2024-04-25 Pre-engineered Metal Building-- SOW.pdf

Pre-engineered Metal Building Environmentally Integrated Dairy Management Research Unit (EIDMRU)

United States Department of Agriculture Agricultural Research Service

STATEMENT OF WORK

Environmentally Integrated Dairy Management Research Unit (EIDMRU) USDA-ARS Stratford, Wisconsin

DATE: April 25, 2024

Table of Contents Scope of Work Descrip�on

General Project Informa�on

Contract Scope

General Notes and Requirements

Pre-Construc�on Mee�ng

Contract Performance

Documenta�on

Safety

Atachments

Photographs

Drawings

Forms

Scope of Work Descrip�on

Environmentally Integrated Dairy Management Research Unit

(EIDMRU) USDA-ARS

Stra�ord, Wisconsin

General Project Informa�on

Project Loca�on

USDA-ARS-EIDMRU

208356 Drake Ave N, Stratford, WI 54484

USDA Project Team

Loca�on Point of Contact: Joseph Hatamer

(715)387-4521 joseph.hatamer@usda.gov

Engineering Project Manager EPM: Loubna Harms

(608)-982-1687 loubna.harms@usda.gov

Contrac�ng Officer CO To be Determined

Contrac�ng Officer Representa�ve COR To be Determined

Bid Informa�on Base bid:

Construc�on of a pre-engineered, post frame, metal open ended building on an exis�ng 194' x 63' concrete pad located at the Stra�ord EIDMRU - USDA farm. The building is intended to provide storage for farm equipment. The project aims remove and dispose of exis�ng hoop frame and tensioned fabric on the north half of the concrete pad and replace it with a post frame building to cover the en�rety (both halves) of the pad.

Background In 2011, a 194’ x 63’ reinforced concrete pad was constructed adjacent to a manure basin at the Stra�ord EIDMRU - USDA farm. The pad was originally intended to hold solid manure byproduct but only farm equipment has been stored on the pad since. The pad features 10-inch thick, 6-foot-high walls along the north, east, and west perimeter. A tensioned fabric structure (hoop structure) was installed to cover the north half of the pad 100’ x 63’, requiring reinforcement of the east and west half-walls with 18 concrete piers to accommodate the structure's reac�ons. The southern half of the pad remains uncovered.

mailto:joseph.hattamer@usda.gov mailto:loubna.harms@usda.gov

Note: original Install of exis�ng concrete piers involved removal of unsuitable soil below the botom of the 18 foo�ngs and replacing it with compacted structural fill.

Site Visit Interested par�es are strongly encouraged to visit the site of the proposed work and review the exis�ng condi�ons rela�ng to construc�on and labor, to be fully informed as to the facili�es involved, and the difficul�es and restric�ons that may affect the performance of the Contract. A pre-bid site visit will be coordinated by the COR. Failure to visit the site will not disqualify those submi�ng a proposal. However, change order requests for items that could have been reasonably ascertainable from a site visit (and included in a proposal) will be reviewed by the CO and evaluated accordingly.

Contract Scope The project shall be in accordance with this Statement of Work and the FAR Solicita�on and Contract clauses that are iden�fied in the complete Solicita�on package. This Statement of Work (SOW) shall consist of this “Scope of Work Descrip�on”, Atachments, General Notes and Standard Requirements, Photographs of Exis�ng Condi�ons, and Project Specifica�ons.

A. The repairs shall be performed in a neat, workmanlike manner to provide code-compliant, complete, properly func�oning installa�on, to include measures such as dust abatement and preserva�on of neighboring research fields.

B. Contractor shall be responsible for all project waste including hauling away, direc�ng waste to recycle, and legally disposing of remaining waste. See Project Specifica�ons for addi�onal informa�on on requirements for direc�ng waste to recycle.

C. Contractor shall provide all materials and components needed for the indicated repairs. Contractor shall provide a material approval submital of product data as indicated in the Project Specifica�ons and Schedule of Material Submitals (see Atachments).

D. A�er project award, the Contractor shall inspect / confirm all exis�ng condi�ons and dimensions prior to proceeding with any project ac�vi�es and iden�fy all exis�ng condi�ons that may impact the work and alert the CO and EPM immediately if condi�ons are discovered that differ from the SOW.

Contractor shall point out discrepancies between work iden�fied in this SOW and actual field-verified condi�ons--if they exist, prior to performing work. Items not iden�fied in SOW may be treated as unforeseen condi�ons and priced in accordance with standard FAR contract clauses.

Coordinate with loca�on for laydown and staging areas.

Schedule The work shall commence within 30 days from the receipt of the No�ce to Proceed, proceed diligently, and be completed no later than 60 days from the No�ce to Proceed. The Contractor will coordinate with the Government for the es�mated start date to ensure minimal disturbance to the residents. Work shall be performed Monday through Friday between the hours of 7:00 AM to 4:00 PM and no work shall be done on weekends or Government holidays unless otherwise approved by the COR. All submitals to include safety and product submitals shall be submited, reviewed, and accepted within 14 days of No�ce to Proceed.

Technical Requirements General

A. The furnishing and installa�on of all improvements indicated shall be complete in every respect, properly opera�ng and ready for use. All work shall be coordinated and scheduled to avoid disrup�ng and jeopardizing ongoing research. Coordinate access to space with COR.

B. The performance of renova�ons and improvements shall be coordinated and scheduled to avoid disrup�ng and jeopardizing ongoing research.

1. Contractor shall coordinate with COR or Loca�on Monitor designated by CO any orderly shutdown of scien�fic equipment, machines and computer equipment as needed for the performance of the contracted work.

2. Contractor shall coordinate with COR or Loca�on Monitor designated by CO any moving of scien�fic equipment, machines and computer equipment as needed for the performance of the contracted work.

3. Contractor shall coordinate with COR any orderly closing or rerou�ng of roads or access paths as needed for the performance of the contracted work.

C. When renova�ons and improvements are performed within an Owner-occupied space; adequate protec�on of sensi�ve equipment, machines and computers shall be implemented.

D. Contractor shall u�lize appropriate personal protec�on equipment (PPE) during the performance of the Work.

E. New and renovated installa�ons shall be labeled in accordance with ANSI standards.

F. Contractor shall provide final cleaning of project area, see specifica�ons for addi�onal informa�on. Final cleaning shall be to a “broom swept” quality.

Materials A. Basis-of-design products are indicated in this SOW to convey a specified standard of quality and salient characteris�cs desired but are not to be considered a single- source specifica�on. Contractor-proposed equals will be considered.

• The Contractor must compare and validate that quality and salient characteris�cs are equal and approve the proposed equal products prior to submission for Government review and approval.

Addi�onal work required to incorporate Contractor-proposed equals shall be at the Contractor’s expense.

• Owner will review all Contractor-proposed equal equipment, materials, manufacturers, or installa�on. It shall be the Contractor’s burden to furnish all documenta�on and / or samples to show equality with specified items. Owner’s decision on equality is final. Manufacturers / products that are submited as “Approved Equal” are reviewed during the shop drawing process, not during bidding.

B. Submitals / product data / shop drawings shall be submited as indicated in the Project Specifica�ons. Submitals shall be reviewed by USDA for general conformance with the Contract Documents. Markings for comments and approval of the submitals by USDA shall not be construed as releasing the Contractor from compliance with the specified requirements.

• Use ARS submital/transmital form included with this SOW for each submital.

• All submitals shall be distributed to and reviewed by the Government prior to commencing work at the site. Purchase of materials prior to submital approvals are at the Contractor’s risk.

• See Project Specifica�ons for requirements on documen�ng Contractor’s effort in diver�ng waste to recycle.

All products shall be new, unused and to the sa�sfac�on of the COR. In addi�on, construc�on material shall be produced domes�cally or manufactured domes�cally in accordance with the Buy American Act.

THE CONTRACTOR SHALL SUPPLY ALL OTHER NECESSARY MATERIALS TO PROPERLY EXECUTE THE

CONTRACT REQUIREMENTS.

ALL MATERIAL SHALL BE INSTALLED ACCORDING TO MANUFACTURER RECOMMENDATIONS

Execu�on A. The Contractor shall furnish all labor, materials, equipment, supplies, transporta�on, u�li�es, supervision, *safety equipment, and incidentals for all elements of the work to provide a complete and properly func�oning installa�on in accordance with this Statement of Work. The installa�on shall be ready for use by Final Comple�on date.

* Note: Contractor is solely responsible for safety measures and conformance to applicable requirements in accordance with FAR clauses referenced in Solicita�on package.

Contractor shall provide all means and methods to protect the facility and its installa�ons from all project ac�vi�es, including protec�ng the facility from environmental elements as the improvements are completed.

The Contractor shall submit a detailed plan for dust mi�ga�on and containment to the Government for review prior to star�ng any on-site project ac�vi�es. See Project Specifica�ons for addi�onal informa�on on requirements for submitals.

B. The Contractor shall coordinate all work ac�vi�es with the COR prior to beginning any work. All work shall be scheduled in a manner such that minimal disturbance is experienced by the residents. and facility’s ongoing day-to day opera�ons are not affected nega�vely, including air quality.

• Project site shall be le� clean at the end of each workday.

• Contractor shall coordinate access to all areas with the designated USDA staff.

• During pre-construc�on mee�ng, Contractor shall verify all parking, security, and health requirements with the USDA staff.

• Coordinate with loca�on for laydown and staging areas.

Demoli�on The contractor shall remove and legally dispose of the exis�ng material and equipment iden�fied below in accordance with all federal, state, and local laws and regula�ons. The contractor shall perform the following:

- Remove and dispose of the exis�ng tensioned fabric structure covering the northern half of the concrete pad.

- Safely dismantle and dispose of the hoop structure while preserving the integrity of the perimeter walls and support piers.

- Ensure that demoli�on ac�vi�es do not compromise the structural stability of the exis�ng concrete pad or surrounding features.

Note:

1. When demolished material is accumulated during the performance of renova�ons and improvements; demolished material shall be removed and legally disposed. See specifica�ons for addi�onal informa�on regarding diver�ng project waste to recycle.

2. Where exis�ng installa�on becomes abandoned during the performance of a renova�on and/or improvement and this exis�ng installa�on is readily accessible (i.e. exposed installa�on or above accessible suspended ceiling); the exis�ng installa�on shall be removed.

3. Removal of exis�ng installa�on(s) shall include the removal of associated moun�ng hardware and patching holes from hardware removal.

Construc�on The contractor shall install all materials and equipment in accordance with the applicable codes, the manufacturer’s specifica�ons and in a manner that is consistent with the industry standards for each applicable trade. The contractor shall perform the following ac�ons under this SOW:

Design and Structural Requirements:

a. Founda�on design ► Evaluate the condi�on of the exis�ng concrete pad, concrete walls, piers, and foo�ngs and assess the exis�ng concrete pad for any structural integrity issues.

► Founda�on design shall ensure adequate support for the structure, including soil condi�ons considera�ons.

► Any structural enhancements to the concrete pad shall be included in the proposal.

b. Structural components ► The building shall be designed as a pre-engineered, post frame structure, to cover the 194’ x 63’ concrete pad u�lizing wood as ver�cal supports.

► The building shall have 29-gauge G90 galvanized roofing and siding panels.

► Design side walls to par�ally or en�rely have a clear polycarbonate panel skylights to allow for natural light. Government approval must precede fabrica�on.

► The north and south end walls shall be open without siding but for the gable end trusses.

► The final the eave height and interior clearance shall be least 15 feet.

► The structural system shall meet all wind and snow loads and roof pitch requirements, per state and local building codes and regula�ons including Wisconsin Administra�ve Code chapter Comm 21 and Interna�onal Building code IBC.

c. Roof Design:

► The roof shall be designed to accommodate snow loads common to the region, considering factors such as roof pitch and dri� condi�ons.

► Design the structure to have 29-gauge G90 galvanized roofing and siding panels.

► Roof trusses or ra�ers shall be spaced adequately to support the roofing material and an�cipated loads.

► Design guters and downspouts as to divert runoff from the manure lagoon and the floor drain.

d. General Design & Load considera�ons:

► Roof Pitch 4/12 ► Snow Load

Ground snow load = 30 psf.

Snow exposure factor, Ce = 0.9 (Exposure C) Snow thermal factor, Ct = 1.0 Snow importance factor, Is = 1.1

► Wind Load Basic Wind Speed =107 mph Exposure Category = C

► Seismic Load Seismic design will be by the equivalent lateral force procedure per ASCE 7.

Contractor to verify design load requirements per local codes and environmental condi�ons.

► Develop detailed plans for the post frame metal building, ensuring compliance with local building codes and regula�ons. Plans must be submited for government approval prior to fabrica�on including metal panel paint colors (see atachments for submital form).

Site Prepara�on:

► Clear the construc�on area of any debris or obstruc�ons (see demoli�on ac�ons).

► Ensure proper drainage around the perimeter of the concrete pad, runoff is diverted away from the manure lagoon, and diverted from the floor drain.

Fabrica�on and Installa�on:

► Fabricate according to design specifica�ons. Metal panels shall be 29-gauge G90 galvanized steel, they shall be factory painted with a standard color to match surrounding metal buildings (Red and

White)

► Fabricate the structural components, and steel roofing and siding components off-site according to approved design specifica�ons.

► Transport fabricated components and all required materials and equipment to the site.

► Install the metal frame structure to fully cover exis�ng concrete pad. Procure all necessary materials for its construc�on.

► The building shall be anchored securely according to design using appropriate anchor bolts or fasteners.

► Ensure proper alignment and anchoring of the building to the concrete walls as appropriate.

► Install 29-gauge G90 galvanized sheathing and clear polycarbonate panel skylights as designed.

Government approval must precede fabrica�on.

► Conduct a final inspec�on of the completed structure to ensure compliance with all specifica�ons.

► Address any outstanding issues or deficiencies iden�fied during the inspec�on.

General Notes and Requirements

Pre-Construc�on Mee�ng Prior to the start of any work, the COR will schedule and conduct a “Pre-Construc�on Conference” or “Pre-Con” mee�ng. The Contractor’s Project Manager and Quality Control Personnel will atend this mee�ng. This conference will be held at the �me and loca�on agreeable to the government and contractor. No work may be performed under this contract prior to this conference. The purpose of the conference is to enable the COR to outline the procedures that will be followed by the Government in its administra�on of the contract, and to discuss the performance that will be expected from the Contractor. This conference will allow the Contractor an opportunity to ask ques�ons about the Government’s administra�on and inspec�on of contract work or obtain other per�nent informa�on that might be required. At the Pre-Construc�on conference the contractor shall provide the name of the project superintendent with a telephone number for project coordina�on.

The following is a general list of items for discussion during this Pre-Construc�on

Conference:

• Authority of the Contrac�ng Officer Representa�ve COR and Quality Assurance Inspectors.

• Contractor’s Safety Program (including sub-contractors).

• Accident Preven�on Plan and Ac�vity Hazard Analysis (Submited & accepted prior to start of work on site).

• Fall Protec�on and Preven�on Plan.

• Safety Mee�ngs.

• Accident Repor�ng.

• Safety Data Sheet (SDS) requirements.

• Contractor’s Equipment.

• Correspondence, Communica�on, Security and Administra�ve Procedures.

• Invoice and payment.

Contract Performance Receiving, Storing and Staging of Materials The contractor is responsible for protec�ng any stored material un�l it is placed in service. The contractor is responsible for receiving and unloading of delivered goods. Government employees will not receive materials or supplies for the contractor and will not be responsible for damage to the contractor’s equipment or materials.

Permits The Contractor shall, without addi�onal expense to the Government, be responsible for obtaining any necessary licenses, permits, and leters of cer�fica�on. The Contractor shall comply with any applicable Federal, State, County, and Municipal laws, codes, and regula�ons in connec�on with the performance of the work specified under this contract.

Security The contractor will comply with all established security policies at the Environmentally Integrated Dairy Management Research Unit (EIDMRU) in Stra�ord, WI. the Government reserves the right to close any property or por�on of property and reschedule and/or cancel any subsequent service. The Contractor shall be given at least 24-hours’ no�ce of any such closure.

Buildings and Asset Protec�on Any involved building or structure, and all of its contents shall be protected from the elements during the dura�on of this contract. The contractor shall keep on site the means to quickly cover and protect all unforeseen weather-related event that could cause damage to the building and or any of its contents during all phases of this contract.

The contractor shall be responsible for restoring all Government facili�es or structures damaged as a result of the contractor’s opera�on. The contractor shall also be responsible for any damage to private property or injury to any person as a result of the contractor’s opera�on. The contractor shall no�fy the COR immediately of damage to Government and private property and injury to any person resul�ng from the contractor’s opera�on, or any damage to Government facili�es due to vandalism or other causes on the day such damage is first no�ced. Trucks and/or trailers will be driven on exis�ng roads only and not across or through park areas to facili�es. The Contractor shall also restore landscape features (shrubs, flowers, grasses, etc.), which are damaged or destroyed by the contractor’s opera�on. Damaged or destroyed grass areas shall be re-planted as directed by the Technical Point of Contact, and shrubs and flowers which are damaged or destroyed shall be replaced from nursery stock of like size and kind.

Contractors’ Personnel

• Minimum Personnel Requirements - The Contractor shall provide an adequate number of fully qualified personnel to perform the specified service properly and efficiently within the �me limits specified. The Contractor shall provide a list of the names and contact phone numbers for all employees prior to them working on Government Property.

• Employee Conduct - The Contractor shall be responsible for seeing that the firm’s employees strictly comply with the Code of Federal Regula�ons Title 36, Chapter III, Part 327, and all federal, state, and municipal laws. Any personnel ac�vity, which, in the opinion of the Government, is deemed detrimental to the performance of the contract may result in the removal of Contractor employee/employees. Examples of unbecoming ac�ons or conduct include but are not limited to the following:

1) Cursing, harassment, or discrimina�on of and/or unwarranted physical contact with visitors, ARS or UW personnel, or other contractors

2) Recurring writen and/or verbal complaints from visitors, ARS or UW personnel, or other contractors.

3) Unsafe opera�on of vehicles while on ARS property.

• Removal of Contractor’s Employees - The COR may require the Contractor to immediately remove from the work site any employee of the Contractor or subcontractor, who, in the opinion of the COR, is incompetent, who endangers persons or property, or whose physical or mental condi�on is such that it would impair the employee’s ability to sa�sfactorily perform assigned work. No�fica�on to the Contractor shall be promptly made in wri�ng if �me and circumstances permit. Otherwise, no�fica�on shall be verbal or by telephone, and shall be confirmed in wri�ng as soon as possible. No such removal, however, will reduce the Contractor’s obliga�on to perform all work required under this contract, and immediate replacement will be made as required. This requirement shall not be made the basis of any claim for compensa�on or damages against the United States or any of its officers or agents.

Quality Assurance The contractor is responsible for the quality control of the contract work. The contractor shall establish and maintain a quality control system to assure compliance with the contract requirements. The government has the right to inspect and test all items called for by the contract, to the extent prac�cable at all �mes and at all places during the term of the contract.

Omissions This contract may not cover all specified ac�vi�es, steps, and procedures required to supply the contract product. In case of omission, the normal industry, state, or federal standards, prac�ces, specifica�ons, and/or guides shall prevail. In no instance shall an omission be reason to produce less than an acceptable product.

Documenta�on See Project Specifica�ons for requirements on construc�on progress documenta�on including, but not limited to daily reports, construc�on schedule(s), etc.

• Contractor shall prepare and submit to the Owner a combined construc�on schedule for the en�re project. The schedule be comprehensive, integrated, and fully developed. Contractor shall secure �me commitments for performing construc�on ac�vi�es from his subcontractors and suppliers prior to submi�ng the construc�on schedule. Contractor shall revise the construc�on schedule based on actual progress. Contractor shall submit to the Owner an updated the construc�on schedule at least monthly and upon request by Owner.

• Contractor shall prepare a daily construc�on report recording events at Project site. An electronic copy (pdf format) of the daily report shall be submited daily to the Contrac�ng Office Representa�ve (COR) / Engineering Project Manager (EPM) / Loca�on Monitor (LM). A copy of the daily report shall be sent weekly to the Contrac�ng Officer (CO) along with cer�fied payrolls (coordinate submission requirements with CO). The daily construc�on report must be dated and signed and should include the following:

A. List of subcontractors.

B. High and low temperatures and general weather condi�ons.

C. Accidents D. Stoppage, delays, and losses E. Orders and requests of authori�es having jurisdic�on.

Safety All work shall be conducted in accordance with the Research, Educa�on, and Economics (REE’s) Safety, Health, and Environmental Management Program (Policies and Procedures P&P 160.0 v1, most recent edi�on), and all applicable Occupa�onal Safety and Health Administra�on (OSHA), federal, state, and local safety and health requirements. A copy of P&P (160.0 v1) can be accessed upon request from the COR or by visi�ng the Agricultural Research Service ARS Facili�es Division website using the following link:

htps://www.ars.usda.gov/ARSUserFiles/FD/SHEMB/P%20and%20P%20160/P%20and%20P%20160%20S afety,%20Health%20and%20Environmental%20Program.pdf https://www.ars.usda.gov/ARSUserFiles/FD/SHEMB/P%20and%20P%20160/P%20and%20P%20160%20Safety,%20Health%20and%20Environmental%20Program.pdf https://www.ars.usda.gov/ARSUserFiles/FD/SHEMB/P%20and%20P%20160/P%20and%20P%20160%20Safety,%20Health%20and%20Environmental%20Program.pdf the Contrac�ng Officer reserve the right to cease work at any �me should the safety of employees, Contractors, and/or the public become jeopardized.

Ac�vity Hazard Analysis (AHA) An AHA shall be submited for each major phase of work. A major phase of work is defined as an opera�on involving a type of work presen�ng hazards not experienced in previous opera�ons or where a new subcontractor or work crew is to perform the work. The analysis shall define all ac�vi�es to be performed, iden�fy the sequence of work, the specific hazards an�cipated, and the control measures to be implemented to eliminate or reduce each hazard to an acceptable level. The AHA shall be con�nuously reviewed and revised to address changing site condi�ons as appropriate.

Accident Preven�on Plan The Contractor shall prepare an Accident Preven�on Plan (APP) specific to the ac�vi�es being performed. It shall include Ac�vity Hazard Analyses (AHAs) as described below.

A preparatory mee�ng shall be conducted by the prime contractor to discuss the APP contents with all effected onsite employees. The Prime Contractor is responsible for informing their subcontractors of the safety provisions under the terms of the contract.

Fall Protec�on

• General: The requirements of this sec�on are applicable to contractors when their employees are working at heights above 6 feet, exposed to fall hazards, and/or using fall protec�on equipment.

Every contractor is responsible for establishing, implemen�ng, and managing a fall protec�on program.

• Submitals: A site-specific Fall Protec�on and Preven�on Plan is required to be submited and approved by the Government Designated Authority (GDA) prior to any work being completed at heights. USACE will provide a non-mandatory, fillable template plan. However, the contractor is permited to submit their own plan, at a minimum it must address the items listed in below:

1) Du�es and responsibili�es. Iden�fy Competent Persons (CP)s and Qualified Persons (QP)s and their responsibili�es and qualifica�ons;

2) Descrip�on of the project or task performed;

3) Training requirements to include safe use of fall protec�on equipment;

4) An�cipated hazards and fall hazard preven�on and control;

5) Loca�on of an�cipated anchorages that will be installed during the project;

6) Rescue plan and procedures;

7) Design of anchorages/fall arrest and horizontal lifeline systems:

8) Inspec�on, maintenance, and storage of fall protec�on equipment;

9) Incident inves�ga�on procedures;

10) Evalua�on of program effec�veness;

11) Inspec�on and oversight methods employed.

*NOTE: It is realized that means of fall protec�on for the first person establishing anchorages can be difficult. In this situa�on, fall protec�on may not be required while the individual is installing the ini�al anchorage point. Once this is installed, fall protec�on is required. These ac�vi�es need to be addressed in the AHA and Fall Protec�on and Preven�on Plan.

• Competent Person (CP): The person designated in wri�ng by the employer to be responsible for immediate supervising, implemen�ng, and monitoring of the fall protec�on program, who through training, knowledge and experience in fall protec�on and rescue systems and equipment, is capable of iden�fying, evalua�ng and addressing exis�ng and poten�al fall hazards and, who has the authority to take prompt correc�ve measures with regard to such hazards. The CP shall:

1) Be onsite at all �mes while work at height is being performed;

2) Be trained in accordance with EM 385-1-1, Sec�on 21.C.04, to include a minimum of 24 hour

CP in fall protec�on training made up of classroom and prac�cal hands-on components.

3) Prepare, update, review and approve fall protec�on and preven�on plans;

4) Review procedures as workplace ac�vi�es change to determine if addi�onal prac�ces, procedures, or training need to be implemented; Supervise the selec�on, installa�on, use and inspec�on of non-cer�fied anchorages;

5) Verify End Users who work at heights are trained and authorized to do so;

6) Inspect fall protec�on equipment at the frequency required by the manufacturer.

• Qualified Person (QP): A person with a recognized degree, or professional cer�ficate, with extensive knowledge, training and experience in the fall protec�on and rescue field who is capable of designing, analyzing, evalua�ng and specifying fall protec�on and rescue systems. The QP shall:

1) Be trained to the applicable level;

2) Provide technical support for the fall protec�on program;

3) Have advanced understanding and knowledge of the requirements, equipment, systems, physical sciences, and engineering principles that affect fall protec�on and rescue systems;

4) Supervise the design, selec�on, installa�on and inspec�on of cer�fied anchorages and horizontal lifelines;

5) Be qualified to select proper fall protec�on and rescue equipment;

NOTE: CPs may only approve non-cer�fied anchorages that are capable of holding 5000 lbs. All other anchorages and horizontal lifelines must be cer�fied by a QP.

• End User: A person who has been trained and authorized by the employer on the use of assigned fall protec�on equipment in a typical fall hazard situa�on. They must have an understanding of workplace ac�vi�es and follow the policy, procedures, and instruc�ons of the Competent Person regarding the use of fall protec�on, rescue systems, and related equipment. They shall:

1) Be trained by a CP, to include hands-on training and prac�cal demonstra�ons.

2) Bring all unsafe or hazardous condi�ons or ac�ons that may cause injury to them or others, to the aten�on of the CP;

3) Properly use, inspect, maintain, store and care for their fall protec�on equipment and systems;

4) Inspect all fall protec�on equipment or damage or defects, prior to each use.

5) Understand the nature of fall hazards in the work area and how to properly mi�gate them;

6) Calculate free fall distances and clearance requirements of fall protec�on systems;

7) Understand the site-specific rescue procedures;

• Personal Fall Arrest System Requirements (PFAS): All PFAS shall meet the requirements contained in ANSI Z359, Fall Protec�on Code, to include fall restrain and posi�oning systems. A PFAS consist of a full body harness, connec�ng means, and an anchorage system. Generally, this equipment is cer�fied for users within the capacity range of 130 to 310 lbs, including the weight of the worker, equipment, and tools. A CP shall inspect the equipment at least once semi-annually and whenever the equipment is subject to a fall or impact.

• Full body harnesses shall meet the requirements of ANSI Z359. Body belts and full body harnesses mee�ng only the requirements of the ANSI A10.14 shall not be used. All full body harnesses shall be equipped with Suspension Trauma Preventers such as s�rrups, relief steps, or similar in order to provide short-term relief from the effects of orthosta�c intolerance.

• All energy free fall energy absorbing lanyards shall meet the requirements of ANSI Z359.13.

• NOTE: When an anchor point is below the dorsal D-ring, a free fall (FF) distance greater than 6 � (1.8

m) is created. For these situa�ons, a 12 � (3.6 m) FF energy absorbing lanyard shall be used in accordance with manufacturer’s instruc�ons and recommenda�ons. A 12 � (3.6 m) FF energy absorbing lanyard does not refer to them lanyard length. Instead, it refers to a FF that is greater than 6 � (1.8 m) up to 12 � which is created by the anchor point being located below the dorsal D-ring.

The maximum length of the lanyard used shall not exceed 6 �. (See Figure 21-4 in the EM 385-1-1.

• Self-Retrac�ng Devices (SRDs) shall meet the requirements of the ANSI/ASSE Z359.14.

• All scaffolding, aerial work pla�orms, scissor li�s, or similar must be used in accordance

Manufacturer recommenda�ons.

Emergency Response Emergency procedures shall be documented in the Accident Preven�on Plan and will include a map with direc�ons to the nearest hospital, emergency contact numbers, and onsite First Aid/CPR responders.

Accident Repor�ng All accidents and near misses shall be inves�gated by the Contractor. All work-related recordable injuries, illnesses and property damage accidents (excluding on-the-road vehicle accidents), in which the property damage exceeds $5,000.00, shall be verbally reported to the COR within four (4) hours of the incident (by phone or in person). Accident Inves�ga�on Form shall be completed and submited to the COR within five (5) working days of the incident (see Atachments).

Required Personnel The Contractor shall employ a minimum of one Competent Person (CP) at each project site to func�on as the Site Safety and Health Officer (SSHO). The SSHO shall be present at the project site and report to the contractor’s upper management. The SSHO is required to have related construc�on experience and have at a minimum completed a 10 Hour OSHA training.

In addi�on, when emergency medical services are not accessible within five (5) minutes of the work loca�on and there are two (2) or more workers onsite, at least two (2) employees shall have (in-person) training in First Aid and CPR.

Personal Protec�ve Equipment It is the contractor’s responsibility to furnish and supply personnel with the proper personal protec�ve equipment necessary for performing the work.

Clean Up and Waste The contractor shall prac�ce good housekeeping to maintain a safe job site. The contractor shall keep the work area, including any designated storage areas free from accumula�on of waste materials. Upon comple�ng work in an area, the contractor shall remove any tools, equipment, and materials that are not the property of the Government. Any and all disturbed areas resul�ng from contractor ac�vi�es shall be restored by the contractor to the sa�sfac�on of the COR. All waste material will be disposed of offsite in accordance with all Federal, State, and Local regula�ons.

Environment Protec�on Containers for excess and/ or waste materials, rubbish, etc. shall be provided by the contractor at the site, and the site will be inspected/ cleaned on a daily basis. No burning is permissible. Water, air, and land resources shall not be adversely impacted during the course of the work. Contractor will take necessary steps to ensure all federal, state, and local environmental regulatory requirements are met.

Atachments

Photographs

Areal of Existing Concrete Pad and Hoop 1

Northwest View Closeup

Northwest View of Existing Piers

Support Base Connection View 1 Support Base Connection View 2

Drawings

As built drawings of 2011 project. Relevant sheets have been marked in with a red marker (see atachment).

Forms The following Forms are atached in this order:

Replaced Component Form AD-107 form BUILDER’s Recently Replaced Component form Material Approval Submital form Accident Inves�ga�on Form

Urt'le<I St:alK Departnertor ,tq1Cl.lb.re

Report of Transfer or Other Disposition or Construction of Property

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- Item De&Cffptlon (Of Prop. NO.) (GIYe N Detal511'1C11dng Seda! Nlll'l0ef5., Ir My. and COrd.ton COCle}

Certifications of Propert)o and Fiscal Officers

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1- ,-n.,c,,,.._..,. .....,_,,..-o,u�. Form M:>107 (11189)

BUILDER Facility Condition Assessments Recently Replaced Component Form (Not Repairs)

Location/Site name:

Building (CPAIS Asset ID):

Submitted by:

Contact information:

System Equipment Year Installed Location/Room Quantity/Area

Serial Number Model Manufacturer Comments Attachments

Old item

New item

Old item

New item

Old item

New item Notes: 1. If the equipment is not replacing another piece of equipment please use the new installation form

2. Please use this form for equipment replacements as well as building improvements (i.e. roofing, window, or facade replacement projects) greater then $75,000

3. Please provide a PDF of any documents associated with the new install

4. Some columns may not be applicable depending on what is being added

5. If you have suggestions on improvements/questions regarding this form email them to Joshua.Nye@USDA.GOV or call 301-504-1173

Date: ______________________ mailto:Joshua.Nye@ARS.USDA.GOV Joshua.Nye Stamp

Joshua.Nye Stamp

Joshua.Nye Stamp

MATERIAL APPROVAL SUBMITTAL

TO: USDA/ARS CO

CC: A&E, COR

FROM: (Contractor) CONTRACT NUMBER:

(To be completed by the Contractor) Government Use Only

SUBMITTAL

NUMBER:

PREVIOUS SUBMITTAL NUMBER

(only if items listed were submitted previously):

A&E

Recommendation

COR/EPM

Recommendation

Contracting Officer Approval/Disapproval

Line

No.

Specification Sect.

Para No., Draw No.

Description of Material

(Include type, model, mfg) APP

See

Comments on Reverse APP DISAP

See

Comments on Reverse APP DISAP

See

Comments on

Reverse

If an item is disapproved, a resubmittal is due within ________ calendar days of the Contracting Officer’s signature below.

Contractor A&E COR/EPM Contracting Officer TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE TYPE or PRINT NAME & TITLE

SIGNATURE: SIGNATURE: SIGNATURE: SIGNATURE:

DATE: DATE: DATE: DATE:

By completing this form, the above signed contractor certifies that the material complies with all specifications of the subject contract.

DATE RECEIVED FROM KTR: DATE RECEIVED FROM A&E: DATE RECEIVED FROM COR:

Material Approval Submittal Cover Sheet (11/2016)

PROJECT TITLE:

N-A

N-A

N-A

N-A

CONTRACT #: SUBMITTAL #:

COMMENTS

Instructions: Enter the initials of the individual making the comment, the Line Number of the item for which the comment is being made, and the comment.

Material Approval Submittal Cover Sheet (11/2016) (Reverse)

1 | P a g e

ACCIDENT INVESTIGATION REPORT

USDA/ARS/MIDWEST AREA

EMPLOYEE

Name:

Age: Position/Title:

Injury, body part:

Medical Facility:

Employee’s Supervisor:

Location/Unit:

BACKGROUND

Date of Accident: Time of Accident:

Location:

Equipment Involved:

Equipment/Contributing Factors:

2 | P a g e

USDA/ARS/MIDWEST AREA

ACCIDENT DESCRIPTION

3 | P a g e

USDA/ARS/MIDWEST AREA

WITNESSES AND/OR POC

Name:

Position/Title:

Name:

Position/Title:

Name:

Position/Title:

Name:

Position/Title:

ACTIONS OR MEASURES THAT COULD HAVE PREVENTED THE ACCIDENT

WHAT ACTIONS ARE BEING TAKEN TO PREVENT REOCCURRENCE?

United States Department of Agriculture

Report of Transfer or Other Disposition or Construction of Property

Report No.

Date

3. Proceeds Received

1. Type of Transaction (Report each type separately)

Transfer Sale Trade In Donation

Construction Rehab As-Is

2. Authorization Reference

4. Reporting Agency 5. Receiving Agency (Or Name of Purchaser or Donee)

A. Organizational Unit

B. Location

C. Signature

D. Title

A. Organizational Unit (Or Address of Purchaser)

B. Location

C. Signature

D. Title E. Date

6. Property Items

Quantity (Or Prop. No.)

Item Description (Give Full Details Including Serial Numbers, If Any, and Condition Code)

Inventory Value

Certifications of Property and Fiscal Officers

7. Property Officer: This transaction is completed and the necessary entries have been made to adjust the property records proceeds, if any, are to be deposited to:

Signature Date

8. Fiscal Officer The sum indicated below has been received in payment for the property disposed of.

A.

B. The necessary entries have been made to adjust the accounting records.

Amount Schedule No.

Signature Date

Form AD-107 (11/89)This form was electronically produced by USDA/ARS/OCIO/EASB.

E. Date c:\\docume~1\\admini~1.for\\mydocu~1\\accounts\\usda2\\origin~1\\set8~1\\ad107.wpf

Administrator

D:20050908074918- 04'00'

D:20050915154759- 04'00'

United States Department of Agriculture

Report of Transfer or Other Disposition or Construction of Property

Report No.

Date

3. Proceeds Received

1. Type of Transaction (Report each type separately)

Transfer

Sale

Trade In

Donation

Construction

Rehab

As-Is

2. Authorization Reference

4. Reporting Agency

5. Receiving Agency (Or Name of Purchaser or Donee)

A. Organizational Unit

B. Location

C. Signature

D. Title

A. Organizational Unit (Or Address of Purchaser)

B. Location

C. Signature

D. Title

E. Date

6. Property Items

Quantity

(Or Prop. No.)

Item Description

(Give Full Details Including Serial Numbers, If Any, and Condition Code)

Inventory

Value

Certifications of Property and Fiscal Officers

7. Property Officer: This transaction is completed and the necessary entries have been made to adjust the property records proceeds, if any, are to be deposited to:

Signature

Date

8. Fiscal Officer

The sum indicated below has been received in payment for the property disposed of.

A.

B.

The necessary entries have been made to adjust the accounting records.

Amount

Schedule No.

Signature

Date

Form AD-107 (11/89)

This form was electronically produced by USDA/ARS/OCIO/EASB.

E. Date

1. Type of transaction (Report each type separately). Check if Transfer.: 0

Check if Sale.: 0

Check if Trade in.: 0

Check if Donation.: 0

Check if Construction.: 0

Check if Rehab.: 0

Check if As-Is.: 0

8. Fiscal Officer. A. Check if The sum indicated below has been received in payment for the property disposed of.: 0

B. Check if The necessary entries have been made to adjust the accounting records.: 0

Enter date using format mm/dd/yyyy.:

CheckAmt:

Inventory Value. Line 1.:

Inventory Value. Line 2.:

Inventory Value. Line 3.:

Inventory Value. Line 4.:

Inventory Value. Line 5.:

Inventory Value. Line 6.:

Inventory Value. Line 7.:

Inventory Value. Line 8.:

Inventory Value. Line 9.:

Inventory Value. Line 10.:

Inventory Value. Line 11.:

Inventory Value. Line 12.:

Inventory Value. Line 13.:

Inventory Value. Line 14.:

Inventory Value. Line 15.:

Inventory Value. Line 16.:

Inventory Value. Line 17.:

Inventory Value. Line 18.:

Inventory Value. Line 19.:

Inventory Value. Line 20.:

Inventory Value. Line 21.:

Inventory Value. Line 22.:

Inventory Value. Line 23.:

Inventory Value. Line 24.:

Inventory Value. Line 25.:

Inventory Value. Line 26.:

Inventory Value. Line 27.:

Inventory Value. Line 28.:

Inventory Value. Line 29.:

Inventory Value. Line 30.:

Amount.:

Report number.:

RemarksP2:

4. Reporting agency.:

4. Organizational unit.:

B. Location. :

D. Title.:

5. Receiving agency (Or name of purchaser or donee).:

A. Organizational unit (Or address of purchaser).:

B. Location.:

D. Title.:

Quantity (Or Prop. number). Line 1.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 1.:

Quantity (Or Prop. number). Line 2.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 2.:

Quantity (Or Prop. number). Line 3.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 3.:

Quantity (Or Prop. number). Line 4.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 4.:

Quantity (Or Prop. number). Line 5.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 5.:

Quantity (Or Prop. number). Line 6.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 6.:

Quantity (Or Prop. number). Line 7.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 7.:

Quantity (Or Prop. number). Line 8.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 8.:

Quantity (Or Prop. number). Line 9.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 9.:

Quantity (Or Prop. number). Line 10.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 10.:

Quantity (Or Prop. number). Line 11.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 11.:

Quantity (Or Prop. number). Line 12.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 12.:

Quantity (Or Prop. number). Line 13.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 13.:

Quantity (Or Prop. number). Line 14.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 14.:

Quantity (Or Prop. number). Line 15.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 15.:

Quantity (Or Prop. number). Line 16.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 16.:

Quantity (Or Prop. number). Line 17.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 17.:

Quantity (Or Prop. number). Line 18.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 18.:

Quantity (Or Prop. number). Line 19.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 19.:

Quantity (Or Prop. number). Line 20.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 20.:

Quantity (Or Prop. number). Line 21.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 21.:

Quantity (Or Prop. number). Line 22.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 22.:

Quantity (Or Prop. number). Line 23.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 23.:

Quantity (Or Prop. number). Line 24.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 24.:

Quantity (Or Prop. number). Line 25.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 25.:

Quantity (Or Prop. number). Line 26.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 26.:

Quantity (Or Prop. number). Line 27.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 27.:

Quantity (Or Prop. number). Line 28.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 28.:

Quantity (Or Prop. number). Line 29.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 29.:

Quantity (Or Prop. number). Line 30.:

Item description (Give full details including Serial numbers, If any, and Condition Code). Line 30.:

Certifications of property and fiscal officers. 7. Property records proceeds, if any, are to be deposited to::

Schedule number.:

SignatureField1:

SignatureField2:

SignatureField3:

SignatureField4: