B & B Attachment A-II.docx
DOCX document 319 KB Posted
- Solicitation number
- RFP 591 210000000583 3
- Issued by
- Berrien County, Michigan
About this file
This attachment document is a forms compilation supporting RFP 210000000583 for Bicentennial and Blossomland Lift Bridge Operational and Custodial Services. The document provides standardized reporting and inspection forms that contractors and bridge operators must utilize throughout the contract term. The forms include a Bridge Operator's Report (Form 0406), an Unnecessary Bridge Openings report, a Contractor/Operator's Inspection checklist, an Equipment Check List, and an Accident Incident report form. These forms establish the documentation requirements and operational standards that must be maintained during the performance of bridge operational and custodial services.
The Equipment Check List specifies minimum safety and operational equipment requirements including two first-aid kits, life jackets and life rings, 150 linear feet of rope, six fire extinguishers (four ABC 10 lb. and two BC 10 lb.), emergency signal flags, flashlights, cones, and reflectorized vests. The Contractor/Operator's Inspection form requires regular evaluations of bridge operator knowledge, operational ability, navigation and safety conditions, appearance, and housekeeping standards across multiple facility areas. The Unnecessary Bridge Openings form documents vessel passages with potentially unnecessary openings, capturing vessel information, clearance measurements, and cause details. The Accident Incident form collects comprehensive information regarding any accidents occurring at the bridge facilities, including operator details, vehicle identification, weather conditions, and damage descriptions. These standardized forms ensure consistent operational documentation and compliance monitoring throughout the contract performance period.
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Other files
| File | Type | Posted |
|---|---|---|
| B & B Attachment A-IV.docx | DOCX document | |
| B & B Attachment A-I.docx | DOCX document | |
| B & B Attachment A-V.docx | DOCX document | |
| B & B Schedule A-SOW.docx | DOCX document | |
| B & B Schedule B Pricing.docx | DOCX document | |
| B & B Proposal Inst.CT.VQ.docx | DOCX document | |
| B & B Attachment A-VI.docx | DOCX document | |
| B & B Attachment A-III.docx | DOCX document | |
| B & B standard_contract_terms.docx | DOCX document |
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Text version
RFP 210000000583 - Bicentennial and Blossomland Lift Bridge Operational and Custodial Services
ATTACHMENT A-II
FORMS
1. BRIDGE OPERATOR’S REPORT (Form 0406)
2. UNNECESSARY BRIDGE OPENINGS
3. CONTRACTOR/OPERATOR’S INSPECTION
4. EQUIPMENT CHECK LIST
5. ACCIDENT INCIDENT
UNNECESSARY BRIDGE OPENINGS
BRIDGE NAME: BRIDGE No.
BRIDGE LOCATION:
· NUMBER OF VESSEL (IF NUMBERED):
· NAME OF VESSEL:
· HOME PORT (IF SHOWN):
· NAME & ADDRESS OF OWNER:
| MONTH: | DAY: YEAR: | TIME: AM: | PM: |
| DIRECTION OF PASSAGE: UP STREAM: | DOWN STREAM: |
CAUSE OF UNNECESSARY BRIDGE OPENING
APPURTENANCES UNESSENTIAL TO NAVIGATION:
ANTENNA: OUTRIGGER: DECORATIVE MAST:
FLAGPOLE: FALSE STACK: CANVAS TOP:
OTHER:
CLEARANCE GAUGE: FEET
ESTIMATED CLEARANCE OF VESSEL’S HIGHEST FIXED POINT: FEET
REMARKS:
BRIDGE OPERATOR:
(VIOLATION CANNOT PROCEED WITHOUT THIS INFORMATION)
CONTRACTOR/OPERATOR’S INSPECTION
BRIDGE NAME:
INSPECTOR: TIME: DATE:
| EVALUATION |
| GOOD |
| FAIR |
| POOR |
A. Bridge Operators Overall Knowledge Of Functions
1. Knowledge of routine operations procedures
2. Knowledge of emergency operating procedures
3. Knowledge of administrative requirements
4. Knowledge of Coast Guard Regulations
B. Bridge Operators Overall Operational Ability
1. Ability to operate bridge
2. Bridge logs (Completeness)
C. Bridge Navigation And Safety Conditions
1. Navigation lights (daily checks)
2. Fender systems
3. Other safety devices
D. Bridge Operators Appearance
E. Housekeeping Overall
1. Operators bridge house floors
2. Bridge house windows
3. Control console and switchgear
4. Walkways and platforms
5. Commode
F. Overall Bridge Condition
EQUIPMENT CHECK LIST
BRIDGE NAME:
| 1. | FIRST-AID KIT – (2 required) | |
| a. | In a readily accessible place? | |
| b. | Has it been used? | |
| c. | Has it been replenished? |
| 2. | LIFE JACKETS – (2 required) and LIFE RINGS – (2 required) | |
| a. | Is the required number accounted for? | |
| b. | Ripped, torn, or cracked? | |
| c. | General Condition: New Good Fair Poor |
| 3. | ROPE, 150 linear feet 1/4 inch (plus vertical distance of the draw span to water) | |
| a. | Is it in a readily accessible condition? | |
| b. | General Condition: New Good Fair Poor |
| 4. | FIRE EXTINGUISHERS (6 required) | |
| a. | Are there 4 ABC, 10 lbs.? | |
| b. | Are there 2 BC, 10 lbs.? | |
| c. | Date filled? | |
| d. | Has the pin been broken? |
| 5. | BIG RED FLAG FOR EMERGENCY SHIP WARNING | |
| a. | Is the required number accounted for? | |
| b. | Are they properly stored? |
| 6. | FLASHLIGHTS – (2 required) | |
| a. | Is the required number accounted for? | |
| b. | Are they in working condition? | |
| c. | Are the batteries good? |
| 7. | ARE THE FOLLOWING AVAILABLE? | |
| a. | Cones – (6 required) | |
| b. | Vests (Reflectorized) – (2 required) |
| 8. | ARE THE FOLLOWING WORKING SATISFACTORILY? | |
| a. | Commode | |
| b. | Fan/air conditioner | |
| c. | Door locks | |
| d. | Telephone |
e. Intercom (if available)
9. COMMENTS:
PROJECT MANAGER DATE
ACCIDENT INCIDENT
LOCATION:
TIME OF ACCIDENT: ____________ DATE: ____________ HOUR: ______ AM: PM:
WEATHER CONDITIONS: ______________________________ (CLEAR, RAIN, FOG, ETC.)
| OPERATOR’S NAME, ADDRESS & PHONE NUMBER |
| VEHICLE / BOAT IDENTIFICATION NUMBER |
| DRIVERS LICENSE NUMBER |
| INSURANCE COMPANY |
MDOT PROPERTY DAMAGED:
DESCRIPTION OF ACCIDENT:
POLICE AGENCY REPORT NUMBER:
SKETCH IF NECESSARY
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