36C78620Q0185-017.docx

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S208--Eagle Point & Roseburg Shrine Project Federal contract opportunity
Solicitation number
36C78620Q0185
Issued by
Department of Veterans Affairs National Cemetery Administration

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36C78620Q0185 ATTACHMENT P Eagle Point daily headstone marker raise realign verification survey.docx

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ATTACHMENT P

DAILY HEADSTONE/MARKER RAISE & REALIGN VERIFICATION SURVEY

Station Number:__________Date:_____________________
Cemetery: _______________Cemetery Director: ________________

COR: ___________________

Instructions: Prior to the completion of the workday, the Cemetery Director/COR/Foreman/Work Leader/designee MUST perform a re-verification survey for ALL completed work of headstones/markers included in the scope of work. The Cemetery Director/COR/Foreman/Work Leader/designee will use the original Burial Register Report and Gravesite Layout Map used for the Initial Verification Survey.

List Sections and Headstones/Markers R&R: __________________________________ List discrepancy/issue: ___________________________________________________ All discrepancies/issues resolved: Y/N ______ Cemetery Director/COR/Foreman/ Work Leader/designee informed District Office Director and Contracting Officer of all unresolved discrepancies/issues: Y/N _______ By signing below, I certify the Headstone/Marker re-verification survey was completed.

Daily Headstone Verification:

Date: __________ Time Completed: ______________ COR/Director/Foreman/Work Leader/designee Signature: ________________________

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