attach3 2021 Knowles Head Deliverables Checklist and NSP CLIN.pdf

2021 PCT Knowles Head - Cordova RD Chugach NF Deliverables Checklist and NSP CLINs Page 1 of 3

Contract Number: Contract/Project Name:

Date of Award: Date of Pre-Work Meeting:

Contractor Name:

Contract Line Item No./Exhibit #/Attachment #/Section # Action Date of submission

CERTIFICATIONS/PERMITS:

Reference Section (xiii) Additional Requirements/Terms and Conditions: Employment of Eligible Workers Forest Service Land Access Permit – If Applicable At Pre-

Work Meeting

MSPA Certification of Registration Prior to Award

Farm Labor Certificate (FLC) Prior to Award

MSPA Registration # Within 10 Days After Award Date

WORKERS:

Reference Section (xiii) Additional Requirements/Terms and Conditions: Employment of Eligible Workers List of Workers (eVerify) Prior to Award

Employment of Eligible Workers I-9 form Prior to Award

Proof of certification of Driver Prior to Award

Proof that the Contractor provided a written employment agreement to each worker.

Prior to Award

Contractor’s Designated Representative Prior to Award

Verification of how workers are trained (including camp safety checklist, if applicable)

At Pre-Work Meeting

SAFETY & WORK SCHEDULE:

OSHA & Safety Plan – Employment of Eligible Workers 5. Worker Protections

At Pre- Work Meeting

Quality Control Plan – Section E Within 10 Days After Award Date

Work Schedule – Section F.2.1 At Pre-Work Meeting

Updated Work Schedule – Section F.2.1 Monthly

INVOICING:

Invoice Certification – NSP 0002(f) With Every Invoice

Camp Safety Checklist & Incident Log, If Applicable – With Every Invoice (If Applicable)

Contract Release Form 2018 93C Upon Final Invoicing

Deliverables Checklist and NSP CLINs Page 2 of 3

NOT SEPERATELY PRICED CONTRACT LINE ITEM (NSP-CLIN)

Certifications – Not Separately Priced (NSP) means the unit price for each NSP-CLIN is included in the contract SUB-CLIN pricing. The certifications required by NSP-CLIN shall be submitted as supporting documentation for each invoice submitted for work accomplished under the SUB-CLIN. 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.

NSP

CLIN 0002

Description

NSP 0002(a) 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.

NSP 0002(b) Section 274A of the Immigration and Nationality Act – Certification with Invoice Submission:

“As present by Forest Service Acquisition Regulations (FSAR) Chapter 22, FSH 6309 32 4G22, which provides additional guidance with 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.

NSP 0002(c) Worker Camp conditions (If applicable) – 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.

NSP 0002(d) Labor Standards for Contracts Involving Migrant and Seasonal Agricultural Workers, List of Eligible Workers. Prior to award of contract, the contractor shall provide to the Contracting Officer a completed e-Verify form for each employee.

An updated list of workers shall be provided to the Contracting Officer for each of the following events:

(1) Prior to any new employee starting work.

(2) Immediately upon an employee leaving the work through termination of employment.

Deliverables Checklist and NSP CLINs Page 3 of 3

NSP 0002(e) Farm Labor Certificate (FLC): Transportation - Certification with Invoice Submission:

“The contractor recognizes that transportation of workers is a material condition of this contract as stipulated by the MSPA and as approved by DOL. In addition to other remedies provided by this contract or penalties as prescribe by law, the Government may terminate the contract for violations of FLC Certificate terms. Recognizing the preceding, the contractor hereby certifies that the attached invoice reflects full compliance with the FLC Certification as issued by DOL for performance associated with this contract.”

NSP 0002(f) Occupational Health and Safety Act (OSHA) and Safety Plan Contractors are subject to all applicable State and Federal OSHA rules and regulations. Work sites are remote, and advance planning with regards to safety and emergency evacuation is crucial. Contractors must submit their safety and emergency evacuation plan(s) at the time of the pre-work meeting.

Certification with Invoice: “The contractor certify that the attached invoice reflects full compliance with the safety terms and conditions of the contract and also certifies that all work has been completed consistent with the contractor’s safety and emergency evacuation plan(s).”

NSP 0002(g) Quality Control Plan

NSP 0002(h) Work Schedule

NOT SEPERATELY PRICED CONTRACT LINE ITEM (NSP-CLIN)