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EXHIBIT E

PARTIAL LISTING OF SAFETY REQUIREMENTS

PARTIAL LISTING OF SAFETY AND SECURITY REQUIREMENTS

1. The following is a clarification of the Corps of Engineers’ policy concerning the use of personal protective equipment for contract employees as defined in the EM 385-1-1, Safety and Health Requirements Manual. This is not meant to be a complete review of required safety equipment, but is simply provided to answer some of the more common questions concerning our safety policy.

The items of equipment listed below should be issued to each employee or made readily available for employee’s use, when the work environment requires it:

a. Safety shoes – All employees are to wear hard toe safety shoes at all times.

b. Hardhats – Hardhats are to be worn when operating or working around equipment that lifts overhead (e.g., backhoe-end loader) or working at ground level around mowing equipment. Hard hats will not be required when operating a riding mower, unless other mowing equipment is present. Hard hats will be required during construction type activities and wildfire suppression.

c. Safety glasses or goggles – Safety glasses with side shields or goggles are to be worn when operating equipment or working around equipment that may cause harm from flying debris (e.g., weed eaters), and when using power or hand tools.

d. Welders – Full face welder’s helmets are to be worn during electric arc welding operations, and appropriate shields or warning shall be given or posted to protect other persons from the flash. During oxyacetylene welding or cutting, appropriate goggles or full face shield shall be worn.

e. Gloves – The proper type gloves are to be worn when there is a danger of burns, cuts, scrapes, scratches, wood splinters, or other injury to employee’s hands.

f. Ear protection – Ear plugs or muffs shall be worn when operating any device that has been determined to produce 90 decibels or greater on a time weighted average. It is your responsibility to determine the noise level of your equipment.

Each piece of equipment that exceeds 90dB(A) rating should be labeled to indicate the need for hearing protection. The Government will test the Contractor’s equipment, if requested by the Contractor.

g. Protective leg chaps – Protective leg chaps are to be worn when operating equipment such as a chain saw.

h. P. F. D.’s (Personal Flotation Device/Life Jacket) – P.F.D.s are to worn at all times when working around the water or on board watercraft.

i. Safety cans – Containers for flammable liquids shall be spring-closure type as required by EM 385-1-1, Paragraph 09. Page 149. (Revised Sept 96)

j. Seat Belts – Seat belts are to be worn at all times when operating motor vehicles and when operating mobile equipment with rollover protection.

k. Safety vests – Blaze orange safety vests are to be worn when employees are working adjacent to through highways (e.g. State Route 23).

l. Lock-Out/Tag-Out – Lock-Out/Tag-Out procedures will be used whenever working around any machinery or system where unexpected or unintended start-up or release of stored energy (power, motion, etc.) could occur.

Respiratory Protection – Areas with respiratory hazards (chemical, dust, etc.)

shall be identified. Employees shall have a properly fitting respirator, of the appropriate type, prior to working in a respiratory hazard area.

m. Confined Space – Procedures outlined in EM 385-1-1, Section 06.I. page 76, shall be closely adhered to when working in a confined space.

2. The Contractor shall conduct monthly safety meetings and weekly “tool box” safety meetings in accordance with EM 385-1-1, Safety and Health Requirements Manual. The Contractor may contact the COR about upcoming work planned, to determine appropriate subjects for the monthly safety meetings. The Government makes no guarantee that the list of upcoming work planned will actually be ordered nor will work ordered be restricted to said list. The Contractor shall inform the COR of the date, time, and place of the monthly safety meeting, a minimum of 7 days prior to the meeting.

3. The Contractor shall cooperate with the Government in providing for the security of

Government property. Some examples of the security measures expected include:

a. Closing and locking all gates and doors that were opened to allow Contractor personnel access for work.

b. Ensure that only Government personnel or authorized Contractor personnel enter secured areas. The COR or COR representative shall be informed immediately if any unauthorized persons enter a secured area.

c. Secure or maintain constant surveillance on all pilferable items to prevent theft.

Provide control to ensure that Government furnished equipment, property, or materials are utilized only for contract-purposes.

4. Great emphasis will be given to the development and proper use of Job Hazard Analysis

(JHA). When ordered, JHAs will be developed in detail, utilized during job performance, and available to employees at the job site.

5. Transporting employees and equipment to worksites:

a. Vehicles used to transport men and equipment must be well maintained and never overloaded. Each vehicle occupant must have a seat belt available, and must wear the belt.

b. Personnel and tools must be kept apart during travel. Tools and toolboxes must be secured in a manner, which will prevent their causing injury in case of a sudden stop or collision.

c. Toolbox lids must be securely latched or locked.

EXHIBIT F

ACTIVITY HAZARD ANALYSIS, CELRH-2796

SAFEY FORMS OSHA FORM 300

ACCIDENT INVESTIGATION REPORT ENG 3394

EXHIBIT G

QUALITY CONTROL PLAN

CONTRACTOR QUALITY CONTROL PLAN (OUTLINE)

1. INSPECTION OF SERVICES. Define the method of Inspection for each service in the contract including, but not limited to: the individual(s) who shall inspect the service (Quality Control Inspectors); when or with what frequency inspections shall be performed (e.g. at the completion of each task, etc.); and a copy of the Contractor’s inspection forms or other documents identifying the specific tasks involved in the service which shall be inspected.

2. DEFICIENCIES AND CORRECTIVE ACTION. Explain the procedures for identifying deficiencies in the quality of services provided and methods of correction, before the level of performance is unacceptable.

3. RECORDS. Define the method for maintaining records of inspections and records of corrective actions taken, the individual(s) responsible for the records, and the location where the records shall be kept.

4. QUALITY CONTROL INSPECTORS. A consolidated list of authorized Quality Control Inspectors.

5. CONTRACTOR REPRESENTATIVES. A list of names and phone numbers of authorized Contractor Representatives.

6. SECURITY. Define and explain the procedures and safeguards which shall be used to protect all equipment, materials, supplies, tools, and other resources provided by the Government to the Contractor including; but not limited to, Contractor audit procedures and inventory systems, if appropriate. Examples of procedures and safeguards include:

a. All pilferable materials shall be kept under constant surveillance and shall be collected at the end of each business day and secured under lock.

b. Keys shall be removed from all vehicles and equipment when not in use.

c. All gates and doors which were opened to allow Contractor personnel access for work shall be closed and locked. Only authorized Contractor personnel or Government personnel shall be permitted to enter secured areas. The COR or his/her representative shall be informed immediately if any unauthorized person enters a secured area.

EXHIBIT DESCRIPTION

CONTRACT

REFERENCE

A Items to be delivered at least one week prior to Pre-Work Conference C-1.21

B Mowing and Cleaning Maps C-2.14, C-2.2, C-3.1, C- 3.2g, C-5.5

C Approximate Quantities by Area C-2.2, C-2.3

D Accident Prevention Plan (APP) Outline C-1.6 d

E Partial listing of Safety Requirements C-1.9

F Safety Forms OSAH Form 300; Accident Investigation Report ENG 3394 C-1.9d

G Quality Control Plan C-1.6a; C1.18

H Quality Assurance Plan (QASP) C-1.19

I Sample Work Schedule C-1.21

J Sample Invoice C 2.3

K Government Furnished Equipment List C-1.24

L Task Order, DD 1155 C-1.3, C-1.27

M Job Request Form, CELRH 2770 C-1.33

N Contract Discrepancy Form, CELRH 1104 C-1.16

0 Contractor Equipment & Inspection Forms 2880 C-1.25, c&d,2.17, C-2.18, C-3.3 p Vehicle Operations CELRH 2796, CELRH 2813, ENG Form 4900-R, ENG Form· 4866 C-1.24a

Q Inspection Forms: CELRH 2788; 2773-2, 2773-3, 2773-5, 2773-10, & CELRH 2790 Section C2,C3,C4.C5

Exhibit H

QUALITY ASSURANCE SURVEILLANCE PLAN

LOWER TUSCARAWAS AREA PROJECTS

(Clendening Dam, Piedmont Dam, Senecaville Dam, Tappan Dam Wills Creek Dam / Lower Tuscarawas Area Office)

Date Contracting Officer

Table of Contents

SECTION

SECTION I. Introduction.

A. General B. Acronyms and Definitions

SECTION II. Acceptance/Rejection of Services

B. Acceptance C. Rejection

SECTION Ill. Calculating Deductions

B. Examples

1. Random Sampling

2. One-hundred Percent Sampling

3. Planned Sampling

SECTION IV. Performance Requirements Summary Tables

SECTION V. Sampling Guides

SECTION VI. Inspection Checklists A. Examples

1. "Generic" Inspection Form

2. Pesticide Application

3. Cleaning Services, Recreation Areas

4. Grass Mowing and Maintenance of Landscaped

Areas

5. Janitorial Services

6. Park Attendant

7. Contractor's Quality Control Program

8. Emergency Work Orders, Estimated Work

Orders, etc.

SECTION I

INTRODUCTION

SECTION I. Introduction

A. General. This plan will be used to assure the government that work specified under this contract is completed satisfactorily. The plan Is Included for Information purposes only. It does not supersede any of the requirements In other sections of the contract. Surveillance or Inspections will be primarily conducted In three ways; however, the Government has the right to change or modify Inspection methods at Its discretion. The three principle Inspection methods are random, one-hundred percent, and planned. In conjunction with describing the principle methods used for providing surveillance (I.e., Inspecting), this plan defines common terms and acronyms; summarizes In table form the performance requirements for each contract section; summarizes In table form a "sampling guide" for each contract section; explains how deductions are calculated; and, provides examples of Inspection Checklists.

B. Acronyms and Definitions.

1. List of Acronyms.

a. AQL ................. Acceptable Quality Level

b. CDR ................ Contract Discrepancy Report

c. COR ................ Contracting Officer Representative

d. CO ..................Contracting Officer

e. PRS ................ Performance Requirements Summary

f. PWS .......... • . • Performance Work Statement

g. QA. ................ Quality Assurance

h. QAE ................ Quality Assurance Evaluator

I. QASP ................ Quality Assurance Surveillance Plan

j. QC .................. Quality Control

k. QCP ................ Quality Control Plan

I. NIA ............... Non-Applicable

2. Definitions.

a. Acceptable Quality Level. Predetermined value used by the Government to distinguish between satisfactory and unsatisfactory performance. AQL may be stated In percent and Is the maximum number of defects per 100 units that can be considered satisfactory. As long as the defective performance does not exceed the AQL, the total service will not be rejected by the Government. The contractor, however, must reperform the defective service.

b. Defect. Any deficiency determined to be significant as to render the unit unsatisfactory.

c. Deficiency. Any Inspection unit which does not meet the Contract requirements in their entirety.

d. Inspection Unit. For statistical sampling the unit is Identified In the sampling guide. For all other work the Inspection unit Is the job. The Inspection unit may Include several tasks.

e. Inspector. Individual designated by the COR to perform Quality Assurance.

f. Item. The term Item, when used with the Contract, refers to the Bid Items contained In Section B of the Contract.

g. Job. A job describes an Individual, separate, and defined element of work lo be performed.

"Mowing the Below Dam Recreation Area" or "Painting the Number One Picnic Shelter In the Below Dam Area" are examples of jobs.

h. Lot Size. The total number of times the service Is performed In a given period of time, such as the total number of cleanings per month. Also called a population.

i. 100% Inspection. An inspection method requiring the examination of each completed job. It is not required that the Inspector be at the job site 100 percent of the time while the job is occurring. This approach Is best suited for monitoring contract requirements that occur Infrequently or are of great Importance.

j. Percent of Sample Found Defective. Determined by dividing the number of defects by the sample size.

k. Planned Sampling. An evaluation method designed to Inspect some part but not necessarily all of the contract requirements. Sample selection Is based on some subjective rationale and sample size Is usually arbitrarily determined.

I. Quality Assurance. Those actions taken by the Government to Insure goods or services meet the requirements of the contract.

m. Quality Assurance Evaluator. A Government official responsible for evaluating contractor's performance. Also, known as an Inspector.

n. Quality Control. Those actions taken by a contractor to control the production of goods or services to Insure that they meet the requirements of the contract.

o. Random Number Table. A table of numbers arranged In a random fashion. A table used to make random samples.

p. Random Sample. A sampling method whereby each service output In a lot has an equal chance of being selected, or where any occurrence of a contract requirement Is as likely to be evaluated as any other occurrence.

q. Random Sampling. A method of looking at a few IndividualItems In a lot to determine the quality of that lot against a standard.

r. Reject Level, The number of defects beyond which the total service for that lot Is rejected by the Government and deductions are made. The contractor must reperformdefective services, when possible, even If the number of defects Is less than the reject level.

s. Sample. A sample consists of one or more service outputs drawn from a lot, the outputs being chosen at random. The number of outputs In the sample Is the sample size.

.t. Sampling Gulde. The part of the surveillance plan which contains all the Information needed to perform a random sample. A "how to Inspect guide" for each type of work to be performed.

u. Service Requirement. A job to be performed to the specified standard and within the acceptable quality level. The contractor must do the specific job, meet the standard, and meet the acceptable quality level before performance Is acceptable and contractor will be paid.

v. Surveillance Plan. An organized written Government Document used for quality assurance surveillance.

x. Unscheduled Inspection. Impromptu Inspections of contract requirements without a pre-planned schedule.

y. Validated Complaints. An evaluation method utilizing customer awareness.

z. Work. The general scope of services covered under the specifications of this contract.

SECTION II

ACCEPTANCE/REJECTION OF SERVICES

SECTION II. Acceptance/Rejection of Services

A. General. Inspection of all services performed under this contract will primarily be done In accordance with a schedule developed by the Government, and will primarily be done by using one or a combination of the surveillance methods cited In this plan. The purpose of Inspection Is to document contractor performance and the quality of services or goods produced. Documentation of contractor performance will be done on the appropriate Inspection Checklist (see Section VI of this plan).

B. Acceptance.

1. Statistically Sampled Work. Whenever the number of defects for a lot falls at or below the established reject level the work will be considered satisfactory. However, the contractor Is still required to correct the deficiencies.

2. 100% Inspection. When all work Is performed In accordance with the Work Order.

C. Rejection.

1. Statistically Sampled Work. Whenever the defects exceed the reject level the Government will Issue a CDR and effect a monetary deduction from the Contractor's Invoice.

2. 100% Inspection. Whenever the work does not conform to all requirements of the Work Order, the Government will Issue a CDR and proceed In accordance with the Inspection of Services Clause of the contract.

SECTION Ill

CALCULATING DEDUCTIONS

SECTION Ill. Calculating Deductions

A. General. Whenever work or parts of work are rejected deductions will be made. The following hypothetical examples are given to demonstrate how deductions for deficiencies would be calculated.

B. Examples.

1. Random Sampling. Once a random sample has been taken of a lot or population, and the number of defective Items exceeds the AQL for that lot, a deduction will be made. The following example demonstrates how a deduction would be calculated for excessive defects in restroom cleanings. In this example, the lot or population size (i.e., the number of restroom cleanings over a 30 day period) Is 125.

IF: Quality of work for cleaning restrooms Is found to be unsatisfactory (I.e., the AQL of 5% Is exceeded).

AND: Contract price Is $2,000 for 30 days of restroom cleaning services.

AND: The deducted percentage for cleaning restrooms is 25% (taken from the Performance Requirements Summary Table).

AND: Sample size Is 55 with a reject level of 6.

AND: Number of defects in sample Is 10.

THEN: Deductions from the contractor's monthly Invoice for performing Level 3 cleanings would be calculated according to the following equation:

Number of documented defects X Deduct Percentage X Contract Price Sample Size For Restroom Cleaning for Cleaning Services

Substituting In the numerical values (from the example) the deducted amount would be calculated as follows:

10/55 X .25 X 2,000 = $90.91

Therefore, $90.91 would be deducted from the contractor's monthly Invoice for cleanlng services.

2. One-hundred Percent Sampling. Two hypothetical situations Involving a fixed price (e.g., mowing) and a negotiated (e.g., replacement of fascia) work order have been selected for demonstrating how a deduction would be ccilculated where the Inspection mode is 100%.

a. Mowing (Fixed Price).

IF: Work Order specifies the mowing and trimming of five recreation areas.

AND: Contract price Is $10,000.00 per complete mowing.

AND: By the expiration of the completion date given on the Work Order contractor has successfully mowed and trimmed four areas, but has not begun work on the fifth and last area.

THEN: The contractor shall stop all mowing operations, a CDR may be Issued, and the services of another contractor would normally be employed by the Government to complete the mowing and trimming of the fifth area. Actual costs Incurred by the Government to obtain the services of another contractor to correct the deficiencies In the fifth area will be deducted from the contractor's Invoice amount.

IF: The actual cost to the Government to correct the deficiencies Is $2,000.00 which will be deducted from the Contractor's Invoice for mowing.

THEN: $2,000.00 will be deducted from the contractor's invoice of $10,000.00.

b. Replacing Flscla Board on Picnic Shelter (Negotiated Price Example).

SITUATION. In this example the Work Order specified the installation and painting of new fascia boards on a picnic shelter. Issuance of the Work Order was preceded by Contractor/Government negotiations which culminated in the Issuance of the work order for the negotiated cost of $400. The final Inspection revealed the contractor has satisfactorily Installed, but failed to complete the painting of, the new fascia by the completion date specified on the Work Order.

GOVERNMENT ACTION. The Government would issue the Contractor a CDR and take the necessary action to correct the deficiency (i.e., paint the new fascia). In this example, the Government exercised the option to correct the deficiency by utilizing Government personnel. The Government would then deduct from the contractor's invoice the actual cost to the Government to correct the deficiency (I.e., paint the fascia).

CALCULATING THE DEDUCTION. Assuming the effective rate of the Government maintenance personnel was $12.50 per hour and It took 2 employees 6 hours to correct the deficiency;

Deduction = (2) (6) (12.50) = $150

Therefore, $150 would be deducted from the contractor's monthly Invoice.

3. Planned Sampling. This example shows how a deduction would be calculated when planned sampling documents deficiencies In Janitorial Services. In this example, planned sampling has documented 3 defects In services over a 30 day (month) period. Therefore, the deduction would be calculated as follows:

a. Given factors: The Bid Item Price for Janitorial Services Is $30.00/day.

b. Equation:

No. of Defects x Bid Item Price for = Amt. of Deduction Janitorial Services

Substituting In the numerical values from the example the deduction would be calculated as follows:

3 defects x $30.00/servlce = $90.00 deduction

Therefore, $90.00 would be deducted from the contractor's Invoice for Janitorial Services for the month In question.

SECT ION IV

PERFORMANCE REQUIREMENTS SUMMARY TABLES

Required Services

Initial Mobilization

Section Number

C-1

PERFORMANCE REQUIREMENT SUMMARY

Paragraph Maximum Allowable Method of Deduction Number Degree of Deviation Surveillance % from Requirement (AQL) C-1.2-1.33 All work must be 100% Inspection NIA performed In accordance with contract spec.

Paragrap h Number

Maximum Allowable Degree of Deviation from Requirement (AQL)

Method of Surveillance

Deduction

Mowing Service (including Initial mowing)

Trimming

C-2

C-2.3

All work must be accordance with

100% Inspection

N/A performed In Inspection

Weeding

C-2.5 contract spec. All work must be

Raking contract spec. All work must be

Tree and Brush Cutting

C-2.7 contract spec

Paragraph

Maximum Allowable I Degree of Deviation

Survelllance

Restroom Cleanings

Picnic Tables and Park Benches

C-3

C-3.2.a

C-3.2.c

Grills

C-3.2.f

Receptacles Cleaning Service

C-3 C-3.2.d All work must be

Shelters, Bulletin boards, Signs

C-3.2.c

Policing Grounds Roads, Dam and Trails

C-3.2.h C-3.2.i C-3.2.j

Playground Equipment

C-3 C-3.2m All work must be

Required Services Section

Paragraph

Maximum Allowable Degree of Deviation from Requirement

Surveillance

(AQL)

Cleaning Office C-4 C-4.2 All work must be

Performed in Accordance with Contract spec

Required Services ' Section Paragraph Maximum Method of Deduction %1

Number Number Allowable Degree Surveillance of Deviation from Requirement

(AQL)

Guardrail, Signs, Barricades, Bumpers, Curbs, and Posts

C-5 C-5.3-a All work must be

100% Inspection N/A

Maintenance and Repair of C-5 C-5.3-b

All work must be 100% Inspection NIA

Roads, Parking Areas, Pull-offs, and Launching Ramps

Natural Resource Protection and Enhancement

C-5 C-5.3-c.1 C-5.3-c.2

Performed ln

100% Inspection NIA

Recreation Area Maintenance C-5 C-5.3-c.3

Performed in

Boundary Marking C-5 C-5.3-c.4 performed in i

Paragraph Maximum Allowable Method of Number Degree of Deviation Surveillance

I Deduction

Disinfection

C-6 C-6.2- All work must be

100 %

NIA

_r

SECTIONV

SAMPLING GUIDES

1. Service Requirement: Initial Mobilization

2. Corresponding Contract Section: C-1.

3. Method of Q.A.: 100% Inspection

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: NIA

7. Reject Level: NIA

8. . Sampling Procedures: The Government will Inspect all work at the completion of mobilization.

9. Inspection Procedures: The Inspector will record all aspects of the work on an Inspection checklist form. The Contractor will be Informed of deficiencies In his performance.

10. Performance Criteria: The Contractor shall perform all work as specified In Section C-1.3. For all Identified deficiencies the Contractor will be allowed to reperform if contract specifications allow. Defects In Contractor performance may be addressed by Issuance of a CDR. A CDR will be Issued should the Contractor fall to correct deficiencies by reperformance, or for any defects/ rejects In service requirements.

l

1. Service Requirement: Mowing Service.

2. Corresponding Contract Section: C-2.

3. Method of Q.A.: 100% Inspection.

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will Inspect all work at the completion of each area when notified by the Contractor and perform Intermediate Inspections dally. The COR will determine the times the Intermediate Inspections will be made.

9. Inspection Procedures: The Inspector will get a copy of the work order, maps, and measuring devices needed to verify work and record all aspects of the work on an Inspection checklist form. The Contractor will be Informed of deficiencies In his performance.

10. Performance Criteria: The Contractor shall perform all work as specified In the Individual work orders. For all Identified deficiencies the Contractor will be allowed to reperform if the work order and contract specifications allow. Defects In Contractor performance may be addressed by Issuance of a CDR. A CDR will be Issued should the Contractor fall to correct deficiencies by reperformance.

1. Service Requirement: Trimming, Weeding, Raking, and Tree and Brush Cutting.

2. Corresponding Contract Section: C-2.

4. Acceptable Quality Level: NIA

5. Lot Size for Sampling: NIA

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically Inspected during performance.

9. Inspection Procedures: The Inspector will get a copy of the work order, scope of work, any measuring devices needed to verify work and record all aspects of the work on an Inspection checklist form. The Contractor will be Informed of deficiencies In his performance.

orders. For all identified deficiencies the Contractor will be allowed to re-perform if the work order and contract specifications allow. Defects In Contractor performance may be addressed by Issuance of a CDR. A CDR will be Issued should the Contractor fall to correct deficiencies by re-performance.

1. Service Requirement: Restroom Cleaning.

2. Corresponding Contract Section: C-3.

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and

9. Inspection Procedures: The Inspection will be performed in accordance with the Contractors approved work schedule. Each restroom or washhouse selected will be Inspected and results recorded on an Inspection checklist. The Contractor will be Informed of deficienciiesIn his performance.

10. Performance Criteria: The Contractor shall perform all work as specified In the work order. For all Identified deficiencies the Contractor will be allowed to reperform If the work order and contract specifications allow. Defects In Contractor performance may be addressed by the Issuance of a CDR. A CDR will be Issued should the Contractor fail to correct deficiencies by reperformance, or for any defects/rejects In service requirements. Should the reject level be exceeded, a deduction will be made.

1. Service Requirement: Picnic Tables, Park Benches, Grills, Receptacles, Shelters, Bulletin Boards, Signs.

7. Reject Level: N/a

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically Inspected during performance

9. Inspection Procedures: The Inspection will be performed in accordance with the Contractors approved work schedule. Each area selected will be inspected and results recorded on an Inspection checklist. The Contractor will be informed of deficiencies In his performance.

10.Performance Criteria: The Contractor shall perform all work as specified in the work order. For all identified deficiencies the Contractor will be allowed to reperform if the work order and contract specifications allow. Defects In Contractor performance may be addressed by the Issuance of a CDR. A CDR will be Issued should the Contractor fail to correct deficiencies by reperformance, or for any defects/rejects In service requirements. Should the reject level be exceeded, a deduction will be made.

1. Service Requirement: Policing Grounds, Roads, Dam, and Trails.

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and

9. Inspection Procedures: The inspection will be performed In accordance with the Contractors approved work schedule. Each Item selected will be inspected and results recorded on an Inspection checklist.

The Contractor will be Informed of deficiencies In hls performance.

10.Performance Criteria: The Contractor shall perform all work as specified In the work order. For all identified deficiencies the Contractor will be allowed to reperform if the work order and contract specifications allow. Defects In Contractor performance may be addressed by the issuance of a CDR. A CDR will be issued should the Contractor fall to correct deficiencies by reperfonnance, or for any defects/rejects In service requirements. Should the reject level be exceeded, a deduction will be made.

,1. Service Requirement: Playground Equipment.

3. Method of Q.A.: 100% inspection.

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and

9. Inspection Procedures: The Inspection will be performed in accordance with the Contractors approved work schedule. Each Item selected will be Inspected and results recorded on an Inspection checklist.

The Contractor will be Informed of deficiencies In his performance.

10.Performance Criteria: The Contractor shall perform all work as specified In the work order. For all Identified deficiencies the Contractor will be allowed to reperform If the work order and contract specifications allow. Defects in Contractor performance may be addressed by the issuance of a CDR. A CDR will be issued should the Contractor fail to correct deficiencies by reperformance, or for any defects/rejects In service requirements. Should the reject level be exceeded, a deduction

1. Service Requirement: Cleaning Office.

I I

2. Corresponding Contract Section: C-4

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and the COR may elect to have the work periodically Inspected during performance

9. Inspection Procedures: The Inspection will be performed in accordance with the Contractors approved work schedule. Each Item selected will be Inspected and results recorded on an Inspection checklist. The Contractor will be Informed of the Government's assessment of his performance.

10.Performance Criteria: Performance Is satisfactory If the reject level Is not exceeded. However, the Contractor shall be requested to correct all deficiencies noted on the the Inspection checklist.

1. Service Requirement: Guardrail, Signs, Barricades, Bumpers, and Posts.

2. Corresponding Contract Section: C-5.

8. Sampling Procedures: The Government will Inspect all work at the completion of each work order and

9. Inspection Procedures: The Inspector will get a copy of the work order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an Inspection checklist form. The orders. For all Identified deficiencies the Contractor will be allowed to reperform If the work order and the contract specifications allow. Defects In Contractor performance may be addressed by Issuance of a CDR. A CDR will be Issued should the Contractor falls to correct deficiencies by reperformance, or for any defects/rejects In service requirements.

1. Service Requirement: Maintenance and Repair of Roads, Parking Areas, Pull-offs, and Launching Ramps

8. Sampling Procedures: The Government will Inspect all work at the completion of each work order and

9. Inspection Procedures: The inspector will get a copy of the work order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an Inspection checklist form. The orders. For all Identified deficiencies the Contractor will be allowed to reperform If the work order and

1. Service Requirement: Natural Resource Protection and Enhancement.

8. Sampling Procedures: The Government will Inspect all work at the completion of each work order and

9. Inspection Procedures: The Inspector will get a copy of the work order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an Inspection checklist form. The

10. Performance Criteria: The Contractor shall perform all work as specified in the Individual work orders. For all Identified deficiencies the Contractor will be allowed to reperform if the work order and the contract specifications allow. Defects In Contractor performance may be addressed by Issuance of a CDR. A CDR will be issued should the Contractor falls to correct deficiencies by reperformance, or for

1. Service Requirement: Recreation Area Maintenance

2. Corresponding Contract Section: C-5

8. Sampling Procedures: The Government will Inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

9. Inspection Procedures: The inspector will get a copy of the work order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an Inspection checklist form. The orders. For all Identified deficiencies the Contractor will be allowed to reperform If the work order and the contract specifications allow. Defects in Contractor performance may be addressed by Issuance of a CDR. A CDR will be Issued should the Contractor falls to correct deficiencies by reperformance, or for

1. Service Requirement: Boundary Marking

4. Acceptable Quality Leve:l N/A

8. Sampling Procedures: The Government will Inspect all work at the completion of each work order and the COR may elect to have the work periodically inspected during performance.

9. Inspection Procedures: The Inspector will get a copy of the work order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an Inspection checklist form. The Contractor will be Informed of deficiencies in his performance.

10. Performance Criteria: The Contractor shall perform allwork as specified in the Individualw ork orders. For all Identified deficiencies the Contractor will be allowed to reperform if the work order and the

CDR. A CDR will be Issued should the Contractor falls to correct deficiencies by reperformanc.e

1. Service Requirement: Disinfection Services

2. Corresponding Contract Section: C-6.

8. Sampling Procedures: The Government will inspect all work at the completion of each work order and

9. Inspection Procedures: The Inspector will get a copy of the work order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an Inspection checklist form. The orders. For all Identified deficiencies the Contractor will be allowed to reperform If the work order and

SECTION VI

INSPECTION CHECKLISTS

SEE SERVICE CONTRACT

EXHIBIT Q

Date Contracting Officer

1. "Generic" Inspection Form

AND: By the expiration of the completion date given on the Work Order contractor has successfully mowed and trimmed four areas, but has not begun work on the fifth and last area.

Required Services

C-6.2-

1. Service Requirement: Trimming, Weeding, Raking, and Tree and Brush Cutting.

1. Service Requirement: Restroom Cleaning.

1. Service Requirement: Boundary Marking

TableA-2

EXHIBIT I

SAMPLE WORK SCHEDULE

Lower Tuscarawas Area Projects

Contractor Name: ___________________________

Cleaning and Policing Schedule

TIME DAY AREA

0700 A.M. Mondays & Fridays Wills Creek PUA

0930 A.M. Mondays & Fridays Wills Creek Office Cleaning & Janitorial

EXHIBIT J

SAMPLE CONTRACTOR INVOICE

Maintenance Contractor’s Name Invoice #: T200014 P.O. Box 1234 Month Of: March, 2020 Your City, Ohio 55555 Date: April 01, 2020

Contract Number: _______________

TO:

Lake Project Assistant Wills Creek Dam

49320 CR 497.

Coshocton, OH 43812

DATE TASK ORDER NUMBER AMOUNT

06/07/2020 Task Order # 0007 Item No. 0001 $ 2,000.00 Item No. 0002 $ 2,000.00 06/14/2020 Work Order # 0008 Item No. 0005 $ 2,000.00

Item No. 0008 $ 3,600.00 06/21/2020 Work Order # 0009 $ 3,800.00 06/28/2020 Work Order # 0010 $ 7,312.00

TOTAL: $20,712.00

CONTRACTOR’S SIGNATURE

EXHIBIT K

GOVERNMENT FURNISHED EQUIPMENT

None identified.

Information required when equipment is identified:

A. Equipment Item ____________________

Tag Number:

Make:

Model:

Year:

Serial Number:

Acquisition Value:

B. Equipment Item ____________________

Tag Number:

Make:

Model:

Year:

Serial Number:

Acquisition Value:

EXHIBIT A

ITEMS TO BE DELIVERED AT LEAST

ONE WEEK PRIOR TO

PRE-WORK CONFERENCE

Contractor shall provide the following, at least one (1) week prior to the pre-work conference:

A. Schedule of Cleanings. The schedule provided by the Contractor shall be of sufficient detail to allow the Government to inspect all items of work covered under Section C-3 and Section C-4 of the contract as they are being performed (See Exhibit K). Schedule should include daily and non-daily items.

B. Quality Control Plan. A suggested outline for the Contractor’s Quality Control

Plan is contained in Exhibit G.

C. Contractor Representatives. List of names of Contractor Representatives and contact information.

D. Contractor Quality Control Inspector. List of Quality Control Inspectors.

E. Contractor Safety Plan. A suggested outline for the Contractor Safety Plan is contained as Exhibit D.

F. Emergency Contacts. A prioritized list, including phone numbers, of those persons (normally Contractor Representatives) to call in case of emergencies.

G. Government Furnished Compound Area. A statement concerning the Contractor’s rejection or desire to use a Government furnished compound area.

H. Operators. A list of names of qualified equipment operators, their qualifications, experience, and certifications for government furnished equipment.

I. CDL License. A list of names of individuals with valid CDL Operators License with endorsements.

J. First Aid and CPR. First Aid and CPR certified individuals on each work crew.

K. SSHO. The contractor shall employ a Site Safety and Health Officer (SSHO) who has completed OSHA 30 hour Construction or General Industry Safety training or its equivalent and has five (5) years of experience to be performed;

need to provide proof of compliance.

All documents listed shall be typed and legible.

Exhibit Q

Inspection Forms

EXHIBIT B

MOWING AND CLEANING MAPS

Exhibit C

Approximate Quantities by Area

Item Clendening

Dam Piedmont

Senecaville

Tappan

Wills Creek

Acres to be maintained 20 36 27 36 69

Benches 3 5 3 0 7

Gates 5 9 3 3 5

Guard Rail L.F 500 500 500 1000 1000

Mow and Trim (approx. acres) 20 36 27 36 69

Picnic Tables 20 5 5 5 10

Playground Equipment (sets) 1 0 0 0 0

Grills 10 0 0 0 6

Restrooms 1 0 0 0 1

Roads (miles) 1 1 1 1.5 1.50

Signs 15 15 15 15 25

Receptacles 16 5 5 5 15

Picnic Shelters 1 0 0 0 1

NOTE: Quantities are subject to change.

Some items are seasonal.

EXHIBIT D

ACCIDENT PREVENTION PLAN (APP) OUTLINE

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 (theses 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 other 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 is 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. SUBCONTRACTRORS AND SUPPLIES. 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. Requirements for new hire SOH orientation training at the time of initial hire of each new employee.

b. Requirements for mandatory training and certifications that are applicable to this project (e.g., explosive actuated tools, confined space entry, crane operator, diver, vehicle operator, HAZWOPER training and certification, PPE) and any require4mtns for periodic retraining/recertification

c. Procedures for periodic safety and health training for supervisors and employees.

d. Requirements for emergency response training. See paragraph 9.b. below for a list of requirements that may require emergency response training.

7. SAFETY AND HEALTH INSPECTIONS.

a. Specific assignment of responsibilities for a minimum daily job site safety and health inspection during periods of work activity: Who will conduct (e.g., SSHO, PM, safety professional, QC, supervisors, employees – depends on level of technical proficiency needed to perform said inspections), proof of inspector’s training/qualifications, when inspections will be conducted, procedures for documentation deficiency tracking system, ,and follow-up procedures;

b. Any external inspections/certifications that may be required (e.g., USCG).

8. ACCIDENT REPORTING. The Contractor shall identify person(s) responsible to provide the following:

a. Exposure data (man-hours worked);

b. Accident investigations, reports, and logs: Report all accidents as soon as possible but not more than 24 hours afterwards to the Contracting Officer/Representative (KO/COR). The contractor shall thoroughly investigate the accident and submit the findings of the investigation along with appropriate corrective actions to the KO/COR in the prescribed format as soon as possible but no later than five (5) business days following the accident. Implement corrective actions as soon as reasonably possible;

c. The following require immediate accident notification:

(1) A fatal injury;

(2) A permanent total disability;

(3) A permanent partial disability;

(4) The hospitalization of three or more people resulting from a single occurrence;

(5) Property damage of $200,000 or more.

9. PLANS (PROGRAMS, PROCEDURES) REQUIRED BY THE SAFETY MANUAL.

Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable occupational risks and compliance plans. Using the EM 385-1-1 as a guide, plans may include but not be limited to:

a. Layout plans (04.A.01);

b. Emergency response plans:

(1) Procedures and tests (01.E.01);

(2) Spill plans (01.E.01, 06.A.02);

(3) Firefighting plan (01.E.01, Section 19);

(4) Posting of emergency telephone numbers (01.E.05);

(5) Man overboard/abandon ship (Section 19.A.04);

(6) Medical Support. Outline on-side medical support and off-site medical arrangements including rescue and medical duties for those employees who are to perform them, and the name(s) of on-site Contractor personnel trained in first aid and CPR. A minimum of two employees shall be certified in CPR and first-aid per shit/site (Section 03.A.02; 03.D);

c. Plan for pre4ventionn of alcohol and drug abuse (01.C.02);

d. Site sanitation plan (Section 02);

e. Access and haul road plan (4.B);

f. Respiratory protection plan (05.G);

g. Health hazard control program (06.A);

h. Hazard communication program (06.B.01);

i. Process Safety Management Plan (06.B.04);

j. Lead abatement plan (06.B.05 & specifications);

k. Asbestos abatement plan (06.B.05 & specifications);

l. Radiation Safety Program (06.E.03.a);

m. Abrasive blasting (06.H.01);

n. Heat/Cold Stress Monitoring Plan (06.I.02);

o. (Crystalline Silica Monitoring Plan (Assessment) (06.M);

p. Night operations lighting plan (07.A.08);

q. Fire Prevention Plan (09.A);

r. Wild Land Fire Management Plan (09.K);

s. Hazardous energy control plan (12.A.01);

t. Critical lift Plan (16.H);

u. Contingency plan for severe weather (19.A.03);

v. Float Plan (19.F.04);

w. Site-Specific Fall Protection & Prevention Plan (21.c);

x. Demolition plan (to include engineering survey) (23.A.01);

y. Excavation/trenching plan (25.A.01);

z. Emergency rescue (tunneling) (26.A);

aa. Underground construction fire prevention and protection plan (26.D.01);

bb. Compressed air plan (26.I.01);

cc. Formwork and shoring erection and removal plans (27.C);

dd. Precast Concrete Plan (27.D);

ee. Lift slab plans (27.E);

ff. Steel erection plan (27.F.01);

gg. Site Safety and Health Plan for HTRW work (28.B);

hh. Blasting Safety Plan (29.A.01);

ii. Diving plan (30.A.13);

jj. Confined space Program (34.A).

10. RISK MANAGEMENT PROCESSES. Detailed project-specific hazards and controls shall be provided by an Activity Hazard Analysis (01.A.13) for each major phase/activity of work.

11. ABBREVIATED APP for LIMITED-SCOPE SERVICE, SUPPLY AND R&D CONTRACTS. If service, supply and R&D contracts with limited scopes are awarded, the contractor may submit an abbreviated Accident Prevention Plan. This APP shall address the following areas at a minimum. If other areas of the EM 385-1-1 are pertinent to the contract, the contractor must assure these areas are addressed as well.

a. Title, signature, and phone number of the plan preparer.

b. Background Information to include: Contractor; Contract number; Project name;

Brief project, description, description of work to be performed, and location (map); The project description shall provide a means to evaluate the work being done (see AHA requirements in 01.A.13) and associated hazards involved.

Contractor’s APP shall address the identified hazards involved and the control measures to be taken.

c. Statement of Safety and Health Policy detailing their commitment to providing a safe and healthful workplace for all employees.

d. Responsibilities and Lines of Authorities – to include a statement of the employer’s ultimate responsibility for the implementation of his OH program;

Identification and accountability of personnel responsible for safety at all levels to include designated site safety and health officer (SSHO) and associated qualifications. The District SOHO will review the qualifications for acceptance.

e. Training – new hire SOH orientation training at the time of initial hire of each new employee and any periodic retraining/recertification requirements.

f. Procedures for job site inspections – assignment of responsibilities and frequency.

g. Procedures for reporting man-hours worked and reporting and investigating any accidents as soon as possible but not more than 24 hours afterwards to the Contracting Officer/Representative (KO/COR). An accident that results in a fatal injury, permanent partial or permanent total disability shall be immediately reported to the Contracting Officer.

h. Emergency Planning. Employees working alone shall be provided an effective means of emergency communication.