B.08.02 W9123722Q0151.pdf

PLEASANT HILL LAKE

ROBERT HAWK

36007 STATE ROUTE 715

WARSAW OH 43844

TEL: 419-938-5785 FAX:

W81F8E22075812

REQUEST FOR QUOTATIONS

(THIS IS NOT AN ORDER) 1

PAGE OF PAGES

1. REQUEST NO. 2. DATE ISSUED RATING

W9123722Q0151 24-Aug-2022 5a. ISSUED BY

8. TO: NAME AND ADDRESS, INCLUDING ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this

Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State, and local taxes)

ITEM NO.

(a)

SUPPLIES/ SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e) (f)

SEE SCHEDULE

AMOUNT

% No. %

NOTE: Additional provisions and representations [ ] are [ ] are not attached.

13. NAME AND ADDRESS OF QUOTER (Street, City, County, State, and ZIP Code)

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF

QUOTATION

16. NAME AND TITLE OF SIGNER (Type or print) (Include area code)

TELEPHONE NO.

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (REV. 6-95)

PREVIOUS EDITION NOT USABLE Prescribed by GSA FAR (48 CFR) 53.215-1(a)

THIS RFQ X[ ] IS [ ] IS NOT A SMALL BUSINESS SET-ASIDE

6. DELIVER BY (Date)

SEE SCHEDULE

AND/OR DMS REG. 1

UNDER BDSA REG. 2

4. CERT. FOR NAT. DEF.3. REQUISITION/PURCHASE

REQUEST NO.

USACE, CONTRACTING DIVISION

ATTN: BRITTANI STOWERS

502 W 8TH STREET

HUNTINGTON WV 25701

9. DESTINATION (Consignee and address, including ZIP Code)

7. DELIVERY

[ ]X FOB

DESTINATION

[ ] OTHER

(See Schedule)

07-Sep-2022(Date)

PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS:10.

304.399.5762BRITTANI STOWERS

(Name and Telephone no.) (No collect calls)5b. FOR INFORMATION CALL:

d. CALENDAR DAYSc. 30 CALENDAR DAYSb. 20 CALENDAR DAYS12. DISCOUNT FOR PROMPT PAYMENT a. 10 CALENDAR DAYS

CUISP-PROCURE/FED ONLY

Section B - Supplies or Services and Prices

PRICE BREAKOUT SCHEDULE

Line Item No. Description of Requirement Qty/Unit of Measure Extended Price

0001 Reimbursement of actual cost of payment bond for quotes in excess of $35,000.00

JOB $__________

0002 Mobilization & de-mobilization of equipment required in accordance with the attached Scope of Work.

0003 Labor at Pleasant Hill Dam paving in accordance with the attached Scope of Work.

0004 Materials and Supplies for office paving at Pleasant Hill Dam in accordance with the attached Scope of Work.

Quote Total $__________

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Job Pleasant Hill Dam office paving

FFP

Provide all necessary labor, equipment, and materials to construct and paving of Office drive and parking area. The office drive and parking area (approximate area of 12000 sq. feet)

FOB: Destination

MILSTRIP: W81F8E22075812

PURCHASE REQUEST NUMBER: W81F8E22075812

PSC CD: Z2LB

NET AMT

ADDITIONAL INFO

ADDITIONAL INFORMATION

SITE VISITS ARE HIGHLY RECOMMENDED PRIOR TO PROVIDING A

QUOTE. SEE CLAUSE 52.236-27 FOR ADDITIONAL INFORMATION.

PLEASE DIRECT ALL QUESTIONS TO BRITTANI STOWERS AT (304) 399-5762 or brittani.l.stowers@usace.army.mil. ANY INFORMATION RECEIVED AT THE

SITE VISIT WHICH CONFLICTS WITH THIS SOLICITATION SHOULD BE

BROUGHT TO THE ATTENTION OF MS. STOWERS. THE SOLICITATION

AND RESULTING CONTRACT SHALL BE THE GOVERNING DOCUMENT IN

ALL CASES.

QUOTES CAN ONLY BE E-MAILED TO BRITTANI STOWERS AT

brittani.l.stowers@usace.army.mil by the date referenced on page one of the SF18.

Per FAR 36.204 the estimated price range for this project is between $100,000 and $250,000.

NOTE: Award will be made to the lowest price offeror who meets the technical requirements of the solicitation and is deemed responsible by the contracting officer.

The intent is to award without discussions.

NOTE: this procurement is 100% Total Set-Aside for Small Business. For more information see FAR Clause 52.219-6.

QUOTATION INSTRUCTIONS (Provide the following with your quote):

Company Name and Address:

Phone Number: Fax Number:

Email Address:

Business Size (select all that apply):

Large Business Small Business HUBZone Business 8A

Woman-Owned Service-Disabled Veteran-Owned

If subcontractor will be used for this work, please provide company name and credentials/qualifications:

IMPORTANT NOTICE: Effective September 26, 2018 and in accordance with FAR Clause 52.204- 7, “an Offeror is required to be registered in SAM when submitting an offer or quotation, and shall continue to be registered until time of award, during performance, and through final payment of any contract, basic agreement, basic ordering agreement, or blanket purchasing agreement resulting from this solicitation.” Vendors are highly encouraged to check their registration status and plan accordingly prior to submitting an offer.

Please note, as of April 2018, GSA's System for Award Management (SAM) system is requiring new registrations and renewals of existing registrations to submit an original signed notarized letter identifying the authorized Entity Administrator. Vendors are encouraged to check their entity's status in SAM.gov and plan accordingly. If the prospective contractor is not registered in the SAM database, the Contracting Officer will following the procedures at FAR 4.1103. Contact the supporting Federal Service Desk at www.fsd.gov, or by telephone at 866- 606-8220 (toll free) or 334-206-7828 (internationally) Monday through Friday from 8 a.m. to 8 p.m. (EDT), for FREE assistance.

Contractor is registered with SAM:

YES NO (See FAR 52.204-7)

Provide business Unique Entity Identifier number:

(phone 800-333-0505 for Unique Entity Identifier number).

Provide business CAGE code:

Provide Tax Identification Number:

All work under this contract shall be in performance with all local, state, and federal laws, regulations, and codes.

Only the awarded contractor shall provide a copy of their insurance certificate required by State and Local Governments that has been acquired for the time period covered under this contract to the Contracting Officer within 10 business days after award. No further insurance requirements will be imposed by the Corps of Engineers for this contract.

Contractors are not required to submit an Accident Prevention Plan (APP) with their quote.

The successful offeror will be required to submit this document upon award. The APP must be accepted by the Government Designated Authority prior to the preconstruction conference. The contractor that receives this award will have 10 calendar days to provide an Accident Prevention Plan (APP). If this deadline is not met, the contractor will be given a cure notice stating that they will have 10 calendar days to submit an APP, otherwise the contract may be terminated for default.

Only the awarded contractor shall is required to submit back FAR Clause 52.204-24 with signed award. Please answer the two questions that are within the clause by placing an X in the box for does or does not OR will or will not, whichever applies to you as the contractor.

Please submit back within 10 business days after award.

Section C - Descriptions and Specifications

SCOPE OF WORK

Statement of Work and Technical Specifications For

Dam and Office Area Paving at Pleasant Hill Dam 1041 CR 3006 Perrysville, OH 44864-9782

DESCRIPTION OF SERVICES: Provide all necessary labor, equipment, and materials to construct and paving of Office drive and parking area.

The office drive and parking area (approximate area of 12000 sq. feet) o The office driveway 12 feet wide and constructed using an asphalt surface.

o The roadway shall have 1 un-separated lane of traffic.

o (See attachment A for a map of the project road and parking areas)

1.1 Place of Performance: U.S. Army Corps of Engineers, Pleasant Hill Dam 1041 CR 3006 Perrysville, OH 44864-9782 (See attachment A for a map of the project road and parking areas)

1.2 Period of Performance: Contractor shall start work within 10 calendar days of issuance of Notice to Proceed (NTP) but not before May 15, 2023 and complete all work within 30 calendar days from commencement of work.

1.3 Specific Requirements: The contractor shall perform the following tasks:

1.3.1 Overall assessment of current paving shall be completed by contractor. Areas with excess cracking shall be examined for possible distinct causes and remedied prior to repaving.

1.3.2 Mill all existing pavement in areas that will be paved as per attachment A. (area in red). Milling depth shall be the full depth of pavement and to include the new depth for 6 inches of new ODOT 304 materials. Excavate for new depth for 6 inches of new ODOT 304 materials in all existing areas that will be paved as per attachment A. (area in yellow). The red and yellow areas shall be the same profile.

1.3.3 After areas are milled and excavated. The contractor shall identify any areas that the sub-grade is unacceptable. The Contractor shall remove unacceptable subgrade materials and replace with select fill, to a depth of at least one (1) foot.

1.3.4 All Millings and excavated materials shall be transported and disposed of in accordance with Federal, State, and local laws. The millings will not be utilized on site.

1.3.5 At the intersections of the current office entrance and the county road shall remain the same profile, a gradual increase of width to allow turning either way onto county road.

1.3.6 Any area milled or paved that is next to existing concrete aprons and/or township/county/state roads, pavement shall not exceed current elevation of concrete/asphalt to allow water drainage and/or smooth transitions. Also, pavement shall bond to existing concrete/asphalt.

1.3.7 If any existing drains/culverts are in place, they shall be replaced as needed with equivalent and/or improved to current standards/materials and ensuring proper function as designed.

1.3.8 Areas requiring widening to meet contract specs, shall be widened on the upstream or uphill side of road. Any Area that requires widening will have proper sub-base installed, compacted, and 6 inches of new ODOT 304 aggregates installed.

1.3.9 All areas, the sub-grade shall be re-graded and prepped, 6 inches of new ODOT 304 placed, and asphalt constructed. All stages shall be constructed as per Industry and ODOT standards.

1.3.9.1 Emplace and compact sub-base course at a depth of 6 inches of affected areas as in 1.2.3, 1.28, and 1.29

1.3.9.2 Install new ODOT 304 aggregate to affected areas as in 1.2.2 and 1.2.8

1.3.9.3 Install prime coat applied at a rate of 0.45 – 1.25 liters per square meter.

1.3.9.4 Install tack coat applied with SS-1H Tack material or equivalent at a rate of .075G per square yard.

1.3.9.5 Apply and compact 2.5 inches of base course asphalt, then install 1.5 inches of surface course asphalt

1.3.10 Any quantities provided are for quoting purposes only. Contractors are responsible for verifying quantities and locations of work prior to quoting or being awarded the contract.

1.4 Engineer Materials Technical Specifications: All materials used in this project shall meet the requirements of the USACE, ODOT and the EM 385-1-1 and shall not have more than 20% recycled materials, previously used, nor repaired.

1.5 General Design Requirements:

1.5.1 Road alignment and profile shall be determined by Contractor. The Contractor shall design the roadway with good drainage and erosion protection. Contractor shall straighten road alignment as much as possible. Drainage is required to go downstream of the road. All intersecting roads, paths, driveways, and culvert crossings are required to have a smooth transition to the new road alignment.

1.5.2 The road shall be built up above existing grade for storm water protection. Poor sub-grade material shall be removed and replaced with clean, compactable, gravel. Portions of the road shall be realigned and constructed at an elevation greater than the anticipated water level.

1.5.3 Sub-base Preparation: The sub-base should be well-graded, shaped to the desired cross-section, compacted to the specified density, well-drained, free from excessive moisture but not completely dry, and swept clean. Apply the prime coat when the base is almost dry so that it will absorb the prime material.

1.5.4 Prime Coat: The prime coat should penetrate the base about ½ inch of the sub-base, filling the voids.

Plan priming operations so that there will always be an adequate amount of cured, primed base ahead of the surfacing operations; but not so far ahead that the base will become dirty or completely cured (dead). If prime coat is applied in late spring or during the summer the following bituminous materials are acceptable for prime coat: RT-2, RT-3, RT-4, MC-30, MC-70, SS-1, SS-1h, cationic slow-setting emulsified asphalt (CSS)-1, and CSS-1h. The execution of this contract shall be during the late spring (May 15) to early fall period (Sept15). Treatment should be applied at a rate of 0.45 – 1.25 liters per square meter.

1.5.5 Aggregate Base Course: Shall consist of crushed stone containing angular shapes and surfaces with no rounded surfaces. The aggregate base course shall be from an ODOT approved source and shall meet the gradation requirements of AASHTO no. 304 limestone.

1.5.5.1 Acceptable gradations are as indicated in the table below.

References United Facilities Criteria (UFC) 3-250-03 “Standard Practice Manual for Flexible

Pavements” and UFGS 02704, “Aggregate and/or graded-crushed aggregate base course” (Supersedes UFGS-02722A)

Source Acceptance Tests

Sieve Analysis (including 0.02 mm No. 635 size material).

Liquid limit and plasticity index.

Moisture-density relationship.

Wear.

Soundness.

Weight per cubic meter foot of Slag.

In-Place Tests Density tests shall be performed on every lift of material placed and at a frequency of one set of tests for every 250 square meters, or portion thereof, of completed area.

Sieve Analysis (including 0.02 mm No. 635 size material) shall be performed for every 50 metric tons of material placed.

Liquid limit and plasticity index tests shall be performed at the same frequency as the sieve analysis.

Weather No construction when below 50 degrees.

Coarse Aggregate

Aggregate Base Course (ABC) coarse aggregate shall not show more than 50 percent loss when subjected to the Los Angeles abrasion test in accordance with ASTM C131.

The amount of flat and elongated particles shall not exceed 30 percent. A flat particle is one having a ratio of width to thickness greater than 3; an elongated particle is one having a ratio of length to width greater than 3. In the portion retained on each sieve specified, the crushed aggregates shall contain at least 50 percent by weight of crushed pieces having two or more freshly fractured faces with the area of each face being at least equal to 75 percent of the smallest mid-sectional area of the piece.

When two fractures are contiguous, the angle between planes of the fractures must be at least 30 degrees in order to count as two fractured faces. Crushed gravel shall be manufactured from gravel particles 50 percent of which, by weight, are retained on the maximum size sieve listed in this table.

Fine Aggregate The portion of any component or of the completed course passing the 0.425 mm No.

40 sieve shall be either non-plastic or have a liquid limit not greater than 25 and a plasticity index not greater than 5.

Blending The coarse and fine aggregates shall be mixed in a stationary plant, or in a traveling plant or bucket loader on an approved paved working area. Maximum lift is 150 mm.

Compaction Compaction shall continue until each layer has a degree of compaction that is at least 100 percent of laboratory maximum density through the full depth of the layer.

Thickness Requirements

The total compacted thickness of the base course shall be within 13 mm (1/2 inch) of the thickness indicated. Average job thickness shall be the average of all thickness measurements taken for the job, but shall be within 6 mm 1/4 inch of the thickness indicated. The total thickness of the base course shall be measured at intervals in such a manner as to ensure one measurement for each 500 square meters yards of base course. Measurements shall be made in 75 mm 3 inch diameter test holes penetrating the base course.

Finishing Grade and smoothness requirements. Maintain – limited traffic – no surface rutting.

1.5.5.2 Accepted Gradations for Aggregate Base Course:

1.5.6 Aggregate Base Preparation: The base should be well-graded, shaped to the desired cross-section, compacted to the specified density, well-drained, free from excessive moisture but not completely dry, and swept clean. Apply the tack coat when the base is almost dry so that it will absorb the prime material.

1.5.7 Tack Coat: Shall be a cutback asphalt, grades RC-70 or RC-250; an emulsified asphalt, grades MS- 1, SS-1, SS-1h, CSS-1, CSS-1h; or an asphalt cement, grades AC-2.5, 5, 10, AR-1000, 2000, or 4000 applied at a rate of 0.15 to 0.75 liters per square meter. The maximum application rate of .75 liters per square meter should not be exceeded as it may result in a bleeding and flushing action and loss of stability.

The tack coat should become tacky within a few hours. A tack coat is not required on the primed base unless the prime coat has completely cured and become coated with dust.

1.5.8 Application Notes for Road-Mix Pavement:

1.5.8.1 Bitumen for Road-Mix: Ensure the base and sub-grade is well prepared and properly drained. The road mix will be laid in two lifts, each ranging from 2 inches in compacted depth.

The total thickness of the finished compacted road surface will be 3 ½ to 4 inches. Refer to the Mixed-in-place road mix row below in Table 2-2 for acceptable grades of asphalt cutbacks.

Medium curing (MC) cutback is the most preferable. The mix gradation should be an open-graded mix. It shall contain coarse and fine particles in a continuous gradation. However, it will not contain enough fine articles to fill the voids between large particles so it will be less dense.

1.5.8.2 Aggregate for Road-Mix: Aggregate should be hauled in from a nearby source. Do not scarify the aggregate from the existing sub-grade or base. Table 2-3 below shows the recommended gradation limits and Table 4-3 shows the suggested bituminous material content for each gradation. After blending the aggregate in windrows, take samples for sieve analysis.

The gradation of the aggregate might have to be changed to meet specific field conditions.

Acceptable deviations are-

Aggregate passing the # 4 sieve: +/- 7%

Aggregate passing the # 30 sieve: +/- 5%

Aggregate passing the #200 sieve: +/- 2%

The ideal aggregate will be well-graded, sandy gravel or clean sand. The maximum size of the aggregate is approximately 1 ¼ inch. Test for moisture content before mixing the aggregate with asphalt cutbacks. If the aggregate is too wet, use a mechanical mixer, a grader, or an improvised plow to allow the excess moisture to evaporate. The moisture content of CA should not exceed 3%.

Mix Proportions: The percentage of bituminous material shown in Table 4-3 below will vary in relation to the absorptive quality of the aggregate, the rate of evaporation of volatile substances, and other factors. With dense graded aggregates, do not use too much bituminous material. Ensure that all particles of the mix are coated and uniform in color. If the mix is too lean, it will stand almost vertical in the windrow; if it is too rich, it readily flows back to its previous shape. If the mix is correctly proportioned, a handful squeezed into a ball retains its shape.

1.5.8.1 Construction: Construct the road-mix pavement on a dry base when it is not raining and the atmospheric temperature is above 10 degrees Celsius or 50 degrees F. Sequences of operations are as follows:

Inspect and recondition the base.

Prime the base and allow the prime to cure.

Place and windrow the aggregate at the side of the primed base and allow the aggregate to dry.

Spread the aggregate on the cured, primed base.

Spread the bituminous material on the aggregate in one-third increments.

Mix the bituminous material with the aggregate.

Blade and aerate the mix.

Spread the mix to the specified un-compacted thickness.

Compact the surface.

Apply Tack coat.

Repeat aggregate and bituminous mix process for second lift.

Apply seal coat if necessary.

This figure shows the typical sequence of operations:

1.5.8.2 If using cutback asphalt for spraying or mixing, heat it to a temperature of 80-200 degrees F (27-93 degrees C). Apply asphalt emulsions at 50 - 120 degrees F (10-50 degrees C) and tar at 80-225 degrees F (27-107 degrees C).

2 GENERAL INFORMATION:

2.1 Standards:

2.1.1 Construction shall adhere to the approved design and this SOW unless modified in writing by the Contracting Officer (KO). The Contractor will not be compensated for any modifications unless he/she receives written authorization from the KO.

2.1.2 The Contractor's design and construction must comply with technical requirements contained herein.

The Contractor shall provide design and construction using the best blend of cost, construction efficiency, system durability, ease of maintenance and environmental compatibility.

2.1.3 The design and product requirements are minimum requirements. The Contractor may propose alternate design or products (equipment and material) that are more commonly used in the region that will be equally or more cost effective or allow for more timely completion, but furnish the same system durability, ease of maintenance and environmental compatibility. The Contractor will be required to submit information as requested by the Contracting Officer, Project Engineer, or their representative to make a comparison of the proposed alternate. All variations must be approved by the Contracting Officer or their representative in writing.

2.1.4 The project includes furnishing all supervision, management, labor, materials, and equipment.

Construction equipment shall be in good working order and shall be operated safely at all times.

2.1.5 Contractor's design and construction must comply with technical requirements contained herein and any other specifications or drawings provided. In the event of conflicting requirements, the most stringent requirement will apply, and the Contractor shall notify the Contracting Officer or their representative of the issue.

2.2 Site Clean-Up and Restoration: The contractor shall ensure the work site and areas around the work site are free of any debris and materials upon completion of work each day, as well as at the completion of the job.

Contractor shall remove and properly dispose of all materials and equipment at the completion of the job. Unused materials or equipment owned by the USACE shall be returned to a location designated by the PPO. Upon completion of work, the work site shall be restored, insofar as is reasonably possible, to its condition prior to work, including replacement of vegetation, sidewalks, grading, drainage, and similar conditions affected by work during the performance of this Contract.

Warranty: The Contractor warrants that the work performed under this Agreement conforms to the contract requirements and is free from any defect in equipment, material, design, finish or workmanship performed by or the responsibility of the Contractor. This warranty shall continue for a period of 3 years from the date of final acceptance. The Contractor shall remedy at the Contractor’s expense any loss of or damage to USACE owned or controlled real or personal property when such loss or damage is incurred as the result of Contractor’s failure to conform to contract requirements, any defect in materials, design or workmanship, or the result of Contractor’s negligence. The Contractor’s warranty with respect to a work product being replaced or repaired shall run for a period of one year the date that such replacement or repair is accepted.

Drawings and Exhibits: (Attachment 1).

Supervision: The contractor shall personally supervise the work or have a designated Contractor Representative on site at all time work is being performed under this contract.

Special Considerations

1. Work shall be performed Monday – Friday 7:30 am thru 4:00 pm, Eastern Time, excluding government holidays listed below.

2. Care shall be taken to control public access utilizing barricades and signage during the work and in the evenings, until work is completed

Contractor and Government Equipment and Supplies: The contractor shall furnish all personnel, equipment, transportation, disposal, supplies and materials to perform the work. No government equipment or supplies shall be used for this project. The Contractor shall Provide Personal Protection Equipment (PPE) to include steel-toed safety boots, hard hat, safety glasses or goggles, hearing protection, sleeved shirts, long pants, gloves, sunscreen and other applicable PPE specified in EM 385-1-1 and Appendix A).

Equipment, Material, and Supply Inspections: All materials shall be inspected upon delivery and or prior to use by government personnel. Materials shall be of high quality, commercial grade and meet or exceed industry standards or otherwise specified by COR and this contract.

Contractor Safety Requirements

A. General. Contractor shall comply with all Federal, State and Local safety requirements including those specified by the Occupational Safety and Health Act (OSHA) in 29 CRF 1910 General Industry Standard, 1926 Construction Standard and the U.S. Army Corps of Engineers Safety & Health Requirements Manual EM 385-1-1 as currently revised at date of solicitation. Where a conflict exists between safety standards/requirements the contractor shall comply with the more stringent requirement. If the Contractor fails or refuses to promptly comply with safety requirements as specified herein, any project employee may stop all or part of the work until satisfactory corrective action has been taken. No part of the time lost due to any such work stoppage shall be made subject to any claims for extension of time or for excess costs or damages sustained by the Contractor.

Also, the Contractor will not be paid for work not performed as a result of the stop order.

B. Contractor Accident Prevention Plan (APP). The Contractor shall prepare a site-specific

Accident Prevention Plan as outlined in EM 385-1-1, Appendix A beginning with subparagraph 3.k on page A-

10. Contractor must address each element/sub-element in the order they appear in the outline. Any element the contractor feels is not applicable to work under this contract must be listed and a brief explanation provided.

Plan must be accepted by the Contracting Officer prior to commencement of any work. Contractors are encouraged to contact the USACE Safety & Occupational Health Office for questions or information regarding the development of contract Accident Prevention Plans. Office hours are Monday-Friday 8:30 a.m. - 4 p.m. at (304)399-5039/5032/5326.

The web address for EM 385-1-1 is:

http://www.publications.usace.army.mil/Portals/76/Publications/EngineerManuals/EM_385-1- 1.pdf

(Attached for your information and use is CESO Checklist A-01. This checklist was developed to assist you in the development of a site-specific Abbreviated Accident Prevention Plan. This checklist is provided as a tool only.)

C. Contractor Risk Management Process. Contractor may use Job Safety analyses (JSAs), Job

Hazard Analyses (JHAs) or Activity Hazard Analysis (AHA) for the purpose of risk assessment. Before beginning each work activity Contractor performing that work activity shall prepare an initial assessment (AHA/JSA/JHA) listing each job step, anticipated hazards, site conditions, equipment, materials, personnel and control measures to be implemented. A Risk

Assessment Code (RAC) shall be assigned to each step assessing the level of risk remaining after implementation of controls. Once this process is complete a RAC will be assigned to the activity as a whole (cannot be lower than the highest step RAC). Residual risk must be communicated to the proper authority for acceptance in order to proceed. It is the Contractor's responsibility to prepare the AHA/JSA/JHA. Analysis with RAC shall be accepted by the GDA and discussed with al engaged in the activity including Contractor, subcontractor(s), and on-site government representative prior to commencement of work. Names of Competent Person(s) and Qualified Person(s) required for a particular activity (e.g., excavation, scaffolding, fall protection, or other activities specified by OSHA and/or EM 385-1-1) shall be identified and included in the AHA/JSA/JHA and proof of their competency/qualification.

NOTES:

Work crews of two or more must have two people holding current qualifications in First Aid and CPR from the American Red Cross, American Heart Association or a licensed physician. Training must include a hands-on element and the contractor must maintain appropriate First Aid kit on site. Single individuals working alone must have current certification in First Aid as a minimum.

Contractor shall employee a minimum of one Competent Person at each worksite to function as the Site Safety and Health Officer (SSHO). The SSHO as a minimum must have completed the 30-hour OSHA Construction or General Industry Safety class or its equivalent as specified in EM 385-1-1 Section 01.A.17.b and have a minimum of 5 years safety experience relative to the work being completed. The SSHO must be on-site at all times work is being performed. (Note: SSHO qualification requirements may be waived at the discretion of the USACE District Safety & Occupational Health Office for extremely low risk operations.)

Crane operators, riggers and signal persons shall be trained, licensed and meet the physical and drug testing requirements specified in EM 385-1-1 Section 16.

All electrical work must be completed by a Qualified Person with verifiable credentials as specified in EM 385-1-1, Section 11.A.01.c. Electrical work will require contractor to submit a Control of Hazardous Energy Plan (LOTO) in accordance with EM 385-1- 1, Section 12.

D. Accident/Mishap Reporting: The Contractor shall report all recordable mishaps to the GDA within 24-hours in accordance with EM 385-1-1 Section 01.D. Accidents shall be investigated to determine causal factors and corrective actions shall be implemented. Accidents resulting in: days away injuries, days away illnesses, restricted/transfer injuries, property damage of $5,000.00 or more shall be investigated and reported to the GDA using the USACE Accident Investigation Report Form ENG 3394 within 24 hours of the occurrence.

(1) Immediate notification to the GDA is required for all serious accidents:

a. Fatal Injury/illness;

b. Permanent totally disabling injury/illness;

c. Permanent partial disabling injury/illness;

d. One (1) or more persons hospitalized as inpatients as a result of a single occurrence;

e. $500,000 or greater accidental property damage;

f. Three (3) or more individuals become ill or have a medical condition suspected to be related to a site condition, or a hazardous or toxic agent on the site;

g. USACE aircraft destroyed or missing;

The Contractor shall maintain an OSHA Log of Work Related Injuries and Illnesses, OSHA Form 300 and comply with all accident reporting and recordkeeping requirements specified in 29 CFR 1904.39.

(2) In addition to the above, any mishap occurring in any of the following high hazard areas shall be reported immediately to the GDA, investigated and corrective actions implemented.

a. Electrical (includes Arc Flash, electrical shock, etc.);

b. Uncontrolled Release of Hazardous Energy (includes electrical and non- electrical);

c. Load Handling Equipment (LHE) or Rigging;

d. Fall-from-Height (any level or other than same surface);

e. Underwater Diving

W9123722Q0151

Site Visit

Contractors are encouraged to make a site visit by contacting:

Johnny Grace Maintenance Mechanic 419-938-5785 or 304-410-5194 U.S. Army Corps of Engineers Pleasant Hill Dam 1041 CR 3006 Perrysville, OH 44864-9782

Contractor Submittals The successful offeror shall provide as a minimum the following documentation. All contractor submittals must be reviewed and accepted by the contracting officer or government designated authority prior to commencement of any work.

A. Accident Prevention Plan

B. Activity Hazard Analysis

C. Invoice as stated on the contract award.

D. Man hour report to project office at completion of work.

DAMAGE REPORTS. All instances where Government materials, supplies, property, And/or equipment are damaged shall be reported immediately to the Project Supervisor at Piedmont Dam. When the damage is caused by contract employees, a written report of the incident and extent of such damage shall be submitted to the Project Supervisor, within 2 workdays (less weekends and holidays) of occurrence. For property damage accidents of $2,000 or more, the Contractor will complete and submit to the Resource Manager a copy of ENG 3394.

CONTRACT EMPLOYEES' CONDUCT AND COMPETENCY. All contractor Employees shall conduct themselves in a proper manner at all times. Since the majority of work shall be performed in the presence of the general public, the conduct of all Employees is critical and will be closely monitored. Use of controlled substances or Consumption of beer or alcoholic beverages by contract employees is strictly prohibited. The contractor may be required to immediately remove from the work site any employee of the Contractor who is incompetent or who endangers persons or property or whose physical or mental condition is such that it would impair the employee's ability to satisfactorily perform the work.

CONTRACTOR INVOICE: Contractor shall submit their invoice to:

Robert Hawk Walhonding Projects Manager 36007 State Route 715 Warsaw, Ohio 43844

740-824-4343 ext. 2 330-365-6119 cell

Robert.n.hawk@usace.army.mil

WORKING HOURS. Normal working hours are Monday through Friday, 7:30 a.m. to 4:00 p.m Eastern Time.

Work inside Government buildings or other secured areas shall be performed During the above referenced work hours.

Eleven Federal holidays observed are as follows:

New Year's Day (January 1st) Martin Luther King Day (3rd Monday in January) President's Day (3rd Monday in February) Memorial Day (Last Monday in May) Juneteenth: (June 19th) Independence Day (July 4th) Labor Day (1st Monday in September) Columbus Day (2nd Monday in October) Veteran's Day (November 11th) Thanksgiving Day (4th Thursday in November) Christmas Day (December 25th)

When one of the above designated holidays falls on a Sunday, the following Monday is Observed as a legal holiday.

When a legal holiday falls on a Saturday, the preceding Friday is observed as a holiday.

Work that interferes with other ongoing functions at the project shall be scheduled around Normal working hours.

Work shall be scheduled around the above listed Federal holidays unless approved in advance.

Work shall be performed during daylight hours and days to be worked will be at the Discretion of the Project Supervisor.

DEFICIENCIES. If the Contractor fails to perform, or if performance in any area is judged unsatisfactory, the Government will take corrective action. If any of the work does not conform to contract requirements, the Government may require the Contractor to perform the services again in conformity with contract requirements, at no cost to the Government. When the defect in services cannot be corrected by re-performance, or cannot be corrected in the specified time frame, the Contractor is required to respond to a Contract Discrepancy Report.

PRE-CONSTRUCTION CONFERENCE. The Contractor shall attend a pre-work conference, Prior to the initiation of work under this contract. The Contractor's Accident Prevention Plan and all contractor submittals must be approved prior to this meeting.

SECURITY REQUIREMENTS

All Contractors and subcontractor employee(s) working on this contract who require access in and/or around any Huntington District facilities shall receive authorization to be on site at these facilities based upon a favorable background investigation in accordance with “Homeland Security Presidential Directive 12: Policy for a Common Identification Standard for Federal Employees and Contractors” (HSPD 12). The Huntington District Security Management Office shall submit contractor(s) personal information to complete the basic background investigation in order to make a recommendation to the Contracting Office of an employee’s suitability for work on Government property. The Procuring Contracting Officer (PCO) has the right to deny any contractor or subcontractor employee from working on the contract based upon the results of the background investigation provided by the Huntington District Security Management Office. The Government, Contractor, and subcontractors shall not permit any employee(s) access to drawings, blueprints, records, photos, sites, or projects until the Huntington District Security Management Office has completed an Operations Security (OPSEC) review of such items and determined they can be released.

FOR ALL CONTRACTS 1-YEAR AND SUBSEQUENT OPTION YEARS:

Contractors shall submit a complete investigation packet for each contractor and subcontractor employee to the Huntington District Security Management office within 10 working days after award of any contract, or prior to the individual being permitted unescorted access in or on District facilities.

The Contractor must also provide the following: (1) Name of the Contract Specialist with whom he/she is working,

(2) Project Name, (3) Contract Number (4) Task Order Number when applicable, and (5) Security Information sheet on each employee working on site must be submitted directly to the Huntington District Security Office.

The Contractor must provide a full legal name, complete SSN#, Date of Birth, Place of Birth (City and State) and Driver’s license number if available. It is the Contractor’s responsibility to ensure the above information is accurate and legible, otherwise delays may occur.

Contractors shall have background checks completed for their employees annually in the case of Contracts with option periods. For instance, if the employee was cleared in May of 2018, they shall be cleared again in May of 2019. It is the Contractor’s responsibility to ensure that each employee’s security is up to date. Failure to comply may lead to possible removal from the project/jobsite.

The Contractor must ensure if new employees are brought in to work on an existing Contract with the U.S. Army Corps of Engineers (USACE), they must process the employee through the Huntington District USACE Security Management Office for background purposes.

FOR CONTRACTORS REQUIRING DOD COMMON ACCESS CARDS (CAC)

The documents listed below are required:

SF 85, Questionnaire for Non-Sensitive Positions (see http://www.opm.gov/forms/ to print form). FD 258, Contractor Fingerprint Card (one card for digital prints, two for ink prints) (NOTE: a trained/qualified individual must take prints, ORI block on the FD 258 must be USOPM000Z) (Contractor Fingerprint Cards (FD-258) may be obtained by Contracting Division by contacting the Huntington District Security Management Office).

Contractor shall report any changes in personnel, or at any time conditions change at least 5 working days prior to individual(s) need to have access to the site. The Contractor shall provide the same information as listed above for all new employees.

Following submission of paperwork, the Huntington District Security Management Office will conduct an initial criminal check based upon the information provided. If there are no issues, the Huntington District Security Management Office will make recommendations to the PCO or their Designated Representative. The Huntington District Security Management Office cannot give approval due to unfavorable report(s). The Huntington District Security Management Office shall coordinate with Office of Counsel and will jointly make recommendations to the PCO and/or the Designated Representative should a background investigation come back with derogatory information. The PCO will make the determination whether to allow the Contractor personnel to work on the site based on Security and Office of Counsel recommendations, and the PCO will advise the Contractor of the decision.

FOREIGN NATIONALS

The Contractor shall provide the package listed above, as well as additional materials noted below for all Foreign Nationals. The Contractor is to expect additional time in the approval process for all Foreign Nationals due to the level of review and elevation of the review to Headquarters staff to complete. All Foreign Nationals must comply with the following paragraph:

In accordance with Engineering Regulation 380-1-18, “Technology Transfer, Disclosure of Information and Contacts with Foreign Representatives” dated 1 August 1996, Section 4, all foreign nationals who work on Corps of Engineers’ contracts shall be approved by the Headquarters US Army Corps of Engineers (HQ USACE) Foreign Disclosure Officer before beginning work on this contract; this regulation includes subcontractor employees. The Contractor shall submit to the Security Management Office, the names of all foreign nationals proposed for performance under this contract, along with documentation to verify legal admittance into the United States. Such documentation shall include at least one of the following: a U.S. passport, Certificate of U.S. Citizenship (INS Form N-560 or N-561), Certificate of Naturalization (INS Form N-550 or N-570), Alien Registration Card with photograph (INS Form I-151 or I-551), Employment Authorization Card (INS Form I-688A), etc.

In order to assure forms are properly completed, and to minimize time delays, the Contractor is encouraged to work closely with the Huntington District Security Management Office. The Government will return for correction incomplete forms, illegible forms, etc. which will delay the contractor / subcontractor from beginning work.

Security requirements are subject to change in accordance with HSPD-12, Office of Personnel Management, regulation or policy changes, etc. The Government shall add any changes to security requirements by modification to the contract.

The Contractor shall contact the Huntington District Security Management Office by phone, letter, or email at the following numbers/addresses:

CELRH-SM

502 Eighth Street Huntington, WV 25701

Stephen R. Curry, phone (304) 399-5695; email stephen.r.curry@usace.army.mil Matthew D. Green, phone (304) 399-5294; email matthew.d.green@usace.army.mil Scott E. Grandon, phone (304) 399-5661; email scott.e.grandon@usace.army.mil

1. General security requirements and guidance: The security requirements described below apply to all contract personnel (including employees of the prime Contractor (“Contractor”) and all subcontractor employees) supporting the performance requirements of this contract. The Contractor is responsible for compliance with these security requirements. Questions regarding security matters shall be addressed to the designated Government representative (e.g., Contracting Officer Representative (COR), Requiring Activity (RA) representative, or Contracting Officer (if a COR or other RA representative is not appointed)). Contract personnel are critical to the overall security and safety of US Army Corps of Engineers (USACE) installations, facilities and activities, and security awareness training contributes to those efforts. The Department of Defense (DoD) and Army security training requirements specified below, if applicable, are performance requirements; all applicable contract personnel shall complete initial training within 30 days of contract award or the date new contract personnel begin performance on the contract. Within five business days from the completion of training, the Contractor shall provide written documentation (e.g., email or memorandum) to the Government representative. The documentation shall include the names of contract personnel trained and which training they completed; the Contractor shall maintain training records as part of their contract files and be prepared to provide copies of training certificates to the Government representative. Contractor personnel and vehicles are subject to search when entering federal installations. Additionally, all contract personnel shall comply with Force Protection Condition (FPCON) measures, Random Antiterrorism Measures (commonly referred to as “RAMs”), and Health Protection Condition (HPCON) measures. The Contractor is responsible for meeting performance requirements during elevated FPCON and/or HPCON levels in accordance with applicable RA plans and procedures --this includes identifying mission essential and non-mission essential personnel. In addition to the changes otherwise authorized by the changes clause of this contract, should the FPCON or HPCON levels at any individual facility or installation change, the Government may implement security changes that affect contract personnel. The Contractor shall ensure all contract personnel are aware of their security responsibilities, including any site-specific requirements identified in local policies or procedures.

2. Suspicious Activity Reporting training (e.g. iWATCH, CorpsWatch, or See Something, Say Something):

All contract personnel shall receive initial and annual refresher training from the RA representative on the local suspicious activity reporting program. This locally developed training provides contract personnel with general information on suspicious behavior, and guidance on reporting suspicious activity to the project manager, security representative or law enforcement entity

ATTACHMENT 1

APPENDIX A

MINIMUM BASIC OUTLINE FOR ACCIDENT PREVENTION PLANS

An Accident Prevention Plan (APP) is a safety and health policy and program document. The following areas are typically addressed in an APP, but an APP shall be job-specific and shall also address any unusual or unique aspects of the project or activity for which it is written.

The APP shall interface with the employer’s overall safety and health program, and a copy shall be available on the work site. Any portions of the overall safety and health program that are referenced in the APP shall be included as appropriate. ANSI/ASSE A10.38 should be referenced for Programmatic Issues.

> For LIMITED-SCOPE SERVICE, SUPPLY AND R&D CONTRACTS, for example, mowing (only), park attendant, rest room cleaning, the Contracting Officer and SOHO may allow an ABBREVIATED APP (customized APP requirements and waive the more stringent elements of this section). > See 01.A.11 and Appendix a, paragraph 11.

1. SIGNATURE SHEET. Title, signature, and phone number of the following:

a. Plan preparer (Qualified Person, Competent Person, such as corporate safety staff person, QC);

b. Plan must be approved, by company/corporate officers authorized to obligate the company;

c. Plan concurrence (e.g., Chief of Operations, Corporate Chief of Safety, Corporate Industrial Hygienist, project manager or superintendent, project safety professional, project QC). Provide concurrence of other applicable corporate and project personnel (Contractor).

2. BACKGROUND INFORMATION. List the following:

a. Contractor;

b. Contract number;

c. Project name;

d. Brief project description, description of work to be performed, and location; phases of work anticipated (these will require an AHA).

3. STATEMENT OF SAFETY AND HEALTH POLICY. Provide a copy of current corporate/company Safety and Health Policy Statement, detailing commitment to providing a safe and healthful workplace for all employees.

The Contractor’s written safety program goals, objectives, and accident experience goals for this contract should be provided.

4. RESPONSIBILITIES AND LINES OF AUTHORITIES. Provide the following:

a. A statement of the employer’s ultimate responsibility for the implementation of his SOH program;

b. Identification and accountability of personnel responsible for safety at both corporate and project level.

Contracts specifically requiring safety or industrial hygiene personnel shall include a copy of their resumes.

Qualifications shall include the OSHA 30-hour course or equivalent course areas as listed here:

(1) OSH Act/General Duty Clause;

(2) 29 CFR 1904, Recordkeeping;

(3) Subpart C: General Safety and Health Provisions, Competent Person;

(4) Subpart D: Occupational Health and Environmental Controls, Citations and Safety Programs;

(5) Subpart E: PPE, types and requirements for use;

(6) Subpart F: understanding fire protection in the workplace;

(7) Subpart K: Electrical;

(8 Subpart M: Fall Protection;

(9) Rigging, welding and cutting, scaffolding, excavations, concrete and masonry, demolition; health hazards in construction, materials handling, storage and disposal, hand and power tools, motor vehicles, mechanized equipment, marine operations, steel erection, stairways and ladders, confined spaces or any others that are applicable to the work being performed.

c. The names of Competent and/or Qualified Person(s) and proof of competency/qualification to meet specific OSHA Competent/Qualified Person(s) requirements must be attached. The District SOHO will review the qualifications for acceptance;

d. Requirements that no work shall be performed unless a designated competent person are present on the job site;

e. Requirements for pre-task safety and health analysis;

f. Lines of authority;

g. Policies and procedures regarding noncompliance with safety requirements (to include disciplinary actions for violation of safety requirements) should be identified;

h. Provide written company procedures for holding managers and supervisors accountable for safety.

5. SUBCONTRACTORS AND SUPPLIERS. If applicable, provide procedures for coordinating SOH activities with other employers on the job site:

a. Identification of subcontractors and suppliers (if known);

b. Safety responsibilities of subcontractors and suppliers.

6. TRAINING.

a.…