Attachment 5 DLAD QA COSR-project-RO_v1.pdf

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Attached to
SP3300-24-Q-0020 ESS Maintenance at DLA Anniston AL
Solicitation number
SP3300-24-Q-0020
Issued by

About this file

This document appears to be a contract oversight surveillance report template for the maintenance services contract SP3300-24-Q-0020 between the Defense Logistics Agency Distribution and a contractor. Key details include:

  • The report template includes sections to capture the contract and evaluation period details, the service provider information, the surveillance methods used, an overall evaluation of satisfactory, marginal, or unsatisfactory along with explanations, additional comments for the contracting officer, and a certification from the contracting officer's representative.

  • The template also includes a section to note conforming, nonconforming, and outstanding performance against each contract requirement surveyed, as well as optional fields to note very good, satisfactory, marginal, or unsatisfactory performance.

  • The associated federal contract opportunity is for maintenance services at the Defense Logistics Agency distribution site in Anniston, Alabama, issued under solicitation SP3300-24-Q-0020.

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Contract Oversight Surveillance Report

1. Contract # / Service

2. Contract Location

3. Contract Performance Period

4. Evaluation Period

5. Contract Service Provider

6. Method(s) of Surveillance (check all that apply for this surveillance period) Requirement Surveillance Comments

Surveillance Methods Described -

- Direct Observation is the visual examination of processes and procedures by an evaluator who is physically present and watching individuals actually performing the work to determine whether the processes conform to the requirements.

- Random Sampling is correctly performed by selecting a statistically significant number of samples from a lot where all members of the lot have the same chance of being selected. Random Sampling is used to reduce the time and effort of validating conformance to requirements when a definable lot of significant size exists.

- 100% Inspection method evaluates all outputs of a particular requirement. Every item in a lot is evaluated for all or some of the characteristics in the specification. (Recommend if Lot Size is 25 or less)

- Validated Customer Complaints are customer complaints that prove to be valid upon subsequent investigation. They can be used as a trigger for conducting surveillances, and are included as a part of the surveillance report. When a valid complaint is received and included in a surveillance activity, strongly consider scheduling targeted follow up surveillance to ensure the problem has been corrected. These can prompt corrective actions, preventative action plans, and performance improvement plans.

7. Overall Surveillance Evaluation (If Satisfactory, Marginal, or Unsatisfactory, please explain below.)

8. Additional Comments / Notes to the Contracting Officer (Either positive or negative)

9. COR/TPOC Certification - I certify that the supplies or services provided by the Service Provider under the terms and conditions of this contract, have been received and accepted unless otherwise noted on this surveillance report.

Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments Requirement Surveillance Comments 10.0.2.20120224.1.869952.867557

TextField1:
TextField4: DLA Distribution
TextField2:
DateField1:
DateField2:
TextField3:
DirectObservation: 0
RandomSampling: 0
Inspection: 0
Complaint: 0
Other: 0
Other_Field:
Requirement: Is the contractor providing preventive and corrective maintenance on Government-owned Modula Lift Modules (VLMS) in accordance with the contract?
Requirement: Is the contractor adhering to all applicable security requirements set forth within the contract?
Requirement: Is the contractor performing preventive maintenance in accordance with the Original Equipment Manufacturer (OEM) specifications to include: inspection, lubrication, cleaning, component alignment, and system adjustments?
Requirement: Is all corrective maintenance being performed in accordance with the Original Equipment Manufacturer (OEM) specifications?
Requirement: Is preventive and corrective maintenance being performed on schedule in accordance with the contract?
Requirement: Are all replacement parts new or "like new" and properly invoiced in accordance with the contract?
Requirement: For all performed service is the contractor providing the COR with a properly documented work order form within 5 working days after completion of the maintenance service?
Requirement: Is the contractor adhering to all environmental regulations in accordance with the contract?
Requirement: Is the contractor adhering to all applicable safety and occupation health standards in accordance with the contract?
Requirement: Is the contractor reporting all contract labor hours (including subcontractor labor hours) required for performance of maintenance services no later than October 31 of each calendar year for all personnel?
SurveillanceComments:
Conforming:
Nonconforming:
Outstanding: 0
VeryGood: 0
Satisfactory: 0
Marginal: 0
Unsatisfactory: 0
TextField5:
SignatureField1:
DateField3:

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