Attachment D.pdf

ATTACHMENT D: USDA TEMPLATE QUALITY ASSURANCE SURVEILLANCE PLAN (QASP) EXAMPLE

Performance Standard #

PWS

Paragraph

Description Measure How Measured

Target Service Level

Reporting Frequency

Frequency of Application of

Incentive/ Disincentive

Exceptions / Comments

Monitoring Performed by/ Date(s)

Compliance with

SLA and Comments

4.2.1. Provide

Bendix King/Bendix King Certified Technical Support staff

OEM

Certification

Periodic Inspection

100% Annually USDA COR /designee

4.2.2. and 4.2.3. Radio repairs shall be completed on time

Warranty repairs completed in 14 calendar days/All other or standard repairs completed in 30 days

Periodic Inspection

97% / 95% Quarterly USDA COR /designee

4.2.4., 4.2.5., and 7.0

Repair, test, and align radios to factory specifications

Repaired radios meet or exceed OEM published functional, operational, and technical performance standards

100% Inspection 97% Monthly USDA COR /designee

Receive, Repair and Deliver Bendix King Portable and Mobile Radios

12760421F0000

Types of Surveillance to Select From:

Random Sampling: Appropriate for frequently recurring tasks. Evaluate randomly selected samples of the lot to determine the acceptability of the entire lot.

Random Inspection Guide, Method of surveillance, Lot size, Sample size, Performance requirement, Sampling procedure, Inspection procedure 100 Percent Inspection: Appropriate for critical tasks, or that occur infrequently. Inspect and evaluate performance each time task is performed Periodic Surveillance: Evaluation of samples selected on other than 100% or statistically random basis. (i.e. monthly, quarterly, semi-annually etc.)

Validated Customer Complaint: Complaints must be validated.

Performance Reporting: Reports will provide information to evaluate metrics for a specific time period. Monthly performance reports will be generated and delivered by the Contractor. Additional monthly performance reports may be provided by the USDA.

Surveillance results may be used as the basis for actions (to include payment deductions) against the contractor. Inspection and Acceptance becomes the basis for the Contracting Officer’s actions.

Progress or Status Meetings.

Analysis of Contractor’s Progress Reports: Evaluate adherence to schedule for requested deliverables.

NOTE: Surveillance methods used in the commercial market to surveil the required service may also be utilized.

Bendix King Portable and Mobile Radios

12760421F0000

Government and Contractor Assigned Personnel - Roles and Contact Information:

Role Name Phone Number Mailing Address Email Address Time Zone Forest Service

Contractor

Bendix King Portable and Mobile Radios

12760421F0000 ATTACHMENT x: REPORT OF UNSERVICEABLE, LOST, STOLEN, DAMAGED, OR DESTROYED PROPERTY

AD-112

template.docx

AD-112 (Rev. 3/94)

U.S. DEPARTMENT OF AGRICULTURE PROPERTY REPORT NO. DATE

REPORT OF UNSERVICEABLE, LOST, STOLEN

DAMAGED OR DESTROYED PROPERTY

SECTION I - ACCOUNTABLE PROPERTY OFFICER'S REPORT

1. STATUS OF PROPERTY (Check only one - report each type separately) 2. REPORTING ACTIVITY (Show agency, unit, and address)

Unserviceable Obsolete Damaged

Lost or stolen Cannibalized for parts Destroyed Others

3. PROPERTY ITEMS (See attachment for additional entries)

QUANTITY

(Or property no.)

ITEM DESCRIPTION AND OTHER DETAILS, INCLUDING

SERIAL NUMBERS AND ACQUISITION DATE

(Give present condition and estimated cost of repair)

ACQUISITION COST

EXPLANATION/DISPOSAL INSTRUCTIONS

(If lost, stolen, or destroyed, give detail.

Was this reported to proper authorities?)

(A) (B) (C) (D)

4. NAME IN PRINT AND SIGNATURE OF CUSTODIAN DATE 5. NAME IN PRINT AND SIGNATURE OF

ACCOUNTABLE PROPERTY OFFICER

DATE

SECTION II - PROPERTY MANAGEMENT OFFICER'S REVIEW AND RECOMMENDATION

DETERMINATION FOR LOST, STOLEN, DAMAGED, OR DESTROYED PROPERTY

1. After due consideration of all known facts and circumstances in this case, it is determined that:

a. The loss, theft, damage, or destruction did not result from employee negligence and any involved employees are hereby relieved of liability.

b. There appears to be gross negligence involved; therefore, the case is returned to agency officials for appropriate action under the Debt

Collection Act.

c. There appears to be negligence involved; therefore, the case is returned to agency personnel officials for consideration of disciplinary action.

2. NAME IN PRINT AND SIGNATURE OF PROPERTY MANAGEMENT OFFICER 3. DATE

SECTION III - AUTHORIZATION FOR CANNIBALIZATION, ABANDONMENT, OR DESTRUCTION OF UNSERVICEABLE PROPERTY

1. Unserviceable property listed above is hereby authorized for cannibalization, abandonment, or destruction in accordance with FPMR 101-45.9 based on any of the following determinations as further explained in section I-3 (D):

a. Property has no commercial value.

b. Health, safety, or security considerations require immediate abandonment or destruction.

c. Costs of care and handling exceed expected small lot sales proceeds.

d. Regulation or directive requires abandonment or destruction.

e. Property is uneconomical to repair/not needed by another user and may be cannibalized for parts. (Cannibalization is a form of use and property management regulations shall apply. Remainder of property must be disposed of through usual procedures.)

2. SIGNATURE OF PROPERTY MANAGEMENT OFFICER 3. DATE

SECTION IV - CERTIFICATION FOR COMPLETION OF CANNIBALIZATION, ABANDONMENT, OR DESTRUCTION:

I certify that cannibalization, abandonment, or destruction action for the items authorized under Section III was completed on this date in accordance with I-3 (D).

1. SIGNATURE OF ACCOUNTABLE PROPERTY OFFICER 2. DATE

3. SIGNATURE OF WITNESS 4. DATE

SECTION V - CERTIFICATIONS OF PROPERTY AND FISCAL OFFICERS

1. SIGNATURE OF PROPERTY MANAGEMENT OFFICER (The necessary entries have been made to adjust property records.) 2. DATE

3. SIGNATURE OF FISCAL OFFICER (The necessary action has been taken to adjust the accounting records and, where required by a determination made under Section II above, to effect collection from involved employee(s).)

4. DATE