Exhibits II-IV Evaluation Forms.docx

TRUCK PARKING AREA MAINTENANCE ___ ___EXHIBIT II

DAILY SAFETY CHECK LIST

Truck Parking Area Name and Location: BOZEMAN HILL, I-90 MILEPOST 326.5

am

Clean Toilet and Wash Walls

Clean and Mop Floors

Clean Window

Remove or Cover Graffiti

am

Clean Sidewalks and Plaza Area

Empty Garbage Containers

Pick Up Litter and Trash Outside

am

Comments: (Lost and Found, Repairs, Vandalism, etc.)

Date Time (am pm) (Signed) Contractor's Representative

Records must be maintained on site and turned into the appointed contract compliance officer two times a month. (White copy to Department, Yellow retained by Contractor)

CONTRACT COMPLIANCE REVIEW EXHIBIT III

If yes schedule additional deep cleaning.

Yes No If yes schedule additional cleaning.

Sum of Ratings ==>

Sum of Ratings _____ ___ Number of Items Evaluated = ___ Final Rating Score

Additional Comments:

We agree that the rest area inspection was performed with both parties present and that the ratings as listed above are accurate and were discussed during the inspection.

(Signed by Contract Reviewer)

(Signed by Contractor)

Approved for payment to be made to the caretaker for the previous period:

TRUCK PARKING AREA MAINTENANCE CHECK LIST _______ EXHIBIT IV

Frequency Key:

NA = not applicable

1. Driveways - Parking Lots Pickup and dispose of all litter. Sweep and clean curbs and gutters.

2. Side Walks Sweep and clean sidewalks. Wash off spilled food, drinks, dirt, sand. Remove snow and ice.

3. Garbage Containers Check and replace garbage bags to prevent overflow or unsanitary conditions. Check and clean garbage container and lids.

4. Lawn –Trees - Shrubs Mow and edge the grassy area. Maintain lawn between 4 and 6 inches in height. Prune trees and shrubs as required. Edge lawns, curbs and sidewalks as required.

5. Natural Areas Clean up and remove all litter and trash and dispose.

6. Building Exterior Clean walls, doors and entryway. Sweep down cobwebs. Remove graffiti. Keep gutters free of debris, leaves and needles.

7. Vault Toilet Floors and Walls Mop floor with a high strength detergent. Clean all walls with a disinfectant cleaner and wipe dry. Remove and/or paint over all graffiti. Make sure doors operate and lock properly.

8. Toilet Stools Clean and thoroughly scrub with high-strength detergent containing a deodorant and anti-bacterial agent. Rinse with clean water and wipe dry. Check to make sure adequate supplies of toilet paper are present in the dispensers. At least one-half roll of toilet paper shall be in evidence in each stall.

9. Vault Toilet Deep Cleaning Clean and thoroughly scrub with high-pressure washer or appropriate cleaning system to deep clean and disinfect vault toilet interior. A high strength cleaning detergent contain a deodorant and anti-bacterial agent will be used. Rinse and dry.

10. Storage Shed Keep storage shed clean, organized and free of litter. Keep up-to-date MSDS sheets on all cleaning products in a visible place and easily accessible in case of emergency. Check fire extinguishers. Check first aid kit.

11. Caretaker Appearance The caretaker shall wear an I.D. badge, which contains Contractor and employee's name. The caretaker and employees’ appearance shall be neat and clean at all times.

12. Record Keeping/Daily Log Keep a daily log listing activities completed. Enter unusual or required information (i.e. traffic counts, lost and found articles, accidents, vandalism). Keep the daily log in the storage shed.

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REVISED: 12/08/08