Attch_2_FMO_PWS_ca_copy_28_Feb_13.pdf

PERFORMANCE WORK STATEMENT (PWS)

FOR

FURNISHINGS MANAGEMENT SERVICES

Goodfellow AFB, TX 27 Feb 2013

Attachment 2 PWS

PERFORMANCE WORK STATEMENT

FOR

FURNISHINGS MANAGEMENT SERVICES

1. DESCRIPTION OF SERVICES. The contractor shall provide all management, labor, tools, equipment, transportation, and materials necessary to operate the base furnishings management office and maintain government-furnished property in support of Goodfellow AFB, TX as set forth in this performance work statement. Warehouse space will be provided by the government and all furniture to be managed is government owned.

1.1. BASIC SERVICES. This contract provides furniture and appliances services for Dormitories (Pipeline, Prior Service, Officer, or Permanent Party). Facilities include the following buildings: 238, 239, 240, 241, 242, 243, 250, 251, 252, 255, 256, 257, 356, 700, 3126, 3135, 3139, 3206, 3208, 3210, 3227 and 3321. Contractor will use the following guidance in the performance of their duties: Air Force Instruction (AFI) 32-6004 “Furnishings Management” and AFI 32-6005 “Unaccompanied Housing Management”, AF Manual 23-110 “USAF Supply Manual”, and DODR 4145.19-R-1, “Storage and Material Handling.” Workloads will/may vary from day-to-day. The estimated quantities of work are listed in Workload Estimates (Appendix A).

1.2. FURNISHING MANAGEMENT. Functional areas of responsibility include warehouse management, accountability, providing information for the Quarters Improvement Committee (QIC) Quarters Improvement Plan (QIP), systematic replacement/repair of furnishings/ appliances to include annual cost summary for said operations. Furnishings include furniture, appliances, window coverings, vacuums and carpet shampooers.

1.2.1. QUARTERS IMPROVEMENT PLAN (QIP)/QUARTERS IMPROVEMENT

COMMITTEE (QIC). The FMO contractor will update the QIP using an excel spreadsheet for each building listed in Para 1.1, see appendix “E” for an example. The spreadsheet will contain (building number, building type (Pipeline, Prior Service, Officer, or Permanent Party) date constructed, total rooms, total bed space, furniture description, quantity, FY purchased, FY life expectancy expires, total number of items, cost per item, total cost). The FY life expectancy expires will be completed in accordance with the life expectancies listed below. The Housing Manager will notify Furnishing Management Office (FMO) as needed by email when furniture is replaced, FMO will update the QIP. Items which have reached their life expectancy will be shaded in red (items with a range such as 7-10 will be shaded red at the earliest age, in this case 7 years); items that have not reached their life expectancy will be shaded green. FMO will provide the QIP to the CO (Contracting Officer) by 5 Apr and 5 Oct of each year. The CO will provide the QIP to the COR (Contracting Officer Representative). The COR will provide the QIP to the Housing Manager. The FMO will also provide total work order numbers for the previous 6 months to the CO by 5 Apr and 5 Oct of each year for inclusion in the Quarters Improvement Committee (QIC). The CO will provide the total work order numbers to the COR. The COR will provide the total work order numbers to the Housing Manager. An FMO contractor representative may attend the QIC meeting.

LIFE EXPECTANCY (YEARS)

Refrigerators 15 Ranges 10 Microwave Ovens 8 Furniture (case goods) 7-10 Drapes 5-7 Big Screen TVs 4 TVs (24" and under) 9 Box Springs/Mattresses 3-5 Vacuum cleaners 2

1.2.2. Request, receive, issue, store, determine minor repair parts for furniture/appliances, deliver, turn-in to Defense Reutilization and Marketing Office (DRMO) and pick up/delivery of all government owned furnishings/appliances authorized for use in facilities/quarters listed in Para 1.1.

1.2.3. Identify, manage, and report excess furnishings/appliances and equipment. The process is as follows: FMO will identify excess furnishings/appliances on DD form 1348-1A to the Housing Manager. If the Housing Manager approves the turn in, a work order will be sent to the COR for FMO to schedule time/location of delivery to DRMO representative. The location may vary at times as DRMO may not have room in their compound. Any location on Goodfellow may be identified as a DRMO drop off area. FMO will deliver the excess items to DRMO.

DRMO signs the DD form 1348-1A. FMO will retain a copy. FMO will provide copies of the DD form 1348-1A’s to the COR monthly. The COR will provide a copy to the Housing Manager. The FMO copy shall be retained for the life of the contract. If contract ends, the form shall be turned over to the COR.

1.2.4. MINOR REPAIR.

1.2.4.1. Perform maintenance, repair on furnishings, appliances, window coverings and equipment as required. Equipment is defined as vacuums and carpet shampooers.

1.2.4.2. Minor repair of furnishings includes, but is not limited to, replacing light bulbs, replacing hinges, doors on cabinets, drawer handles, latches, furniture legs, chair arms, drawers and legs on bed frames, (to include “after-market” modifications). Touch-up and cosmetic repair of finished surfaces, shade holder on lamps, tighten or replace loose screws, brackets, nuts and bolts, replace missing/broken parts, hinges, doors on cabinets, drawer handles, latches, furniture items and legs, minor re-gluing and bracing of loose joints.

1.2.4.3. Minor repair of appliances includes, but is not limited to replacing refrigerator seals, light bulbs, replacing hinges, handles, touch-up and cosmetic repair of finished surfaces, tighten or replace loose screws, brackets, nuts and bolts, replace missing/broken parts, hinges, and latches.

1.2.4.4. Minor repair of window coverings includes, but is not limited to, replacement cords, plugs, draperies, window blinds and window shades.

1.2.4.5. Minor repair of equipment includes, but is not limited to, (vacuums, carpet shampooers) includes repair/replacement of switches, cords, plugs, belts, loose screws, nuts, bolts, vacuum bags and vacuum brushes.

1.2.4.6. An item is uneconomical to repair when one-time repair costs exceed 75% of the current acquisition costs. Upon the recommendation of FMO the Housing Manager will make the determination of repair vs. replacement. If replacement is the decision, the Housing Manager will submit a work order to the COR to have the item turned in. Minor repairs are completed within five workdays. Expendable materials utilized in minor repair should be purchased on a government GPC card. The Contractor shall coordinate these purchases, in advance, with the COR/appropriate GPC cardholder.

1.2.5. Reserved.

1.2.6. Ensure furnishings, appliance and equipment that are in customer possession are sufficient, in good repair, clean and serviceable. Customer surveys will be conducted by the contractor.

Customer surveys will be provided to the CO by the first day of the next month. The CO will provide the customer surveys to the COR.

1.2.7. 5-YEAR FURNISHING UPGRADE AND REPLACEMENT PLAN. (See Appendix J, for example) The Contractor is responsible for preparing a systematic replacement plan of furnishings/appliances and equipment in all building listed in Para 1.1 (5-year Furnishing Upgrade and Replacement Plan) and should use the “Life Expectancy” list in Para. 1.2.1 and condition of furnishings/appliances in developing a plan to replace furniture. Identify and research furniture required for purchase. The 5-year Furniture Plan shall be submitted to the CO 1 Jan annually. The CO will then send the report to the COR, who will send it to the Housing Manager.

1.3. CONTROL FURNISHINGS/APPLIANCES. Schedule, deliver, and pick up furnishings/appliances to include assembly and disassembly of furniture items. Accomplish deliveries and pickups within five work days of request by the COR. Accomplish mattress replacement not later than the end of the next working day after day of request. Ensure assets are protected during transport.

1.3.1. BACK-UP STOCK. (See Appendix I, for example)

Store furnishings to include back-up stock, maintained and organized IAW DODR 4145-19-R-1 and AFI 32-6004. Ensure there is an adequate back up stock for furniture, appliances and equipment based on past usage. Back up stock should be reviewed quarterly, new requirements should be identified to the CO each quarter. FMO contractor shall send a typed request to the CO for the items needed to maintain an adequate back-up stock. The CO will send the new requirements and the typed request to the COR, who will send it to the Housing Manager.

1.3.2. Maintain an electronic Furnishings Transaction Control Log (excel spreadsheet) for all activities performed by the FMO involving movement, repair, turn-in and replacement of furnishings, appliances and equipment. The log shall include: work order number, point of contact that requested the repair or movement, date notified, discrepancy or request, and date completed. A soft copy shall be provided to the CO monthly. The CO shall provide the copy to the COR who will provide it to the Housing Manager.

1.3.3. Inspect new/used property received. The government will inspect new/used property received IAW the Dormitory Furnishings Blanket Purchase Agreement guide and provide this information to the FMO contractor. The FMO contractor will update their inventory semi-annually.

1.3.4. WARRANTY DATA. (See Appendix L, for example) Obtain warranty documentation from manufacturer for all newly received appliances and record and maintain warranty data for existing appliances. Maintain all warranty data and an automated log (excel spreadsheet) for quick reference to determine if assets are under warranty. Automated Warranty log requires the following information to be listed: make/model, warranty expiration date, serial number, and date of purchase. Warranty data will also be maintained by inserting information onto AF Form 4302, Appliance Warranty; listing make/model, warranty expiration date, serial number, and date of purchase. Affix the AF Form 4302 to the back of each appliance. A soft copy shall be provided to the CO monthly. The CO shall provide the copy to the COR who will provide it to the Housing Manager.

1.4. FURNISHINGS INVENTORY/VALIDATION/CONDITION/RECONCILIATION

REPORTS. (See Appendix F, for example) All reports shall be documented electronically and submitted to the CO on 5 Apr and 5 Oct each year. The CO will provide the reports to the COR, who will provide them to the Housing Manager. The reports shall contain building number, room number, furniture description, and quantity and condition code. Condition codes are defined as:

Bent: Self Explanatory Broken: malfunction in the furniture’s operation such as a drawer doesn’t slide out easily Burned: Self Explanatory Faded: Easily noticeable fading Gouged: large scratch Good: No discrepancies Rusted: Self Explanatory Scratched: Easily noticeable scratch or scratches Soiled: stains or dirty appearance Chipped: Self Explanatory Dented: Self Explanatory New: Self Explanatory Loose: Self Explanatory Marred: any damage not explained by another condition Rubbed: another color smeared Torn: Self Explanatory

Worn Badly: appearance beyond normal wear and tear Cracked: Self Explanatory

1.4.1. WAREHOUSE FURNISHINGS INVENTORY. (See Appendix H – Warehouse Inventory Example) Perform and document inventory and condition report of all furniture, appliances and equipment in the warehouse. This report will be completed within 30 days after award of the contract and on 5 Apr and 5 Oct each year.

1.4.2. VALIDATION/CONDITION REPORT.

Perform and document validation and condition report of all furniture, appliances and equipment in the buildings listed in Para 1.1. This will be accomplished by contacting the facility managers and gathering their inventory lists. All lists will be consolidated and entered into a master list (See Appendix F). The FMO contractor shall validate the facility managers’ lists by inspecting/validating and documenting the results. Building 238, 239, 240, 241, 242, 243, 250, 251, 252, 255, 256, 257, 356, and 700 will be inspected/validated by 5 Apr and buildings 3126, 3135, 3139, 3206, 3208, 3210, 3227, and 3321 will be inspected/validated by 5 Oct. The FMO contractor shall ensure all buildings listed in Para 1.1 are inspected each year.

1.4.3. FURNISHINGS RECONCILIATION.

Adjust and reconcile asset balances for all furnishing/appliance by comparing the listings received from the facility manager to the FMO contractor master list. If items are missing the FMO contractor shall contact the appropriate facility managers and ask them to locate the missing furniture. If items are not located, FMO will provide the COR, and the Housing Manager an electronic list of furniture not found, the list will include: building #, Room # and item.

1.4.4. Maintain a clear and defined audit trail of all furnishings transactions, maintain the master AF Form 228, Furnishings Condition and Custody Receipt, reflecting total furnishings issued to each customer, and perform the duties of equipment custodian for accounts managed.

1.5. CUSTOMER REQUESTS. Customers will submit work requests to the COR by email or on AETC form 300. Contractor will accept work requests only from COR. The transaction control log should be annotated within 1 work day of request. Within 5 workdays of each work request the Contractor shall repair, turn-in to DRMO/accept turn-ins from customers, repair, deliver, unpack, inspect, and/or assemble the furnishing and place them in the location required.

The contractor shall exchange/replace individual requests for mattresses and/or box springs no later than the end of the next duty day of request.

1.6. TURN-INS. Customer turn-in(s)

If customers drop off furniture, appliances or equipment for needed repairs or DRMO turn in, the FMO contractor will notify the COR for issuance of the proper work order. COR will contact the Housing Manager prior to issuance of the work order.

1.6.1. RESERVED.

2. SERVICE SUMMARY

Performance Objective

PWS

Para

Performance Threshold

Method of Assessment

SS-1

Prepare and submit 5-year Furnishing upgrade and replacement Plan, NLT 1 Jan annually

1.2.7 100% of the time Annual Surveillance

SS-2

Prepare and submit QIP/QIC data to CO NLT 5 Apr and 5 Oct of each year

1.2.1 100% of the time Annual Surveillance

SS-3

Store furnishings to include back-up stock, maintained and organized IAW DODR 4145.19-R-1 and AFI 32-6004. Submit to CO each quarter

1.3.1 2 or less defects per month

Periodic Surveillance

SS-4

Conduct inventory/ Validation/condition reconciliation on 5 Apr and 5 Oct of each year

1.4 100% of the time Semi-annual Surveillance

SS-5

Maintain transaction log. Submit to CO by the first day of each month

1.3.2, 1.5

2 or less defects per month

Periodic Surveillance

SS-6

Warranty data is properly recorded, filed and items under warranty are properly identified. Submit to CO by the first day of each month

1.3.4

2 or less defects per month

Periodic Surveillance

SS-7

Customers have sufficient furnishings. Furnishings in customer possession are in good repair, clean, and serviceable. Submit to CO by the first day of each month

1.2.6 No more than three

validated customer complaints per month

Customer Complaints

SS 8

Submit number of work orders for the previous 6 months to the CO NLT 5 Apr and 5 Oct of each year

1.2.1 100% of the time Semi-annual Surveillance

3. GOVERNMENT FURNISHED PROPERTY AND SERVICES.

3.1. Government Furnished Facilities. The government shall provide a furnishings supply and storage facility (Bldg. 745, 4,000 sq. ft and office space in Bldg. 718). Facilities shall only be used in performance of the contract. The government shall furnish the following services;

telephone for on base emergency 911 service, police and fire protection, weekly pickup of refuse dumpster and insect/rodent control upon notification of infestation.

3. 1.1. Facility Manager. Contractor shall appoint a facility manager and an alternate facility manager for government provided facilities. Contractor must provide a facility manager appointment letter for each facility. Facility managers are the point of contact between facility occupants and Civil Engineers, Security Forces, and the Fire Department. Letter should provide a facility manger and alternate facility manger. It should list the facility number and the business and home phone numbers of the facility managers. Facility managers will be required to attend facility manager training (provided by the government.) Facility manager duties include but are not limited to, conducting safety checks of facilities assigned and reporting needed repair of those facilities.

3.2. Government Furnished Equipment. See Appendix C. Government Furnished Property/Equipment.

4. GENERAL INFORMATION.

4.1. QUALITY CONTROL. The contractor shall develop, submit for contracting officer approval, and maintain a Quality Control Plan (QCP) to ensure furnishings management services are performed in accordance with established commercial standards. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. As a minimum, contractor shall develop control procedures to meet listed SS items.

4.2. QUALITY ASSURANCE. The government will periodically evaluate the contractor’s performance in accordance with the Quality Assurance Surveillance Plan.

4.3. GOVERNMENT REMEDIES. The contracting officer shall follow FAR 52.212.4, Contract Terms and Conditions-Commercial Items (Mar 2009), for contractor’s failure to perform satisfactory services or failure to correct non-conforming services.

4.4. RESERVED.

4.5. RESERVED.

4.6. POINT OF CONTACT (POC). The Contractor shall provide a Contract Manager and alternate(s) who must be able to speak, read, and write in the English language. The name of this person and alternate(s) along with the limits of their authority shall be designated in writing to the Contracting Officer (CO). The contract manager or alternate shall be on site and available during normal duty hours within 1 hour to meet on the installation with government personnel to discuss issues. The Contractor shall provide the CO telephone number(s) where surveillance results and complaints can be reported. This information will be kept updated by the Contractor whenever personnel changes occur.

4.7. APPEARANCE. Ensure the employees present a neat appearance at all times while on base, and that employees do not wear any clothing that has pictures or words which could be considered indecent or inflammatory. Distinctive nametags or uniforms will be worn so that customers can readily identify contractor personnel as employees of the FMO. The warehouse will have a neat and orderly appearance.

4.8. SECURITY REQUIREMENTS. Ensure that all employee and contractor vehicles are registered, insured, and maintained in compliance with Texas laws and base directives. Vehicles should have the company name visible on both sides.

4.8.1. PHYSICAL SECURITY, ANTITERRORISM/FORCE PROTECTION

a. In accordance with AFI 10-245, Air Force Antiterrorism (AT) Standards, and AFI 10- 245/AETC Sup 1 the following requirements apply to this contract:

(1) Contractor personnel may be required to participate in installation Anti- Terrorism/Force Protection exercises.

(2) Contractor personnel will comply with the implementation of higher Force Protection Conditions and will ensure that subcontractors are in compliance as well.

(3) Antiterrorism (AT) Level I training is available to all contractor personnel.

The government will provide/make available AT Level I training/information at the contractor’s request. This information can be provided through the 17 TRW contractors AT Level I awareness pamphlets/binders, through computer based training programs, or through the unit/installation Antiterrorism Officer. To request training, contact the 17th Training Wing Antiterrorism Officer, 17 TRW/CCW at (325) 654-3527

b. FPCON levels:

(1) FPCON NORMAL. This condition applies when a general global threat of possible terrorist activity exists and warrants a routine security posture. At a minimum, access control will be conducted at all DOD installations and facilities. What to Expect: Expect to see a routine security posture.

(2) FPCON ALPHA. (AF Modified) This condition applies when there is an increased general threat of possible terrorist activity against personnel or facilities, the nature and extent of which are unpredictable, and circumstances do not justify full implementation of FPCON BRAVO measures. However, it may be necessary to implement certain measures from higher FPCONs measures resulting from intelligence received or as a deterrent. The measures in this FPCON must be capable of being maintained indefinitely. What to Expect: Expect random vehicle checks and increased crime prevention efforts.

(3) FPCON BRAVO. Applies when an increased or more predictable threat of terrorist activity exists. Sustaining BRAVO measures for a prolonged period may affect operational capability and military-civil relationships with local authorities. What to Expect:

Expect to see closer inspections of vehicles and deliveries, ID checks, and a greater presence of guards.

(4) FPCON CHARLIE. Applies when an incident occurs or intelligence is received indicating that some form of terrorist action or targeting against personnel or facilities is likely. Prolonged implementation of CHARLIE measures may create hardship and affect the activities of the unit and its personnel. What to Expect: Expect rigorous efforts to inspect vehicles and facilities; you may be required to evacuate the base, or you may not be allowed On- Base without escort.

(5) FPCON DELTA. Applies in the immediate area where a terrorist attack has occurred or when intelligence has been received that terrorist action against a specific location or person is imminent. FPCON DELTA is usually declared as a localized condition. FPCON DELTA measures are not intended to be sustained for an extended duration. What to Expect: If On-Base, follow security forces instructions; you may be directed to evacuate or seek shelter, if Off-Base, you may be denied access until the incident has been taken care of and additional security measures will delay and interrupt normal routines

c. The contractor shall ensure areas controlled by contractor employees comply with base operations plans/instructions for Force Protection Condition (FPCON) procedures, and local search/identification requirements. The contractor shall be responsible for the above FPCON requirements in all assigned facilities. In addition, in other shared occupancy buildings, the contractor shall assist (based on occupancy) with manning the building/facility Entry Control Point (ECP). The contractor shall safeguard all Government property, including controlled forms, provided for their use. At the close of each work period, Government training equipment, ground aerospace vehicles, facilities, support equipment, and other valuable materials shall be secured.

Instructions, regulations and forms can be obtained online at http://www.e-publishing.af.mil/ or by doing a general inquiry on any web-based search engine. If unable to obtain the applicable information, contact the 17th Contracting Squadron’s contract administrator.

Areas controlled by Contractor employees shall comply with base Operations Plans/instructions for Force Protection Condition procedures, Random Antiterrorism Measures (RAMS) and local search/identification requirements.

4.9. RESERVED.

4.10. ENVIRONMENTAL. The receiving, issuing, use, disposal and recycling of any hazardous or non-hazardous type materials on Goodfellow AFB will be IAW AFI 32-7086, AFI 32-7080, EPA, OSHA, Executive Orders, federal, state, local regulations, laws and guidelines.

4.10.1. HAZARDOUS MATERIAL. Contractors using any hazardous materials on any Air Force installation must comply with the review procedures as authorized. The contractor shall provide to the contracting office an AF Form 3000, Material and Approval Submittal, along with current Material and Approval Submittal, listing all materials to be used during the contract, along with current Material Safety Data Sheets (MSDSs). The Contracting Office will contact the Installation Hazardous Material Pharmacy (IHMP), 17th Civil Engineer Squadron, Asset Management Flight, if there are any questions regarding whether an item is hazardous per the submittal process (IAW AETC FARS Part 5323, Subpart 5323.3).

http://www.e-publishing.af.mil/

If any of the material should be classified as hazardous, IAW AFI 32-7086, the Contractor will submit an AF Form 3952, Chemical/Hazardous Material Request Authorization or the local installations Hazardous Material Authorization Review Request worksheet with any required supporting documentation, for each chemical item with all information completed as required per item. The Contractor will submit the request to the Contracting Office for transmittal to the IHMP office for the review process of the materials and must obtain authorization approval from the IHMP through the contracting officer prior to transporting or using hazardous materials on the installation. The Contractor must supply an up-to-date MSDS sheet for each requested item listed as a hazardous material as defined to be delivered under this contract. The chemicals requested shall be properly identified and included with an applicable identification number, such as National Stock Number, Special Item Number or Part Number and shall be maintained in the Contractor’s office and each room used for storage by the Contractor on Goodfellow AFB.

No hazardous materials, lubricants, oils, liquids or related materials shall be deposited in the refuse containers on base. The Contractor shall contact Base Asset Management Flight for disposal of any spent materials as determined to be hazardous waste by the IHMP. The contractor shall adhere to all other federal, state, and local guidelines regarding environmental practices.

If the initial material request and authorized users listing (AUL) for materials already approved for us on the installation, must be updated or materials added during the performance of the contract, the Contractor, Contracting Officer and the IHMP will determine that through the review process. If any new or any other material are to be delivered under this contract that are classified as being hazardous, then they must also go through the review process, before they can be approved for use on this installation.

4.10.2. This request and list must be updated during performance of the contract whenever the Contractor, Contracting Officer and the IHMP determines that any other material to be delivered under this contract is hazardous.

a. The Contractor agrees to submit, for each item as required prior to award, a Material Safety Data Sheet (MSDS), meeting the requirements of 29 CFR 1910.1200(g) and the latest version of Federal standard No. 313 for all hazardous material identified in this clause. Failure to submit the Material Safety Data Sheet before award may result in the apparently successful Contractor being considered non-responsible and ineligible for award.

b. If, after award, there is a change in the composition of the item(s) or a revision to Federal standard No. 313, which renders incomplete or inaccurate the data submitted under paragraph (b) of this clause, the Contractor shall promptly notify the Contracting Officer and the IHMP and resubmit the data as required.

4.10.3. GOVERNMENT REGULATIONS. Executive Order 12856 of August 3, 1993, requires Federal facilities to comply with the provisions of the Emergency Planning and Community Right-To-Know Act of 1986 (EPCRA) (42 U.S.C.11011-11050) and the Pollution Prevention Act of 1990 (PPA) (42 U.S.C. 13101-13109).

The contractor shall provide all information needed by the federal facility to comply with the:

a. emergency planning reporting requirements of Section 302 of EPCRA

b. the emergency notice requirements of Section 304 of EPCRA

c. the list of Material Safety Data Sheets required by Section 311 of EPCRA

d. the emergency and hazardous chemical inventory forms of Section 312 of EPCRA

e. the toxic chemical release inventory of Section 313 of EPCRA, which included the reduction and recycling information required by Section 6607 of PPA

f. the toxic chemical release inventory of Section 313 of EPCRA, which includes the reduction and recycling information required by Section 6607 of PPA

g. Pollution Prevention and Right–to-Know Information per the FAR 52.223-5 May 2011

4.10.4. COMPLIANCE. The Contractor must comply with all applicable federal, state, and local laws and regulations including but not limited to Occupational Safety and Health Administration (OSHA), Department of Defense and United States Air Force regulations (examples include directives, manuals, and instructions).

4.10.4.1. Compliance with OSHA and other applicable laws and regulations for the protection of employees is exclusively the obligation of the Contractor.

4.10.4.2. The receiving, issuing, use, disposal and recycling of any hazardous or non-hazardous type materials on Goodfellow AFB will be IAW AFI 32-7086, AFI 32-7080, EPA, OSHA, Executive Orders, federal, state, local regulations, laws and guidelines.

4.10.4.3. If the contractor spills or releases any substance listed in 40 CFR 302 into the environment, the contractor shall immediately report the incident to the Base Environmental Control Office. The Contractor shall be liable for containment and environmental clean-up of the spill or release of such substance.

4.10.5. REPORTING. The contractor shall submit on a monthly basis a report of usage of HAZMAT materials within that period. The report will be by a log showing the product name and stock number assigned to that material in AF-EMIS, any amount used during this period and any balance left to still be used by the contractor. The report shall be submitted to the CO by the 1st day of the month. It will then be forwarded to the COR who will forward it to the installation HAZMAT Pharmacy (IHMP) within 5 working days after the end of each month.

4.11. CONTRACTOR CHANGEOVER. The Government reserves the right to conduct site visits in all contractor-operated facilities in conjunction with the solicitation of offers for the follow-on contract. In the event the follow-on contract is awarded to other than the incumbent, the successor contractor is responsible for obtaining all information, from the incumbent contractor, necessary to permit a smooth transition without an interruption in service during the transition period. Additionally, the incumbent contractor shall cooperate to the extent required to permit an orderly changeover to the successor contractor. With regard to the successor contractor’s access to incumbent employees, a recruitment notice may be placed in each facility.

4.12. SMOKING. Smoking is only authorized in the designated smoking areas listed in Goodfellow AFB Supplement 1 to AF Instruction 40-102.

4.13. WEAPONS. No weapons of any kind will be brought onto the installation by the Contractor

4.14. QUALIFICATION/TRAINING: The contractor’s employees must be qualified to perform all tasks in this performance work statement. Should an employee resign the contractor shall provide a qualified person immediately.

4.15. FORKLIFT TRAINING. The Contractor will provide qualified personnel to operate the forklift listed in appendix C or a similar forklift.

4.16. COMPUTER TRAINING. The onsite FMO manager will be proficient in Microsoft Office programs, i.e., Word, Excel, PowerPoint and Outlook.

4.17. SAFETY REQUIREMENTS AND REPORTS. In performing work under this contract on a Government installation, the contractor shall:

4.17.1. Perform work in a safe manner as required by OSHA Safety and Health requirements as identified in OSHA 29 CFR 1910.

4.17.2. Provide CO a written copy of the contractor safety plan. The safety plan shall include and identify the details of the contractor’s safety organization, responsibilities, method of program implementation, and how corrective actions are implemented and accomplished when necessary.

4.17.3. Provide a verbal report to the CO immediately for each occurrence of damage to Government property or an accident resulting in death, injury, occupational disease, or adverse environmental impact. Adhere to Federal Acquisition regulation (FAR) Clause 52.236-13, Accident Reporting. Provide a completed copy of required Accident Investigation Reports to the CO within five calendar days of each occurrence. Provide the installation Safety Office with information pertaining to the mishap for future mishap prevention and/or action to fix noted discrepancies.

4.17.4. RESERVED.

4.17.5. RESERVED.

4.17.6. Any violation of these health and safety rules and requirements, unless promptly corrected as directed by the CO, shall be grounds for termination of this contract in accordance with the default clause of this contract.

5. APPENDICES.

A. Estimated Workload Data B. Definitions C. Government Furnished Property/Equipment D. Required Reports/Forms E. Example of Quarters Improvement Plan (QIP) F. Example of FMO Inventory Validation Condition Reconciliation G. Master QIP Inventory H. Example of Warehouse Furnishings Inventory I. Example of Back-up Stock J. Example of 5-Year Furnishing Upgrade and Replacement Plan K. Example of Furnishing Transaction Log L. Warranty Data Listing

APPENDIX A

ESTIMATED WORKLOAD DATA

Item Name Estimated Quantity

1 Estimated number of work orders 60 Monthly

2 Estimated new/replacement inventory purchase: Television, Pool Table, Bed, Secretary, End table, Coffee Table, Wall locker, Sofa, Lounge chair, Mattress/box spring, Night Stand, Lamp, Chest of drawers, Mirror, Art Work, TV Stand, Dining table/chair, Desk/chair, Recliner, $500K annually

NEW/REPLACEMENT INVENTORY PURCHASES

FY 10 $373,000

FY 11 $1,175,000

FY 12 $3,300,000

NOTE—FY11 and FY12 costs were larger because of new furniture purchased for two new dormitories

NUMBER OF WORK ORDERS

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 12 38 109 31 44 26 25 26 40

11 33 40 27 85 126 98 104 58 23 80 46 19

10 34 91 161

EXPLANATION OF MONTHS WITH ABNORMALLY HIGH NUMBER OF WORK

ORDERS.

Some months have many more work orders submitted due to a large amount of items being turned into DRMO. This is not something that normally occurs every month.

APPENDIX B

DEFINITIONS

Furnishings:

Appliances: refrigerators, stoves, microwave ovens, ovens, ranges.

Equipment: Carpet shampooers, vacuums.

Furniture: bedspread, bed frame, headboard, chair, desk chair, lounge chair, dining chair, desk, desk carrel, dresser, wall locker, lamps, table lamp, floor lamp, drapes, mattress, box spring, sofa, love seat, coffee table, end table, night stand, dining table, TVs, TV stand, DVD player, pool table, air hockey table, foosball table, ping pong table, end table, mirror, armoire, bar stools, Window Coverings: blinds, shades, draperies.

Work Order:

A piece of furniture is defined as an assembled item ready for customer use. For example:

Bed = Headboard, Footboard, 2 Rails, Mattress and Box Spring

Lamp = Lamp and Shade

A work order is defined as working on 1-5 pieces of furniture. (repair, delivery, pick-up, turn into DRMO) For example:

Work request to repair a bed, deliver two lamps, repair two dressers in the same building, requested on the same work request is one work order.

Work request to deliver one lamp and one bed to separate buildings is two work orders.

Work request to turn in 50 mattresses to DRMO is 10 work orders.

APPENDIX C

GOVERNMENT FURNISHED PROPERTY/EQUIPMENT

ITEM/EQUIPMENT NAME QUANTITY

Forklift 1 Cabinet, 36 w Storage 3 Cabinet/Nut/Bolt 1 Chair 2 Desks 4 Table, 6 ft 1 Warehouse ladder stand, 10’ 1 Pallet Jack 1

APPENDIX D - Required Reports/Forms

Required Due Date Warehouse Furnishings Inventory 5 Apr and 5 Oct of each year CQP Bid Document Validation/Condition Report 5 Apr and 5 Oct of each year Primary/Alternate POCs Upon Contract Award and as changes occur QIP (for QIC) 5 Apr and 5 Oct of each year DD form 1348-1A Monthly 5 Year Furnishing Upgrade & Replacement Plan 1 Jan of each year Back-up Stock Quarterly Contractor’s Safety Plan Upon Contract Award AF Form 3952 - Chemical/Hazardous Material Authorization

As Needed

Customer Surveys 1st day of each month Furnishings Transaction Control Log Monthly Warranty Data Upon Contract Award and as changes occur Number of work orders for 6 months (for QIC) 5 Apr and 5 Oct of each year Accident Investigation Reports Within 5 calendar days of each occurrence Contractor's Environmental Reporting Log 1st day of each month Facility Manager appointment letters Upon Contract Award and as changes occur

BLDG 0001

TOTAL ROOMS 59

TOTAL BEDS 118

NO QTY

FY

PURCHASED ITEMS COST TOTAL

FY11 FY12 FY13 FY14 FY15 FY16

1 PULL DOWN SHADES 59 2006 59 59 59 $50 $2,950

2 DRAPERIES + HARDWARE 59 2008 59 $150 $8,850

3 BEDSPREAD 118 2008 118 $125 $14,750

4 HEADBOARD 118 2005 118 118 $112 $13,216

5 BED FRAME 118 2007 118 $35 $4,130

6 MATTRESS 118 2007 118 118 $125 $14,750

7 NIGHT STAND 59 2005 118 118 $265 $31,270

8 DESK CHAIR, 2 POSITION 59 2005 118 118 $159 $18,762

9 REFRIGERATOR ABSOCOLD 59 2007 59 $460 $27,140

10 WALL LOCKER 59 2006 59 59 $283 $16,697

11 UNDERBED, 2 DRAWER 118 2007 118 $170 $20,060

12 5 DRAWER CHEST 59 2007 59 $270 $15,930

13 DESK, PEDESTAL 59 2007 59 $329 $19,411

1062 Room Total $2,533 Bldg Total $207,916

RED TOTAL $17,700

Appendix E, QIP Example

BUILDING 0001

PIPELINE DORMITORY

YEAR CONSTRUCTED: 1932

DAY ROOM 1 Dayroom

NO FURNITURE DESCRIPTION QTY

FY

PURCHASED ITEMS COST TOTAL

FY11 FY12 FY13 FY14 FY15 FY16

1 TV 1 2008 1 $159 $159

2 DVD player 1 2004 1 $60 $60 3 Lounge chair ‐ rocker 2 2008 2 $509 $1,018 4 Sofa 2 2008 2 $520 $1,040 5 Coffee table 2 2008 2 $283 $566 6 End table 4 2008 4 $281 $1,124 7 Pull Down Shade 3 2007 3 3 3 $50 $150 8 Drapery 1 2007 1 1 1 $111 $111

16 DAY ROOM TOTAL $1,754

DAY ROOM BLDG TOTAL $4,009

RED TOTAL $261

BLDG TOTAL $17,961

BUILDING 0002

PIPELINE DORMITORY

YEAR CONSTRUCTED: 1933

Appendix E, QIP Example

Attachment 2 PWS

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text

Appendix F, FMO Inventory Validation Condition Reconciliation Example

CONDITION CODES BE - Bent

BR -

Broken BU - Burned FA - Faded

GG -

Gouged GO - Good RU - Rusted

SC -

Scratched SO - Soiled

DE - Dented NE - New LO - Loose

MA -

Marred RB - Rubbed TR - Torn

WR - Worn Badly ZC - Cracked CG - Chipped

BLDG 1000 ROOM/QTY CODE ROOM/QTY CODE ROOM/QTY CODE ROOM/QTY CODE ROOM/QTY CODE

100 101 102 103 104

BLINDS 1 BR/FA/TR

DRAPES 1 GO

BEDSPREAD 2 TR/GO

HEADBOARD 3 GO/GO/GO

MATTRESS 3 SO/SO/GO

BOX SPRING 3 GO/GO/GO

BED FRAME 3 GO/GO/GO

NIGHT STAND 2 BR/GO

BUILDING 238

CONSTRUCTED: 1976

RENOVATED: 2001

BLDG 238

TOTAL ROOMS 59

TOTAL BEDS 118

NO DESCRIPTION QTY

FY

PURCHASED ITEMS COST TOTAL

FY13 FY14 FY15 FY16 FY17 FY18

1 PULL DOWN SHADES 59 2001 59 59 $38 $2,242

2 DRAPERIES 59 2001 59 59 $95 $5,605

3 BEDSPREAD 118 2010 118 $54 $6,360

4 BED FRAME 118 2010 118 $190 $22,420

5 MATTRESS 118 2012 118 $142 $16,756

6 DESK CHAIR 118 2001 118 118 $102 $12,036

7 DROPLID 118 2001 118 118 $620 $73,160

8 5 DRAWER DRESSER 118 2010 118 $349 $41,182

9 WALL LOCKERS 59 2010 59 $220 $12,980

10 MICROFRIDGE 59 2001 59 59 $317 $18,703

944 Room Total $2,127 Bldg Total $211,444

RED TOTAL $93,225

238 DAY ROOMS 3 Dayrooms

NO DESCRIPTION QTY

FY

PURCHASED ITEMS COST TOTAL

FY13 FY14 FY15 FY16 FY17 FY18

1 42" TV 1 2009 1 1 $800 $800 In FMO warehouse 2 DVD player 1 2012 1 $120 $120 3 Lounge chair - rocker 2 2008 2 $527 $1,054 4 Sofa 1 2008 1 $773 $773 5 Coffee table 1 2008 1 $148 $148 6 Foosball table 1 2011 1 $1,500 $1,500 7 Air Hockey Table 1 2011 1 $760 $760 8 End table 4 2008 4 $155 $620 9 Pull Down Shades 1 2001 1 1 $38 $38 10 Drapery 1 2001 1 1 $95 $95

14 DAY ROOM TOTAL $4,916

UNACCOMPANIED ENLISTED HOUSING

1st Floor dayroom

Attachment 2 PWS

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text Appendix G Master Quarters Improvement Plan Inventory Example

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text

$5,908

NO DESCRIPTION QTY

FY

PURCHASED ITEMS COST TOTAL

FY13 FY14 FY15 FY16 FY17 FY18

1 42" TV 1 2009 1 $800 $800 In FMO warehouse 2 DVD player 1 2012 1 $120 $120 3 Lounge chair - rocker 1 2008 1 $527 $527 4 Sofa 1 2008 1 $773 $773 5 Coffee table 1 2008 1 $148 $148 6 End table 1 2008 1 $149 $149 7 Pull Down Shades 1 2001 1 1 $38 $38 8 Drapery 1 2001 1 1 $95 $95

8 DAY ROOM TOTAL $2,650

$2,650

NO DESCRIPTION QTY

FY

PURCHASED ITEMS COST TOTAL

FY13 FY14 FY15 FY16 FY17 FY18

1 DVD Player 1 2012 1 $120 $120

2 52' TV 1 2012 1 1 $800 $800

3 Lounge chair - rocker 1 2008 1 $527 $527 4 Sofa 1 2008 1 $773 $773 5 Coffee table 1 2008 1 $148 $148 6 End table 1 2008 1 $149 $149 7 Pull Down Shades 1 2001 1 1 $38 $38 8 Drapery 1 2001 1 1 $95 $95

7 DAY ROOM TOTAL $2,650 $2,650

DAY ROOM BLDG TOTAL $10,438

RED TOTAL $399

BLD TOTAL $93,624

3rd Floor dayroom

2nd floor dayroom

Attachment 2 PWS

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text Appendix G Master Quarters Improvement Plan Inventory Example

INVENTORY May 1, 2012

BLDG 718 QTY BLDG 745 QTY

DVD/VCR COMBO 40 WALL LOCKER 11

19"TV 11 SOFA 4

42"TV 2 LOUNGE CHAIR 7

52"TV 1 RECLINER 2

VACUUM CLEANERS 50 LAMPS 200

FRIDGES 7 LAMP SHADES 93

UNDER BED DRAWER 1

3 DRAWER DRESSER 58

BLDG 741 CHAIRS 282

LOVE SEAT 11

HEADBOARDS (TWIN) 56 END TABLE 11

HEADBOARDS (FULL) 31 COFFEE TABLE 4

MATTRESS (TWIN) 22

MATTRESS (FULL) 4

BLDG 743 BOX SPRING (TWIN) 9

BOX SPRING (FULL) 7

BLINDS 50 DESK CARRELLS 48

CURTAINS 50 WALL LOCKER 11

CURTAINS 147 5 DRAWER DRESSER 137

NIGHT STAND 127

DROP LID 10

UNDER SHED AIR HOCKEY TABLE 3

DESK 144

BED RAILS 28 SETS

BED FRAMES 17

APPENDIX H - WAREHOUSE INVENTORY EXAMPLE

APPENDIX I – BACK-UP STOCK EXAMPLE

FMO Product Description

Amt/Unit

Microwave 40 ea Microfridge 5 ea Brass hinges 50 ea Drop lid arms 50 ea Lock latches 50 ea Refrigerator 5 ea Wood screws 1 box Self-piercing screws 1 box Self-tapping screws 1 box Anchors 1 box Shelf clips 50 bags

TOTAL

*Microwaves: Two are needed to use and 38 will be back-up stock stored in FMO warehouse.

RPL FURN

QTY COST QTY COST COST

12 180 31680 327672 $359,352 Furniture and mattresses are 10 years or older (B240, B356, B241, B242, and B243)

13 14850 $14,850 Furniture is 10 years or older (B240, B356, B241, B242, and B243) 14 18654 $18,654 Furniture is 10 years or older (B240, B356, B241, B242, and B243)

15 59 11076 18654 $29,730 Furniture and mattresses are 10 years or older (B240, B356, B241, B242, and B243)

16 $0

TOTAL 239 42756 0 0 379830 $422,586

NEW FURN

QTY COST QTY COST COST

12 $0 13 $0 14 $0 15 $0 16 $0

TOTAL 0 0 0 0 0 $0

RPL FURN

QTY COST QTY COST COST

12 144 25344 514425 $539,769 Furniture and mattresses are 20 years or older B700 13 511719 $511,719 Furniture is 20 years or older B700 14 17949 $17,949 Furniture is 20 years or older B700 15 76655 $76,655 Furniture is 20 years or older B700 16 $0

TOTAL 144 25344 0 0 1120748 $1,146,092

NEW FURN

QTY COST QTY COST COST

12 $0 13 $0 14 $0 15 $0 16 $0

TOTAL 0 0 0 0 0 $0

RPL FURN

QTY COST QTY COST COST

12 1484 210728 1074163 $1,284,891 Mattresses and furniture are ten years or older for all pipe line buildings (10 each buildings)

13 386 54812 $54,812 Mattresses and furniture are ten years or older for all pipe line buildings (10 each buildings)

14 24686 $24,686 Bedspreads are ten years or older for B3210 and B3210

15 1180389 $1,180,389 Furniture is over ten years or older for B238 (Fridges), B239 (Furniture), B252 (Furniture), B256 (Dayroom Furniture), B3139 (Furniture and Dayroom)

16 59137 $59,137

TOTAL 1870 265540 0 0 2338375 $2,603,915

NEW FURN

QTY COST QTY COST COST

12 $0 13 $0 14 $0 15 $0 16 $0

TOTAL 0 0 0 0 0 $0

RPL FURN

QTY COST QTY COST COST

12 $0 13 $0 14 $0 15 $0 16 $0

TOTAL 0 0 0 0 0 $0

NEW FURN

BMT INITIAL FURNISHINGS (NEW OR COMPLETELY RENOVATED BUILDING) (EEIC 619IF)

BASE FY MATRESS BOXSPRING TOTAL BLDG #'s & JUSTIFICATION

BMT

BMT REPLACEMENT FURNISHINGS (EEIC 619RF)

BASE FY MATRESS BOXSPRING

BOXSPRING

TOTAL

PIPELINE STUDENT REPLACEMENT FURNISHINGS (EEIC 619RF)

BASE FY MATRESS

TOTAL

TOTAL BLDG #'s & JUSTIFICATION

NAME AFB

PERMANENT PARTY REPLACEMENT FURNISHINGS (EEIC 619RF)

PERMANENT PARTY INITIAL FURNISHINGS (NEW OR COMPLETELY RENOVATED BUILDING) (EEIC 619IF)

BLDG #'s & JUSTIFICATIONTOTALBASE FY

DATE: 16 Apr 12

PERMANENT PARTY

Unaccompanied Housing - Furnishings 5 Year Plan

PIPELINE STUDENT INITIAL FURNISHINGS (NEW OR COMPLETELY RENOVATED BUILDING) (EEIC 619IF)

BASE FY MATRESS BOXSPRING TOTAL

BLDG #'s & JUSTIFICATION

MATRESS

BOXSPRING

BOXSPRING

BLDG #'s & JUSTIFICATION

MATRESS

BLDG #'s & JUSTIFICATION

BLDG #'s & JUSTIFICATION

BASE FY

UOQ REPLACEMENT FURNISHINGS (EEIC 619RF)

BASE FY MATRESS BOXSPRING TOTAL

BLDG #'s & JUSTIFICATION

UOQ

PIPELINE (to include UNCOQ's)

UOQ INITIAL FURNISHINGS (NEW OR COMPLETELY RENOVATED BUILDING) (EEIC 619IF)

BASE FY MATRESS BOXSPRING TOTAL

Attachment 2 PWS

1134115285C Typewritten Text

1134115285C Typewritten Text

1134115285C Typewritten Text Appendix J 5-Year Furnishing Upgrade and Replacement Plan Example

QTY COST QTY COST COST

12 0 $0 13 247000 $247,000 14 $0 15 $0 16 $0

TOTAL 0 0 0 0 247000 $247,000

RPL FURN

QTY COST QTY COST COST

12 1808 267752 0 0 1916260 $2,184,012 13 386 54812 0 0 526569 $581,381 14 0 0 0 0 61289 $61,289 15 59 11076 0 0 1275698 $1,286,774 16 0 0 0 0 59137 $59,137

TOTAL 2253 333640 0 0 3838953 $4,172,593

NEW FURN

QTY COST QTY COST COST

12 0 0 0 0 0 $0 13 0 0 0 0 247000 $247,000 14 0 0 0 0 0 $0 15 0 0 0 0 0 $0 16 0 0 0 0 0 $0

TOTAL 0 0 0 0 247000 $247,000

RPL FURN

QTY COST QTY COST COST

12 1808 267752 0 0 1916260 $2,184,012 13 386 54812 0 0 773569 $828,381 14 0 0 0 0 61289 $61,289 15 59 11076 0 0 1275698 $1,286,774 16 0 0 0 0 59137 $59,137

TOTAL 2253 333640 0 0 4085953 $4,419,593

BASE FY TOTAL BLDG # s & JUSTIFICATION

FY MATRESS BOXSPRING TOTAL

REPLACEMENT FURNISHINGS (EEIC 619RF)

Additional Notes:

FY MATRESS BOXSPRINGBASE

FY MATRESS

BLDG #'s & JUSTIFICATION

TOTAL

BOXSPRING TOTAL BLDG #'s & JUSTIFICATION

INITIAL FURNISHINGS (NEW OR COMPLETELY RENOVATED BUILDING) (EEIC 619IF)

TOTAL FURNISHINGS (EEIC 619)

BASE

BASE

SUBTOTALS BY EEIC (619RF & 619IF)

TOTAL

Attachment 2 PWS

1134115285C Typewritten Text

1134115285C Typewritten Text Appendix J 5 Year Furnishing Upgrade and Replacement Plan Example

Work Order Number Requestor Date notified Facility

Room Number Discrepancy or request Date Completed

FMO-00001 Rance Lane 5-Sep-2012 700 D114 Microwave is not heating 8-Sep-2012 FMO-00002 SSgt John Yarbrough 6-Sep-2012 241 301A curtains fell down 10-Sep-2012 FMO-00003 MSgt Christopher Doggett 7-Sep-2012 3139 C305 wand on blinds broken 12-Sep-2012 FMO-00004 MSgt Christopher Doggett 7-Sep-2012 3139 C116 mattress 12-Sep-2012

FMO-00005 Sgt Jennifer Jones 7-Sep-2012 250 109 need to dispose of curtains 11-Sep-2012 FMO-00006 Sgt Jennifer Jones 11-Sep-2012 255 317 credenza door is broken 13-Sep-2012 FMO-00007 Sgt Garabedian 12-Sep-2012 3227 120 freezer door won't stay shut 14-Sep-2012

FMO-00008 Sgt Garabedian 12-Sep-2012 3227 224 temperature controls inside fridge are broken off 13-Sep-2012

FMO-00009 SSgt Frenchie Falcon 12-Sep-2012 240 121 no curtains in the room 15-Sep-2012

FMO-00010 SSgt Frenchie Falcon 12-Oct-2012 356 201D broken lamp shade in bedroom, window blinds bent/broken 17-Oct-2012

FMO-00011 PFC Jesse Marshall 12-Oct-2012 257 124 rails missing on bed nearest sink area, bed is on floor 17-Oct-2012

FMO-00012 Sgt Sarah Taylor 13-Oct-2012 255 325 hinges came off credenza desk and door is completely off 18-Oct-2012

FMO-00013 Sgt Sarah Taylor 13-Oct-2012 255 220 front of night stand drawer missing 18-Oct-2012

APPENDIX K - TRANSACTION LOG (EXAMPLE)

Building 240

Model Make Warranty Expires serial# Date of Purchase room #

MFR 5W

Refrigerator Brand

X 14-Sep-05 10200164 15-Sep-02 101

MFR 5W

Refrigerator Brand

X 14-Sep-05 10200134 15-Sep-02 102

MFR 5W

Refrigerator Brand

X 14-Sep-05 10200165 15-Sep-02 103

MFR 5W

Refrigerator Brand

X 14-Sep-05 10200177 15-Sep-02 108

MFR 5W

Refrigerator Brand

X 14-Sep-05 10200023 15-Sep-02 109

MFR 5W

Refrigerator Brand

X 14-Sep-05 10200187 15-Sep-02 110