED BY THE

NATIONAL COMMAND AUTHORITY OR OVERSEAS COMBATANT COMMANDER.

In the event a crisis is declared in the United States affecting the local area, the contractor shall continue to perform ALL SERVICES in accordance with this contract until notified otherwise by the Contracting Officer. These services are essential due to the lack of available government personnel to immediately perform them.

5.4 VOLUNTARY PROTECTION PROGRAMS (VPP). The contractor shall perform work in a safe manner as required by OSHA Safety and Health Requirements. Provide a verbal report to the CO as soon as possible of each occurrence of damage to Government property or an accident resulting in death, injury, occupational disease, or adverse environmental impact. Provide a completed copy of required Accident Investigation Reports to the CO within five calendar days of each occurrence.

6. APPENDICES.

Appendix A – Estimated Workload Data Appendix B – Required Reports/Forms

APPENDIX A – Estimated Workload Data

Cleaning Grease Traps: Total Traps to be Serviced: 318 (Invoiced monthly/per CLIN Structure outlined in Contract)

Facility Number Street Address Facility

Name

Number of

Grease Traps

Frequency of

Cleanings

Total Work Volume

1206 2723 Flightline Ave Fire Station 1 1 Monthly 12 Services 1339 740 Loop Circle Rd Satellite DFAC 1 2x Monthly 24 Services

2207 447 North St Two-Seasons Dining Facility 2 Weekly 104 Services

2225 2450 Central Ave Yukon Club 1 Monthly 12 Services 3298 3302 Wabash Ave Bowling Alley 1 Weekly 52 Services 3335 2540 Central Ave Commissary 1 Monthly 12 Services 3338 2564 Central Ave BX Food Court 3 2x Monthly 72 Services

5182 2449 French Creek Child Development Center 1 Quarterly 4 Services

5222 777 Kodiak St School Age Facility 2 Monthly 24 Services

5223 2584 Coman Dr Aurora Event Center 1 Bi- Annually 2 Services

Cleaning of Lines: Total Lines to be Serviced: 52 Each (Invoiced monthly/per CLIN structure outlined in Contract)

Facility Number Street Address Facility Name

Number of

Grease Traps

Frequency of

Cleanings

Total Work

Volume

1206 2723 Flightline Ave Fire Station 1 1 Bi-Annually 2 Services 1339 740 Loop Circle Rd Satellite DFAC 1 Quarterly 4 Services 2207 447 North St Two-Seasons Dining

Facility 2 Quarterly 8 Services

2225 2450 Central Ave Yukon Club 1 Quarterly 4 Services 3298 3302 Wabash Ave Bowling Alley 1 Quarterly 4 Services 3335 2540 Central Ave Commissary 1 Quarterly 4 Services 3338 2564 Central Ave BX Foot Court 3 Quarterly 12 Services 5182 2449 French Creek Child Development

Center 1 Quarterly 4 Services

5222 777 Kodiak St School Age Facility 2 Quarterly 4 Services 5223 2584 Coman Dr Aurora Event Center 1 Bi-Annually 2 Services

Contractor Information Name Primary Contact # Alternate Contact #

CUSTOMER COMPLAINT RECORD

DATE/TIME OF COMPLAINT

SOURCE OF COMPLAINT

ORGANIZATION BUILDING NUMBER INDIVIDUAL PHONE NUMBER

NATURE OF COMPLAINT

CONTRACT REFERENCE

VALIDATION

DATE/TIME CONTRACTOR INFORMED OF COMPLAINT

ACTION TAKEN BY CONTRACTOR

RECEIVED/VALIDATED BY

CORRECTIVE ACTION REPORT (CAR)

(If more space is needed, use reverse and identify by number)

1. CONTRACTOR 2. CONTRACT NUMBER 3. TYPE OF SERVICES

4. FUNCTIONAL AREA 5. SUSPENSE DATE 6. CONTROL NUMBER

7. DEFICIENCY MAJOR MINOR

FINDING:

FINDING IMPACT:

Please respond with a written corrective action plan that details the corrective action of the cited deficiency, the cause of the deficiency, and actions taken to prevent recurrence by Suspense Date in Block 5. If date was not entered in Block 5, the contractor is not required to provide a response.

8. QUALITY ASSURANCE PERSONNEL (COR)

TYPED NAME AND GRADE

SIGNATURE AND DATE

9. ISSUING AUTHORITY

TYPED NAME AND GRADE

SIGNATURE AND DATE

10. COR RESPONSE TO CONTRACTOR CORRECTIVE ACTION AND ACTION TAKEN TO PREVENT RECURRENCE

11. COR DETERMINATION

ACCEPTED REJECTED

12. CLOSE DATE