Attachment A3 - Coupon Testing Call Order Form.docx
DOCX document 21 KB Posted
- Attached to
- USACE QA Coupon Testing BPA Federal contract opportunity
- Solicitation number
- W9127N23Q0076
About this file
This sample testing call order form outlines testing requirements for a blanket purchase agreement to provide quality assurance coupon testing services to the U.S. Army Corps of Engineers Engineering District Portland. The contractor will test samples of various materials sent by the Corps to verify the accuracy of other contractors' tests and ensure proper payment. Testing includes items from the agreement's price schedule such as tensile, compression, and fracture tests. The contractor must provide all labor, equipment, and materials to perform the tests and report results to the Corps within specified timeframes. Payment terms are also defined, with invoices up to $2,500 to be paid by credit card within seven days provided all requirements are satisfactorily met.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Industry Questions.pdf | ||
| Attachment 2 - Clauses Provisions.pdf | ||
| Attachment A1 - Schedule of Tests and Sampling by CLIN.pdf | ||
| Attachment A2 - BPA Call Order Tracking Sheet.xlsx | XLSX spreadsheet | |
| Attachment 3 - QASP Sample Testing.pdf | ||
| Attachment A - Sample Testing PWS.pdf | ||
| Attachment 1 - BPA Sample Testing Terms Conditions.pdf |
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Text version
Attachment A3 - Sample Testing Call Order Form Sample
(Name and Address of Lab/Contractor from BPA Selected) Blanket Purchase Agreement No. _______________ For _________ Office
1. PROJECT/CONTRACT INFORMATION.
| Contract No.: | ________________ | ||
| Contract Name (or Design Title): | ________________ | ||
| Location: | ________________ |
2. PROJECT BACKGROUND. The samples included in this Call are _________. (Include background info about the samples that the contractor will receive. Such as material type, new casting coupons, older component samples, size/number of samples, identifying numbers for the samples being sent, etc…)
3. STATEMENT OF WORK/OBJECTIVES. Government Estimate below is based upon the Blanket Purchase Agreement No. ____________ Price Schedule (make sure to identify FY Price Schedule, for example: FY23 Price Schedule). The Contractor shall provide all labor, equipment and materials to perform the following:
(fill in this information from the specific BPA Price Schedule)
| ITEM NO. |
| DESCRIPTION (Title/description of tests as stated in Price Schedule) |
| Qty |
| Unit |
| Est Unit total $ |
| Est Total $ |
| $0.00 |
| $0.00 |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
Total
4. COORDINATION WITH GOVERNMENT.
Primary/On-site Point of Contact is _________, whose phone number is ______.
Alternate POC is _______, whose phone number is _________.
5. FORMAL REPORTS AND DOCUMENTATION. Official reports/results shall be emailed to the Government, ATTN: __________ (also include the applicable COR), within 24 hours after completion of the tests, formal letters reports shall follow within 3 calendar days.
Email address to provide items to is: __________________.
6. SPECIAL CONSIDERATIONS. Reference Blanket Purchase Agreement and Performance Work Statement provided with agreement for specific testing requirements and performance standards. This testing will be used to assure the accuracy of the other contractor’s tests and may be used to verify accurate payment.
(Include specific and special information/considerations that will need to be known by the contractor/lab personnel coming to the construction site to take the samples/perform the testing. Example, any security requirements, HECP-AP training needs, how to find the site or general site access route, even consider providing an alternate contact person for the scheduled day.)
7. DELIVERY REQUIREMENTS.
Anticipated date of testing needed: ___________.
Estimated start time: ______________.
Request Tech arrive at or about ________ hrs.
8. BILLING REQUIREMENTS. Invoices shall be emailed to the Government, ATTN Scot Washburn, whose email address is scot.h.washburn@usace.army.mil. Payment for tests up to $2,500 will be made by credit card VISA payments, within seven calendar days of receipt of invoice and all testing requirements were met satisfactory.
File details come from the government source that posted it. Updated .