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This document is an Attachment 5 titled "DAILY HEADSTONE/MARKER RAISE & REALIGN VERIFICATION SURVEY" related to the National Memorial Cemetery of the Pacific National Shrine Project - FY24 Cemetery Section Renovation - Phase V. The document outlines the instructions and requirements for the Cemetery Director/COR/Foreman/Work Leader/designee to perform a re-verification survey of all completed headstone/marker raise and realignment work prior to the end of each workday. The survey must be documented, with any discrepancies or issues reported to the District Office Director and Contracting Officer. The document is a required verification procedure associated with the related federal contract opportunity for the FY24 National Shrine project at the National Cemetery of the Pacific in Honolulu, HI, solicitation number 36C78624B50290.

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National Memorial Cemetery of the Pacific National Shrine Project – FY24 Cemetery Section Renovation - Phase V Project No.: 899-NS-FY24-001

ATTACHMENT 5

DAILY HEADSTONE/MARKER RAISE & REALIGN VERIFICATION SURVEY

Station Number:__________ Date:_____________________

Cemetery: _______________ Cemetery Director: _______________

COR: ___________________

Instructions: Prior to the completion of the workday, the Cemetery Director/COR/Foreman/Work Leader/designee MUST perform a re-verification survey for ALL completed work of headstones/markers included in the scope of work. The Cemetery Director/COR/Foreman/Work Leader/designee will use the original Burial Register Report and Gravesite Layout Map used for the Initial Verification Survey.

List Sections and Headstones/Markers R&R: __________________________________

List discrepancy/issue: ___________________________________________________

All discrepancies/issues resolved: Y/N ______

Cemetery Director/COR/Foreman/ Work Leader/designee informed District Office Director and Contracting Officer of all unresolved discrepancies/issues: Y/N _______

By signing below, I certify the Headstone/Marker re-verification survey was completed.

Daily Headstone Verification:

Date: __________ Time Completed: ______________

COR/Director/Foreman/Work Leader/designee Signature: ________________________

File details come from the government source that posted it. Updated .