Solicitation Number: 1284LL26Q0066

Schedule of Items/Price Schedule

ITEM Number: 0001

Project Description: War Creek Wildfire Noxious Weed Treatment by Herbicide Application (1172492).

Vendor Name: ________________________________Vendor UEI: ______________________

Contact Person: ______________________________ Phone #: _________________________

Email Address: _______________________________Vendor Signature:_________________________

Description Unit Cost per unit Proposed

Acres Total

Noxious Weed Spraying

Thistles (Canada, bull, musk) Absinth Wormwood

Post War Creek Wildfire acres $30,000

Schedule Notes:

a) Multiple awards may be made from this solicitation; contractors must submit pricing for all items.

b) This will be a firm-fixed-price service contract.

c) Return this page with quote.

Performance Work Statement

Project Title Fort Pierre National Grassland – War Creek Wildfire -- Noxious Weed Treatment Contract

General Information

1.0 Background and Purpose

In alignment with the purpose of Executive Order 14225 Immediate Expansion of American Timber Production, and to ensure continuity of operations, this mission critical project is to reduce the threat of wildfire. Approximately 1,500 acres of National Forest System (NFS) land were burned by wildfire in July 2025 on the Fort Pierre National Grassland and follow up treatment is necessary to treat the noxious weeds (especially invasive thistles) that have sprouted within the burned areas.

Location: This solicitation is for the treatment of noxious weeds within this wildfire boundary on NFS lands on the Fort Pierre National Grassland (FPNG), located in central South Dakota. Treatments are to be done by spot treatment application targeting thistles (Canada thistle, bull thistle, and musk thistle). The identified species will be treated during the plants’ developmental stage when optimum effectiveness can be obtained, preferably the rosette to flowering stage.

Performance period for this contract is September 23, 2026 through August 31, 2027. This will allow for a fall treatment this year and if conditions do not allow, then a spring treatment can be done in 2027. Determination of when to spray will be based on agency monitoring of growing conditions and weather. All treatments will be mapped with a GPS capable device and will be submitted to the COR within two weeks of treatment completion along with completed application records.

This contract has a specific dollar amount for the burned area. All pastures will be grazed by cattle and may have cattle present during treatment. Potential contractors shall quote the number of actual treatment acres possible based on the specific dollar amount - $30,000.

ShawnHarwood Highlight

2.0 Definitions

ACCEPTABLE QUALITY LEVEL (AQL): The maximum allowable deviation from perfect performance that may occur before the Government will invoke payment deduction. An AQL does not allow a contractor knowingly to offer defective service, but limits reduced payment to circumstances in which de fective performance results in a measurable reduction in the value of services rendered.

ACCESS TO TREATMENT AREAS: Access to treatment areas requires travel and treatment operations on or near:

paved roads, graveled county roads, and non-graveled two track Forest Service roads. The treatment areas may be along or away from roads and within areas with no developed road access. Access is allowed off designated roads by authorization only issued by the Fort Pierre District Ranger. Your access must be timed such that road or trail surfaces are not subjected to unreasonable resource damage.

APPLICATION RECORDS: Records the contractor uses to document herbicide applications on the treated area.

Information includes, but is not limited to: herbicide used, amount of active ingredient applied, weather conditions, etc. AQUATIC AREA: Any type of lake, pond, dam, spring, or stream course that contains an invasive plant species.

BOOM SPRAYER: Spray equipment capable of delivering a minimum of 10 gallons per acre. Boom sprayers shall be equipped with an identifier system to minimize swath overlap such as a ribbon or flagging system. ATV/UTV boom-less nozzles are not considered as boom sprayers.

CLEANUP AND DISPOSAL: Clean up and disposal of excess herbicide and empty containers is the contractor’s responsibility and will be in accordance with the manufacturer’s instructions and applicable to Federal and State Laws.

CONTRACTING OFFICER’S REPRESENTATIVE (COR): A government person appointed by the contracting officer to help the contracting officer with contract administration and surveillance.

DEFECTIVE SERVICE: A unit of service which contains one or more defects, or nonconformance with specified requirements.

GPS SPECIFICATIONS: The contractor will map treated areas using a GPS unit. Treatment areas will be collected in polygon format unless there is a single plant or an area less than 10 feet in diameter, then a point may be used. The collected data will have the treatment date and species treated in the attributes or notes section.

MIXING SITE: All mixing and rinsing during the operational period will take place in the field within the treatment areas at a distance greater than 100’ from any stream course, trees, or crops. Rinseate will be reused as spray solution as much as possible until project completion and application rates shall not exceed ¾ ounce per acre.

PERFORMANCE REQUIREMENTS SUMMARY (PRS): Identifies the key service outputs of the contract that will be evaluated by the Government to assure contract performance standards are met by the contractor.

QUALITY ASSURANCE: Those actions taken by the Government to assure services meet the requirements of the Performance Work Statement (PWS).

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP): An organized written document used for quality assurance surveillance. The document contains specific methods the Government will use to perform surveillance of the contractor.

QUALITY CONTROL: Those actions taken by a contractor to control the performance of services so that they meet the requirements of the PWS.

RANDOM SAMPLING: A sampling method in which each service output in a unit has an equal chance of being selected.

SPRAY EQUIPMENT: All spray equipment shall be accurately calibrated to ensure herbicide is applied as per manufacturer recommended application rates. All spray equipment would be operated in accordance with owner’s manuals. Weed treatment accomplished by the use of spray equipment installed in trucks, ATVs, or UTVs would follow manufacturer specifications and recommendations, including those specific to weight restrictions.

WEATHER CONDITIONS: Herbicide shall not be applied if temperatures exceed 95 degrees and or the wind speed exceeds 15 mph in all areas.

Contractor Requirements

3.0 Technical Requirements / Tasks

Herbicide & Equipment Requirements The herbicide for this contract is GrazonNext HL at a rate of 24 oz per acre, along with a compatible carrier agent, and applied at a rate of 10 gallons of water/herbicide mix per acre. Herbicide application shall take place during the rosette to flowering stage for optimum effectiveness and shall be done via spot spraying methodology. Herbicide applications will cease if the weather conditions exceed temperatures of 95 degrees Fahrenheit and wind speeds exceed 15 miles per hour. The Contractor shall be required to furnish all labor, transportation, equipment, herbicide, carrier agent, personal protective equipment, water, services, supervision, permits, and licenses necessary to treat noxious weeds in South Dakota.

All spray equipment shall be accurately calibrated to ensure herbicide is applied per manufacturer recommended application rates and those rates outlined in this contract. Equipment must be cleaned prior to work commencing and all equipment including trailers, ATV/UTV, pickups etc. will be inspected by the COR. Once the COR determines the equipment to be satisfactory, then work may begin.

While working in the field, the contractor shall comply with all federal, state, and local laws and regulations pertaining to the handling, storing, and disposal of herbicides. Care shall be taken to avoid herbicide encountering adjacent crop fields, trees, standing water, and stock watering tanks. Mixing and rinsing will take place at the worksite and at a distance greater than 100 feet upstream of standing water, trees, or crops.

Targeted Noxious Weed Species

Global Positioning System (GPS) Data Requirements All treatment sites will be mapped with a GPS capable device such as a GPS unit (i.e. Garmin, Trimble, etc. or through mapping programs such as Avenza or Field Maps. If the GPS allows for coordinate systems to be set, the preferred coordinate system is:

System:

Zone:

UTM

13 North

Datum:

Units:

NAD83 (Conus CORS96 Feet

Altitude: HAE Distance: Feet

Plant Code Scientific Name Common Name CANU4 Carduus nutans Musk thistle

CIAR4 Cirsium arvense Canada thistle CIVU Cirsium vulagre Bull thistle

Area: Square Feet or Acre

Upon treatment of an infestation, the perimeter will be mapped and data such as weed species, date, and applicator will be collected. When all treatments have concluded, the contractor shall submit the GPS data in an electronic format to the COR for review. Inaccurate or incomplete data will be returned to the contractor for correction until deemed satisfactory.

Inspection Procedure Post treatment inspections will be conducted by the COR. The COR will be looking for complete coverage of the designated area and for sign of herbicide impact upon targeted plants. Photographs and notes will be taken as part of the field inspection. Inspection of the spatial data will be done by the COR once it is submitted. For this inspection, the COR will be looking for the data to line up with the designated treatment area and for the feature (polygon, point, line) data to match application records. If there are any discrepancies with the field inspections or spatial data inspections, then the contractor will be notified to correct the discrepancy.

Contractor Submittals A. Quality Control Program: The Contractor shall establish a Quality Control Program (QCP) to ensure the requirements of this contract are met. The goal of the QCP should be to identify and correct any problems that may arise before they are identified by the CO or COR. At a minimum the plan should include:

i. An inspection system, covering all services required, utilizing a comprehensive checklist to monitor contract performance.

ii. A system for identifying and correcting deficiencies and/or a pattern of deficiencies in the quality or quantity of services provided.

iii. A file system to maintain record/documentation of inspections conducted and corrective actions take. Documentation of inspections conducted, deficiencies identified, and corrective actions taken must be kept current and made available to the CO upon reque st.

B. Work Plan: The Work Plan shall describe how the contractor plans to perform the project, including methods, personnel certifications and calibration rates, and list of equipment by make and model. No work may start until the Contractor’s Work Plan is submitted and accepted by the Government and the Notice to Proceed is issued.

C. Progress Schedule: The contractor shall prepare and submit a practical schedule showing the order in which the contractor will perform the work and the dates on which the contractor contemplates starting and completing each task unless specific treatment areas list both required start and stop work dates.

No work may start until the Contractor’s Progress Schedule is submitted to and accepted by the Government, and the Notice to Proceed is issued.

D. Data Submittal: The contractor shall provide spatial data in an electronic format and hard copy application records. The items are to be submitted to the COR within two weeks of final treatment.

Payment The Contractor shall submit an invoice for the month completed through the Invoice Processing Platform (www.ipp.gov). Upon acceptance, the Government will approve the invoice and the Contractor will be paid.

http://www.ipp.gov/

4.0 Deliverable / Schedule

Period of performance for this contract is September 23, 2026 through August 31, 2027. Work on this contract can be done any day of the week and during anytime between sunrise and sunset. This provides the flexibility to work with ever changing weat her conditions.

Performance Requirements Summary Key Deliverables

Task Performance Standard Acceptable Quality Level (AQL)

Monitoring Method Performance Standards, AQL, Incentives

Noxious weed treatment and inventory

Herbicide handling and use will be done according to label directions and federal, state, and local laws.

Responsible for the effects of herbicide residue on non-target species and any drift.

Treat at temperatures less than 95 F and wind speeds less than 15 mph

Complete treatment to required standards as defined in Section 3.0 and provide COR with updates on where treatments have occurred.

Acceptable level of performance thus resulting in 90% kill of targeted species.

Less than 20% loss of non-target species

Follow task order direction and manufacturer label direction 100%.

Government shall perform inspections on treated areas indicated on application records.

Inspections will be visual in nature, looking for treatment coverage and visual impact on targeted species.

Full payment will be approved for acceptable work.

Rework of unacceptable work will be permitted if the schedule allows. If the unacceptable work is not redone, then a deduction will be made.

All Submittals All submittals are received with 10 days after contract award.

Spatial data and application records are submitted as outlined in Section 3.0.

100% compliance Submittal review Will not issue Notice to

Proceed until submittals are received.

Payment will not be made until spatial data and application records have been received in a satisfactory manner.

5.0 Government Furnished

The Government will provide the following item(s) of Government property to the Contractor for use in the performance of this contract. This property shall be used and maintained by the Contractor in accordance with the provisions of the “Government Property” FAR clause contained elsewhere in the contract.

• Detailed hard copy maps of treatment areas.

• Blank application record sheets

Contractor Furnished Items/Service: The Contractor shall furnish everything, including the water and herbicide required to perform this contract.

6.0 Travel

Travel to the worksite will consist of driving on paved highways, graveled county roads, and natural surfaced two -tracked designated Forest Service roads. When parking for a staging area, the contractor shall be mindful not to block gates or designated roads. Travel off designated roads is prohibited; however, the contractor is given permission by the District Ranger to travel off in the performance of the contract duties only. The contractor shall be mindful of areas which have recently received precipitation and avoid causing resource damage to saturated clayey soils.

7.0 Contractor’s Key Personnel

The Contractor shall employ qualified personnel capable of performing noxious weed treatment work and will provide a list of all personnel who will be working on the contract and their applicator’s licenses.

The contractor shall provide a contract representative for the performance of the work specified in the contract , if the contractor will not be the one performing the work. The name of this person shall be designated in writing to the CO. The Contractor’s representative shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. The contractor representative must be able to read, write, speak, and understand English.

Quality Assurance Surveillance Plan

Contents Project Name

Solicitation / Contract Number

Section 1: Introduction

1.1 Purpose

1.2 QASP Relation to the Contract

1.2.1 QASP Revisions

1.2.2 Surveillance of Performance Progression

1.3 QASP Relation to the Quality Control Plan (QCP)

Section 2: Performance Description

2.1 Performance Standards and Acceptable Quality Levels (AQLs)

2.1.1 Allowable Deviation

2.1.2 Substantially Complete

2.2 Non-Performance

2.2.1 Documentation

2.2.2 Remedial Actions

Section 3: Contractor and Government Responsibilities

3.1 Contractor Responsibility

3.2 Government Responsibility

3.2.1 Contracting Officer (CO)

3.2.2 Contracting Officer Representative (COR)

3.2.3 Customers

Section 4: Surveillance Methods to Perform Quality Assurance

4.1 Surveillance Methods

4.2 Analysis and Results

Appendix A: Example Performance Requirement Summaries

Appendix B: Example Discrepancy Report

Appendix C: Example Quality Assurance Monitoring

Project Name Fort Pierre National Grassland -- War Creek Wildfire -- Noxious Weed Treatment Contract

Solicitation / Contract Number

RFQ 1284LL26Q0066

Section 1: Introduction This Quality Assurance Surveillance Plan (QASP) is pursuant to the requirements listed in the performance work statement (PWS) entitled This solicitation is for the treatment of noxious weeds in designated areas on the Fort Pierre National Grassland (FPNG), located in central South Dakota. Treatments are to be done by spot treatment application targeting thistles (Canada thistle, bull thistle, and musk thistle). These species are predominantly located on upland rangeland; however, there are some infestations around riparian areas. The identified species will be treated during the plants’ developmental stage when optimum effectiveness can be obtained, preferably the rosette to flowering stage. Treatments are forecasted to start September 23, 2026, and run through August 31, 2027, if necessary.

Determination of when to spray will be based on agency monitoring of growing conditions and weather. All treatments will be mapped with a GPS capable device and will be submitted to the COR within two weeks of treatment completion along with completed application records. This plan sets forth the procedures and guidelines that the USDA, Forest Service will use in ensuring the required performance standards or services levels are achieved by the contractor.

1.1 Purpose

The purpose of the QASP is to describe the systematic methods used to measure performance and to identify the reports required and the resources to be employed. The QASP provides a means for evaluating whether the contractor is meeting the performance standards identified in the PWS. This QASP is designed to define roles and responsibilities, identify the performance objectives, define the methodologies used to monitor and evaluate the contractor’s performance, describe quality assurance reporting, and describe the analysis of quality assurance monitoring results.

1.2 QASP Relation to the Contract

1.2.1 QASP Revisions

The Contracting Officer Representative (COR) may make revisions or changes to the QASP procedures and surveillance methods or increase or decrease the degree of surveillance methods at any time during the contract performance period. Changes to the Metric must be incorporated into the PWS, Performance Requirement Summary (PRS) and QASP by a bilateral modification to contract that is issued by the Contracting Officer (CO). A copy of the QASP is provided to the contractor to enable the contractor to enhance its Quality Control (QC) program to perform in accordance with its Quality Control Plan (QCP).

1.2.2 Surveillance of Performance Progression

As the performance period progresses, the levels of surveillance may be altered for service areas where performance is either consistently excellent or unsatisfactory. If consistently good performance, then the amount of surveillance may be reduced. If observations reveal consistent deficiencies, increased surveillance may be implemented.

1.3 QASP Relation to the Quality Control Plan (QCP)

The QCP is a required element of contract and the Contractor shall adhere to its established quality control processes and procedures in managing and performing work as described in the contract. While the QCP represents the way in which the Contractor will ensure its quality and timeliness of services, as defined in the PWS, the QASP represents the way in which the Government personnel specified in Section 3: Contractor and Government Responsibilities, Paragraph 3.2, Government Responsibilities will evaluate the contractor’s performance. The contractor’s QC program and the residual organization’s QASP should be complementary programs that ensure successful contractor performance.

Section 2: Performance Description Performance of the contractor will be monitored through the surveillance methods described in Section 4: Surveillance Methods to Perform Quality Assurance to assess the Contractor’s performance against PWS requirements.

2.1 Performance Standards and Acceptable Quality Levels (AQLs) For selected activities in the PWS, the PRS provides a performance standard and an AQL. A performance standard is the expected level of contractor performance. An AQL defines the level of performance that is satisfactory. Depending on the service evaluated and the evaluation method selected, performance standards and AQLs may be stated as a number of occurrences or as a percentage. Performance standards and AQLs for random sampling and 100 percent inspection are generally stated as percentages. For periodic inspections, performance standards may be stated as either percentages or as absolute numbers.

The contract requires the Contractor to perform all work as specified. Any inaccuracies or omissions in services or products are referred to as “defects” on the part of the Contractor. The Contractor shall be responsible for all identified defects and may be required to perform the work at no cost to the government. The AQLs take into account that in some instances an allowable level of deficiencies (deviations) is possible while overall performance continues to meet the government’s desired level of service .

2.1.1 Allowable Deviation

The AQLs define the level or number of performance deficiencies the Contractor is permitted to reach under this contract. AQLs take into account the difference between an occasional defect and a gross number of defects. AQLs can be expressed as a percentage of or as an absolute number (e.g., three per month). There may be instances where 100 percent compliance is required, and no deviation is acceptable (e.g., where safety is involved).

2.1.2 Substantially Complete

In some cases, service outputs are evaluated using subjective values (e.g., excellent, satisfactory, unsatisfactory). The criteria for acceptable performance and for defects must be defined for these service outputs. The concept of “substantially complete” should be the basis for inspections based on subjective scales. Work is considered “substantially complete” where there has been no significant departure from the terms of the contract and no omission of essential work. In addition, the Contractor has performed the work required to the best of its ability and the only variance consists of minor omissions or deficiencies.

2.2 Non-Performance

Non-performance occurs when the contractor’s performance does not meet the AQL for a given requirement.

Requirements may contain multiple performance elements, and therefore, deficiencies may occur in one or more aspects of performance (e.g., timeliness, accuracy, completeness, etc.) or subject areas of effort.

When surveillance indicates that the contractor's service output is not in compliance with the contract requirements, the Contracting Officer’s Representative (COR) must determine whether the Contractor or the Government caused the deficiency. If the cause of the defect rests with the Government, corrective action must be taken through Government channels. If the cause of the defect is due to action or inaction by the contractor, the contractor is responsible for correction of the problem at no additional expense to the Government.

2.2.1 Documentation

Documentation of work non-performed or unacceptable work is essential for tracking Contractor performance. The COR will document deficient work by compiling facts describing the inspection methods and results and to substantiate nonconformance with the contract. A sample documentation reporting form is provided in Appendix B – Example Discrepancy Report. The documentation, with any recommendations, will be forwarded to the CO. In the case of the Contractor, the COR will decide whether to elevate the problem to the CO for corrective action.

2.2.2 Remedial Actions

The Federal Acquisition Regulation allows for penalties in the event that the Contractor fails to perform the required services. Penalties are defined as those actions taken under the direction of the CO against the contractor within the general provisions of the contract for nonconformance to the PWS and PRS.

Section 3: Contractor and Government Responsibilities

3.1 Contractor Responsibility

The Contractor is responsible for delivering products or services in accordance with the contract. Implementing its QCP, which describes the Contractor’s methods for ensuring all products and services under the contract meet established performance standards and AQLs. Maintaining, and providing for audit, quality control records and reports and all records associated with the investigation and complaint resolutions. Appointing a single quality control point -of-contact to act as a central recipient of communication from the COR or CO.

3.2 Government Responsibility

3.2.1 Contracting Officer (CO)

The CO is responsible for administering and monitoring contract compliance, contract administration, and cost control and for resolving any differences between the observations documented by COR and the contractor’s performance. The CO may delegate various day-to-day contract administration duties to an Administering ACO (ACO) and/or the COR for performance management and administrative actions such as invoice approval and issuance of Contract Discrepancy Reports may be, and normally are, delegated by the CO to the COR. The CO shall approve any revisions to the QASP processes or standards.

3.2.2 Contracting Officer Representative (COR)

The COR, is designated in writing, by the CO. The COR will ensure that the QA function is properly executed, plays a key role in contract administration and performs the contract surveillance and monitoring. Some key contract administration duties include, but are not limited to, performs surveillance as required by this QASP; make recommendations to the CO for issuance of Contract Discrepancy Reports or letters of commendation and acceptance or rejection of completed work and for administrative actions based on unsatisfactory or non-performed work, and revisions or changes to the QASP;

and assists the CO in identifying necessary contract modifications and preparing reports of Contractor performance and cost.

The COR may use the form(s) included in the Appendices to perform the inspection or other forms as approved by the

CO.

3.2.3 Customers

Customers or organizations/offices that the Contractor provided support may be requested to assist the COR in conducting QA to provide information relating to the Contractor’s performance through Customer Feedback.

Information gained from the Customer Feedback may be used in conjunction with other methods of observation to rate the performance of the Contractor.

Section 4: Surveillance Methods to Perform Quality Assurance

4.1 Surveillance Methods

The surveillance methods used in the QA process are the Government’s tools to monitor the Contractor’s products and services. The best means of determining whether the Contractor has met all contract requirements is to inspect the Contractor’s service products and analyze the results. Further, documented inspection results are an effective tool in contract administration that can confirm the successful achievement of all performance requirements or highlight areas where defects exist and improvements are necessary.

The contract will be monitored by trips to the work site. These visits will be conducted with a day or two after treatment of the site, so that the chemical has time to take effect on the plants. Inspections will be made on how well the area is covered by the contractor in searching for infestations and how effective the treatment was on the targeted species. The effect on non-targeted species will also be checked. For the spatial data, it will be reviewed to determine if the data lays in the areas treated and has the information required for species name, date, and applicator.

4.2 Analysis and Results

When the inspections and validations have been completed, the COR will perform an analysis of the Contractor’s performance. The purpose of the analysis is to ensure Government is receiving high-quality products and services from the Contractor. The COR will review the results, rate the Contractor’s compliance with the performance standards and

AQLs, and characterize the Contractor’s overall performance. Analysis of all types of contract monitoring will result in one of the following outcomes:

Appendix A: Example Performance Requirement Summaries The following documents are examples only, which is not all inclusive, that can be revised and used, if applicable, in the QA SP as attachments or exhibits.

Performance Requirements Summary

Key Deliverables

Task Performance Standard Acceptable Quality Level (AQL)

Monitoring Method Performance Standards, AQL, Incentives

Noxious weed treatment and inventory

Herbicide handling and use will be done according to label directions and federal, state, and local laws.

Responsible for the effects of herbicide residue on non-target species and any drift.

Treat at temperatures less than 95 F and wind speeds less than 15 mph

Complete treatment to required standards as defined in Section 3.0 and provide COR with updates on where treatments have occurred.

Acceptable level of performance thus resulting in 90% kill of targeted species.

Less than 20% loss of non-target species

Follow task order direction and manufacturer label direction 100%.

Government shall perform inspections on treated areas indicated on application records.

Inspections will be visual in nature, looking for treatment coverage and visual impact on targeted species.

Full payment will be approved for acceptable work.

Rework of unacceptable work will be permitted if the schedule allows. If the unacceptable work is not redone, then a deduction will be made.

All Submittals All submittals are received with 10 days after contract award.

Spatial data and application records are submitted as outlined in Section 3.0.

100% compliance Submittal review Will not issue Notice to Proceed until submittals are received.

Payment will not be made until spatial data and application records have been received in a satisfactory manner.

Appendix B: Example Discrepancy Report The following document is only an example, which is not all inclusive, that can be revised and used, if applicable, in the QASP as attachments or exhibits.

DISCREPANCY REPORT 1. DISCREPENCY REPORT NO.

2. TO: (Contractor / Project Manager Name) 3. FROM: (Name of COR)

CONTRACT NUMBER: D ATE:

PREPARED ORAL NOTIFICATION RETURNED BY CONTRACTOR ACTION COMPLETE

4. DISCREPENCY OR PROBLEM (Describe in Detail. Include PWS references. Attach Continuation Sheet if Necessary)

5. SIGNATURE OF COR

6. TO: (Name of COR) 7. FROM: (Contractor / Project Manager)

8. CONTRACTOR RESPONSE AS TO CAUSE, EFFECT, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE (Attach Continuation Sheet if necessary. Cite appl icable Contrac to r QC program procedures or new QC procedures)

9. SIGNATURE OF CONTRACTOR REPRESENTIVE 10. DATE

11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, or rejection. Attach Coordination Sheet if necessary)

12. GOVERNMENT ACTIONS (Cure notice, show cause, other)

CLOSE OUT

KTR NOTIFIED

NAME AND TITLE SIGNATURE DATE

COR

Appendix C: Example Quality Assurance Monitoring The following document is only an example, which is not all inclusive, that can be revised and used, if applicable, in the QASP as attachments or exhibits.

CONTRACT NUMBER: ______________________________________

SERVICE or STANDARD:

SURVEY PERIOD:

SURVEILLANCE METHOD (Check the applicable item):

Random Sampling 100% Inspection Periodic Inspection Customer Complaint

LEVEL OF SURVEILLANCE (Check the applicable item):

Monthly Quarterly As needed

PERCENTAGE OF ITEMS SAMPLED DURING SURVEY PERIOD: ______ %

ANALYSIS OF RESULTS:

Observed Service Provider Performance Measurement Rate: ______%

Service Provider’s Performance (Check the applicable item):

Meets Standards

Does Not Meet Standards

Narrative of Performance During Survey Period:

Prepared By: _______________________________ Date: ______________

County Line Rd

A v e

226 St.

A n g u s D ri v e

234 St.

SD Hwy 1806

U S

H w y

War Creek Wildfire

Pasture Boundary

Landowner USDA Forest Service

State of South Dakota

Lower Brule Sioux Reservation

Road System County Road

Forest Designated Road

Highway

Permitted Road

0 1.5 30.75 MilesK. Waage 6/1/2026

War Creek Wildfire Treatment Area

War Creek Wildfire

Fort Pierre National Grassland Nebraska National Forests & Grassland

Noxious Weed Contract

Legend

Fort Pierre

Vivian

The map below indicates where the War Creek Wildfire is located on the FPNG.

0 1900

13 18 17

224FP

Sh er iff

227th St

RICHLAND

DAM

CAMPING

FISHING

AREA

T2N R31E

224A

FP

224FP

R ich la nd

(F pn g)

Esri, NASA, NGA, USGS, FEMA, USDA-U.S. Forest Service, Geospatial Technology and Application Center (GTAC)

War Creek Wildfire

Fort Pierre National Grassland Nebraska National Forests & Grassland

War Creek Wildfire

Pasture Boundary

Dams/Dugouts

Landowner USDA Forest Service

State of South Dakota

Lower Brule Sioux Reservation

Richland (Southwest)

Far West

0 0.25 0.50.13 MilesK. Waage 6/1/2026

Noxious Weed Contract

Glenn

Farlow (Winter)

Sheriff (West)

Richland (Northwest)

Legend

Richland (East)

The map below indicates the pastures burned by this wildfire and the area to be treated under this solicitation.