Attachment 2 - WOC Water Tank Inspection SOW.pdf

US Department of Agriculture (USDA)

Statement of Work

Wolf Creek Job Corps CCC Water Tank Cleaning and Inspection

Contents General Information

1.0 Scope of Work

2.0 Background

Contractor Requirements

3.0 Technical Requirements / Tasks

4.0 Government Furnished

5.0 Deliverables / Schedule

6.0 Travel

7.0 Contractor’s Key Personnel

8.0 Security Requirements

9.0 Data Rights

10.0 Section 508 – Electronic and Information Technology Standards

11.0 Attachments

Project Wolf Creek Job Corps Center – Water Tank Cleaning and Inspection

General Information

1.0 Scope of Work

The Washington Office PPS Job Corps Support Branch has a requirement for a contractor to provide cleaning services for a cast-in-place concrete potable water storage tanks located at the Wolf Creek Job Corps Center.

The Government is looking to award a Firm Fixed Price type contract to a single contractor who offers the best value to the Government, price and other factors considered. The tank is a cast-in-place concrete with an approximate capacity of 165,000 gallons.

The tanks will be drained and take out of service prior to the arrival of the Contractor, if inspection best practices require the tank to be filled the Contractor shall pre-coordinate with the COR and Center staff. Road access to the vicinity of the tank is available. Access to the tank will be through a top of tank hatch.

The contractor shall furnish all labor, materials, equipment, tools, transportation, supervision necessary to perform their work required for the inspection and cleaning of the potable water tank at Wolf Creek Job Corps Center in accordance with the specifications and provisions contained herein.

This project is located at the Wolf Creek Job Corps Civilian Conservation Center located twelve miles from Glide, Oregon in Douglas County. The address is 2010 Opportunity Ln, Glide, OR 97443.

Center Point of Contact: Randy Ayers 541-496-8520.

2.0 Background

Job Corps is a national residential training and employment program administered by the Department of Labor to address the multiple barriers to employment faced by disadvantaged youth throughout the United States. The Economic Opportunity Act of 1964 originally established Job Corps; current authorization for the program is Title I, Chapter 6, Subtitle C, of the Workforce Investment Act of 1998.

Job Corps provides educational and occupational skills training and support services to youth between 16 and not yet 25 years of age. The unique combination of services provided in the Job Corps program is intended to better prepare youth to obtain and hold gainful employment, pursue further education or training, or satisfy entrance requirements for careers in the Armed Forces.

The Workforce Investment Act (WIA) mandates that Job Corps graduates be provided with transition, placement, and support services for one year following initial placement. WIA also requires that the placement status and wages of graduates be measured at six- and twelve-month intervals after the graduates are placed, and that Job Corps operator be evaluated in part on the basis of these performance measures.

The U.S. Department of Agriculture Forest Service operates 24 Job Corps Center nationally, through an interagency agreement with the Department of Labor.

2.1 System Background

The concrete tank is utilized for potable and fire protection demand and is fed from the Water Treatment Plant building. The source water is from Little River which flows along the Southwest edge of the campus.

Contractor Requirements

3.0 Technical Requirements / Tasks

A. The tanks will be isolated from the campus distribution system prior to beginning cleaning and inspection work. Prior to inspecting interior surfaces, the Contractor shall thoroughly clean any accumulated sediment, algae growth, or other deleterious materials that should be removed for sanitary purposes or due to obstruction of surfaces to be inspected. Waste material shall be disposed of legally off of government property.

B. Interior and Exterior inspections will review structure, sanitary, safety, security and any installed coating conditions. Reporting will be provided based on water tanks inspection criteria, referencing applicable OSHA, EPA, AWWA, NFPA, Oregon Health Authority inspection guidance, administrative rules, and standards. Minimum items examined will include inlets and outlets, ladders, shell, roof, vents, walls and floors, baffles/support walls, sumps, manways, welds, joints and seams, foundation, anchors, safety systems, hatches, liners and coatings, telemetry, sediment depths, external overflow, and plumbing.

C. Inspectors shall have training and experience specific to concrete structures and the requirements for community potable water systems. Special emphasis shall be placed on leak detection, tank structural deficiencies, and condition/adhesion of any installed coatings or liners.

D. Defects shall be documented thoroughly with notes, photos, videos and sketches to identify specific locations, extent of defects (measurements and quantity).

E. The contractor shall disinfect the tanks in accordance with ANSI/AWWA Standard C652.19 upon completion of inspection work.

F. If tank full or drawdown cleaning and inspection is conducted based upon Contractor’s proposal:

a. If divers are utilized:

i. The Contractor shall demonstrate compliance with OSHA requirements of 29 CFR Part 1910, Subpart T or Subpart T Appendix B.

ii. A dive operations plan must be submitted prior to dive operations, if the plan changes in mission, depth, personnel, or equipment provide revised plan. The plan must be inclusive of all elements of FSH4209.11 Chapter 16.2 (see attachments).

iii. The Contractor shall hold a pre-dive conference with the CO or their designated representative.

iv. The Contractor shall submit and electronic copy of all dive operation plans, dive logs, any dive related accidents to the Contracting Officer prior to contract closeout.

G. The contractor shall furnish all labor, tools, and deliverables. It is the sole responsibility of the contractor to verify that the Inspection and cleaning are fully completed, and any deficiencies or repairs needed be included in a written report with correction instructions.

H. Adherence to all the following shall be maintained at all times:

a. Occupational Safety and Health Administration (OSHA) Regulation, specifically 29 CFR 1910 -

General Industry.

b. ANSI/AWWA Standard C652-19.

I. Obtaining all required permits and scheduling all applicable inspections.

J. All inspections must be successfully signed off and completed prior to receipt of final payment.

K. All inspections shall be performed in accordance with manufacturer's guidance and the state of Oregon’s regulations.

L. Possess adequate liability insurance and proper license to perform all work stated herein.

M. Notifying the COR of all identified issues no later than 24 hours of discovery.

N. All supplies and materials needed for this project will be furnished by the Contractor.

O. Coordinate service schedule with the COR and Wolf Creek Center POC prior to gaining access to any areas located on the Center.

P. Keep work area(s) clean, neat, picked up and safe to include signs, cones, gates, tape, rope to discourage access by employees, staff and students assigned to the Wolf Creek Center.

Q. All trash shall be picked up and removed at the end of each workday.

4.0 Government Furnished

There are no Government Furnished items associated with this project.

5.0 Deliverables / Schedule

Prior to Start:

• Safety Plan.

• Work Schedule

• Dive Plan

• Verifiable Certificates of Insurance with current dollar limits.

• Verifiable licenses with expirations dates.

• Written designee of contractor’s emergency contact and contact information

After inspection, furnish the following:

• A PDF report of findings, violations, and actions taken. Report will include photos of findings and will comply with State of Oregon Requirements. Any violations noted shall reference the requirements that are being violated.

• Video recording of inspection, transferred to USFS Cloud storage site.

• Repair and/or Replacement recommendations must also be included with the report and must include cost estimates for these recommendations. Recommendations included in the service reports may be used in the future by the Government in its determinations to repair and/or replace equipment as needed, and subject to the availability of funds.

The period of performance for this work is 30 days.

Normal operational hours are from 07:00 am to 4:00 PM Central Time, Monday through Friday.

6.0 Travel

Not Applicable

7.0 Contractor’s Key Personnel

Contractor shall have a minimum of 5 years of experience in commercial potable water tank cleaning and inspection. If used, divers shall be certified from an accredited commercial dive school and be training in First Aid, CPR, and have an annual medical examination to determine fitness for diving.

8.0 Security Requirements

Not Applicable

9.0 Data Rights

Not Applicable

10.0 Section 508 – Electronic and Information Technology Standards Not Applicable

11.0 Attachments

A. Site Map

B. Photos C. FSH 4209.11 Chapter 16 D. 2008 Water Distribution As-Built Plan

LITTLE RIVER ROAD

BALLFIELD

1652A

1404A

IRRIGATION

WATER

STORAGE

TANKS

WATER

STORAGE

LITTLE RIVER CREEK

WASTEWATER

EFFLUENT

HOLDING

TANKS

SEWAGE

TREATMENT

PLANT

1630B

1630A

OPPORTUNITY DRIVE

1633A

STORAGE

RECREATION

EDUCATION

DORMITORY

CAFETERIA

ADMINISTRATION

FUNCTION LEGEND

VACANT

MEDICAL/DENTAL

BUILDING LEGEND

1065 - TRANSITIONAL LIVING

1309 - DORMITORY #7

1310 - DORMITORY #5

1311 - DORMITORY #8

1312 - DORMITORY #1

1314 - DORMITORY #3

1315 - DORMITORY #4

1328 - UMPQUA LODGE

1408 - DINING HALL

1630 - THEATRE/STUDENT ACTIVITY CENTER

1631 - EDUCATION

1633 - GYMNASIUM

1652 - WATER TREATMENT PLANT

1821 - SEWAGE TREATMENT PLANT LAB

2010 - ADMINISTRATION

2101 - VOCATIONAL/WAREHOUSE

2102 - VOCATIONAL

2110 - CEMENT SHOP

2111 - DISPENSARY

2122 - WORKS PROGRAM OFFICE

2139 - CULINARY ARTS TRAINING

2314 - LUMBER/FORESTRY EQUIPMENT

STORAGE

2325 - MODULAR DORMITORY #9

2326 - VOCATIONAL STORAGE

2327 - GENERAL STORAGE

2657 - PAINT STORAGE

STRUCTURE

1404A - KITCHEN PAVILION

1406 - RECYCLING CENTER

1630A - STORAGE

1630B - STORAGE

1632 - COVERED PAVILION

1633A - RECREATION ENCLOSURE

1652A - WATER TREATMENT STORAGE

1819 - PUMP STRUCTURE

1820 - DIGESTER PUMP HOUSE

1824 - STORAGE

1825 - STORAGE

1826 - STORAGE

1830 - STORAGE

2112 - PAVILION

2113 - BUS SHELTER

2114 - SMOKING SHED

2115 - SMOKING SHED

2116 - SMOKING SHED

2117 - SMOKING SHED

2118 - PAVILION

2315 - TOOL STORAGE

200 Feet50 1000

Existing Site Plan

Glide, Oregon

Wolf Creek Civilian Conservation Center

AS OF 5/29/2014 FROM

INVENTORY VALIDATION

agarrison Callout Cast-In-Place Potable Water Storage Tank

Attachment B: Photos

WO AMENDMENT 4209.11-2012-1

EFFECTIVE DATE: 03/27/2012

DURATION: This amendment is effective until superseded or removed.

4209.11_10

FSH 4209.11 - WILDLIFE, FISH, WATER, AND AIR RESEARCH HANDBOOK

CHAPTER 10 - DIVING AND SNORKELING SAFE PRACTICES

15.5 - Content of Medical Evaluations

Medical examinations conducted initially and at the intervals specified in section 15.3of this handbook must consist of the following:

1. Applicant agreement for release of medical information to the diving safety officer, as deemed necessary, for the administration and management of the Forest Service Diving Safety Program, AAUS Appendix 2b, Applicant’s Release of Medical Information Form.

2. Medical history, AAUS Appendix 3, Diving Medical History Form.

3. Diving physical examination, AAUS Appendix 2, AAUS Medical Evaluation Of Fitness For Scuba Diving Report.

15.6 - Requirements for Diving Medical Examinations

The medical examination requirements are outlined at: The American Academy of Underwater Sciences (AAUS): Standards for Scientific Diving, Section 6.0 (Revised 12/09). Available at:

http://www.aaus.org/mc/page.do?sitePageId=124744&orgId=aaus.

15.7 - Physician's Written Report

After any medical examination relating to an individual's fitness to dive, the diving safety officer shall provide a copy of the physicians report, AAUS Appendix 2, AAUS Medical Evaluation of Fitness for Scuba Diving Report, to the individual.

16 - CONTRACT DIVING OPERATIONS

16.1 - General

1. Contractors shall demonstrate compliance with OSHA requirements of 29 CFR part 1910, Subpart T or 29 CFR part 1910, Subpart T, Appendix B.

2. Contracting officers or contracting officer representatives shall have a working knowledge of OSHA requirements of 29 CFR part 1910, Subpart T and 29 CFR part 1910, Subpart T, Appendix B to monitor contract diving operations or consult with regional diving safety officer.

3. Any failure to comply with the requirements of section 11 will be cause for suspension or termination of the contract.

16.2 - Dive Operations Plans

1. Dive operation plans must be developed and implemented by the contractor for each separate diving operation. As a minimum, the plan must contain the following:

agarrison Cross-Out

DURATION: This amendment is effective until superseded or removed.

4209.11_10

FSH 4209.11 - WILDLIFE, FISH, WATER, AND AIR RESEARCH HANDBOOK

CHAPTER 10 - DIVING AND SNORKELING SAFE PRACTICES

a. Names and duties of dive team members, including diving supervisor.

b. Date, time, and dive location of the diving operation.

c. Diving mode to be used (for example, SCUBA or surface supplied air), giving a description of the backup air supply.

d. Nature of work to be performed by the divers and requirements for inspection.

e. Surface and underwater conditions, including visibility, temperature, thermal protection, and currents.

f. Safety procedures for contract.

g. Maximum depth and bottom time (altitude adjustments to dive tables must be accomplished for dives made at altitudes of 1,000 feet (300 meters) or more above sea level).

h. Emergency management plan, including emergency procedures, means of notification, telephone numbers (for ambulance, doctors, and recompression chambers), and location of evacuation routes, nearest U.S. Coast Guard rescue center, and emergency assistance.

i. Lockout/tag out procedures, including procedures for dealing with differential water pressures due to unequal water elevations (when applicable).

j. Equipment certification, procedures, and checklists and requirements for special tools and equipment.

k. The statement, If for any reason the dive operations plan is altered in mission, depth, personnel, or equipment, the contracting officer shall be contacted and shall review any revision prior to actual operation.

2. The dive operation plans must be submitted to the unit diving safety officer prior to commencement of diving operations.

3. A copy of the diving operation plans must be at the diving location whenever diving is conducted.

4. The dive operation plans must be made available to the government contracting officer.

DURATION: This amendment is effective until superseded or removed.

4209.11_10

FSH 4209.11 - WILDLIFE, FISH, WATER, AND AIR RESEARCH HANDBOOK

CHAPTER 10 - DIVING AND SNORKELING SAFE PRACTICES

16.3 - Pre-Dive Conferences and Briefings

A pre-dive conference must be held on site with the lead contract diver and a representative of the contractor with sufficient authority to implement any requirements made by the government contracting officer.

16.4 - Recordkeeping and Reporting Requirements

The contractor shall submit two copies of all dive operations plans, dive logs, and diving related accident reports to the contracting officer for inclusion in the contract file. The contracting officer submits a copy to the unit dive safety officer.