Furnishing Service Papa AB PWS Amended.pdf

PERFORMANCE WORK STATEMENT

FURNISHINGS SERVICE

Papa Air Base, Hungary

22 November 2021

1. DESCRIPTION OF SERVICES: The Contractor shall provide all personnel, equipment, vehicles, tools, materials, supervision and any other item and services necessary to perform Furnishings Management Drayage Services in accordance with (IAW) this Performance Work Statement (PWS) at Papa Air Base, Hungary. The area to be serviced is 100 kilometer (KM) radius from Papa AB, Hungary (Atch. 1). All work shall be performed in accordance with national and local rules, regulations, and safety standards as dictated by current Hungarian laws, directives, and industry standards. The Contractor shall also establish and maintain a quality control plan to ensure professional services are provided. All work shall be performed in a timely manner.

1.1. NOTIFICATION: The U.S. Government will appoint a Mission Owner (MO) to oversee this contract. The MO will contact the contract manager or alternate each Thursday by 1700 hrs and submit the number of vehicle requirements for the following week's drayage services at Papa Air Base. Whenever deliveries or pickups are required for Papa AB, Hungary the MO will contact the contract manager or alternate, each Thursday of the week preceding the required service. The Government may modify the vehicle requirements so long as it notifies the Contractor no later than 1200 hours on the working day preceding the scheduled service day. The Government will not be charged for any vehicles cancelled by the indicated suspense day. Should any of these suspense days fall on a non-Government Work Day then the suspense will shift to the previous Government Work Day. The MO will submit the service request to be performed any day of the following week and any return items will be delivered the day after the return trip.

1.2. VEHICLES AND EQUIPMENT: The Contractor shall provide adequate vehicles required to transport for delivery and pick-up of Government owned furniture and appliances to and from various locations. The Contractor shall provide secure storage capability of at least 200 square meters for U.S. Government-owned furnishings, appliances and equipment. Storage space shall be adequately segregated from other storage services/spaces to avoid commingling of U.S. Government property with that of other owners.

1.3. PERSONNEL: The Contractor shall provide a minimum of three qualified individuals for each vehicle. One individual will be the Crew Inspector (CI), who must clearly speak and write English, a driver and an individual for loading and unloading to and from customer pick-up/delivery and the warehouse locations. The number of individuals for warehouse loading/unloading of swap trailers shall be at the Contractor's discretion. All personnel shall have valid identification and badges present on their body at all times when making deliveries.

1.3.1. OBSERVANCE OF SOCIAL CONTRIBUTION LABOR LAW:

The Contractor and all subcontractors are required to adhere with all safety laws in effect and that may come into effect of the host nation government. The Contracting Officer reserves the right to suspend work until such time as adherence to the laws is assured and to remove from the work site any worker found to ignore required safety practices. Such suspensions of work or removal of employees shall be at no cost to the Government. Failure by the contractor to correct deficiencies in reasonable time shall be cause for Termination for Cause.

1.4. DELAYS: The Contractor shall notify the MO of any delays, breakdowns, unserviceable equipment, labor strikes, inclement weather or any other reason for postponing a delivery pick-up service NLT two hours prior to the scheduled service unless, said delay is due to unforeseen emergency circumstances (natural disaster, vehicle incident which may be incurred within the 2 hour period). The MO will in turn contact the customer.

1.5. DAMAGES: The Contractor shall be responsible for any damages caused by the Contractor's crew to Government property. The Contractor shall be liable for any damage or theft incurred while under his control.

1.6. ADDITIONAL COSTS: The Contractor shall be responsible for observing local rules and laws and obtain whatever authorizations or permits may be required to ensure services are performed. Any and all costs associated with these authorizations and permits are the responsibility of the Contractor at no additional cost to the Government.

1.7. LOADING PROCESS AND PROCEDURES: Contractor's personnel shall load furnishings and appliances in accordance with (IAW) the customer's AF Form 228 Furnishing Custody Receipt and Condition Report. The Contractor's personnel shall remove items from storage to be loaded on the designated vehicles.

1.7.1. NEW FURNITURE/APPLIANCES: The Contractor's personnel shall remove new furniture/appliances from their boxes, breakdown boxes and place them in a cardboard container outside the warehouse for disposal, place Styrofoam and metal banding material in the designated containers outside/inside the warehouse. All other trash shall be disposed in the dumpsters.

1.7.2. STORED FURNITURE: Government pads removed from stored furniture and appliances shall be folded and placed in designated warehouse storage or shall be placed in a container for laundry.

1.7.3. DIS-ASSEMBLY- RE-ASSEMBLY: The Contractor's personnel shall disassemble all required items of Government property to ensure safe movement and delivery at destination.

Contractor's personnel will be also responsible to reassemble all items. In case of any loss of hardware components Contractor is responsible for the replacement.

1.7.4. PROTECT ITEMS: The Contractor's personnel shall protect items susceptible to damage (i.e.: scratching, marring, soiling, or chafing) by wrapping such items at times of loading with pads or other MO approved wrapping material. Upholstered furniture shall be protected by wrapping with paper, pads or blankets. All contact surfaces such as corners and edges shall be protected with cushioning materials.

1.7.5. TIMELINESS: Daily scheduled pick-up and deliveries shall be completed within normal duty hours (MON – FRI from 8.00 through 17.00). Any changes in the daily schedule must be agreed in advance between the MO and the CI.

1.8. UNLOADING PROCESS AND PROCEDURES: The Contractor's personnel shall unload items from the trailers, the MO will verify the customer's AF Form 228 for accountability, serviceability and cleanliness. The Contractor's personnel shall unload the trailers and place items in the appropriate storage location. The Contractor's personnel shall cover all furniture and appliances returned to the warehouse with pads or blankets to prevent damage and accumulation of dust. The Contractor's personnel shall obtain pads from the warehouse storage area.

1.9. DELIVERIES (WAREHOUSE TO CUSTOMER LOCATION).

1.9.1. WAREHOUSE ARRIVAL: Number and order of daily scheduled deliveries and pick-ups will be presented to the CIs by the MO IAW para. 1.1. The contractor's personnel shall arrive to the warehouse or pick-up location in a timely manner to support deliveries in accordance with the scheduled delivery time.

1.9.2. MISSED APPOINTMENT: The Contractor's personnel shall drive the vehicles to the delivery locations. If occupants are not present, the CI shall notify the MO, who will try to notify the customer. The CI shall remain at the location until notification from the MO to leave.

Waiting time will not exceed 15 minutes. The CI shall prepare and sign a "Missed Appointment Sheet" (Atch. 2) in two copies, one copy shall remain at the customer's residence for notification and the second shall be attached to the delivery paperwork. Furniture and appliances not delivered will be returned to the warehouse at trip completion. The Contractor shall proceed to the next delivery location. If the truck arrives at customer residence and the customer does not have the correct compatibility with the appliance being connected, the CI shall immediately contact MO for resolution. The MO shall re-schedule and coordinate the delivery at a later date to be determined if necessary. NOTE: All missed appointments will be reviewed by the MO or FMS Chief to determine financial liability.

1.9.3. DELIVERY/INSTALLATION: The CI shall present himself/herself to the customer, verify the customer ID (Identification Document) and coordinate the placement of the furnishings/appliances. The CI shall call the customer within 30 minutes prior to arriving to residence for all deliveries. The Contractor's personnel shall unload necessary items from vehicles at destination. Some residences have restricted access ways and may require items to be disassembled and re-assembled. The Contractor's personnel shall place, align and level all furnishings and appliance items in the rooms indicated by the customer. The Contractor's personnel shall align and level all furnishings and appliances.

The Contractor’s personnel will connect all appliances utilizing proper safety equipment, hardware, tools and parts (i.e. hoses, tools, gasket, filters, drain pipes, plugs etc.). The contractor shall be responsible for ensuring all appliances are functional before delivery. If any appliance item is deemed unserviceable, the Contractor shall perform a direct swap-out at no cost to the government within 24 hours. Additionally, in case of any loss of hardware components, the Contractor is responsible for all replacement not at the governments expense. Upon completion the CI shall accompany the customer to all delivered items, brief the proper function of the appliances, verify the condition of the items and annotate all information on the customer's AF Form 228.

Once the customer accepts the furnishings and or appliances, the CI shall have the customer sign the AF Form 228 Hand Receipt for full responsibility. The original copy will be kept and returned to the MO and the second copy will be given to the customer.

1.9.4. CLEAN-UP: Before leaving the delivery point, the Contractor's personnel shall remove all packing materials, padding, and debris. The Contractor shall break down boxes and packing materials and dispose of it in accordance with local laws and procedures. Upon departure, the Contractor's personnel shall perform any housekeeping required to return the property to the condition it was in upon arrival.

1.10. PICK-UPS (MOVEMENT OF FURNITURE AND APPLIANCES FROM

CUSTOMER LOCATION TO WAREHOUSE).

1.10.1. MISSED APPOINTMENT: The Contractor shall drive the vehicles to the pick-up locations. If occupants are not present the CI shall notify the MO, who will try to notify the customer. The CI shall remain at the location until notification from the MO to leave. Waiting time will not exceed 15 minutes. The CI shall prepare and sign a "Missed Appointment Sheet" (Atch. 2) in two copies, one copy shall remain at the customer's residence and the second shall be attached to the pick-up paperwork. The Contractor shall proceed to the next pick-up location. Once the truck arrives to the customer’s residence and the customer is not present or a complications exist during pickup/disconnections, the CI shall immediately contact the FMS staff for resolution. The MO shall re-schedule and coordinate the pick-up at a later date to be determined if necessary. NOTE: All missed appointments will be reviewed by the MO or FMS Chief to determine financial liability.

1.10.2. PICK-UP: The CI shall present himself/herself to the customer, verify the customer ID and coordinate the pick-up of furnishings/appliances. Prior to the pick-up, the CI shall call the customer 30 minutes prior to arriving for all pick-up. Also prior to the pick-up, the CI shall inspect all furnishings and appliances for accountability, serviceability and cleanliness. Items damaged by the customer will be annotated in the comments section of the customer's AF Form

228. The Contractor will provide its personnel with the necessary tools and equipment to successfully disconnect all appliance items. In case of any loss of hardware components, the Contractor shall present attachment 5 and DD139 or DD1131 to the customer.

1.10.3. DISASSEMBLY: The Contractor shall disassemble all Government property to ensure safe movement and delivery at destination. All disassembled hardware shall be properly stored.

Upon completion, the CI shall verify the condition of the items and annotate all the pick-up information on the customer's AF Form 228 Hand Receipt. The CI will sign the customer's AF Form 228 for proof of pick-up. The original copy will be kept and returned to the MO and the second copy will be given to the customer.

1.10.4. PROTECT ITEMS: The Contractor's personnel shall protect items susceptible to damage (i.e.: scratching, marring, soiling or chafing) by wrapping such items at times of loading with pads or other MO-approved wrapping material. Upholstered furniture shall be

2. SERVICE SUMMARY: The Contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective PWS PARA THRESHOLD REMEDY

Timeliness of Service. 1.1., 1.7.5 NTE more than 3 valid customer complaints per month

1.Will be reported in the annual evaluation

2. Reduction on monthly payment

Delivery and Pick-up of furniture and appliances 1.9.3., 1.10.2.

NTE more than 3 valid customer complaints per month

1. Will be reported in the annual evaluation

2. Reduction on the monthly payment

Connection and Disconnection of Appliances 1.9.3., 1.10.3

100% of the requirement

1. Will be reported in the monthly certified report

2. Reduction on the monthly payment

*STANDARD: The contractor shall perform all work required by the PWS in a satisfactory manner in accordance with (IAW) the appropriate PWS paragraph. The MO shall notify the Contracting Office for appropriate action in accordance FAR 52.212-4, Contract Terms and Conditions-Commercial Items if any of the above performance objectives will not be met.

protected by wrapping with paper, pads or blankets. All contact surfaces such as corners and edges shall be protected with cushioning materials.

1.11. MINOR REPAIR and CLEANING: The Contractor is responsible for minor furniture repair, surface cleaning of furniture and appliances as required (example: ensuring surface area or appliance are free of residue, tightening loose bolts or screws. The cost of minor cleaning and repair shall be included in the unit price.

1.12 EXCHANGES: The Contractor shall be responsible for ensuring that all appliances and furniture are functional before delivery. If any item is deemed unserviceable, the Contractor shall perform a direct swap-out at no cost to the government within 24 hours.

1.12.1 The Contractor shall exchange any item within 2 business days upon notification, except for refrigerators, which require an exchange within 24 hours.

2.1 SURVEILLANCE: The MO may be present with the contractor’s personnel in either the warehouse, or during home pickup/drop off to evaluate contractor’s performance and ensure compliance.

3. GENERAL INFORMATION.

3.1. QUALITY CONTROL PLAN: The Contractor shall develop and maintain a complete Quality Control Plan (QCP) that ensures the drayage services are performed IAW this PWS.

The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defected services. As a minimum the Contractor shall develop Quality Control Procedures addressing the areas identified in para. 2, Service Summary. Copy of inspections must be available to the Government upon request. A copy of the Contractor's QCP shall be submitted with the quotation. If changes occur, to ensure the requirements of the contract are provided as specified, changes to the QCP shall be provided to the Contracting Officer for acceptance who in-turn forwards them to the 31st CES/CEIHF.

3.2. PERFORMANCE PLAN: The Government will evaluate the Contractor's performance IAW the service summary performance objectives.

3.3. GOVERNMENT REMEDIES: The Contracting Officer shall follow FAR 52.212.4, Contract Terms and Conditions-Commercial Items, for the Contractor's failure to perform satisfactory services or failure to Correct non-conforming services. When the Contractor fails to perform the required service or performs an incomplete service for any of the performance objectives in this contract the customer should immediately contact the MO who will verify the complaint. If the complaint is valid, the MO will record such complaint using appropriate documentation. The MO should inform the customer of the approximate time the unacceptable performance will be corrected and advise the customer to contact the MO if not corrected. The MO will consider customer complaints as resolved unless notified otherwise by the customer. The MO shall document the customer complaint and notify the CO accordingly. The contractor shall sign the customer complaint record indicating receipt of the complaint. The contractor will be given 24 hours after notification to correct the unacceptable performance. If the contractor disagrees with the complaint after investigation of the site and challenges the validity of the complaint, the Contractor will notify the MO. The MO will conduct an investigation to determine the validity of the complaint. If the MO determines the complaint is invalid, the MO will document the written complaint of the findings and notify the customer. The MO will retain the annotated copy of the written complaint for his/her files.

If after investigation the MO determines the complaint is valid, the MO will inform the Contractor and the Contractor will be given the required amount of time necessary to correct the discrepancy (loading/unloading/furniture/appliances, deliver/pick up of furniture/appliances require more time to perform). The Contractor shall complete the written customer complaint document with the actions taken. The MO will file the complaint for monitoring future recurring performance. Recurring customer complaints are not permitted for any of the above service items. If a complaint is repeatedly received or discovered during periodic inspections indicating the same deficiency during the service period, the MO will contact the CO for corrective action.

3.4. HOURS OF OPERATION

3.4.1. HOURS OF OPERATION: The Contractor shall perform the services required under this contract within the following hours:

When requested: Monday - Friday from 0800-1700 hrs.

3.4.2. SATURDAYS: The Contractor may be notified for deliveries on Saturday. In this circumstance, the Contractor shall be notified two full working days in advance if the service is required that day, Saturday work hours are from 0800 through 1700 hours.

3.4.3. HOLIDAYS OBSERVED: The Contractor will not be required to work on the following U.S. and Hungarian holidays or the local national employees' day of rest.

NOTE: American holidays falling on a Saturday are normally observed on the previous Friday. American holidays falling on a Sunday are observed on the following Monday.

3.5. SAFETY: The Contractor shall ensure all personnel engaged in the performance of this contract observe all host country laws and regulations concerning safety. Safety or personal protective equipment violations shall result in suspension of work until violations are corrected, at no cost to the U.S. Government. The Contractor may also be liable for penalties assessed on such delays.

3.5.1. The Contractor will use every safety means necessary to prevent injury or damage to U.S. Government personnel and/or property.

New Year’s Day Martin Luther King's Birthday President’s Day Easter Monday Memorial Day Juneteenth Independence Day Labor Day Columbus Day Veteran’s Day Thanksgiving Day Christmas Day

Memorial Day of the 1848 Revolution Pentecost Monday Saint Stephen’s Day 1956 Revolution Memorial Day

3.5.2. In case Contractor personnel or customers are injured or U.S. Government assets are damaged, the Contractor shall promptly inform the MO who, in turn, will inform 31 FW/ SEG. In case injuries are life threatening, the Contractor shall contact 31 FW/SEG at +39-0434-307953 and the MO immediately after making required emergency response calls to the local authorities.

3.6. PHYSICAL SECURITY: The Contractor shall be responsible for safeguarding Government property during performance of required work. At the end of each work period Government equipment, and materials shall be secured.

3.7. EMPLOYEE SECURITY REQUIREMENTS: The Contractor shall follow all local laws and procedures for hiring employees. All personnel shall have valid identification and badges present on their body at all times when making deliveries.

3.8. INCLEMENT WEATHER: During inclement weather conditions (snow or ice) the Contractor will make a determination whether to delay or cancel work for site conditions at the Contractor's location and contact the MO to receive approval. The Contractor shall adjust the schedule for the delay or cancellation and shall not work in the affected areas.

4. CRISIS DECLARED: PERFORMANCE OF DRAYAGE SERVICES IS NOT

REQUIRED DURING CRISIS DECLARED BY THE NATIONAL COMMAND

AUTHORITY OR OVERSEAS COMBATANT COMMANDER.

5. PHASE IN/PHASE OUT PROCEDURES

5.1. PHASE IN. At the start of the contract the contractor will be allowed one month to train all personnel and MO will provide all necessary training and paperwork to enable the contractor to provide the requested service.

5.2. PHASE OUT. One month before termination of the contract the present contractor and MO will assist the new contractor with the transition by enabling them to observe and assist with the service provided.

6. ATTACHMENTS

1. Papa AB, Hungary Area Map

2. Missed Appointment Letter

3. FMS Cleaning Standards

4. Cleaning Standard Checklist

5. Damage/Cleaning Reimbursement Form

Attachment #1

MAP PAPA AB, HUNGARY

Attachment #2

MISSED APPOINTMENT LETTER

TO: ________________________________________

(Name of Sponsor)

1. The Furnishings Management Office (FMS) Contractor attempted to deliver/pick up long/short term furnishings/appliances to your address on _____________at

____________ hour and no one was at home.

2. As required by the contract, the Contractor waited additional time and was released by this office after various attempts to contact you. Consequently, the Contractor departed to continue with his work schedule.

3. If you still desire Government Delivery/pick up of furnishings/appliances, request you contact the Furnishings Management Section at DSN 632-2992 or commercial 0434-302992.

(Signature of Contractor)

TO: ________________________________________

(Name of Sponsor)

1. The Furnishings Management Office (FMS) Contractor attempted to deliver/pick up long/short term furnishings/appliances to your address on _____________at

____________ hour and no one was at home.

2. As required by the contract, the Contractor waited additional time and was released by this office after various attempts to contact you. Consequently, the Contractor departed to continue with his work schedule.

3. If you still desire Government Delivery/pick up of furnishings/appliances, request you contact the Furnishings Management Section at DSN 632-2992 or commercial 0434-

302992.

(Signature of Contractor)

Attachment #3

FURNISHINGS MANAGEMENT SECTION

CLEANING STANDARDS

The following guidelines are furnished to help you to turn in government issued furnishings and appliances. All items must be returned clean and in a serviceable condition, in accordance with FMS standards. NOTE: FMS Management will have final determination on condition and cleanliness of all items issued/returned.

WASHING MACHINE

Washer tub must be wiped out, cleaned and free of debris. The door will be cleaned on inside and outside and ensure the edge of the tub and the rubber seal on the door is clear of all residue.

On European models, you are also required to clean the soap drawer and the filter at bottom front of washer. Ensure exterior of washer is clean and free of all substances, grease, dirt, stains, starches, soaps, dust, residue and debris.

NOTE: Highly recommended to use European soaps & softeners to prevent buildup and damages to the washer.

DRYER

Clean lint trap/filter on the inside of the door with the vacuum cleaner; rinse the condenser filter at the bottom of the front of the dryer. Empty water from condensation unit located on the front top of the dryer. The door will be cleaned on the interior/exterior and also ensure the edge of the tub and the rubber seal on the door and inside of entry way to the drum is clear of all residue.

Ensure Dryer is cleaned, free of all substances, grease, dirt, stains, scratches, soaps, dust, residue and debris. NOTE: Highly recommended to not use dryer sheets to prevent damage to dryer.

REFRIGERATOR

Refrigerator interiors must be must be wiped out, cleaned, and free of debris, aired out, and all shelving free of residue. Clean door(s) and seals to ensure cleanliness. Ensure exterior of appliance is clean and free of all substances, grease, dirt, stains, scratches, soaps, dust, residue and debris. Defrost the refrigerator at least one day before pick-up. Ensure freezer compartment is wiped out, cleaned, and free of debris, aired out, and all shelving free of all residues. Do not use any sharp utensils such as a knife or screwdriver to remove ice from the freezer. Leave refrigerator/freezer doors open if the refrigerator is unplugged to avoid buildup of odors and mold while waiting for scheduled pickup. Remove evaporator pan from the bottom of the refrigerator and clean it thoroughly. Remove all cobwebs and any other dust accumulation from the grill behind the refrigerator.

STOVES

Appliance must be free of any grease, stains or encrusted food, including total exterior (i.e… top, sides, front and rear, underneath the burners, behind the knobs and hinges). The interior of the oven we recommend you use dry steel wool to clean. NOTE: Do not use the steel wool on the outside. Oven racks, drip pans and broiler pan and the burner cover at the bottom of the oven should be removed and cleaned, free of all substances, grease, dirt, stains, scratches, soaps, dust, residue and debris. The glass on the oven door should be cleaned inside and out and free of residue.

WARDROBES

Must be emptied, wiped down, and cleaned inside/outside, top, bottom and rear. Ensure exterior/interior is clean, free of all substances, grease, dirt, stains, scratches, soaps, dust, residue and debris.

TRANSFORMERS

Must be cleaned, free of all substances, grease, dirt, stains, scratches, soaps, dust, residue and debris.

SOFA & EASY CHAIRS

Must be vacuumed front and back and between cushions, all other furnishings must be dusted.

Ensure exterior is clean, free of all substances, grease, dirt, hair, stains, tears, scratches, soaps, dust, residue and debris.

MATTRESS & MATTRESS PADS

Ensure exterior is clean, free of all substances, grease, dirt, tears, hair, stains, scratches, soaps, dust, residue and debris.

The contractor Crew Inspector (CI) will determine/annotate if items are acceptable for turn in based on FMS cleaning standards, but will not make final determination on condition/cleanliness of items being returned.

Signing is only acknowledging that the government issued items being returned are in question based on the FMS cleaning standards. FMS staff will determine if payment is required or not. If it is determined by FMS staff that a furnishing item doesn’t meet the proper cleaning/condition standards, associated fees will be incurred at the member’s expense (i.e.… cleaning, missing or damage). NOTE: FMS Management will have final determination on condition and cleanliness of all items issued/returned. The Legal Office can be contacted if you have additional concerns or want to dispute charges.

SIGNATURE DATE

Attachment #4

FURNISHINGS MANAGEMENT SECTION

(FMS) CLEANING STANDARD CHECKLIST

1. WASHING MACHINE

Is the rubber seal and the edge of the tub, clean of mildew and soap/suds residues?

YES NO

Is the filter and the soap drawer clean from lint and detergents?

YES NO

Is the exterior of the washer clean without cleaning product residues?

YES NO

2. DRYER

Is the lint/trap filter on the inside of the door clean?

YES NO

Is the condenser filter on the bottom clean from lint residues?

YES NO

Is the exterior of the dryer clean without cleaning product residues?

YES NO

3. REFRIGERATOR

Is the freezer defrosted and clean?

YES NO

Has all food products been removed and cleaned of small food partials?

YES NO

Is the internal and external clean and without cleaning product residues?

YES NO

Are the wire grill clean and without cleaning products?

Is under the drawer/s clean and without cleaning products?

YES NO

4. STOVE

Is the exterior of the stove clean and free of any grease, stains and crusted food?

YES NO

Is the interior, especially in the corners of the oven, under the cooking plate clean from grease, black spots and without cleaning product residues?

YES NO

Has the glass top, cooking top, cooking grates, front door and panel, the two sides and rear panel clean and free of any grease, stains and without cleaning product residues, especially in the corners?

YES NO

Are burners clean, without crusted food or black spots?

YES NO

Are thermocouples clean without crusted grease and black spots?

YES NO

Is the command panel clean and free of grease also behind the knobs?

YES NO

Are racks and oven door hinges free of grease and black spots?

YES NO

5. MICROWAVE

Is the exterior clean and free of any grease, stains and crusted food?

YES NO

Is the interior, especially in the corners of the oven, clean from grease, black spots and without cleaning product residues?

Is cooking plate, front door and panel, the two sides and rear panel clean and free of any grease, stains and without cleaning product residues?

YES NO

Is the command panel clean and free of grease also behind the knobs?

YES NO

Are racks and oven door hinges free of grease and black spots?

YES NO

6. KITCHEN CABINET

Has the kitchen cabinet been emptied of all products?

YES NO

Is the interior & exterior clean of any grease, dust and cleaning product residues?

YES NO

7. WARDROBE

Has the wardrobe been emptied of everything?

YES NO

Is the interior and the exterior clean of any grease, dust and cleaning product residues?

YES NO

8. TRANSFORMER

Is the transformer clean of any grease, dust and stains?

YES NO

9. SOFA and EASY CHAIR

Are sofa and easy chair clean, without stains and pet hairs?

YES NO

Contractor Crew

Inspector: __________________________ ________________________

Printed Name Signature and Date

Attachment #5

REIMBURSEMENT FOR CLEANING OR DAMAGES TO GOVERNMENT

FURNISHINGS/APPLIANCES

Date: _______________

MEMORANDUM FOR 31 CES/CEIHF

Furnishings Management Section

FROM: Name ___________________________

SUBJECT: Reimbursement for Cleaning or Damages to Government Furnishings/Appliances.

1. I agree to reimburse the Government for cleaning or damages for the following FMS items in accordance with the DD139 or DD1131 in my custody.

1. ________________________________________________________________:

2. ________________________________________________________________:

3. ________________________________________________________________:

4. ________________________________________________________________:

5. ________________________________________________________________:

6. ________________________________________________________________:

I will contact the Furnishings Management Office at DSN: 632-7482 or commercial 0434-

307482.

Signature