Attachment 5 - Initial Headstone-Marker Raise and Realign Verification Survey.pdf
PDF 105 KB Posted
- Solicitation number
- 36C78625B0034
About this file
Attachment 5 is a verification survey form for headstone/marker raise and realign work at a national cemetery. The form requires the Contracting Officer's Representative (COR) or Cemetery Director to conduct an initial survey of all headstones/markers before work begins, using the Burial Register Report and Gravesite Layout Map. The survey requires documenting any discrepancies, resolving issues, and completing verification signatures.
The form mandates two key surveys: an initial survey before work starts and a daily verification survey prior to workday completion. Both surveys must be conducted using the same Burial Register Report and Gravesite Layout Map, with the purpose of ensuring accurate documentation and verification of headstone/marker raise and realignment work at the specified cemetery location.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT 5
INITIAL HEADSTONE/MARKER RAISE & REALIGN VERIFICATION
SURVEY
Station Number: __________ Date: __________________________
Cemetery: _______________ Cemetery Director: _______________
Contracting Officers Representative: ______________________________________
Instructions: The Contracting Officer’s Representative (COR) /Cemetery Director/Cemetery Foreman/ Work Leader/designee MUST conduct an initial survey of ALL headstones/markers included in the scope of work (SOW) before any work is performed. The COR/Cemetery Director/Cemetery Foreman/Cemetery Work Leader/designee will use the Burial Register Report and the Gravesite Layout Map(s) for the initial survey.
Discrepancy/Issue Identified: Y/N_______ Date: ____________________
All discrepancies/issues resolved Y/N ________ Date: ____________________
I certify that the Initial Headstone/Marker verification survey was completed by the COR/Cemetery Director/Foreman or Work Leader/designee. The Burial Register Report and the Gravesite Layout Map for the Cemetery and sections listed in the SOW were used to complete the survey.
COR/Director/Foreman/Work Leader/designee Signature: ______________________
Date: _________________
Prior to the completion of the workday, a Daily Headstone/Marker R&R Verification Survey MUST be completed by the COR/Cemetery Director/Cemetery Foreman/Work Leader/designee utilizing the same Burial Register Report and Gravesite Layout Map as used in the initial survey for ALL completed work.
File details come from the government source that posted it. Updated .