A.03.09 Exhibits.pdf

PDF 6 MB Posted Jun 17, 2020

Attached to: Mowing and Maintenance Services for Sutton Lake Federal contract opportunity
Solicitation number: W9123720Q0055
Issued by: Department of the Army Corps of Engineers Engineering District Huntington

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Written by GovTribe AI · Dec 29, 2023

This is a solicitation for mowing and maintenance services at Sutton Lake in West Virginia. The Huntington District Corps of Engineers intends to award an indefinite delivery contract with a one-year base period and four one-year options, not to exceed $1 million total. The contract will be firm-fixed price. The solicitation is open only to small businesses. Technical evaluation factors are personnel, quality control program, experience, equipment, safety program, and past performance. The factors of personnel and quality control are equally important, while the remaining factors are of descending importance. The non-price factors are significantly more important than price. The NAICS code is 561730 and size standard is $7.5 million in average annual receipts. Questions may be submitted by a specified date to the named contracting officer.

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SECTION J

LIST OF ATTACHMENTS

EXHIBITS

EXHIBIT A, Items to be Provided at Least One Week Prior to Pre-Work Conference EXHIBIT B, Vicinity Map EXHIBIT C, Basic Outline, Contractor Accident Prevention Plan EXHIBIT D, Sample Safety Forms EXHIBIT E, Suggested Outline, Contractor Quality Control and Security Plan EXHIBIT F, Quality Assurance Surveillance Plan EXHIBIT G, Task Order Standard Form 1449 EXHIBIT H, Contract Discrepancy Report (CDR) ORH Form 2759 EXHIBIT I, Sample Invoice Format EXHIBIT J, Project Maps EXHIBIT K, Approximate Quantities by Area EXHIBIT L, Equipment Provided by the Government EXHIBIT M, Partial Listing of Safety and Security Requirements EXHIBIT N, Contractor Equipment and Supply Inspection EXHIBIT O, Vehicle and Equipment Forms EXHIBIT P, Job Request Form, ORH Form 2770 EXHIBIT Q, Navigation Aids and Signs EXHIBIT R, Lake Profile Readings EXHIBIT S, Accident Investigation Report, ENG 3394

EXHIBIT A

ITEMS TO BE PROVIDED ONE WEEK PRIOR TO PRE-WORK CONFERENCE

Contractor shall provide the following typed documents, at least 1 week prior to the pre-work conference:

a. Quality Control Plan. A suggested outline for the Contractor's Quality Control Plan is contained as Exhibit E.

b. Contractor Representatives. List of names of Contractor Representatives.

c. Contractor Quality Control Inspectors. List of Quality Control Inspectors.

d. Contractor Safety Plan. A suggested outline for the Contractor Safety Plan is contained as Exhibit C.

e. Emergency Work Personnel. A list of names, addresses, and telephone numbers, of persons who will be available for emergency work.

f. Emergency Contacts. A prioritized list, including phone numbers, of those persons (normally Contractor Representatives) to call in case of emergencies.

g. Government Furnished Compound Area. A statement concerning the Contractors' rejection or desire to use a Government furnished compound area.

h. Operators. A list of qualified equipment operators along with the operator’s experience, training and qualifications for operating the government equipment they are qualified to operate.

i. CDL License Holders. A list of individuals holding a valid Commercial Drivers License and the expiration date.

EXHIBIT B

VICINITY MAP

EXHIBIT B

EXHIBIT C

BASIC OUTLINE, CONTRACTOR ACCIDENT PREVENTION PLAN

EM 385-1-1

15 Sep 2008

APPENDIX A

MINIMUM BASIC OUTLINE FOR ACCIDENT

PREVENTION PLANS

An Accident Prevention Plan (APP) is a safety and health policy and program document. The following areas are typically addressed in an APP, but an APP shall be job-specific and shall also address any unusual or unique aspects of the project or activity for which it is written. The APP shall interface with the employer's overall safety and health program, and a copy shall be available on the work site. Any portions of the overall safety and health program that are referenced in the APP shall be included as appropriate. ANSI/ASSE A10.38 should be referenced for Programmatic Issues.

1. SIGNATURE SHEET. Title, signature, and phone number of the following:

a. Plan preparer (Qualified Person, Competent Person, such as corporate safety staff person, QC);

b. Plan must be approved, by company/corporate officers authorized to obligate the company;

c. Plan concurrence (e.g., Chief of Operations, Corporate Chief of Safety, Corporate Industrial Hygienist, project manager or superintendent, project safety professional, project QC). Provide concurrence of other applicable corporate and project personnel (Contractor).

2. BACKGROUND INFORMATION. List the following:

a. Contractor;

b. Contract number;

c. Project name;

d. Brief project description, description of work to be performed, and location;

phases of work anticipated (these will require an AHA).

3. STATEMENT OF SAFETY AND HEALTH POLICY. Provide a copy of current corporate/company Safety and Health Policy Statement, detailing commitment to providing a safe and healthful workplace for all employees. The Contractor's written safety program goals, objectives, and accident experience goals for this contract should be provided.

4. RESPONSIBILITIES AND LINES OF AUTHORITIES. Provide the following:

a. A statement of the employer's ultimate responsibility for the implementation of his SOH program;

b. Identification and accountability of personnel responsible for safety at both corporate and project level. Contracts specifically requiring safety or industrial hygiene personnel shall include a copy of their resumes. Qualifications shall include the OSHA 30- hour course or equivalent course areas as listed here:

(1) OSH Act/General Duty Clause;

(2) 29 CFR 1904, Recordkeeping;

(3) Subpart C: General Safety and Health Provisions, Competent Person;

(4) Subpart D: Occupational Health and Environmental Controls, Citations and Safety Programs;

(5) Subpart E: PPE, types and requirements for use;

(6) Subpart F: understanding fire protection in the workplace;

(7) Subpart K: Electrical;

(8) Subpart M: Fall Protection;

(9) Rigging, welding and cutting, scaffolding, excavations, concrete and masonry, demolition; health hazards in construction, materials handling, storage and disposal, hand and power tools, motor vehicles, mechanized equipment, marine operations, steel erection, stairways and ladders, confined spaces or any others that are applicable to the work being performed.

c. The names of Competent and/or Qualified Person(s) and proof of competency/ qualification to meet specific OSHA Competent/Qualified Person(s) requirements must be attached. The District SOHO will review the qualifications for acceptance;

d. Requirements that no work shall be performed unless a designated competent person is present on the job site;

e. Requirements for pre-task safety and health analysis;

f. Lines of authority;

g. Policies and procedures regarding noncompliance with safety requirements (to include disciplinary actions for violation of safety requirements) should be identified;

h. Provide written company procedures for holding managers and supervisors accountable for safety.

5. SUBCONTRACTORS AND SUPPLIERS. If applicable, provide procedures for coordinating SOH activities with other employers on the job site:

a. Identification of subcontractors and suppliers (if known);

b. Safety responsibilities of subcontractors and suppliers.

6. TRAINING.

a. Requirements for new hire SOH orientation training at the time of initial hire of each new employee.

b. Requirements for mandatory training and certifications that are applicable to this project (e.g., explosive actuated tools, confined space entry, crane operator, diver, vehicle operator, HAZWOPER training and certification, PPE) and any requirements for periodic retraining/recertification.

c. Procedures for periodic safety and health training for supervisors and employees.

d. Requirements for emergency response training.

> See paragraph 9.b. below for a list of requirements that may require emergency response training.

7. SAFETY AND HEALTH INSPECTIONS.

a. Specific assignment of responsibilities for a minimum daily job site safety and health inspection during periods of work activity: Who will conduct (e.g., SSHO, PM, safety professional, QC, supervisors, employees- depends on level of technical proficiency needed to perform said inspections), proof of inspector's training/qualifications, when inspections will be conducted, procedures for documentation, deficiency tracking system, and follow-up procedures. Any external inspections/certifications that may be required (e.g USCG)

8. ACCIDENT REPORTING. The Contractor shall identify person(s) responsible to provide the following:

a. Exposure data (man-hours worked);

b. Accident investigations, reports, and logs: Report all accidents as soon as possible but not more than 24 hours afterwards to the Contracting Officer/ Representative (KO/COR). The Contractor shall thoroughly investigate the accident and submit the findings of the investigation along with appropriate corrective actions to the CO/COR in the prescribed format as soon as possible but no later than five

(5) working days following the accident. Implement corrective actions as soon as reasonably possible;

c. The following require immediate accident notification:

(1) A fatal injury;

(2) A permanent total disability; (3) A permanent partial disability;

(4) The hospitalization of three or more people resulting from a single occurrence;

(5) Property damage of $200,000 or more.

9. PLANS (PROGRAMS, PROCEDURES) REQUIRED BY THE SAFETY MANUAL.

Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable occupational risks and compliance plans. Using the EM 385-1-1 as a guide, plans may include but not be limited to:

a. Layout plans (04.A.01);

b. Emergency response plans:

(1) Procedures and tests (01.E.01);

(2) Spill plans (01.E.01, 06.A.02);

(3) Firefighting plan (01.E.01, Section 19);

(4) Posting of emergency telephone numbers (01.E.05)

(5) Man overboard/abandon ship (Section19.A.04);

(6) Medical Support. Outline on-site medical support and offsite medical arrangements including rescue and medical duties for those employees who are to perform them, and the name(s)of on-site Contractor personnel trained in first aid and CPR. A minimum of two employees shall be certified in CPR and first aid per shift/site (Section 03.A.02; 03.D);

c. Plan for prevention of alcohol and drug abuse (01.C.02);

d. Site sanitation plan (Section 02);

e. Access and haul road plan (4.B);

f. Respiratory protection plan (05.G);

g. Health hazard control program (06.A)

h. Hazard communication program (06.B.Ol);

i. Process Safety Management Plan (06.B.04);

j. Lead abatement plan (06.B.05 & specifications);

k. Asbestos abatement plan (06.B.05 & specifications);

l. Radiation Safety Program (06.E.03.a);

m. Abrasive blasting (06.H.Ol);

n. Heat/Cold Stress Monitoring Plan (06.1.02)

o. Crystalline Silica Monitoring Plan (Assessment) (06.M)

p. Night operations lighting plan (07.A.08);

q. Fire Prevention Plan (09.A);

r. Wild Land Fire Management Plan (09.K);

s. Hazardous energy control plan (12.A.Ol);

t. Critical lift Plan (16.H);

u. Contingency plan for severe weather (19.A.03);

v. Float Plan (19.F.04);

w. Site-Specific Fall Protection & Prevention Plan (21.C);

x. Demolition plan (to include engineering survey) (23.A.Ol);

y. Excavation/trenching plan (25.A.Ol);

z. Emergency rescue (tunneling) (26.A.);

aa. Underground construction fire prevention and protection plan (26.D.Ol);

bb. Compressed air plan (26.I.Ol);

cc. Formwork and shoring erection and removal plans (27.C);

dd. Pre-Cast Concrete Plan (27.D);

ee. Blasting Safety Plan (29.A.Ol);

ff. Lift slab plans (27.E);

gg. Steel erection plan (27.F.Ol);

hh. Site Safety and Health Plan for HTRW work (28.B);

ii. Diving plan (30.A.13);

jj. Confined space Program (34.A).

10. RISK MANAGEMENT PROCESSES. Detailed project-specific hazards and controls shall be provided by an Activity Hazard Analysis (OI.A.13) for each major phase/activity of work.

EXHIBIT D

SAMPLE SAFETY FORMS:

Activity Hazard Analysis Checklist ORH Form 2642

OSHA 300 Log Instructions

OSHA 300 Log

OSHA 300A Log

Accident Investigation Report

ENG 3394

ACTIVITY HAZARD ANALYSIS CHECKLIST

1. Are all blocks in the top 1/3 of the form completed including:

Project:

Date:

Job:

Estimated Starting Date:

Prepared by:

Recommended Protective Clothing and Equipment:

Reviewed by:

Page of ______ Positions Assigned to do Job:

2. Does the "Job" block include the job request number and sufficiently descriptive information to understand the tasks to be performed?

3. Is all the protective equipment necessary for all phases of the work listed in PART I?

4. Are all job steps listed and numbered consecutively in Part I including if applicable but not limited to:

a. Inspection of equipment and safety gear.

b. Loading and unloading of personnel and equipment.

c. Transportation to and from the job site.

d. Setting up equipment and safety markers.

e. Performance of tasks.

f. Securing job site while it is unattended.

g. Clean-up and storage of safety gear and equipment.

5. Are all hazards associated with each job step in Part I listed in Part II opposite the appropriate job step? Hazards may include but are not limited to:

a. Potential injuries during loading and unloading of equipment.

b. Potential injuries from improperly loaded and/or secured equipment and vehicles during transportation to and from job site.

c. Potential injuries from failure to follow defensive driving procedures or wear seat belts and shoulder harnesses to and from job site.

d. Potential electrical shock and/or fire hazards.

e. Potential injuries from improperly maintained or guarded equipment and vehicles.

f. “Caught between" injuries such as pinched fingers and/or hands or smashed feet.

g. Potential injuries to public and/or workers due to inadequate set up at job site prior to, during and after work.

h. Slips, trips and falls.

i. Potential injuries from improper, unsafe or careless performance of tasks including improper lifting or overexertion.

j. Potential injuries from failure to use appropriate personal protective gear.

k. Natural hazards such as moving water, falling tree limbs, rock slides, etc.

l. Contact with poisonous or harmful substances.

6. Does Part III contain an appropriate action to prevent injuries from every hazard listed in Part II? Note this section should avoid general safety clichés such as "Be alert." Part III should be specific as to what the worker should do to avoid injury associated with each hazard. Safety clichés or generalities are OK if they are included with the specific directions for avoidance of a particular hazard. However, they cannot stand alone as a Part III ACTION to avoid a Part II HAZARD. An example of appropriate usage of a safety generality would be: "Be alert. Watch for members of the public wandering into mowing area. Immediately stop machine. Do not resume operation until area is clear of people."

Utilizing the Risk Assessment Matrix in the upper right hand corner asses the risk for each job step, the actions indicated to reduce that risk and finally the overall risk associated with this activity. Assign a Risk Assessment Code for the overall activity in the upper right hand corner to complete the Hazard Analysis.

7. This checklist should be utilized by other the preparer and reviewer to assure proper completion of the AHA.

NOTE: Get everyone involved with the job to take part in the preparation of the AHA.

Often time’s problems overlooked by one member of a crew will be uncovered by the group. Finally, insure that every member of the work crew has thoroughly reviewed the AHA and is well aware of all the potential hazards so that they can take preventive action before an accident occurs.

EXHIBIT E

SUGGESTED FORMAT, CONTRACTOR QUALITY CONTROL

and SECURITY PLAN

CONTRACTORS QUALITY CONTROL PLAN (OUTLINE)

1. INSPECTION OF SERVICES. Define the method of inspection for each service in the contract including, but not limited to: the individual(s) who shall inspect the service (Quality Control Inspectors); when or with what frequency inspections shall be performed (e.g. at the completion of each task, etc.); and a copy of the Contractor's inspection forms or other documents identifying the specific tasks involved in the service which shall be inspected.

2. DEFICIENCIES AND CORRECTIVE ACTION. Explain the procedures for identifying deficiencies in the quality of services provided and methods of correction, before the level of performance is unacceptable.

3. RECORDS. Define the method for maintaining records of inspections and records of corrective actions taken, the individual(s) responsible for the records, and the location where the records shall be kept.

4. QUALITY CONTROL INSPECTORS. A consolidated list of authorized Quality Control Inspectors.

5. CONTRACTOR REPRESENTATIVES. A list of names and phone numbers of authorized Contractor Representatives.

6. SECURITY. Define and explain the procedures and safeguards which shall be used to protect all equipment, materials, supplies, tools, and other resources provided by the Government to the Contractor including; but not limited to, Contractor audit procedures and inventory systems, if appropriate. Examples of procedures and safeguards include:

a. All pilferable materials shall be kept under constant surveillance and shall be collected at the end of each work day and secured under lock.

b. Keys shall be removed from all vehicles and equipment when not in use.

c. All gates and doors which were opened to allow Contractor personnel access for work shall be closed and locked. Only authorized Contractor personnel or Government personnel shall be permitted to enter secured areas. The COR or his representative shall be informed immediately if any unauthorized person enters a secured area.

EXHIBIT E

EXHIBIT F

QUALITY ASSURANCE SURVEILLANCE PLAN

SUTTON LAKE

Date Contracting Officer

Table of Contents

SECTION PAGE NO.

SECTION I. Introduction.

A. General B. Acronyms and Definitions

SECTION II. Acceptance/Rejection of Services A. General B. Acceptance C. Rejection

SECTION III. Calculating Deductions A. General B. Examples

1. One-hundred Percent Sampling

2. Planned Sampling

SECTION IV. Performance Requirements Summary Tables

SECTION V. Sampling Guides

SECTION VI. Inspection Checklists A. Examples

1. "Generic" Inspection Form

2. Emergency Work Orders, Estimated Work Orders, etc

3. Grass Mowing and Maintenance of Landscaped Areas

4. Pesticide Application

5. Contractor's Quality Control Program

6. Comments / Description (Back of all Inspection forms)

SECTION I

INTRODUCTION

SECTION I. Introduction

A. General. This plan will be used to assure the government that work specified under this contract is completed satisfactorily. The plan is included for information purposes only. It does not supersede any of the requirements in other sections of the contract. Surveillance or inspections will be primarily conducted in three ways;

however, the Government has the right to change or modify inspection methods at its discretion. The three principle inspection methods are random, one-hundred percent, and planned. In conjunction with describing the principle methods used for providing surveillance (i.e., inspecting), this plan defines common terms and acronyms;

summarizes in table form the performance requirements for each contract section;

summarizes in table form a "sampling guide" for each contract section; explains how deductions are calculated; and, provides examples of Inspection Checklists.

B. Acronyms and Definitions.

1. List of Acronyms.

a. AQL . . . . . Acceptable Quality Level

b. CDR . . . . . Contract Discrepancy Report

c. COR . . . . . Contracting Officer Representative

d. CO. . . . . . Contracting Officer

e. PRS . . . . . Performance Requirements Summary

f. PWS . . . . . Performance Work Statement

g. QA. . . . . . Quality Assurance

h. QAE . . . . . Quality Assurance Evaluator

i. QASP. . . . . Quality Assurance Surveillance Plan

j. QC. . . . . . Quality Control

k. QCP . . . . . Quality Control Plan

l. N/A . . . . . Non-Applicable

2. Definitions.

a. Acceptable Quality Level. Predetermined value used by the Government to distinguish between satisfactory and unsatisfactory performance. AQL may be stated in percent and is the maximum number of defects per 100 units that can be considered satisfactory. As long as the defective performance does not exceed the AQL, the total service will not be rejected by the Government. The contractor, however, must re-perform the defective service.

b. Defect. Any deficiency determined to be significant as to render the unit unsatisfactory.

c. Deficiency. Any inspection unit which does not meet the Contract requirements in their entirety.

d. Inspection Unit. For statistical sampling the unit is identified in the sampling guide. For all other work the inspection unit is the job. The inspection unit may include several tasks.

e. Inspector. Individual designated by the COR to perform Quality Assurance.

f. Item. The term item, when used with the Contract, refers to the Bid Items contained in Section B of the Contract.

g. Job. A job describes an individual, separate, and defined element of work to be performed. "Mowing the Below Dam Recreation Area" or "Painting the Number One Picnic Shelter in the Below Dam Area" are examples of jobs.

h. Lot Size. The total number of times the service is performed in a given period of time, such as the total number of cleanings per month. Also called a population.

i. 100% Inspection. An inspection method requiring the examination of each completed job. It is not required that the inspector be at the job site 100 percent of the time while the job is occurring. This approach is best suited for monitoring contract requirements that occur infrequently or are of great importance.

j. Percent of Sample Found Defective. Determined by dividing the number of defects by the sample size.

k. Planned Sampling. An evaluation method designed to inspect some part but not necessarily all of the contract requirements. Sample selection is based on some subjective rationale and sample size is usually arbitrarily determined.

l. Quality Assurance. Those actions taken by the Government to insure goods or services meet the requirements of the contract.

m. Quality Control. Those actions taken by a contractor to control the production of goods or services to insure that they meet the requirements of the contract.

n. Random Number Table. A table of numbers arranged in a random fashion.

A table used to make random samples.

o. Random Sample. A sampling method whereby each service output in a lot has an equal chance of being selected, or where any occurrence of a contract requirement is as likely to be evaluated as any other occurrence.

p. Random Sampling. A method of looking at a few individual items in a lot to determine the quality of that lot against a standard.

q. Reject Level. The number of defects beyond which the total service for that lot is rejected by the Government and deductions are made. The contractor must re-perform defective services, when possible, even if the number of defects is less than the reject level.

r. Sample. A sample consists of one or more service outputs drawn from a lot, the outputs being chosen at random. The number of outputs in the sample is the sample size.

s. Sampling Guide. The part of the surveillance plan which contains all the information needed to perform a random sample. A "how to inspect guide" for each type of work to be performed.

t. Service Requirement. A job to be performed to the specified standard and within the acceptable quality level. The contractor must do the specific job, meet the standard, and meet the acceptable quality level before performance is acceptable and contractor will be paid.

u. Surveillance Plan. An organized written Government Document used for quality assurance surveillance.

v. Unscheduled Inspection. Impromptu inspections of contract requirements without a pre-planned schedule.

w. Validated Complaints. An evaluation method utilizing customer awareness.

x. Work. The general scope of services covered under the specifications of this contract.

SECTION II

ACCEPTANCE/REJECTION OF SERVICES

SECTION II. Acceptance/Rejection of Services

A. General. Inspection of all services performed under this contract will primarily be done in accordance with a schedule developed by the Government, and will primarily be done by using one or a combination of the surveillance methods cited in this plan.

The purpose of inspection is to document contractor performance and the quality of services or goods produced. Documentation of contractor performance will be done on the appropriate Inspection Checklist (see Section VI of this plan).

B. Acceptance.

1. Statistically Sampled Work. Whenever the number of defects for a lot falls at or below the established reject level the work will be considered satisfactory. However, the contractor is still required to correct the deficiencies.

2. 100% Inspection. When all work is performed in accordance with the Work Order.

C. Rejection.

1. Statistically Sampled Work. Whenever the defects exceed the reject level the Government will issue a CDR and effect a monetary deduction from the Contractor's invoice.

2. 100% Inspection. Whenever the work does not conform to all requirements of the Work Order, the Government will issue a CDR and proceed in accordance with the Inspection of Services Clause of the contract.

SECTION III

CALCULATING DEDUCTIONS

SECTION III. Calculating Deductions

A. General. Whenever work or parts of work are rejected deductions will be made.

The following hypothetical examples are given to demonstrate how deductions for deficiencies would be calculated.

B. Examples.

1. One-hundred Percent Sampling. Two hypothetical situations involving a fixed price (e.g., mowing) and a negotiated (e.g., replacement of fascia) work order have been selected for demonstrating how a deduction would be calculated where the inspection mode is 100%.

a. Mowing (Fixed Price).

IF: Work Order specifies the mowing and trimming of five recreation areas.

AND: Contract price is $10,000.00 per complete mowing.

AND: By the expiration of the completion date given on the Work Order contractor has successfully mowed and trimmed four areas, but has not begun work on the fifth and last area.

THEN: The contractor shall stop all mowing operations, a CDR may be issued, and the services of another contractor would normally be employed by the Government to complete the mowing and trimming of the fifth area. Actual costs incurred by the Government to obtain the services of another contractor to correct the deficiencies in the fifth area will be deducted from the contractor's invoice amount.

IF: The actual cost to the Government to correct the deficiencies is $2,000.00 which will be deducted from the Contractor's invoice for mowing.

THEN: $2,000.00 will be deducted from the contractor's invoice of $10,000.00.

b. Replacing Fascia Board on Picnic Shelter (Negotiated Price Example).

SITUATION. In this example the Work Order specified the installation and painting of new fascia boards on a picnic shelter. Issuance of the Work Order was preceded by Contractor/ Government negotiations which culminated in the issuance of the work order for the negotiated cost of $400. The final inspection revealed the contractor has satisfactorily installed, but failed to complete the painting of, the new fascia by the completion date specified on the Work Order.

GOVERNMENT ACTION. The Government would issue the Contractor a CDR and take the necessary action to correct the deficiency (i.e., paint the new fascia). In this example, the Government exercised the option to correct the deficiency by utilizing Government personnel. The Government would then deduct from the contractor's invoice the actual cost to the Government to correct the deficiency (i.e., paint the fascia).

CALCULATING THE DEDUCTION. Assuming the effective rate of the Government maintenance personnel was $20.00 per hour and it took 2 employees 6 hours to correct the deficiency:

Deduction = (2) (6) ($20.00) = $240

Therefore, $240.00 would be deducted from the contractor's monthly invoice.

2. Planned Sampling. This example shows how a deduction would be calculated when planned sampling documents deficiencies in Janitorial Services. In this example, planned sampling has documented 3 defects in services over a 30 day (month) period.

Therefore, the deduction would be calculated as follows:

a. Given factors: The Bid Item Price for Cleaning Services is $30.00/day.

b. Equation:

No. of Defects x Bid Item Price for = Amt. of Deduction

Substituting in the numerical values from the example the deduction would be calculated as follows:

3 defects x $30.00/service = $90.00 deduction

Therefore, $90.00 would be deducted from the contractor's invoice for Janitorial Services for the month in question.

SECTION IV

PERFORMANCE REQUIREMENTS SUMMARY TABLES

Exhibit F

PERFORMANCE REQUIREMENTS SUMMARY

REQUIRED SERVICES

SECTION

PARAGRAPH

MAXIMUM ALLOWABLE

DEGREE OF DEVIATION

FROM REQUIREMENT

(AQL)

METHOD OF

SURVEILLANCE

DEDUCTION

Maintenance of Landscaped Areas

Mowing Service

Buildings, Facilities, Mechanical, Electrical, Sewage System Maintenance

Maintenance and Repair of Roads, Parking Areas, Pull-Offs, and Launch Ramps

Maintenance of Guardrails, Signs, Barricades, Bumpers, Curbs and Posts

Maintenance of Navigation Aids

C-2

C-5

C-2.1 – C-2.11

C-5.3a

C-5.3b

C-5.3c

C-5.3d

All work must be performed in accordance with the Task Order.

All work must be performed in

Order.

100% Inspection

N/A

PERFORMANCE REQUIREMENTS SUMMARY

REQUIRED SERVICES

SECTION

PARAGRAPH

MAXIMUM ALLOWABLE

DEGREE OF DEVIATION

FROM REQUIREMENT

(AQL)

METHOD OF

SURVEILLANCE

DEDUCTION

Beach and Swim Buoy Maintenance

Park Attendant Services

Cleaning Recreation Areas / Janitorial Services

Drift, Debris and Trash Removal

Natural Resource Management

Disasters

Drift, Debris Trash Removal

C-6

C-5.3 e

C-5.3 f

C-5.3 g

C-5.3 h

All work must be performed in

Order.

All work must be performed in accordance with the Task Order.

N/A

SECTION V

SAMPLING GUIDES

1. Service Requirement: Maintaining Landscaped Areas

2. Corresponding Contract Section: C-2.

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

9. Inspection Procedures: The inspector will get a copy of the work order, scope of work, and technical instruments needed to verify work and record all aspects of the work on an inspection checklist form. The Contractor will be informed of deficiencies in his performance.

10. Performance Criteria: The Contractor shall perform all work as specified in the individual work orders. For all identified deficiencies the Contractor will be allowed to re-perform if the work order and contract specifications allow. Defects in Contractor performance may be addressed by issuance of a CDR. A CDR will be issued should the Contractor fail to correct deficiencies by re-performance.

1. Service Requirement: Mowing Service.

2. Corresponding Contract Section: C-2.

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

9. Inspection Procedures: The inspector will get a copy of the work order, scope of work, and any other literature needed to verify work and record all aspects of the work on an inspection checklist form. The Contractor will be informed of deficiencies in his performance.

1. Service Requirement: Building, Facilities, Mechanical, Electrical, Water and Sewage Systems Maintenance.

2. Corresponding Contract Section: C-5.

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

9. Inspection Procedures: The inspector will get a copy of the work order, scope of work, any tools or measuring devices needed to verify work and record all aspects of the work on an inspection checklist form. The Contractor will be informed of deficiencies in his performance.

1. Service Requirement: Maintenance and Repair of Roads, Parking Areas, Pull-offs, and Launch Ramps.

2. Corresponding Contract Section: C-5.

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

9. Inspection Procedures: The inspector will get a copy of the work order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an inspection checklist form. The Contractor will be informed of deficiencies in his performance.

1. Service Requirement: Maintenance of Signs, Barricades, Bumpers, Curbs and Posts.

2. Corresponding Contract Section: C-5.

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Maintenance of Navigation Aids

2. Corresponding Contract Section: C-5.

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Beach and Swim Buoy Maintenance.

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Park Attendant Services

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

9. Inspection Procedures: The Inspector will get a copy of the work order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an inspection checklist form. The Contractor will be informed of deficiencies in his performance.

1. Service Requirement: Cleaning Recreation Areas

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Drift, Debris and Trash Removal

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Natural Resource Management

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Disasters

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Drift, Debris and Trash Removal

2. Corresponding Contract Section: C-6.

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

SECTION VI

INSPECTION CHECKLISTS

EXHIBIT G

TASK ORDER FORM

SF FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

STANDARD FORM 1449 (REV. 2/2012) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

EXHIBIT H

CONTRACT DISCREPANCY REPORT (CDR)

(ORH Form 2759)

Exhibit H

EXHIBIT I

SAMPLE INVOICE FORMAT

SAMPLE INVOICE

FROM: Contractor's Name INVOICE NO:

Address Phone Number

INVOICE FOR MONTH OF: DATE OF INVOICE:

CONTRACT NUMBER:

TO: Resource Manager Sutton Lake P.O. Box 426 Sutton, WV 26601-0426

DATE WORK ORDER NUMBER AMOUNT

7-1-93 Work Order Number 0001 Item No 0023, Mowing Dam $3,000.00 Item No 0034, Mowing Picnic Area 500.00

7-7-93 Work Order Number 0002 Item No 0002, Laborer 700.00 Item No 0003, Truck Operator $300.00

TOTAL INVOICE $4,500.00

EXHIBIT J

PROJECT MAPS

EXHIBIT K

APPROXIMATE QUANTITIES BY AREA

* Vault Toilet placed in Winter

EXHIBIT K

Do wn str ea m Da y U se

A re a

So uth

Ab utm en t D ay

Us e A re a

Be e R un D ay

Us e A re a

Be e R un

Ca mp ing A re a

Up pe r G

ing

Mi dd le

F Ca

Lo we r G

Mi ll C re ek

Ba ke rs Ru n Ca

Hi lls ide

Acres to be Maintained 24 13 26 2 9 22 20 13 30 NA Acres to be Mowed / Trimmed 6.1 4.5 14.1 1.9 8 19.4 18.3 11.8 24.9 28

Beaches 0 1 1 0 0 0 0 0 0 NA Benches 20 0 20 0 0 8 8 0 8 NA Boat Ramps / Lanes 1/1 1/2 1/3 0 0 1/2 1/1 0 1/1 NA Bulletin Boards 3 2 2 1 1 2 1 0 2 NA Campsites 0 0 0 13 35 75 49 53 78 NA Courtesy Docks / Fishing Piers 1 2 2 0 0 0 1 0 1 NA

Drinking Fountains 3 0 7 1 4 10 6 3 4 NA Dump Stations / Water Tower 0 0 0 0 1 0 1 0 1 NA

Dumpsters 1 0 1 0 2 2 0 0 2 NA Entrance Station 0 0 0 0 0 1 0 0 1 NA Grills 6 1 14 13 35 75 49 0 78 NA Guardrail (ft) 4500 1675 3040 0 0 0 850 0 4000 NA Parking Areas (Sq. Yds) 6328 4581 9500 100 1414 1854 422 217 3103 NA Picnic Shelters 2 1 2 0 1 0 0 0 0 NA Picnic Tables 18 8 45 13 45 77 55 0 81 NA Play Areas 3 0 1 0 1 2 1 0 2 NA Restrooms / Showerhouses 1 0 2 0 1 1 1 1 2 NA Roads (miles) 1.3 0.5 2.3 0.3 0 0 3.6 0.7 2.5 NA Sewage Treatment Plants 1 0 1 0 0 0 1 1 1 NA Street Lights 35 4 5 2 5 8 4 3 13 NA Trash Cans 30 18 45 0 8 10 12 0 17 NA Use Fee Vault 0 1 1 1 0 1 0 0 1 NA Vault Toilets (Pairs) 1* 1 1* 1 0 0 0 0 0 NA Water Storage Tanks 0 0 0 0 1 0 0 1 1 NA Water Treatment Buildings 0 0 0 0 0 1 0 0 1 NA

EXHIBIT L

EQUIPMENT PROVIDED BY

THE GOVERNMENT

Name Bar Code Make Description Serial # Acquisi-tion Cost Boat T2664

T2145 Pontoon Mercury Motor

36’ boat with 90 HP 2 Stroke

378321077 A150613

$11984 $3030

Boat T2479 G3 15’ Flatbottom, w/ 25 HP Mercury Motor and Trailer

GEN62781H708 $2535

Boat, Trailer, Motor

T0466 T0467 T0468

Grizzly Trailstar Mercury

15’ Aluminum Boat, with 25 HP motor

BUJ12512E304

4TM19BD174B001

OT927025

$845 $1655 $2186

Pump E1326 Hale Float Pump, with hose 11FL0796 $2199

Pump F9510 Honda Water Pump HQ2820009 $529

Pump T2477 Hale Float Pump, with Hose 06588 $1905

Pump T2157 Hale Float Pump, with hose 6868 $1956

EXHIBIT M

PARTIAL LISTING OF SAFETY AND SECURITY REQUIREMENTS

1. The following is a clarification of the Corps of Engineers' policy concerning the use of personal protective equipment for contract employees as defined in the EM 385-1-1, Safety and Health Requirements Manual. This is not meant to be a complete review of required safety equipment, but is simply provided to answer some of the more common questions concerning our safety policy.

The items of equipment listed below should be issued to each employee or made readily available for employee's use, when the work environment requires it:

a. Safety shoes - All employees except park aids performing traffic surveys and clerical personnel are to wear hard toe safety shoes at all times. For those not required to wear steel toed safety shoes, leather work shoes shall be worn.

b. Hard hats - Hard hats are to be worn when operating or working around equipment that lifts overhead (e.g. backhoe-endloader) or working at ground level around mowing equipment. Hard hats will not be required when operating a riding mower, unless other mowing equipment is present. Hard hats will be required during construction type activities and wildfire suppression.

c. Safety glasses or goggles - Safety glasses with side shields or goggles are to be worn when operating equipment or working around equipment that may cause harm from flying debris (e.g. weed eaters), and when using power or hand tools.

d. Welders - Full face welder's helmets are to be worn during electric arc welding operations, and appropriate shields or warning shall be given or posted to protect other persons from the flash. During oxyacetylene welding or cutting, appropriate goggles or full face shield shall be worn.

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File details come from the government source that posted it. Updated Jun 17, 2020.