SF_30_Amendment_03_Fire_Alarm_Project.pdf

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing items 8 and 15, and returning or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE

PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

E. IMPORTANT: is required to sign this document and returnis not,Contractor copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

5. PROJECT NO. (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

is not extended.is extended,The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO.

IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

7PQB

or 10A, as heretofore changed, remains unchanged and in full force and effect.Except as provided herein, all terms and conditions of the document referenced in Item 9A

GENERAL SERVICES ADMINISTRATION

PUBLIC BUILDING SERVICES

1919 SMITH ST. STE 1600

HOUSTON, TX 77044

SEE BLOCK 7

4. REQUISITION/PURCHASE REQ. NO.

9A. AMENDMENT OF

SOLICITATION NO.

47PH0521R0005

9B. DATED (SEE ITEM 11)

05/06/2021

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

5/27/2021

X

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of this amendment is to:

Provide updated version of Scope of Work SEE AS AMENDED SECTIONS IN ATTACHED SOW FOR CHANGES

Attach Past Performance Questionnaire

All other terms and conditions remain unchanged.

U.S. General Services Administration Public Buildings Service Greater Southwest Region

May 19, 2021

Scope of Work Amended

1. Project Title: Baton Rouge Federal Courthouse Fire Alarm Replacement; ePM 59275

2. Project Location: LA0006BT Baton Rouge Federal Courthouse 707 Florida St.

Baton Rouge, LA 70801 All Floors

3. Building Location Hours: Every attempt must be made to ensure normal building operations are not interrupted. Operating hours for this facility are from 6 am to 5:30 pm. Notify GSA Project Manager and Building Manager and the Building Lessor Management Team of any work that may cause disruption during the day. Approximately 80% or more of the work will occur after normal operating hours. If work during normal operating hours needs to be accomplished the Project Manager must be notified a minimum of 72 hours in advance.

4. Purpose: The General Services Administration (GSA), Region 7, requests a complete replacement of existing fire alarm system at the Baton Rouge Federal Courthouse located at 707 Florida ST. The 60,000SF building was built in 1933 and contains 3 stories plus a basement and mechanical mezzanine. The primary tenants for this historic building include the courts, marshals, Social Security and Department of Justice. The existing Simplex 4100 Fire Alarm (FA) system was installed in 1992. The horn strobe system had deficiencies and does not meet audibility of NFPA 72 or PBS P-100. The new "intelligent," FA voice evacuation and communication system shall fully comply with NFPA 72 and PBS P-100 in all areas of intelligibility, audibility, and ADA compliance and in accordance with attached Fire Alarm design pkg which includes Narrative, Drawings and Specifications. In addition, existing system is currently connected to the adjacent federal building which is part of a multi-building system. The adjacent connected building has a Siemens fire alarm systems panel and thus the new system should have a Siemens system panel installed as well.

5. Points of Contact:

5.1 Contracting Officer: Roderick Blouin

713-875-0632

5.2 Contract Specialist: Albert Thibodeaux

504-206-8757

5.3 Project Manager: Montrell Harris

1919 Smith St, Suite 1600 Houston, TX

713-476-8788

5.4 Property Manager: Michael Harvey

Baton Rouge, LA 225-663-4117

5.5 Fire Protection Engineer: John Mancuso

224 S. Boulder Ave Tulsa, OK 74103 817-978-0053

5.6 Other: R7 Security Clearance Coordinators

r7clearance@gsa.gov

6. Notice to Proceed:

6.1 The Contracting Officer is the ONLY individual from the Government that can give the contractor a notice to proceed.

6.2 Before any of the work within the scope of the contract is started, the Contractor shall confer with the COR (Contracting Officer’s Representative) and agree on a sequence of procedure; means of access to premises and building; delivery of material and use of approaches; use of corridors, stairways, elevators, and similar means of communications;

and the location partitions, eating spaces for Contractor’s employees and the like.

6.3 After a Notice to Proceed is given the Contractor has 15 calendar days to provide schedule.

7. Period of Performance: The total period of performance for this task order is 300 days), which does not includes 60 calendar days for required security clearances, pre-work submittals, and material ordering.

7.1 Contractor must initiate fitness determination process (security clearance) within 10 days of

Zone B HSPD-12 instructional email.

7.2 Material submittals must be submitted NLT: 30 days after award.

7.3 Material must be on site by: N/A

7.4 Required start date: Receipt of NTP; installation of actual devices in tenant spaces may differ according to access to the space.

7.5 Required substantial completion date: 300 after NTP

8. Description of Work: Specific project requirements are detailed in the attached design package.

No statements made herein are intended to conflict or supersede the requirements detailed in the design package Specifications, Drawings and Narrative. Please reference attached project Design package: Design Narrative, Drawings and Specifications.

8.1 Division 1 General Requirements

8.1.1 Work Sequence -.work sequence should follow approved construction project schedule:

8.1.2 Construction Daily Logs/Reports and Daily Toolbox meetings MUST be completed and conducted everyday work is being performed. The Daily log must be submitted to the PM/COR daily. (Attachment 2).

8.1.3 The Contractor shall develop a detailed plan and schedule (P&S) for performing all work associated with this contract.

8.1.3.1 The P&S shall be presented in Gantt chart form using Microsoft Project scheduling software.

8.1.3.2 P&S shall include:

8.1.3.2.1 A Gantt chart showing the construction time and the relationships, i.e.

task dependencies, between the individual activities. The activities shall be logically linked using the critical path method (CPM).

8.1.3.2.2 Individual bars shall be used to represent each activity such as mobilization, submittals, materials and equipment procurement and demobilization.

8.1.3.2.2.1 Each activity and activity description shall be in sufficient detail and logical sequence as to ensure coordination between GSA and the Customer.

8.1.3.2.2.2 Each activity shall identify the start date, finish date, duration, remaining duration, and total float in work days.

8.1.3.2.2.3 As a minimum, each item in the cost breakdown shall be represented as an individual bar on the Gantt chart.

8.1.3.2.2.4 Failure to include an element of work on the P&S shall not excuse the Contractor from completing all work required by this contract.

8.1.4 Daily clean up - All work-space, staging areas, areas used for moving materials, trash, tools, etc. are to be kept clean at all times. All trash from the day’s work is to be removed and work site clean and orderly.

8.1.5 Protection - Contractor is responsible for protection of existing finishes, utilities, etc.

in the facility, and must maintain a separation of work area from adjacent spaces.

Site is to be secured at end of day. Contactor shall be responsible for the security of the work site.

8.1.6 Agency security/access requirements –

8.1.6.1 The Contractor shall comply with GSA administrative, physical, and technical security controls to ensure that all Government’s security requirements are met.

In addition, all Contractor personnel shall adhere to the GSA PBS’s rules and regulations. The Contractor is responsible for addressing any issues or concerns raised by PBS within a one week turn around.

8.1.6.2 Work on this contract may require personnel to have access to Privacy Information. Personnel shall adhere to the Privacy Act, Title 5 of the U.S. Code, Section 552a and applicable agency rules and regulations.

8.1.6.3 The Contractor shall be responsible for properly protecting all information used, gathered, or developed as a result of work under the contract. In addition, the Contractor shall protect all government data, equipment, or information by treating the material as sensitive. SBU information, data, and/or equipment shall only be disclosed to authorize personnel. The Contractor shall ensure that appropriate administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, and/or equipment is properly protected. When no longer required, this information, data, and/or equipment shall be returned to Government control, destroyed, or held until otherwise directed. Items returned to the Government will be hand carried or mailed to the COR using certified mail. The Contractor shall destroy unneeded items by burning, shredding, or any other method that precludes the reconstruction of the material.

8.1.6.4 Contractor Suitability Requirements

8.1.6.4.1 Minimum Requirements:

8.1.6.4.1.1 In accord with OMB M-05-24, company must have any employees working in excess of six months within a facility cleared under HSPD-12 standards (adjudication to be confirmed) and be in possession or in the process of receiving a PIV (GAC) compliant credential.

8.1.6.4.1.2 Company must provide PIV-I credentials for any employees that work within any specific facility for less than six months. These individuals must have an adjudicated and valid NACI as sponsored by GSA.

8.1.6.4.1.3 The entity/entities(s) performing installation must be certified by the manufacturer, with up to date training certificates for the product which is to be installed for installation, warranty work and sales.

8.1.6.4.1.4 Company must have previous experience installing selected system within a government facility that is at least 100,000 sq feet, (30+) readers, multiple door types and hardware/locking mechanisms and be a Level 3 (FSL) or above.

8.1.6.5 Non-Disclosure Agreements: If determined to be required by the CO, Contractor, and their personnel shall be required to sign non-disclosure agreements (NDAs).

8.1.6.6 Organizational Conflicts of Interest: FAR Subpart 9.5, Organizational Conflicts of Interest, applies. If the CO determines that an offeror may have a potential organizational conflict of interest, then the Contractor shall be required to submit a mitigation plan and, if awarded, comply with any procedures put in place to avoid or mitigate conflicts.

8.1.7 Hazardous material: Asbestos and Lead Paint – There are areas in the building that contain both asbestos and Lead paint. Coordination between the COR, Property Manager and General Contractor is required in order to address any hazardous material that may be encountered during the installation of the devices.

The contractor’s design submittal shall be provided to the GSA Environmental Protection group. If the contractor’s design includes disturbance of any hazardous material, GSA Environmental will perform official survey and abate any hazardous material that may be affected by the installation of the new Fire Alarm system.

8.1.8 Please reference attached Design Documents: Design Drawings, Narrative and Specifications

8.2 Division 2: Existing Conditions

8.2.1 Please reference attached Design Documents: Design Drawings, Narrative and

8.3 Division 3: Concrete

8.4 Division 4: Masonry

8.5 Division 5: Metals

8.6 Division 6: Wood, Plastics, and Composites

8.7 Division 7: Thermal and Moisture Protection

8.8 Division 8: Openings

8.9 Division 9: Finishes

8.9.1 Please reference attached Design Documents: Design Drawings, Narrative and Specifications

8.10 Division 10: Specialties

8.11 Division 11: Equipment

8.12 Division 12: Furnishings

8.13 Division 13: Special Construction

8.14 Division 14: Conveying Equipment

8.15 Division 21: Fire Suppression

8.15.1 **As Amended** Replace all sprinkler heads (Sprinkler heads only, no piping) in the parking garage (Not to exceed 100 heads). These sprinkler heads are suspected to be the recalled Omega type sprinkler heads. Replace old heads with new, standard response upright sprinkler heads. Every effort MUST be made to protect vehicles that may be in the vicinity. Coordinate with building property management personnel in advance to ensure the minimum number of or no cars are in the garage during this activity. Any repairs caused by damage due to the overhead sprinkler work will be the sole responsibility of the Contractor.

8.15.2 **As Amended** Replace any observed damaged (painted, bent, corroded, loaded, etc.) sprinkler heads throughout the building. In addition, identify and adjust any observed sprinkler head drops and/or escutcheons throughout the building that are not aligned with ceiling, i.e., heads and/or escutcheons that are higher or lower than the ceiling. Damaged heads and adjustments should not exceed a total of 50 heads throughout the building.

8.16 Division 22: Plumbing

8.17 Division 23: Heating, Ventilation, and Air Conditioning

8.18 Division 25: Integrated Automation

8.19 Division 26: Electrical

8.19.1 Please reference attached Design Documents: Design Drawings, Narrative and Specifications.

8.20 Division 27: Communications

8.21 Division 28: Electronic Safety and Security

8.21.1 Fire Protection: No statements made herein are intended to conflict or supersede the requirements detailed in the design package Specifications, Drawings and Narrative. Please reference attached Design Documents:

Design Drawings, Narrative and Specifications.

8.21.2 Please note: the adjacent and adjoining Federal building located at 777

Florida St. is currently a Siemens XLSV system. These two building are interconnected and maintained and secured by the U.S. Marshals Service.

Therefore, the new system must be a Siemens systems in order for the adjoining building’s Siemens to interface and communicate with the new system. No other system will communicate with the existing Siemens system in the adjoining building. Thus, reference the attached Specifications, Section 28 31 11 Part 2, para 2.1A: 2.1 Manufacturers: All equipment and components shall be new and the manufacturer’s current model. Provide products indicated by the following manufacturers:

8.21.2.1 Siemens Building Technologies, Fire Finder XLSV

8.21.2.1.1 PAD-4 Remote Power Supply or approved equal.

8.21.3 The system SHALL be designed, laid out and stamped by Qualified FPE with a PE registration in Fire Protection or designed and laid out by a fire alarm NICET Level IV Technician, pending approval of the GSA FPE. Installation shall be accomplished by a certified distributor of the product submitted and shall have on staff a full time (NICET) Level IV Fire Alarm Systems Designer. The services of a NICET Level III Fire Alarm Systems Technician currently certified on the system to be installed by the fire alarm control equipment manufacturer shall be provided to supervise installation, adjustments, and tests of the fire alarm system.

8.21.4 The GSA Fire Protection Engineer will issue the design specifications for the actual Fire Alarm System. This will be provided before the NTP with the design of the plans. The designer shall provide drawings for the new, automatic Fire Alarm system in accordance with the NFPA 70, 72, 101 and GSA Facilities Standard P100.

8.21.5 The new, intelligent, addressable and emergency voice/alarm communication Fire Alarm system will be provided with separate auxiliary power supply panels as necessary to facilitate NFPA 72 requirements. The Fire Alarm system SHALL have the capability to make all-call announcements as well as selective floor announcements and be equipped with one, possibly two, remote annunciators.

8.21.6 The new system SHALL consist of manual pull stations, smoke detectors for elevator recall service, speakers, strobes and or speaker/strobes throughout, sprinkler system monitoring devices, and duct-type smoke detection for air-handling units (where applicable).

8.21.7 The new Fire Alarm system SHALL interface with other building systems such as elevator recall and shunt trip, if sprinklers are provided in the elevator equipment room, HVAC unit shut down, and any controlled egress door release, etc, where necessary. The new panel and all auxiliary power supply panels SHALL include sufficient battery standby power (150% above calculated value). A new digital alarm communicator SHALL be provided for monitoring purposes in accordance with NFPA 72 requirements. The fire alarm system shall be self-contained, stand alone system able to function independently of other building systems. If possible, the fire alarm control panel shall be installed in a Fire Command Center (a room separated from the remainder of the building by a 1-hr fire rated barrier).

8.21.8 Wiring SHALL be class A. (A minimum of 2-vertical SLC risers connected together such that a full Class A, Style 7 loop is provided continuous from the Fire Alarm Control Panel to the roof and back to the Fire Alarm Control.)

8.21.9 All fire alarm wiring shall be solid copper and installed in conduit. Minimum size conduit is ¾ inch. Stranded wire will not be permitted.

8.21.10 Conduit shall be electrical metallic tubing (EMT).

8.21.11 Speakers and speaker strobes shall typically be ceiling mounted. Ceiling mounted devices shall be supported from the grid as stated in the NEC and not from the ceiling tile itself.

8.21.12 All smoke detectors shall be installed a minimum of 3-feet from air supply or return diffusers

8.21.13 All conduit shall be supported per NEC.

8.21.14 Quantity, size, location and layout of notification power panels and amplifiers will be based on manufacturer’s recommendation, field conditions and actual amperage /wattage requirements of each floor. Each floor will have a dedicated SLC, Audio, and Visual circuits. This will allow for future zoning changes, ensure a high level of survivability and ease of maintenance.

8.21.15 Install an AC Disconnect Switch at or near each panel for ease of testing DC power. This institutional style switch shall be red and labeled “AC Disconnect Switch”.

8.21.16 One amplifier shall be supplied per bank of amplifiers for backup purposes.

8.21.17 Separation of voltages shall be maintained at all times.

8.21.18 All relays shall be located within 3-feet of what it is controlling.

8.21.19 Any additional notification appliances needed/required for NFPA 72 compliant coverage SHALL be provided and installed as part of this design project.

8.21.20 **As Amended** To ensure full, adequate fireman’s radio coverage throughout the building, perform the appropriate survey per the IFC, Section 510 to determine if a Bi-Directional Amplifier (BDA) system is warranted. If analysis of results determine that a BDA system is required, provide a current code compliant BDA system along with all associated wiring. All wiring shall be in conduit. Conduit shall not be visible unless there are no reasonable alternative. All penetrations and exposed conduit must be verified, and approval confirmed from the GSA Historical Preservation group.

8.21.21 **Amended** NOTE: GSA requires gutters of minimum size of Six (6) inches

8.21.22 The GSA Fire Protection Engineer (FPE) is the Authority Having Jurisdiction

(AHJ). Any Code deviations SHALL require the written approval from the

GSA FPE.

8.22 Division 31: Earthwork

8.23 Division 32: Exterior Improvements

8.24 Division 33: Utilities

9. Options: N/A

10. Liquidated Damages: $122.00/per day

11. Sustainability:

11.1 Green Purchasing: See attachment 1: green purchasing requirements

11.2 Waste Diversion: Fourteen days from Notice to Proceed, the Contractor shall submit to the

COR an updated Non-Hazardous Solid Waste Management Plan attachment 2: Waste Diversion Plan, to include (not limited to):

a) List of materials Contractor will reuse

b) List of materials the Contractor will donate and name and address of donation recipient.

c) List of materials the Contractor will recycle and the name and address of the recycler. If Contractor receives recycling revenue, Contractor shall keep revenue and provide receipt for GSA for reference.

d) Name and location of solid waste landfill for non-diverted material.

12. Other Requirements:

12.1 Purchase of Equipment

12.2 Building Specific Requirements: Determined by Building Property Manager

12.2.1 Parking

12.2.2 Building Specific Access Requirements

12.2.3 After-Hours Coordination

12.2.4 Loading Dock Use (During Duty & After-Hours)

12.2.5 Common Area Cleaning

12.2.6 Utility Outages

12.2.7 Hot Work Permits

12.2.8 Key Control

13. Submittals:

13.1 Critical Path Method Schedule to be submitted NLT 15 calendars after Notice of Award

13.2 Green Purchasing items: See Attachment 1

13.3 Waste Management/Diversion Submittal: Attachment 2

13.4 Daily Construction Log/Report to be provided Daily

13.5 Product Brochure information

13.6 Finish Schedule: N/A

13.7 Shop Drawings: To be submitted in accordance with the attached Design Documents:

Design Drawings, Narrative and Specifications

13.8 Safety Plan: Please reference attached Design Documents: Design Drawings, Narrative and Specifications

14. Attachments:

14.1 Attachment 1: Green Purchasing

14.2 Attachment 2: Waster Management/Diversion Plan

14.3 Attachment 3: Construction Daily Log/Report & Covid-19 Health Screening Report

14.4 Please reference attached Design Documents: Design Drawings, Narrative and

15. Closeout Plan:

15.1 Final Punch list complete

15.2 Customer Acceptance

15.3 Dimensioned Redline Drawing

15.4 Close Out Documents (O&M Manuals, Warranty, Certified payrolls and Release of Claims, Waste Diversion documentation)

15.5 Final Invoice

END OF SOW

Attachment 1: Green Purchasing

Sustainability:

● Green Purchasing:

o The contractor shall refer to the “Green Procurement Compilation” for all products being installed in federal facilities. The Green Procurement Compilation can be found at https://sftool.gov/greenprocurement. The standards found in this compilation shall guide all product purchasing decisions as they relate to federal facilities.

o The use of the following standards (“Key Sustainable Product” or “KSP” standards) is mandatory for all contracts and task orders. See https://sftool.gov/green-products/1037/key-sustainable-products for more details.

▪ Nylon Carpet: NSF-140 Platinum or Cradle to Cradle Bronze.

▪ Resilient Flooring (e.g. vinyl and linoleum): NSF-332 (any level) or Cradle to

Cradle (any level)

▪ Interior Latex Paint: Master Painters Institute (MPI) Extreme Green or Green

Seal 11.

▪ Acoustical Ceiling Tiles: > 15% post-consumer recycled content.

▪ Water-Consuming Equipment: WaterSense Certified.

A. For each KSP listed, the Contractor shall submit proof of compliance to the CO or his designee prior to the installation of the product or material. The CO’s designee shall verify compliance.

B. If the KSP materials listed above are 1) not reasonably available within a reasonable period of time; 2) fail to meet the performance standards set forth in the specification or fail to meet reasonable performance standards of GSA; or 3) are available only at an unreasonable price, only then can the Contractor use other types of products. In these cases the Contractor shall select products and materials, to the extent possible, which are the safest and most environmentally friendly. Exemptions must be submitted in writing and can only be approved by the CO.

Waste Diversion Plan (Anticipated):

Waste Diversion Report (Final) :

The general info in these gray cells replicates onto the Report tabs.

Project Name: ECC (estimated construction cost): Project Manager: ePM/ePMX Project # :

Project Short Description: PM email or phone: gBUILD Project # :

Building Number: Service Center / Field Office: Budget Activity: (list all applicable) RWA # :

Reuse* Recycle or Compost Donation

Asphalt 0 0 0 n/a Brick, Masonry, and Tile 0 0 0 n/a Cardboard 0 0 0 n/a Carpet, including Padding 0 0 0 n/a Ceiling tile 0 0 0 n/a Concrete 0 0 0 n/a Drywall/ sheetrock (unpainted) 0 0 0 n/a Metals 0 0 0 n/a Painted wood, drywall, or plywood 0 0 0 n/a Reusable items 0 0 0 n/a Roofing 0 0 0 n/a Soil, Rock, Land Clearing Debris 0 0 0 n/a Wood (unpainted) 0 0 0 n/a Other: ____________________ 0 0 0 n/a Other: ____________________ 0 0 0 n/a Other: ____________________ 0 0 0 n/a

0 0 0 n/a

Reuse is encouraged. Please list any items such as cabinets, doors, shelves, bricks, framing lumber, siding, fill material, misc. millwork, etc. planned for reuse.

Reuse Onsite

Material* (see weight conversion factors below)

50% 50% 50% 50%

Reuse Offsite

50% 50%

50% 50%

50% 50% 50%

50%

50% 50%

Total**:

Item

50% 50%

Actual Waste Diversion Report To be submitted during Project Close-Out

(Reports tab figures auto-populate this green section)

Landfilled (lbs) Total C&D material weight (Diverted +

Landfilled) (lbs)

Diversion Rate

Anticipated Waste Diversion Plan To be filled out and submitted Pre-Construction, with final Construction Documents

(PM or contractor populates this pink section)

Target Diversion Rate for each material, by weight

(Change to actual target(s) as needed) Diverted (lbs)

Diversion Method

Submittal Type:Project Waste Management Plan

Off-Site Recipient or Salvage/ Deconstruction Company

MontrellDHarris Typewritten Text Attachment 2

Volume-to-Weight Conversion Factor Reference Table

*Only non-hazardous materials need to be included in this document. C&D mandates governing GSA exclude hazardous materials such as asbestos or lead-containing paint.

**At substantial completion, the final number of (a) diverted tons, and (b) total non-hazardous C&D material tons must be reported via the ePMXpress Project Detail tab. ePMXpress powers GSA's tracking metrics.

Asphalt or composite roof shingles: 1 cubic yard = 731 lbs

If a hauler reports materials by volume, this table enables conversion to weight, for reporting actual diversion and disposal.

Asphalt paving: 1 cubic yard = 773 lbs

Rock, crushed: 1 cubic yard = 2,570 lbsCeramic tile, scrap, loose: 1 cubic yard = 1,214 lbs

Dirt or sand: 1 cubic yard = 929 lbs

Fiberglass insulation, loose: 1 cubic yard = 17 lbs

Concrete: 1 cubic yard = 860 lbs Wood: 1 cubic yard = 169 lbs

Brick, laid flat: 1 flat square foot = 20 lbs

Brick, loose: 1 cubic yard = 3,200 lbs. (1 cubic foot = 120 lbs) Sheetrock (drywall), loose: 1 cubic yard = 393.5 lbs

Mixed (composite) C&D material: 1 cubic yard = 417 lbs

ATTACHMENT 2: CONSTRUCTION DAILY REPORT/LOG

Construction Daily Log Date:

Contract Number: Title & Location: Report Number:

Contractor: Superintendent:

AM Weather: PM

Weather:

Max Temp (F): Min Temp (F):

Work Performed Today

Schedule Activity #

Work Location & Description Employer Number Trade Hrs

Job Safety

Was Job Safety/Toolbox Mtg held this Date? (If yes attach copy of the mtg minutes)

Yes No

Total Work Hrs on Job site, this date, include con’t sheets

Were there any lost time accidents this date?

Yes No

Was Crane/Manlift/Trenching/Scaffold/HV ELEC/High Work/Hazmat Work Done? Yes

No

Cum total of work hrs from previous report

Superintendent on site:

Yes No

Was Hazardous Material/Waste Released into the environment? (If yes attach description of incident and proposed action)

Yes No

QC Manager on site:

Yes No

Safety Manager on site:

Yes No

Schedule Activity #

List Safety Actions Taken Today/Safety Inspections Conducted

Safety Req’ts have been met

Yes No

Equipment/material received today to be incorporated in job (indicate schedule activity number) Schedule Activity #

Submittal

Description of Equipment/Material Received

Construction and plant equipment on job site today. Indicate hours used and schedule activity number.

Schedule Activity #

Owner Description of construction equipment used today (include make and model)

Schedule Activity #

Remarks/Other Information

Signature (Contractor/Superintendent & Company Name): Date:

COVID-19 DAILY HEALTH SCREENING REPORT

NAME TIME AREA WORKING TEMP Yes, to any

COVID-19

Questions

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PBS Past Performance Questionnaire July 2014

PBS PAST PERFORMANCE QUESTIONNAIRE

CONTRACT INFORMATION (Contractor/Offeror to complete Blocks 1-4)

1. CONTRACTOR/OFFEROR INFORMATION

Firm Name:

Address:

Phone Number: DUNs Number:

Contact Name

Email Address: : Contact Phone Number:

2. GENERAL WORK INFORMATION

Work performed as: Prime Contractor Sub Contractor Joint Venture Other (Please explain):

Percent (%) of project work performed:

If a subcontractor, who was the prime (Name/Phone #):

3. CONTRACT INFORMATION

Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please explain)

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

4. PROJECT DESCRIPTION

Complexity of Work: High Med Routine

How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

INSTRUCTIONS FOR CLIENTS COMPLETING THIS QUESTIONNAIRE: PBS requests that the client completes this questionnaire and submits it directly back to the offeror. The offeror will submit the completed questionnaire to PBS with their proposal, and may duplicate this questionnaire for future submission on PBS solicitations. Clients are highly encouraged to submit questionnaires directly to the offeror. However, questionnaires may be submitted directly to PBS. Please contact the offeror for PBS POC information. The government reserves the right to verify any and all information on this form.

Use the following adjective ratings and definitions in your evaluation of the Contractor’s performance.

RATING DEFINITION NOTE

(E) Exceptional Performance meets contractual requirements and exceeds many to the Government/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

An Exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

(VG) Very Good Performance meets contractual requirements and exceeds some to the Government’s/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

A Very Good rating is appropriate when the Contractor successfully performed a significant event that was a benefit to the Government/Owner. There should have been no significant weaknesses identified.

(S) Satisfactory Performance meets minimum contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

A Satisfactory rating is appropriate when there were only minor problems, or major problems that the contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified. Per DOD policy, a fundamental principle of assigning ratings is that contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

(M) Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented.

A Marginal is appropriate when a significant event occurred that the contractor had trouble overcoming which impacted the Government/Owner.

(U) Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

An Unsatisfactory rating is appropriate when multiple significant events occurred that the contractor had trouble overcoming and which impacted the Government/Owner. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating.

(N) Not Applicable No information or did not apply to your contract Rating will be neither positive nor negative.

TO BE COMPLETED BY CLIENT

CLIENT INFORMATION

Client Point of Contact Information

Name:

Title:

Phone Number:

Email Address:

Project Information

Contract Type:

Contract Title:

Contract Location:

Describe your role in the project:

Date Questionnaire was completed (mm/dd/yy):

Client’s Signature:

Instructions: Please select the adjective rating that best reflects your evaluation of the contractor’s performance.

1. QUALITY: E VG S M U N

(a) Quality of technical data/report preparation efforts.

(b) Ability to meet quality standards specified for technical performance.

(c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance.

(d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance).

2. SCHEDULE/TIMELINESS OF PERFORMANCE: E VG S M U N

(a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below.)

(b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract.

3. CUSTOMER SATISFACTION: E VG S M U N

(a) To what extent were the end users satisfied with the project?

(b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports, businesslike and communication).

(c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer?

(d) Overall customer satisfaction.

4. MANAGEMENT/ PERSONNEL/LABOR E VG S M U N

(a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force?

(b) Ability to hire, apply, and retain a qualified workforce to this effort.

4. MANAGEMENT/ PERSONNEL/LABOR - Continued E VG S M U N

(c) Government Property Control.

(d) Knowledge/expertise demonstrated by contractor personnel.

(e) Utilization of Small Business concerns.

(f) Ability to simultaneously manage multiple projects with multiple disciplines.

(g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution and response to Government changes.

(h) Effectiveness of overall management (including ability to effectively lead, manage and control the program).

5. COST/FINANCIAL MANAGEMENT E VG S M U N

(a) Ability to meet the terms and conditions within the contractually agreed price(s)?

(b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability or other factors that benefited the client.

(c) If this is/was a Government cost type contract, or a CMc/CMc at Risk Contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-up documentation, monthly status reports/budget variance reports, compliance with established budgets and avoidance of significant and/or unexplained variances (under runs or overruns).

(d) Is the Contractor’s accounting system adequate for management and tracking of costs? (If no, please explain in comment section below.)

Yes No

(e) If this is/was a Government contract, has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations? (Indicate if show cause or cure notices were issued, or any default action in comment section below.)

Yes No

(f) Have there been any indications that the contractor has had any financial problems? (If yes, please explain in the comment section below.)

Yes No

6. SAFETY/SECURITY E VG S M U N

(a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues?

(Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.).

(b) Contractor complied with all security requirements for the project and personnel security requirements.

7. GENERAL E VG S M U N

(a) Ability to successfully respond to emergency and/or surge situations (including notifying COR, PM or Contracting Officer in a timely manner regarding urgent contractual issues).

(b) Compliance with contractual terms/provisions (If there were specific issues, please explain in the comments sections below

(c) In summary, provide an overall rating for the work performed by this contractor.

8. SUSTAINABILITY

Did this project include sustainable methods, materials, processes or certifications? (See Whole Building Design Guide for acceptable requirements. Link to guide WBDG Green Building Standards and Certification Systems.) (If yes, please explain in the comments section below.)

Yes No

9. SUMMARY

Would you hire or work with this firm again? (If no, please explain in the comments section below.)

Yes No

COMMENTS SECTION

Please provide additional information below, and attach additional pages if necessary.

Please provide responses to the above questions (if applicable) and/or additional remarks. Also please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):

http://www.wbdg.org/resources/gbs.php#rcas http://www.wbdg.org/resources/gbs.php#rcas

Past Performance Questionnaire (1)