A04__Specifications.doc

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DEVA- COW CREEK SWIMMING POOL REPAIRS Federal contract opportunity
Solicitation number
140P8121Q0004
Issued by
Department of the Interior National Park Service Pacific West Region

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B03_Wage_Determination_Inyo__CA.pdf PDF
SF25A_Payment_Bond.pdf PDF
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B08_Combined_Synopsis_RFQ.pdf PDF
Construction_Invoice_NPS_302-2_(Invoice_Payment_Request).docx DOCX document
B08_Cow_Creek_Map_to_MAINT_YARD.pdf PDF

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DEATH VALLEY NATIONAL PARK

P.O. Box 579

DEATH VALLEY, CA. 92328

SCOPE OF WORK

For

COW CREEK SWIMMING POOL REPAIRS

DEATH VALLEY NATIONAL PARK

I. GENERAL INFORMATION

In accordance with the terms and conditions of the contract, the contractor shall perform the work for the Death Valley National Park (DEVA) as described herein.

A.

Confidentiality: The information developed under this task order is the property of the National Park Service (NPS) and shall be kept in strict confidence.

B.

Contract: The work of this contract shall consist of the services/construction described herein for the referenced project.

C.

Performance Period: The onsite work of this contract shall not be performed before October 1, 2021. The period of performance for this contract shall end December 17, 2021.

D.

Project Title: The project title is: Cow Creek Swimming Pool Repairs E.

Location: The site is approximately 3 miles north of the Furnace Creek Visitor Center in the Cow Creek Historic District, on CA-190 in Death Valley National Park, California, 92328.

II. SCOPE OF WORK

A.

Background:

The Cow Creek swimming pool is owned and operated by the National Park Service (NPS) and is used primarily by park staff residing within Death Valley National Park. Constructed in 1937, the pool is 40-ft. wide and 90-ft. long, with a depth varying from 3 to 8-feet. Construction is of reinforced concrete finished with a +/- ½-inch plaster topcoat. The pool is currently leaking water through its plaster surface. Approximately 150 Sq. Ft. of plaster have spalled. Some minor repairs were completed in June of 2020 which consisted of brushing the spalled areas and recoating with a pool paint.

B.

Purpose:

The project intent is to acquire all services including, but not limited to, all labor, supervision, materials, equipment and testing associated with the repair of 150 SF of spalled plaster, installation of a commercial swimming pool liner system consisting of a 60-mil reinforced PVC liner over a 150-mil polyester underlayment fleece, and sealant painting of the 520 SF of remaining pool interior surfaces (such as the scum gutter) above the PVC liner connector strip with an epoxy coating.

Upon completion of the work, the liner system shall provide a waterproof, yet flexible membrane, complete with all necessary fittings, attachments, profiles and markings replicating the original 1937 pool design. Painting shall provide a visually seamless transition from the liner system to the painted areas above the liner connector strips.

C.

Required Submittals with Bid:

1. Detailed sketches to address the following:

a. Termination of PVC liner and underlayment at top of wall

b. Transition at typical wall to floor junctions

c. Bridging over existing floor expansion joints

d. PVC liner underwater penetrations at handrail post connections, etc.

e. Ladder bumper to wall interface location

f. PVC and underlayment installation at pool stairs

g. Liner termination at existing floor drain

h. Marking to replicate existing pool striping. Include material composition and method of marking installation.

2. Contractor specialized experience to include the following:

a. Documentation as a certified installer for the manufacturer of a 60 mil PVC membrane and underlayment fleece swimming pool liner system to ensure the integrity of the membrane installation and to secure a single source of responsibility for any required warranty service.

b. A list of three (3) previous projects completed in the last four (4) years similar in size and scope to this work. Include customer references and contact information.

c. The name of the installation crew supervisor and documentation of no less than ten (10) years of experience in the installation of PVC membrane systems for swimming pools and at least three (3) previous projects similar in size and scope to this work.

d. List of employees on this job, to include years of experience with your company and specific training in the field of welding and fabrication of flexible PVC swimming pool membrane systems.

3. Material Product Specs and ASTM test results to include the following:

a. Provide documentation of the material content of the PVC liner system components to ensure the 60 mil PVC liner membrane is UV stabilized, contains an embedded polyester reinforcing membrane, is from virgin material and single sourced. Ensure that all materials used are compatible with the swimming pool environment and will be supplied as a system from the manufacturer. Only those PVC membranes specifically formulated for swimming pool use shall be considered for this work. Roofing membranes, general waterproofing membranes, and vinyl liners will not be accepted.

b. Provide documentation from an independent testing lab that the swimming pool PVC liner membrane meets or exceeds the following ASTM test values as listed below.

1. Average Thickness: ≥ 60 mil ± 5% (ASTM D751, ASTM D374C)

2. Tensile Strength: ≥ 130 lbs./in (ASTM D751, Method B)

3. Elongation: MD ≥ 20%; TD ≥ 28% (ASTM D751, Method B)

4. Water Absorption: ≤ 0.40% (ASTM D570)

5. Dimensional Stability: ≤ 0.3% (ASTM 1204, 1 hr. at 212º F)

6. Puncture Resistance: ≥135 lbs. (ASTM D-4833)

7. Ply Adhesion: ≥ 8lbs. (ASTM D-413, Method Type A; ASTM D 751)

8. UV Resistance: 100% retained after exposure (ASTM D-4355)

c. Provide 4”x 4” standard color samples of PVC membrane for owner selection. If PVC coated connector strips are available in colors, provide 4-inch long samples for owner selection.

d. Provide documentation for the composition, weight and thickness of the underlayment fleece and method of installation.

e. Provide product information and application method for the adhesives, sanitizing agents, PVC coated stainless steel/ aluminum connector strips and corner strips that are components of the PVC liner system. Provide information on the method for welding liner seams.

f. Provide product information and application method for the patching product to repair the spalled areas. Include information on its performance in an underwater pool environment.

g. Provide information on the sealant paint product to be used in the scum gutter and on the pool walls above the PVC liner connector strips. Include information on its performance in an underwater pool environment. Provide standard color samples to match the PVC liner membrane.

D.

NPS-Furnished Materials and Services NPS will provide the following materials and services:

1. Means for storage and disposal of scrap material, coating debris and other material in close proximity to the pool area.

2. Temporary water at 50 psi minimum for cleaning, rinsing and test purposes, as well as facilities for draining the pool.

3. All necessary barricades, signs, lights, flares and other security as required to protect the site from the public and park wildlife during liner installation.

4. Drain pool, coordinate to ensure proper hydrostatic relief is maintained. Closely monitor water table around the pool to minimize hydrostatic damage to the pool shell

5. Immediately after installation of liner system, until final Park acceptance of the work, pool access will be restricted to authorized Park staff only. Contractor will be promptly notified of the need for repair or corrective measures in the event of damage contamination, spatter and spillage caused by construction work of other trades.

6. Note: Electrical power close to the installation site is not reliable. Contractor must provide own generator power source.

E.

Quality Assurance

1.

General. This Section includes administrative and procedural requirements for quality assurance and quality control. Testing and inspecting services are required to verify compliance with requirements specified or indicated. These services do not relieve Contractor of responsibility for compliance with the Contract Document requirements. The quality of all work shall be the responsibility of the Contractor.

2.

Standards: If compliance with two or more standards is specified and the standards establish different or conflicting requirements for minimum quality levels, comply with the most stringent requirement. Refer uncertainties and requirements that are different, but apparently equal, to the Contracting Officer for a decision before proceeding.

3.

Contractor's Quality Control Daily Reports: Submit reports showing all inspections and tests on the first workday following the date covered by the report. Contractor’s Quality Control Supervisor shall utilize the Contractor’s Quality Control Daily Report form attached at the end of this document.

4.

If the Quality Control Daily Reports are not submitted as specified, the Contracting Officer may retain payments for work on days in which there are no Quality Control Daily Reports.

5.

Permits, Licenses and Certificates: Contractor is responsible for obtaining all permits and possessing any required licenses and certificates. For NPS records, submit copies of permits, licenses, certificates, inspection reports, releases, jurisdictional settlements, notices, receipts for fee payments, judgements, correspondence, records and similar documents, established for compliance with standards and regulations bearing on performance of the work.

7. Manufacturer's Field Services: Where indicated or considered standard practice in the industry, contractor shall engage a factory-authorized service representative to inspect field installation. Report results in writing. Submit report no later than one calendar day after the inspection was performed.

8. Off-Site Inspections: Items that are fabricated or assembled off-site shall be inspected for quality control at the place of fabrication.

9. All materials used must be compatible with the swimming pool environment and supplied as a system from the liner manufacturer. The flexible PVC membrane shall be installed to the dimensions detailed on the drawings and as required to complete the work. All welds shall be accomplished by employing hot-air welding. Solvent welding, glue welding, THF Swell agent welding or caulking of PVC membrane seams will not be allowed. Double stick Mylar or other tapes will not be allowed under the liner. Seams shall be tacked, a continuous air entrapment weld applied continuous on all welds and then a minimum ¾” wide final weld shall be installed. No burning of the material shall be permitted. No voids at wall/floor junctures shall be permitted.

10. The PVC membrane shall be completely supported by the structure walls in all respects and completely supported at all corners and wall/floor junctions. No gaps, voids or spaces shall be allowed behind the membrane. Stretch fitting the PVC membrane will not be allowed.

11. All swimming pool active and working expansion joints shall be addressed per PVC liner manufacturer’s details. Galvanized steel plate shall not be utilized to bridge the joints.

12. The fleece separator shall be guaranteed to be free of foreign materials which could potentially damage the PVC membrane. Before liner installation, pool surface shall be completely sanitized with a roll-on or spray-on anti-microbial product compatible with the PVC membrane and in accordance with the liner manufacturer’s specifications. Separator fleece shall be fully adhered to the pool wall with a water impermeable adhesive such as RenoBond or Nordot #34.

13. Patching and overlaying of multiple layers of the PVC membrane material will not be accepted. All material sections are to be applied in full roll widths and lengths except where pool conditions dictate otherwise. No scrap or short-roll material may be utilized in the membrane installation. To minimize visible seams, the membrane shall be applied to the pools in horizontally oriented sheets.

14. All inlets, outlets, drains, underwater lights, skimmers, stanchion posts, and other required membrane penetrations shall be fitted with rigid PVC compression flanges securely anchored to the pool structure to ensure a watertight seal. The “wrapping and clamping” of the membrane material around stanchion posts, ladder rails, and other protrusions through the PVC membrane will not be accepted. PVC flanges shall be constructed of Type I Exterior Grade Hard PVC sheet, or better, and CNC custom fabricated to fit as close to pool fittings as practical. All metal fasteners shall be stainless steel. Galvanized steel shall not be accepted.

15. The PVC membrane shall be continuous throughout recessed steps and other recessed areas in the pool wall.

16. Special markings, target, lines, etc. shall be replicated to match those currently on the pool. The Contracting Officer’s Representative will provide clarification as to necessary markings. Black markings shall be colored blue on the reverse side or installed in such a way as to prevent black bleed along the weld zone. Target and lane markings shall be fully welded to the walls and floor.

17. Pool patching and painting materials must be compatible and manufactured for use in an underwater, swimming pool environment. Contractor must verify existing paint coating; epoxy or acrylic; before summitting proposed product tech sheets for approval.

18. Pool surfaces to be painted shall be prepped according to manufacturer’s direction, which may include the following steps: initial cleaning with Sodium borate solution, a muriatic acid wash, and then followed by a final sodium borate cleaning and water rinsing. If existing surface paint is epoxy and if after cleaning the surface has retained its gloss, the surface shall be “scored” with a coarse sandpaper to ensure adhesion with the new epoxy coating.

19. After cleaning, pool surfaces must be completely dry before any paint application. Surface temperature must be within allowable range specified for the product application. All work performed shall adhere to manufacturers direction and requirements to include but not be limited to, application method and rates, product thinning limitations, and curing times.

F.

Quality Control Process

1. Notification: Notify the Contracting Officer at least 48 hours in advance of the preparatory phase meeting.

2. Preparatory Phase: Perform before beginning each feature of work.

a.

Review submittals, including manufacturer’s installation recommendations, with personnel directly responsible for quality assurance and quantity control of work.

b.

Review all applicable specification sections and drawings related to the feature of work.

c.

Ensure that provisions have been made for field control testing.

d. Examine work area to ensure that all preliminary work has been completed.

e. Verify all field dimensions and advise the Contracting Officer of discrepancies with the contract documents.

f. Ensure that necessary equipment and materials are at the project site and that they comply with approved shop drawings and submittals.

g. Document all preparatory phase activities and discussions on the Contractor’s Quality Control Daily Report.

3. Follow-up Phase:

a. As soon as work begins, inspect and test a representative portion of a particular feature of work for quality of workmanship.

b. As work progresses, periodically inspect and test to ensure compliance with contract requirements.

c. Document all phase activities on the Contractor’s Quality Control Daily Report.

4. Enforcement: The contractor shall stop work on any item or feature pending satisfactory correction of any deficiency noted by the quality control staff or the Contracting Officer.

G.

Testing & Commissioning

1. All welded seams shall be tested immediately following installation to detect possible weak points or insufficient adhesion of the welding. Reweld and retest seams as required to ensure complete sealing of the membrane. Document testing in the Contractor’s Quality Control Daily Report form and on the Daily Test Report Information Sheet included with these contract documents.

2. The completed PVC membrane system shall be hydrostatically tested by filling the pool to its typical water level and operating all systems for a period of 6 hours without evidence of leakage. Document testing in the Contractor’s Quality Control Daily Report form and on the Daily Test Report Information Sheet included with these contract documents.

H.

Warrantee

1. The PVC Liner system shall be guaranteed for workmanship, materials and performance. Warrantee shall be a full repair or replacement warrantee, not prorated, and cover cracking, tearing, delamination, and leakage from the PVC membrane and any welded seam for a period of 10 years.

2. A sample copy of the warranty statement in accordance with these specifications must be provided with bid.

I.

Operation & Maintenance

1. Submit two (2) comprehensive operations and maintenance manuals to include:

a. Complete descriptive information detailing proper care, maintenance and cleaning of the new PVC liner system.

b. Recommendations for corrective action of typical situations that may be encountered during the life of the PVC liner system.

c. Training for COR staff in the proper method of repairing the PVC liner membrane underwater. Provide an underwater patch kit and 100 sq. ft. of PVC liner membrane in the selected color.

B. Contractor Responsibility

1. Contractor shall comply with all pertinent federal, state and county land laws and regulations.

2. The contractor shall provide all management, supervision, labor, materials, supplies and equipment and shall plan, schedule, coordinate and ensure effective completion of all work described herein. Contractor shall provide all materials and equipment necessary to provide a complete project even if not specifically mentioned or listed within these documents.

3. Insufficient information or description of materials or labor, which prevent the acceptance of these drawings and specifications as adequate to complete the work, must be reported to the Contracting Officer, in writing, prior to submitting a bid. Listing exclusion in the bid response does not meet this criterion. The contractor’s bid shall be construed as an offer to complete all work without additional cost to the government.

4. This is a performance specification. The complete and functional reinforced PVC Membrane System, as specified herein and shown on the drawings, is to be the basis for receiving bids. While it is not the intent of these specifications to, in any way, limit competition or restrict the bidder in the preparation of his bid, the bidder shall offer products and materials in literal compliance with these specifications. The bidders are cautioned that offering products or systems failing to meet these specifications will be considered non-responsive.

5. It is highly recommended that the bidder for this work inspect the site before submitting a proposal.

C. NPS - Contracting Officer’s Representative (COR)

The COR is the individual designated by the Contracting Officer at the time of award to be responsible for the day-to-day administration of the contract. The COR for this project is:

Dallas Kendrick Chief of Maintenance Death Valley National Park

P.O. Box 579

Death Valley, CA 92328

Phone: 760-786-3261 D. Contractor - On-Site Representative

The contractor shall provide, in writing to the Contracting Officer, the name, telephone number and address of the Contractor’s on-site representative (working supervisor). The term “on-site representative” means a person designated in writing by the contractor who has the authority to act for the contractor on a day-to-day basis at the work site. The on-site representative must be available at all times when the contract work is in progress. In addition, the on-site representative shall possess an acceptable level of experience and knowledge to carry out the terms of this contract.

E. General Submittal Procedures

1. Processing Time: Allow 14 days from when the Contracting Officer’s Representative receives a submittal by email from the Contractor. When the submittal review is completed an e-mail notification will be sent to the Contractor. No extension of the Contract Time will be authorized because of failure to transmit submittals enough in advance of the Work to permit processing, including re-submittals.

2. Approved Equals: For each item proposed as an “approved equal,” submit supporting data, including:

a. Comparison of the characteristics of the proposed item with that specified.

b. Name, address, and telephone number of vendor.

c. Manufacturer’s literature.

3. Electronic Submittals: Transmit all submittals except color samples in .pdf format with form DSC-16. Format all submittals such that they are legible when printed at 11x17 size.

4. Physical Samples: Deliver to the COR with form DSC-16

5. Identification: Submittal number or other unique identifier, including revision identifier.

6. Re-submittals: Make re-submittals using the same process used with the initial submittal. Note date and content of previous submittal. Note date and content of revision in the title block on the CM-16E and clearly indicate the extent of revision. Re-submit submittals until they are marked “Approved” or “Approved with notations”.

F. Contracting Officer’s Action Regarding Submittals

1. General: Submittals will be disapproved without technical review if identification information is missing, not filled in, or if placed on the back of the submittal; an incorrect format of submittals is provided; the transmittal form is incorrectly filled out; submittals are not coordinated; or submittals do not show evidence of Contractor’s approval.

a. Any work done or orders for materials or services placed before approval shall be at the Contractor’s own risk.

2. Action Submittals: Contracting Officer will review each submittal, generate comments on corrections or modifications required, and indicate the appropriate action on the CM-16E Transmittal Form. The submittal will be marked in one of three ways as defined below:

a. APPROVED: Acceptable with no corrections.

b. APPROVED WITH NOTATIONS: Minor corrections or clarifications required. All comments are clear and no further review is required. The Contractor shall address all review comments when proceeding with the work.

c. DISAPPROVED - RESUBMIT: Rejected as not in accordance with the contract or as requiring major corrections or clarifications. The Contracting Officer will identify the reasons for disapproval. The Contractor shall revise and resubmit with changes clearly identified.

3. Informational Submittals: Contracting Officer will review each Informational Submittal and will either accept or reject it. Prepare and submit the following Informational Submittals:

a. Schedule of Values: After contract award and before the Pre-Construction conference submit a schedule of dollar values (SOV) based on the Contract Price Schedule, in accordance with the following:

i. Breakdown each lump-sum item into component work activities used in the schedule, for which progress payments may be requested. The work activities broken out within the schedule of values shall be correlated to the construction baseline schedule submitted under this specification. The total costs for the component work activities shall equal the contract price for that lump-sum item. The Contracting Officer may request data to verify accuracy of dollar values. Include mobilization, general condition costs, overhead and profit in the total dollar value of unit price items and in the component work activities for each lump-sum item.

ii. Do not include mobilization, general condition costs, overhead, or profit as a separate item. These costs must be distributed among individual SOV line items appropriately.

iii. The total cost of items under a Contract Line Item shall equal the Contract Line Item price. The total cost of all Contract Line Items shall equal the contract price. The Schedule of Values will form the basis for progress payments.

iv. Component parts of work shall be broken down into sufficiently discrete items to allow for tracking and use in preparing progress payments.

v. An acceptable Schedule of Values shall be agreed upon by the Contractor and Contracting Officer before the first progress payment is processed.

b. Construction Baseline Schedule: After contract award and before the Pre-Construction conference, submit the baseline schedule, large enough to show entire schedule for entire construction period.

i. Prepare Construction Baseline Schedule using a computerized, time-scaled critical-path method network analysis diagram for the Work.

ii. Failure to include any work item required for performance of this Contract shall not excuse Contractor from completing all work within applicable completion dates, regardless of Governments acceptance of the schedule.

iii. Activities: Indicate the estimated duration, sequence requirements, and relationship of each activity in relation to other activities.

iv. Critical Path Activities: Identify critical path activities, including those for interim completion dates.

v. Work Stages: Indicate important stages of construction for each major portion of the Work. Include as applicable: Subcontract awards, Submittals, Purchases, Fabrication, Deliveries, Installation, Tests and inspections, Adjusting.

vi. Recovery Schedule: When periodic schedule update indicates the Work is twenty or more calendar days behind the current accepted schedule, a separate recovery schedule indicating means by which Contractor intends to regain compliance with the schedule must be submitted.

c. Construction Schedule Updates: Submit electronically with each payment request, showing current status and any required schedule changes.

d. Project/Site Specific Safety Plan: Provide details to ensure safety of all contractor employees, park staff, and the public. Include COVID 19 operating protocol.

G. Qualifications of Employees

1. All employees must be physically qualified and able to perform their assigned duties in a safe manner.

2. Do not allow employees to perform work whose ability or alertness is impaired because of prescription or illegal drug use, fatigue, illness, intoxication, or other conditions that may expose themselves or others to injury.

3. Operators of vehicles, manlifts, etc., shall be able to understand signs, signals, and operating instructions and be fully capable of operating such equipment. Newly hired operators shall be individually tested by an experienced operator or supervisor to determine if they are capable of safely operating equipment.

P.

Accident Prevention 1.

General: Contractor must submit certification that contractor possesses a current, OSHA compliant safety program to which the Contractor shall require all employees, subcontractors, and visitors to adhere to.

a. Equipment or tools not meeting OSHA requirements will not be allowed on the project.

b. Comply with the contract clause entitled “Accident Prevention”.

c. In case of conflicts between Federal, State, and local safety and health requirements, the most stringent shall apply.

d. Failure to comply with the requirements of this section and related sections may result in suspension of the work.

2. Accident Reporting: A project reportable accident is defined as death, occupational disease, traumatic injury to employees or the public, fires, and property damage by accident in excess of $100. Notify Contracting Officer immediately in the event of a reportable accident. Within 7 days of a reportable accident, fill out and forward to Contracting Officer an Accident/Property Damage Report (Form CM-22). Form may be obtained from the Contracting Officer’s Representative.

3. Safety Meetings: Prior to beginning work, have a safety meeting with all personnel and the COR to review the jobsite safety requirements. As a minimum, Contractor shall also conduct daily 15‑minute "toolbox" safety meetings.

4. Fire and Life Safety: Comply with the requirements of NFPA 241 (Standard for Safeguarding Construction, Alteration, and Demolition Operations). No smoking within 50 ft of buildings.

5.

Access Restrictions: After Hours Work Requests must be submitted to the COR a minimum of 48- hours in advance of anticipated work.

Q.

Fee and Payment

1. Payment will be in accordance with approved milestone payment plan based on an approved schedule of values; submitted for approval prior to construction.

2. Payments will be made within 15 days of approved/acceptance of payment milestone with final payment within 30 days.

PLANS - COW CREEK SWIMMING POOL, 1937

PHOTOS – COW CREEK SWIMMING POOL, 2020

CONTRACTOR'S QUALITY CONTROL DAILY REPORT

REPORT NO. _________ SHEET 1 OF _________

PROJECT

CONTRACT NO.

DATE

PARK

CONTRACTOR'S REPRESENTATIVE ON THE JOB

WEATHER (Rain, Snow, Cloudy, Windy, etc.)
RAINFALL

Inches

TEMPERATURE
GROUND CONDITIONS (Dry, Damp, Wet, Frozen, etc.)

MAX.

MIN.

1. PRIME CONTRACTOR

NO. EMPLOYEES BY JOB CATEGORIES

Hours
HEAVY EQUIPMENT ON JOB
NO. UNITS
HRS. WORKING
YES
NO
Comments

WORK PERFORMED BY PRIME CONTRACTOR:

MATERIALS DELIVERED

OFFICIAL VISITORS TO SITE

2A. SUBCONTRACTOR, _____________________________________________: (If more than one subcontractor use copies of following page.)

Hours
HEAVY EQUIPMENT ON JOB
NO. UNITS
HRS. WORKING
YES
NO
Comments

WORK PERFORMED BY SUBCONTRACTOR:

3. SPECIFIC INSPECTIONS: (Inspections performed, results, and corrective actions)

4. TESTING: 1 Check if any testing was performed today. (Complete and attach Test Report Information Sheets.)

Type and Location of Testing: ____________________________________________________________________________________

5. VERBAL INSTRUCTION RECEIVED FROM GOVERNMENT ON CONSTRUCTION DEFICIENCIES OR RE-TESTING REQUIRED:

6. REMARKS:

7. CERTIFICATION:

I certify that the above report is complete and correct and that I, or my authorized representative, have inspected all work performed this day by the prime contractor and each subcontractor and determined that all materials, equipment, and workmanship are in strict compliance with the plans and specifications except as may be noted above.

Contractor's Quality Control Representative

SUBCONTRACTOR WORK CONTINUED:

CONTRACT NO.
REPORT NO. _______

SHEET ____ OF ____

2 SUBCONTRACTOR,

Hours
HEAVY EQUIPMENT ON JOB
NO. UNITS
HRS. WORKING
YES
NO
Comments

WORK PERFORMED BY SUBCONTRACTOR:

2 SUBCONTRACTOR,

Hours
HEAVY EQUIPMENT ON JOB
NO. UNITS
HRS. WORKING
YES
NO
Comments

WORK PERFORMED BY SUBCONTRACTOR:

2 SUBCONTRACTOR,

Hours
HEAVY EQUIPMENT ON JOB
NO. UNITS
HRS. WORKING
YES
NO
Comments

WORK PERFORMED BY SUBCONTRACTOR:

2 SUBCONTRACTOR,

Hours
HEAVY EQUIPMENT ON JOB
NO. UNITS
HRS. WORKING
YES
NO
COMMENTS

WORK PERFORMED BY SUBCONTRACTOR:

DAILY TEST REPORT INFORMATION SHEET

CONTRACT NO._________________________ REPORT NO. _____________

SHEET _____ OF _________

1. Individual Making Inspection or Test:

2. Testing Laboratory; Name:
Phone #:

Address:

3. Description of Work and Test Method:

4. Location of Samples and Tests or Inspections:

5. Specification Section:

6. Inspection or Test Data:

7. Test Results and Interpretations of Test Results:

8. Comments or Professional Opinion About Compliance of Inspected Work or Tested Work with contract Document Requirements:

9. Recommendations:

10. Corrective Actions Taken:

CERTIFICATION:

I certify that the above testing report is complete and correct and that all testing performed this day for this contract is in strict compliance with the plans and specifications except as noted above.

Signature of Inspector

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