0116S160012Exhibits_042616.pdf

USDA Forest Service

Exhibits 1-14 Solicitation # AG-0116-S-16-0012, Triple R Timber Stand Improvement

Contract Specialist, Catherine Powell, crpowell@fs.fed.us 4-26-2016

Solicitation: AG-0116-S-16-0012 Exhibits Triple R Pre-Commercial Thinning (PCT) Contract: Page 2 of 28

Exhibit 1: Detailed Item Information

Item Number Facts ID Acres Average

Spacing Protect Stream Access

1A

4570000004

94 N/A Yes

Drive to on 6592 1B 97 N/A Yes

1C 64 N/A Yes

1D 42 N/A Yes

2 4570000231 4 14x14 No Drive to on 6592

3 4570000013 52 14x14 No Drive to on 6592

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Exhibit 2: Diagrams of 14 x 14 Spacing Per Tree Method

1/31 acre = 21.2’ radius # of Target Trees = 7

21.2’ radius

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Exhibit 3: Contract Area Maps

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Exhibit 4 - Pruning Diagram

To make a proper pruning cut, first locate the branch collar. The branch collar is a shoulder or bulge formed at the base of a branch where it joins the main trunk. Always make pruning cuts on the outside of the branch collar.

Precut large, heavy limbs to prevent splitting or peeling of bark; First cut A, second cut B, and final cut

C.

Contract: Page 13 of 28

Exhibit 5 - Mechanical Girdling Diagram

Leave 4 to 8 inches between cuts.

Make each cut at least ¼ inch wide and ¼ to one inch exposing the white wood

Make the upper cut below the lowest live limb or below 4 ½ feet from the ground.

Make the lower cut at least one foot above the ground.

Contract: Page 14 of 28

Exhibit 6: Thinning Inspection Report

THINNING INSPECTION REPORT

Forest Contractor

Ranger District Contract No. Item No.

Inspector Unit No. Acres

Date Initial Work Rework

(1) (2) (3) (4) (5) (6) (7) No. of No. of Unsatis- No. of No. of

Plot trees to trees factory trees trees Remarks No. be left left trees deficient excess

FORM 2400-98

USDA Forest Service

Contract: Page 15 of 28

Exhibit 7: Pruning Inspection Report

1 2 3 4 5 6 7

Plot Number

No. of Trees to be Left

No. of Trees left

No. of Pruned Trees

No. of Unsatisfactory

Trees

No. of Trees

Deficient

No. of Lower crown strata Trees Excess

Remarks

Each one of the 5 criteria is worth 20% of a maximum total score of 100%.

Each one of the 5 criteria will be given a 20% score if satisfactory or a 0% score is not satisfactory.

Contract: Page 16 of 28

Exhibit 8: Contractor Inspection/Request/Certification

CONTRACTOR INSPECTION/ REQUEST/CERTIFICATION

Contractor Contract Number

I hereby request inspection for payment purposes on the following:

Item / Sub-item / Block #: Estimated Acres Completed:

I certify that:

1) acres indicated above have been inspected for compliance with the specifications indicated in Section E

Inspection

2) acres are thinned and ready for inspection and meet the completed inspection block requirement

3) a map of the item/sub-item showing the location of the area ready to be inspected is included with this request

4) inspection plots are identified on the ground with colored flagging in plot center

5) inspection results have been recorded and provided with this request utilizing the Thinning Inspection

Report provided in Section J.

6) all work to be inspected meets the requirements of the Prosecution of Work clause in Section G.

Remarks:

Contractor or Contractor’s Rep Date

Contract: Page 17 of 28

Exhibit 9: Camp Permit

United States of America Forest Service, Alaska Region 10 Camp Permit

1. PERMISSION is hereby granted to (Contractor's Name) , to camp on the Forest Service, Alaska Region 10 lands at:

________________________________________________________ (name of location for the specific camping area. Attach map/photo of camp location to this permit), for sole performing Contract xxxxxx,. The approved permit must be clearly posted in the camp.

2. Campsite will be occupied beginning on or after:

_______________________________________________(Date) and terminating on ___

3. District Ranger 4. Date

5. Contractor 6. Date

(a)

Attachments:

1. U.S. Forest Service, Alaska Region 10, Labor Camp Layout Illustration

2. U.S. Forest Service, Alaska Region 10, Labor Camp Potential Water Supply System

References:

1. Centers for Disease Control and Prevention (CDC), A Guide to Drinking Water Treatment and Sanitation for Backcountry & Travel Use, at http://www.cdc.gov/healthywater/drinking/travel/backcountry_water_treatment.html.

2. Code of Federal Regulation 29 (CFR) 1910.142, Title: Temporary Labor Camps, United States Department of Labor, Occupational Safety & Health Administration (OSHA) website at:

https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9791 http://www.cdc.gov/healthywater/drinking/travel/backcountry_water_treatment.html https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9791

Contract: Page 18 of 28

U.S. Forest Service, Alaska Region 10, Forestry Worker Camp Layout Illustration

7. Note 1 - The 100 feet minimum distance is not required if the sleeping facility is hard sided, such as travel trailer or motor home.

8. Note 2 - Distances can be reduced if size of camping area is too small to accommodate recommended distances.

100 feet minimum see Note 1

Water Production and Storage

Area

S l o p e o f

G r o u n d a n d

F l o w o f

W a t e r

Sleeping Area

Toilet Facility

Food Preparation, Serving and

Storage Location (Kitchen)

Hand Wash and Shower Site

100 feet minimum

Fuel Storage Location

100 feet minimum

100 feet minimum

100 feet minimum

50 feet minimum

Contract: Page 19 of 28

Sample Forestry Worker Camp Water Supply System

Water Pump

Water Source Screened Inlet

Primary

Filter

Secondary

Filter

Final, one micro53 or 58 cyst n, NSF 53 or 58 cyst removal filter

Water Pump

Container Fill

Point

Shower

Hot Water Heater

Hand Wash

Station

Water ready for drinking, cooking, washing dishes, brushing teeth, etc.

Chlorine disinfectant at a concentration of about 5.25%

Contract: Page 20 of 28

Exhibit 10: Invoice Example

INVOICE

Brown Brothers Thinning Inc.

PO Box 4444 Ketchikan, AK 99901 Tax ID - 78965216

Joe Brown, Partner – 907-754-7228

Invoice No. 8001 Invoice date: 06/01/2008

To Billing Office: Tongass National Forest, Contracting Office

648 Mission St., Federal Building Ketchikan, AK 99901 Fax 907-228-6254

Contract Number – AG-0116-C-08-0077

Bear Creek PCT

Item No.

Description Unit Qty Unit Price Total

1 14 x14 thinning AC 50 $300.00 $15,000.00 2 16 x 16 thinning AC 30 $310.00 $9,300.00 Total

Invoiced $24,300.00

Contract: Page 21 of 28

Exhibit 11: Work Schedule Example

Pre-commercial Thinning Work Schedule

Date Prepared: _April 1, 2014________________________

Contract Number:_AG-0116-C-14-0012__________ Contract Name: Cuttem Down PCT_______

Contractor: _Rip and Tear Reforestation________________________________________________

Crew Size: _10 Ten_________________________________________________________________

Estimated number acres crew can thin per day: _8 acres per day_____________________________

Date contractor plans to set-up camp: _May 13, 2014_______________________________________

Date contractor plans to start cutting: _May 15, 2014________________________________________

Thinning items in order of anticipated completion

Item Number

Estimated Start Date

Estimated Completion Date

Notes

Two May 15, 2014 June 3, 2014 One June 3, 2014 June 17, 2014 Additional time is required do to no driving access to thinning item Four June 17, 2014 July 2, 2014 Three July 2, 2014 July 20, 2014

Estimated date work will be completed and contractor will leave job site: _July 25, 2014______

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Exhibit 12:

EXPERIENCE AND CAPABILITY QUESTIONNAIRE -- OMB Clearance Number 9000-0142

Instructions: See Box 10, REMARKS, if extra space is needed to answer any items below. Mark "X" in the appropriate boxes. Please list NA for inapplicable items. Offerer should copy if extra space needed or in another format provide identical information.

1. Contractor's Name, Address & Telephone Number 2. Type of Business ____ Company ____ Corporation ____ Non-profit Organization ____ Co-partner ____ Individual

3. How many years of experience do you have in this line of work? ___________________

4. How many years of experience as a prime contractor? _________ subcontractor? ________

5. List the projects your business has completed in the last 3 years.

Contract Amount

Type of Project Date Completed

Name and Telephone Number to Contact For Information

6. List all of your firm's current contract commitments.

Contract Number

Contract Amount

Type of Project Est. Date of Completion

Name and Telephone Number to Contact For Information

7a. Have you ever failed to complete any work awarded to you? ____ yes ____ no 7b. Has work ever been completed by performance bond? ____ yes ____ no 7c. If "yes" to either Question 7a. or 7b., please specify location(s) and reason(s):

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EXPERIENCE AND CAPABILITY QUESTIONNAIRE -- OMB Clearance Number 9000-0142

8. Organization that will be available for this project:

a. Minimum No. of employees: _______________ Maximum No. of employees: ________________

b. Are employees regularly on your payroll? ____ yes ____ no

c. If applicable, specify equipment available for this contract:

d. If applicable, estimate rate of progress (such as 2.0 acres per day):

Minimum progress rate: __________________________ Maximum progress rate:

1. List the experience of the principal individuals of your business.

Individual's Name Present Position Years Experience Type of Work

10. Remarks:

CERTIFICATION: I certify that all of the statements made above are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.

Signature Title Date

Contract: Page 24 of 28

Exhibit 13:

Invoice Certification Invoice number:

Contract number:

Contract title:

Contractor:

Invoice Date:

Invoice number:

Contract Line Item (CLIN) 0001 SUMMARY, Sub-Items 1A, 1B, 1C, 1D and 2-3

CLIN 0001 Invoice Certifications – Not Separately Priced (NSP). This contract contains contract subline items 0002, 0003 and 0004 that are Not Separately Priced (NSP) that means that the unit price for each subline item is included in the unit price of CLIN 0001. The certifications required by CLINs 0002, 0003 and 0004 shall be submitted as supporting documentation for each invoice submitted for work accomplished under the basic CLIN 0001. Acceptance of the contractor's certification by the Government does not waive or limit any rights or remedies of the Government as provided for by the contract, as stated in the contract terms and conditions or as otherwise provided for by law. Each certification reflects a material condition of the contract.

Certifications as required by Sub CLINS 0002, 0003 and 0004. PRICE: NSP Delivery: As required (certification required with each invoice submitted for work completed under CLIN 0001 SUMMARY, Sub Items 1A, 1B, 1C, 1D and 2-3).

CLIN 0002 Service Contract Act (SCA) and Contract Work Hours and Safety Standards Act (CWHSSA)– Certification with Invoice Submission:

“The contractor recognizes that the SCA and CWHSSA are material conditions of this contract, and in addition to other remedies provided by this contract or penalties as prescribe by law, the Government may terminate the contract for violations of those laws. Recognizing the preceding, the contractor hereby certifies that the attached invoice reflects full compliance with the SCA and CWHSSA.

Contractor Date”

CLIN 0003 Section 274A of the Immigration and Nationality Act –Certification with Invoice Submission:

“As present by Forest Service Acquisition Regulations (FSAR) Chapter 22 and the text included under the contract provisions, the contractor recognizes that compliance with Section 274A of the Immigration and Nationality Act is a material condition of the contract and that for violations of Section 274A, the Government may terminate the contract in addition to other contractual remedies or penalties prescribed by law. Recognizing the preceding, the contractor hereby certifies that the attached invoice reflects full compliance with Section 274A of the Immigration and Nationality Act

Contract: Page 25 of 28

CLIN 0004 Worker Camp conditions –Certification with Invoice Submission:

“The contractor hereby certifies that the on-site, place of performance camp requirements of this contract have been met. The contractor recognizes that compliance with worker camp conditions per the contract terms is a material condition of the contract and that for violations of camp requirements and conditions, the Government may terminate the contract in addition to other contractual remedies or penalties prescribed by law. Recognizing the preceding, the contractor hereby certifies that the attached invoice reflects full compliance with on-site, place of performance worker camp requirements.

Contract: Page 26 of 28

Exhibit 14:

Forestry Labor Contract Supporting Information

1. Submit with Contractor’s offer, quote or bid for all forestry labor contracts performed on U.S Forest Service, Alaska Region 10 managed land.

2. Attach a copy of the following documents:

a. Contractor’s U.S. Department of Labor Wage and Hour Division, Farm Labor Contractor Certificate of Registration card (WH-511).

b. Copies of written hire agreements for each worker on the project Project Title:

Contractor:

Solicitation/Task Announcement No:

Date:

Personnel occupying temporary labor camp:

First & Last Name Position Verification Method

For Employment Eligibility

Contract: Page 27 of 28

Project Title:

Contractor:

Solicitation/Task Announcement No:

Proposed equipment Transportation Plan:

Vehicle Type: e.g. ATV, SUV, UTV, Pick-up etc.

Model: e.g. suburban, Ford F250 Crew cab, Polaris Ranger etc.

Driver’s Name: Number of passengers

Lodging Facilities Plan:

Facility Type: e.g. wall tent, travel trailer, motorhome etc.

Size: length x width Heated?

yes/no

Number of occupants

Drinking and washing water plan:

Describe how you plan to provide potable drinking water to the camp:

Describe how you plan to provide washing and hot shower water to the camp:

Food and garbage storage plan:

Describe how you plan to store food and garbage.

Flammable liquids storage plan:

Describe how you plan to transport, store, and transfer flammable liquids:

Contract: Page 28 of 28

Employment of Eligible Workers

Workforce Certification Contractors are required to provide certification under this solicitation in compliance with the Migrant and Seasonal Agricultural Workers Protection Act (MSPA) and Farm Labor Contractor (FLC) Certificate of Registration requirements describing the workforce they will utilize to fulfill the contract requirements under this solicitation and any resulting contract. If the Contractor will supply workers under the H-2B Program, the Contractor is required to provide a copy of the Temporary Employment Certificate issued by DOL.

Subcontractors are bound by the same requirements for licenses and permits under this contract. If a Prime Contractor identifies a Subcontractor as part of their workforce to accomplish the work under this solicitation, the Prime Contractor shall submit the Subcontractor’s signed certification with their response to the solicitation.

H-2B Workers: (http://www.foreignlaborcert.doleta.gov/)

☐ Company certifies it will not be utilizing H2B Workers under any resulting contract of this solicitation.

☐ Company will be utilizing H2B Workers (under any resulting contract of this solicitation. Provide a copy of Temporary Employment Certificate.

MSPA Workers: (http://www.dol.gov/whd/mspa/)

☐ Company certifies it will not be utilizing MSPA workers under any resulting contract of this solicitation.

☐ Certifies has valid FLC certificate of registration. (Attach a copy of current certification.) Authorization includes:

☐ Transporting workers

☐ Driving

☐ Housing workers

☐ Company has applied for certificate of registration on ______________ .

Contractors not currently having obtained a certificate (for each partner, if partnership) will be requested to furnish proof of having obtained a certificate prior to award of contract. Partnerships must furnish proof of registration of their assumed business name, if any, with the State of registration.

State of ______________ No.______________

Information about licensing requirements and procedures may be obtained from the following:

I, on behalf of said Company, certify to the above responses.

(Signature) (Date)

(Printed Name) (Title) http://www.foreignlaborcert.doleta.gov/ http://www.dol.gov/whd/mspa/