S110051Attachments.pdf

Solicitation No. AG-03R6-S-11-0051 Ground Based Invasive Plant Treatment IDIQ/Lolo NF

Attachments, Page 1 of 22

LIST OF ATTACHMENTS

Attachment 01 – Lolo National Forest Noxious Weeds List, 1 page Attachment 02 – Lolo National Forest Herbicide Spill Plan, 7 pages Attachment 03 – Mitigation Measure Certification, 1 page Attachment 04 – Daily Herbicide Application Record, 3 pages Attachment 05 – Sample Task Order, 1 page Attachment 06 – Wage Determination No. 1976-1342, Rev. 43, Dated 06/13/2011, 3 pages Attachment 07 – Map, Lolo National Forest, 1 page Attachment 08 – Experience Questionnaire, 2 pages Attachment 09 – Food/Wildlife Attractant Storage Special Order F11-005-Lolo-Forest, 2 pages

Attachments, Page 2 of 22

Attachment 01

Weeds on the Lolo NF

Scientific Name Common Name Potential invaders (currently absent)

Goal is to prevent and eradicate promptly if found Bryonia alba White bryony Centaurea repens Russian knapweed Centaurea solstitalis Yellow starthistle Chondrilla juncea Rush skeletonweed Crupina vulgaris Common crupina Cytisus scoparius Scotch broom Elaeagnus angustifolia Russian Olive Iris pseudacorus Yellowflag iris Isatis tinctoria Dyers woad Lythrum spp. Purple loostrife Polgonum cuspidatum Japanese Knotweed Tamarix spp. Salt cedar

New invaders Goal is to eradicate small new infestations and reduce larger infestations

Berteroa incana Hoary allyssum Cardaria draba White top Centaurea diffusa Diffuse knapweed Echium vulgare Blue weed Hieracium aurantiacum Orange hawkweed Hieracium piloselloides / 2retense/ et al Meadow/Yellow hawkweed complex Lepidium latifolium Perennial pepperweed Linaria vulgaris Common toadflax Ranunculus acris Tall buttercup Senecio jacobaea Tansy ragwort

Widespread Weeds Goal is to contain inside infested area and reduce plant populations

Cardus nutans Musk thistle Centaurea maculosa Spotted knapweed Chrysanthemum leucanthemem Oxeye daisy Cirsium arvense Canada thistle Cynoglossum officinale Houndstongue Euphorbia esula Leafy spurge Hypericum perforatum St. Johnswort Linaria dalmatica Dalmatian toadflax Potentilla recta Sulfur cinquefoil Sisymbrium altissimum Tumble mustard Tanacetum vulgare Common tansy Verbascum spp. Mullein

Attachments, Page 3 of 22

Attachment 02

LNF Herbicide Spill Plan

EMERGENCY SPILL PLANNING

Herbicide spills, incidents and accidents are addressed Chapter 60 of Forest Service Handbook (FSH) 2109.14 Pesticide Use Management and Coordination Handbook. It is available for review at U.S. Forest Service offices.

Hazardous Material is an umbrella term that includes herbicides and all other hazardous chemicals, hazardous wastes, hazardous substances and oil. A hazardous materials emergency or oil spill is defined as any release or threat of release of a hazardous substance or petroleum product that presents an imminent and substantial risk of injury to health or the environment.

Required Equipment

Spill response equipment will be available in the immediate vicinity of all herbicide application operations, on vehicles used to transport herbicides and / or where spills are most likely to occur.

Recommended spill kit contents include the following; however modifications to spill kits may be made to consider actual herbicides being used, site conditions and logistical considerations.

1. Neoprene gloves

2. Unvented goggles

3. Respirators / air filters

4. Rubber boots

5. Coveralls or rain suit

6. Flagging or engineers tape

7. Dust pan

8. Shop brush or broom

9. Polyethylene or plastic bags with ties or bucket(s)

10. Liquid detergent

11. Polyethylene or plastic tarp

12. Rope

13. Blank labels and pen

14. Fire extinguisher

15. 10-30 lbs absorbent or absorbent pads

16. Eye wash kit

17. Bleach

Material Safety Data Sheets and herbicide labels will be reviewed and carried with all personnel involved in the handling of herbicides.

Attachments, Page 4 of 22

Clean up of Herbicides

Minor Spills

1. Keep people away from spilled chemicals.

2. Rope off the area and flag it to warn people.

3. Do not leave unless someone is there to confine the spill and warn of the danger.

4. If the pesticide was spilled on anyone, wash it off immediately.

Confine the spill. If it starts to spread, dike it up with sand and soil or absorbents. Try to prevent the spilled material from reaching water. Absorbent material may be cat litter, absorbent pillows or pads, soil, sawdust, or absorbent clay to soak up the spill. If there is no danger to employees or the public, shovel or sweep contaminated material into a leak proof container for disposal.

Consult Dispatch and the Forest Hazardous Materials Coordinator on method of transportation and disposal.

Do not hose down the area, because this spreads the herbicide. Always work carefully and do not hurry. Control access to the area until the spill is completely cleaned up.

Major Spills

The cleanup of a major spill may be too difficult for you to handle, or you may not be sure of what to do. In either case, keep people away, give first aid if needed, and confine the spill. Then call Missoula Dispatch (829-7070) or Plains Dispatch (826-3061) or 911 for assistance. Chemtrec stands for Chemical Transportation Emergency Center, a public service of the Manufacturing Chemicals Association; its offices are located in Washington D.C. Chemtrec provides immediate advice for those at the scene of emergencies. Chemtrec operates 24 hours a day, seven days a week, to receive calls for emergency assistance. For help in herbicide emergencies involving spills, leaks, fire, or explosions, call toll-free 800-424-9300 day or night. This number is for emergencies only.

If a major pesticide spill occurs on a highway, ask 911 or Dispatch to contact the highway patrol or the sheriff for help. Do not leave until responsible help arrives.

The local Montana Department of Agriculture Pesticide Specialist is Sarah Holden, who can be reached at 329-1346.

Lolo National Forest Ecosystem Management System Environmental Emergency Plan

An Environmental Management System (EMS) was developed for the Forests and Grasslands of Region 1 that is compliant with the ISO 14001 International Standard. The intention of the EMS is to enable the Forests to identify important activities, products, and services with environmental interactions, and consistently provide environmental protection measures as well as achieve objectives for environmental performance. Element 4.4.7 of the ISO standards contains requirements for the creation of an EMS Emergency Preparedness and Response Plan.

Attachments, Page 5 of 22

Purpose

This plan outlines procedures for emergency awareness, preparation, and response with the purpose of preventing, minimizing and/or mitigating environmental impacts. The procedures listed provide a framework for proper response to emergency situations that occur and may have environmental impacts. The EMS Emergency Preparedness and Response Plan should be synchronized with the procedures of the Forest emergency plan that is created to focus on human safety and health.

Scope

This plan applies to emergency situations that could have significant environmental impacts to resources found on the Forests. Spills or discoveries of hazardous materials, and wildland fires are emergencies for which employees may lessen, mitigate, or prevent undesired environmental effects by taking prompt action as described in this plan.

The procedures outlined in this plan apply to activities conducted by Forest Service employees and volunteers, working for the Forests and Grasslands of Region One. Contractors and permittees follow emergency procedures as they are identified in the contract or permit, as appropriate.

EMERGENCY SPILLS/DISCOVERY DEFINITIONS:

Hazardous Material – An umbrella term that includes hazardous chemicals, hazardous wastes, hazardous substances and petroleum products.

Emergency Hazardous Material Spill

Spills on Land: –For the purpose of this Emergency Response Plan, an emergency spill is defined as any release (spilling, pouring, emitting, emptying, discharging, injecting, escaping, leaching, dumping, or disposing into the environment) of a hazardous material or petroleum product in amounts greater than normal consumer quantities. For petroleum products, the emergency quantity is considered to be more than 25 gallons. For pesticide products, the emergency quantity is considered to be more than 5 gallons, concentrated or mixed.

Spills on Water: - All chemical and petroleum product spills that have entered or threaten to enter water bodies are an emergency spill and must be reported. A sheen on water caused by a spill would constitute an emergency.

Discovery – Locating an unknown substance of either unknown origin or unknown quantities, or both.

Example 1: A container, pail, or drum containing an unknown substance.

Example 2: An assortment of mixed small containers, labeled or unlabeled, that appear to have been used in a METH Lab.

Attachments, Page 6 of 22

Roles and Responsibilities

The responsibility of the employee(s) in the field is limited to collecting appropriate information when encountering an Emergency Hazardous Material Spill or Discovery, as defined above, and relaying it to dispatch immediately. If an employee does not know the emergency amount, then s/he should report it to Dispatch. Following is a list of the information that should be collected, if possible (“SPILL/DISCOVERY INFORMATION FORM”). However, it is more important to maintain personal safety and report in a timely manner than to collect all information.

Hazardous material spills and discoveries must be reported immediately to the following Emergency Contacts:

STEP FIRST EMERGENCY CONTACT

BACK-UP EMERGENCY CONTACT(if first contact not available)

Step 1

Employee or Volunteer –Contact Forest Dispatch

Forest Dispatch Office:

• Missoula Interagency Dispatch Center (East Zone): (406) 829-7070

• Plains Dispatch (West Zone): (406) 826-3061

911 Operator:

• Phone # 911

Step 2

Forest Dispatch Contact Forest Haz Mat Coordinator

Forest Haz Mat Coordinator:

• Bill Kelley Work (406) 329-3759 Cell (406) 550-1488 Home (406) 543-2583

If not available, contact:

• Susan Colyer Work (406) 329-3729 Cell (406) 370-9898 home (406) 721-4329

Regional Haz Mat Coordinator:

• Bob Kirkpatrick Work (406) 329-3307 or

• Bob Wintergerst Work (406) 329-3036

Step 3

Forest Haz Mat Coordinator Initiate Notification and Clean-up

Determine extent of emergency and make notifications.

Clean Up Contractor/Individuals

• Bob Kirkpatrick Work (329-3307) and either:

• MCS Environmental(406) 728-7755 or

• Envirocon Inc (303) 215-0187

Clean Up Contractor/Individuals

• Bob Wintergerst Work (406) 329-3036 and either:

• MCS Environmental (406) 728-7755 or

• Envirocon Inc (303) 215-0187

Attachments, Page 7 of 22

SPILL INFORMATION AND REPORTING FORM

1. Name of individual reporting spill:

Phone Number:

2. Date and time of: Release/Discovery:

Reported:

Duration of release:

3. Location: (Include state, county, route, milepost, etc)

4. Chemical name:

a. Chemical identification number

b. Other chemical data Note: For transportation related incidents, this information may be available from the driver, placards on the vehicle, and/or shipping paper.

5. Noted characteristics of release(e.g. smell, fumes, etc)

6. Known health risks

7. Appropriate precaution if known

8. Source and cause of release

9. Number and type of injuries

10. Potential threat to health and environment

11. Estimate of quantity released: ______________gallons Quantity reaching water: __________________gallons

Name of affected watercourse and distance to source of spill:

12. For transportation incident, name and address of carrier:

Railcar or truck number:

Attachments, Page 8 of 22

Response Actions and Precautions

In addition to reporting an emergency spill to dispatch, employees should take the following actions and precautions.

Response Action:

Within limits, Forest Service employee(s) may provide necessary and immediate response actions until further direction is provided by the Forest Haz Mat Coordinator or Emergency Response personnel.

• Public warning and crowd control.

• Retrieval of appropriate information for reporting purposes.

• Additionally, and only after verification of the type of hazardous material involved and its associated hazards, a Forest Service employee(s) may take actions including:

i. Rescue of persons in imminent danger.

ii. Limited action to mitigate the consequences of the emergency, such as using a spill kit to contain a spill.

• Under no condition shall a Forest Service employee(s):

i. Place themselves or others in imminent danger.

ii. Perform or direct actions that will incur liability for the Forest Service.

If there is any question that the emergency may constitute a threat to personal safety, limit your response to public warning and reporting of the incident.

Precautions:

When approaching the scene of an accident involving any cargo, or other known or suspected hazardous materials emergency including oil spills:

• Approach incident from an upwind, uphill, upstream direction, if possible.

• Move and keep people away from the incident scene.

• Do not walk into or touch any spilled material.

• Avoid inhaling fumes, smoke, and vapors even if no hazardous materials are involved.

• Do not assume that gases or vapors are harmless because of lack of smell.

• Do not smoke, and remove all ignition sources.

NOTE: It is Forest Service policy NOT to use FS employees or equipment for “hands-on” cleanup of hazardous materials. Only trained personnel can contain spills within the limits of their training.

Corrective/Preventive Action Request Form

For any emergency spill or discovery, the Forest Haz Mat Coordinator fills out the Corrective/Preventive Action Request Form and submits it to the EMS Representative.

Annually at the Management Review, the Forest Leadership Team reviews the response procedures and determines suggestions for improvement.

http://fsweb.r1.fs.fed.us/ems/check/4-5-3-nonconformity-etc/Form_4-5-3_Corrective_Action_Form.doc�

Attachments, Page 9 of 22

Spill/Discovery Training and Preparedness

Training

All employees will become aware of their responsibility to report hazardous materials spills during the annual EMS training.

Employees who either manage building facilities or transport or transfer hazardous materials or petroleum products will attend annual Spill Drill training.

Any operation that uses or transports fuel, oil, or pesticides has the potential for spills. The following are minimum requirements:

Material Safety Data Sheets:

• Material Safety Data Sheets (MSDS) shall be present for the chemical being used or transported.

These are available from the manufacturer or over the internet.

Equipment/Machinery/Vehicles Carrying Auxiliary Fuel:

• Spill kits appropriate to type of spills that could take place must be present in vehicle and in equipment.

• Exemption: Timber Sale Purchasers and their employees or subcontractors follow timber sale contract provisions.

Stationary Fuel Storage and Dispensing Tanks:

• Spill kits appropriate to the volume of stored fuel must be present at points where fuel is dispensed.

Storage and Mixing Tanks for Pesticides:

• Spill kits appropriate to the maximum capacity of mixing tanks for pesticides must be present at points where material is batched or transferred from one tank to another.

• Spill kits appropriate to the volume and toxicity of material stored must be present where pesticides are stored.

Attachments, Page 10 of 22

Attachment 03

Mitigation Measure Certification

For Herbicide Applications in Riparian Zones* on the Lolo NF

Name of Applicator / Ranger District: ________________________________________ Name / location of Riparian Area: ___________________________________________

Herbicide Applied & Rate: _________________________________________________

Method of Application: ____________________________________________________ Mitigation Measure Yes/No or Comments Certifier and Date

1) Was mixing done at least 150’ from open water unless spill containment devices were readily available and an anti back siphoning device was used when drafting water?

2) Has the applicator reviewed stream and wetland areas to assure that spraying will avoid open water?

3) Does the herbicide label allow herbicide use to the waters edge?

4) Will herbicide be used to the waters edge?

5) If herbicide was applied to waters edge, was application at waters edge made with applicators back to the water?

6) Did applicator review and follow label directions for applications near live water or in areas with shallow water tables?

7) Did applicator review and follow all riparian and wetland related mitigation measures?

8) Did applicator review a weather forecast to check potential for heavy rains could cause herbicide transport into streams?

9) Does applicator have an Herbicides Herbicide Emergency Spill Plan and spill containment equipment in vehicle during application?

10) Was this application signed off on by the Fish and Wildlife biologists Biological Assessment Review form?

* Riparian areas are lands adjacent to streams, lakes and wetlands identified as generally flat and where the vegetation present requires large amounts of water normally available from a high water table. Riparian areas are transition zones between aquatic and upland terrestrial environments.

Attachments, Page 11 of 22

Attachment 04

DAILY HERBICIDE APPLICATION RECORD LOLO N.F. / Ranger Dist:____________

Business License # Name

Address City, State, Zip Phone

Circle / Fill-in Appropriate Response BEFORE spraying fill-in blocks 1-12. AFTER spraying start with block 18 and work your way back up to block 14

County MINERAL (10) Temp. R H. _____ *F _____ *RH

(1) Operator Name (11) Wind speed /Direction (from)

____MPH (N, NE, E, SE,

S, SW, W, NW)

(2) Method Code Manual Chem. (710), Mech. Chem. (720), Aerial Chem. (730)

(12) Pesticide (chart below) 1 2 3 4 5 6 7 8 9

(3) Equipment Code

Handsprayer (711) Backpack (712)

Hand Spreader (714) Mobile Grnd Sprayer (721)

Aerial (731)

(13) Total lbs AI Applied

___ oz/128oz per gal * AI Rate/gal

= ____ lbs AI Applied

(of 1st pesticide identified in #12 above)

___ oz/128oz per gal * AI Rate/gal

= ____ lbs AI Applied

(of 2nd pesticide identified in #12 above)

(4) Treatment Type Pesticide (P) (14) Total Oz. Pesticide Applied

_____ oz

(1st pesticide from #12 above)

_____ oz

(2nd pesticide from

(5) Weed (s) (*) (2 Primary Species)

BRTE; CADR; CANU4;

CEDI3; CEMA4; CERE6;

CHJU; CHLE80; CIAR4;

CYOF; ECVU; EUES; HIAU;

HIPR; HYPE; LIDA; LIVU2;

PORE5; SEJA; SIAL2; TAVU;

VETH

(15) Product Rate/Ac.

_____ oz/Ac

(1st pesticide from

_____ oz/Ac

(2nd t pesticide from

(6) Weed Stage Rosette Bud Flower Fall (16) Area Treated (Ac.) _____ Ac.

(7) Site

Admin, Campgrnd, Forest, Irrigation ditch, Pasture, Rangeland, Right-of-Way, Riparian, Trailhead

(17) Calibrated Volume (Gal Water/Ac.) _____ gal/Ac

(8) Date: ____/____/2006

(18) Total gallons

Applied (Diluent & Product)

_____ gal

(From flow meter or graduations on tank)

(9) Time ______ Start ______ Finish

BEIN2 = hoary allyssum; BRAL4 = white bryony; BRTE = cheatgrass;

CADR = white top; CANU4 = musk thistle; CEDI3 = diffuse knapweed;

CESO3 = yellow starthistle; CEMA4 = spotted knapweed; CERE6 = Russian knapweed; CHJU = rush skeletonweed; CHLE80 = oxeye daisy; CIAR4 =

Canada thistle; CRVU2 = common crupina; CYSC4 = scotch broom; CYOF = houndstongue; ECVU = blue weed; ELAN = russian olive; EUES = leafy spurge; HIAU = orange hawkweed; HIPR = meadow hawkweed; HYPE =

St. Johnswort; ISPS = yellowflag iris; ISTI = Dyer’s woad; LELA2 = perennial pepperweed; LIDA = Dalmatian toadflax; LIVU2 = common toadflax; LYSA2 = purple loostrife; POCU6 = japanese knotweed; PORE5 = sulfur cinquefoil; RAAC3= tall buttercup; SEJA = tansy ragwort; SIAL2 = tumble mustard; TARA = salt cedar; TAVU = common tansy; VETH = mullein

Attachments, Page 12 of 22

Surfactant/Adjuvant:

Ingredient Type:

Rate Applied (oz/ac):

Insert Product Name below

Insert Manufacturer below

Insert EPA

Registration # below Insert Active Ingredient (AI) below

Insert AI Rate below

Site Location: _____________________________________________________________________

Attachments, Page 13 of 22

Pg 2

Date ___________ FACTS ID: ________________ SITE ID: _____________________

SITE ID: _____________________

FACTS and Site ID to be filled in by Forest Service

TIME TEMP/ RH

WIND

SP/DIR. LAT./LONG.

REMARKS

Comments:

Map:

Attachments, Page 14 of 22

Attachment 05

U.S. Forest Service, Lolo National Forest

Task Order – Ground Based Invasive Plant Treatment

Task Order No.: ##

Contract No.: AG-03R6-C-11-#### Delivery Order No. AG-03R6-D-11-####

Contractor Name & Address:

Description of services required: (include work list, unit costs, quantity, contract time period, etc.)

Item No. Name of Site(s) Zone

A or E Cndn N or P

Area Description (From / To)

Est.

Acres Price/Acre Price

TOTAL

Special Notes/Instructions:

Estimated Date of the Notice to Proceed: Month/Day/Year Required Completion Date (See Contract Paragraph IV-11): Month/Day/Year

IAS Requisition # ###### Job Code: (job code) Total Estimated Cost: $#####.## Requestor: (name)

Previous Cumulative Task Order Amount $xx,xxx.xx

Amount of this Task Order $xx,xxx.xx Total Cumulative Amount $xx,xxx.xx

Concur:

Contractor Signature Date

Approved:

Contracting Officer Date

Attachments, Page 15 of 22

Attachment 06

Attachments, Page 16 of 22

Attachments, Page 17 of 22

Attachments, Page 18 of 22

Attachment 07

Attachments, Page 19 of 22

Attachment 08 USDA Forest Service

EXPERIENCE QUESTIONNAIRE

Instructions: See Box 11, Remarks, if extra space is needed to answer any item below, Mark “X: in appropriate boxes.

1. Contractor Name, Address, and Telephone Number

11. Submitted to (Office Name and Address)

12. Business [ ] Company [ ] Co-partnership [ ] Corporation [ ] Individual [ ] Non-profit Organization

4. How many years do you or your firm have in the line of work contemplated by this solicitation?

5. How many years experience have you or your business had as a (a) prime contractor ____ and/or (b) sub-contractor ____?

6. List below the projects your business has completed within the last three years:

Contract Amount

Type of Project Date Completed

Name, Address, and Telephone No. of Owner/Person to Contact for Project Information

7. List below all of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:

Number

Dollar Amt.

of Award

Name, Address, and Telephone No. of Business/Government Agency Involved

Awarded (Units)

Percent Completed

Date

Complete

8a. Have you ever failed to complete any work awarded to you? [ ] Yes [ ] No 8b. Has work ever been completed by performance bond? [ ] Yes [ ] No 8c. Did you look at the project site(s) on-the-ground? [ ] Yes [ ] No 8d. If “Yes” to either item 8a. or 8b., specify location(s) and reason(s) why:

Attachments, Page 20 of 22

9. Employees and equipment that will be available for this project:

EXPERIENCE QUESTIONNAIRE CONTINUED

a. (1) Minimum number of employees: _____ and (2) Maximum number of employees: _____

b. Are employees regularly on your payroll: [ ] Yes [ ] No

c. Specify equipment available for this contract:______________________________________________________

d. Estimate rate of progress below (such as 2.0 acres/man/day):

(1) Minimum progress rate:________________ and (2) Maximum progress rate: _________________________

10. List below the experience of the principal individuals of your business. (Who will directly be involved in this contract?)

Individual’s Name Present Position Years of Experience

Magnitude and Type of Work

13. Remarks – Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question.):

NOTE: PLEASE PROVIDE ANY ADDITIONAL INFORMATION THAT WILL HELP EVALUATE YOUR ABILITY TO

SUCCESSFULLY COMPLETE THIS PROJECT.

CERTIFICATION

I certify that all of the statements made by me 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.

12a. CERTIFYING OFFICIAL’S NAME AND TITLE

b. SIGNATURE (Sign in ink) 13. DATE

Attachments, Page 21 of 22

Attachment 09

Attachments, Page 22 of 22

TIME