EXHIBIT C_QASP Attachment A.xlsx

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Aqueous Film Forming Foam (AFFF) Support MATOC- Draft Solicitation
Solicitation number
W912DY23R0001
Issued by

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This document contains a Surveillance Activities Table and details of a draft solicitation for an Aqueous Film Forming Foam (AFFF) Support Multiple Award Task Order Contract (MATOC). The Surveillance Activities Table outlines the definable features of work, performance indicators, surveillance methods, performance documentation, and responsible quality assurance team members for evaluating tasks including document reviews, work plan execution, schedule and cost control, business relations, management of key personnel and resources, and safety.

The draft solicitation seeks services to remove, transport, and dispose of AFFF containing perflouroalkyl substances (PFAS) in accordance with the National Defense Authorization Act for Fiscal Year 2020. The AFFF will be removed or modified and refilled with a fluorine free foam based on a military specification provided at the task order level. Work may also include removal, transportation, and disposal of other types of firefighting foams. The solicitation is being issued by the Department of the Army Corps of Engineers Engineering Support Center Huntsville.

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Att-A Surveillance Table

Attachment A
SURVEILLANCE ACTIVITIES TABLETech Manager - Fill out the yellow prior to sending to the contractor at RFP
(1)(2)(3)(4)(5)(6)(7)
Definable Feature of WorkReferencePerformance IndicatorsSurveillance MethodPerformance Documentation & QA Surveillance Record FilePerformance Assessment Record (PAR) CategoryResponsible QA Team Member
Document Reviews
Work PlanT.O. {see PWS, list governing documents, reference existing or create checklists etc}Document submitted and accepted in compliance with contract schedule. Resubmissions required based on amount and nature of government comments regarding Formatting, completeness, Technical Accuracy, Regulatory compliance, Conciseness, Decisions supported by data.100% review of submitted documents.Corrective Action Requests (CAR), CEHNC Form 7, Contracting Officer Transmittal Memo; kept in official contract file.Quality of Product or ServicePDT
Reports/Other DocumentsT.O. {see PWS, list governing documents, reference existing or create checklists etc}
Project Execution
Work Plan ExecutionT.O. (see PWS)Work done in compliance with approved plans and data submittals accepted by government IAW performance documentation
Periodic InspectionCorrective Action Requests (CAR), Geophysical QA Forms, GIS QA Forms, Chemisty QA Forms, QAR,
HNC 948, Memorandum for Record, Trip Reports; Kept in official project fileQuality Of Product or Service
PDT
{LIST ACTIVITY TO BE QA}{List Task and WP Section where the activity and QC is discussed}{List quality required in WP}{list required Frequency of QC and expected Frequency of QA}{List QA documents required}{List Category}{List Responsible Team or Person}
Schedule
Project Management: Schedule Control/ReportingT.O. /WP{see PWS, list governing documents, reference existing or create checklists etc}Number of instances of contractor impacts on schedule attributable to the contractor and impacts not identified.100% of project status reports including weekly and monthly as applicable.PM checklist; kept in PM fileScheduleGovernment PM
Cost (Not Applicable for Firm Fixed Price)
Project Management: Cost Control/ReportingT.O. /WP{see PWS, list governing documents, reference existing or create checklists etc}Number of instances of contractor impacts on cost attributable to the contractor and unauthorized cost overruns.100% of project status reports including weekly and monthly as applicable.PM checklist; kept in PM fileCost ControlGovernment PM
Business Relations
Meeting preparation and professional conductT.O.{see PWS, list governing documents, reference existing or create checklists etc}Number of customer/Stakeholder/PDT complaints regarding:

1. Personnel prepared and knowledgeable in areas of expertise.

2. Professional and ethical conduct.FeedbackTrip report, Email, letters, Stakeholder/customer survey forms; kept in PM fileBusiness RelationsGovernment PM/PDT
Management of Key Personnel
Project Management: PersonnelT.O.{see PWS, list governing documents, reference existing or create checklists etc}Number of instances regarding contractor Personnel and their qualifications for filling key positions/functions.Periodic InspectionTrip report, QARs, CARs
HNC 948; kept in official project fileManagement of Key Personnel and ResourcesPDT
Safety
Execution of Explosives Management Plan & Explosives Siting PlanDOD 6055.9-STD, EP 385-1-95, DA Pam 385-64, WP, {see PWS, list governing documents, reference existing or create checklists etc}Number and type of violations and/or accidents regarding compliance with explosives safety & OSHA requirements.Periodic InspectionQARs, CARs, HNC 948, Trip Reports; Kept in Project Safety Specialist file
SafetyGovernment Safety Specialist
Other (List other QA as required by T.O. or Guidance
{LIST ACTIVITY TO BE QA}{List governing documents}{List quality required}{list required Frequency of QC and expected Frequency of QA}{List QA documents required}{List Category}{List Responsible Team or Person}

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