DRAFT_PWS_Matec.docx

Performance Work Statement

For

Matec Inspection Services

Prepared by OC-ALC/OBCA

21 June 2016

Section One

1.0 Description of Services

1.1 Scope: The Contractor shall provide all labor, tools, equipment, test equipment, material, parts, quality control, transportation and inspection manuals necessary to perform the Preventive Maintenance(PM)/Calibration and repair of the Matec automated ultrasonic inspection system at and for the Oklahoma City–Air Logistics Complex (OC-ALC). The equipment is listed in Appendix A (On Base) and Appendix B (Off Base Repairs)

1.1.1 The Contractor shall be responsible for insuring all services, parts and Original Equipment Manufacturer (OEM) components provided under this contract are in accordance with (IAW) the terms and conditions outlined herein, conform to the manufacturer’s equipment specifications and this PWS.

1.2 Preventive Maintenance (PM): The objective of PM is to protect the equipment capability and investment by removing causes of failure, performing routine maintenance and providing adjustment to compensate for normal wear before failure occurs. The Contractor shall perform all PM’s IAW the OEM specifications. The Contractor shall perform one PM/Calibration per year on each item listed in Appendix A. The Contractor shall provide a copy of the PM schedule to the Contracting Officer Representative (COR) within five (5) business days after contract award. The Contractor shall notify the COR seven (7) business days prior to each scheduled PM visit.

1.3 Over and Above (O&A): O&A is defined as work discovered during the course of performing the repair efforts that is within the scope of the contract and necessary in order to satisfactorily complete the contract. The Contractor shall complete O&A requirements In Accordance With (IAW) Defense Federal Acquisition Regulation Supplement (DFARS) 252.217-7028. PGI 217.77.

1.4 Malfunction and Notification Process: Upon occurrence of an equipment or system malfunction, the COR will contact the Contractor by telephone, email, or fax and provide information below. If the COR notifies the Contractor via telephone, the COR will provide a written copy of the request by email or fax.

· the equipment identification number (ID#)

· a brief description of the malfunction

· location of equipment

· name and telephone number of the Point of Contact (POC)

Upon notification of the system malfunction, the technician shall arrive on site at the equipment location within three (3) business days or if overseas five (5) business days.

1.5 Equipment Evaluations: The Contractor shall provide a written Estimate Repair Report to the COR by fax or email no later than (NLT) one (1) business day after the completion of the inspection. As a minimum, the information cited on the Estimate Repair Report shall include:

· the equipment ID#

· date of evaluation

· description of findings and recommendations

· required parts and part numbers (P/N)

· cost of parts

· number of parts needed

· estimated labor hours required to complete the repair

Any recommendations cited shall consider:

· the priority of the requested service

· available source for obtaining new parts

· the availability of the new parts

· shipping and delivery schedules of parts

· other factors which may be peculiar to the specific repair requirement

1.6 Authorizations for Repair Actions: Only the Contracting Officer (CO) can authorize repair actions. The COR will coordinate any repair actions with the Government Subject Matter Expert (SME) and the CO in order to obtain the approval to proceed. The Contractor shall ensure all repair actions have the documented CO approval, in writing, before initiating any repair or ordering parts. The Contractor shall demonstrate to the Government SME that the repairs have been completed.

1.6.1 Once the authorization for repair action has been received from the CO, the Contractor shall order any required parts within two (2) business days and notify the COR, in writing, of the estimated arrival date of the parts. Upon the receipt of the parts, the Contractor shall perform the repair within five (5) business days. The COR will verify the receipt of the parts with the Contractor to ensure the repair is performed in a timely manner.

1.7 Parts and Materials: The Contractor shall provide and use only new parts and material in performance of this PWS unless otherwise authorized by the CO.

1.8 Service Report: Immediately upon completion of the maintenance support services and before leaving the OC-ALC, the Contractor shall provide a written Service Report to the Government SME. When necessary the Government SME will forward the service report to the COR within two (2) business days of receipt. The Contractor shall provide, by fax or email, the final service report within five (5) business days to the COR. As a minimum, the final service report shall contain the following information:

· name of the company

· requested service date

· contract number

· equipment ID#

· description of services provided

· additional services recommended (if any)

· printed name and signature of technician who performed the services

· printed name and signature of on-site Government SME or COR

· start and completion dates

· complete breakdown of the labor cost (hours and rate)

· materials and parts used

· details of any other charges

· printed name and signature stating only new parts and materials were used

· written verification statement that a performance check to verify operational condition was performed and that the equipment is in working order.

1.9 Off-Site Repair: Repair of the equipment shall be completed at the location of the equipment. The Contractor shall not remove from the premises any system, sub-system or peripheral at any time in order to affect repair without the written consent of the Government.

1.9.1 The Contractor shall provide written documentation via email which supports a request to remove from the premises any system, sub-system or peripheral. Said written documentation and request shall include, as a minimum, the information listed below.

· contract number

· part number, OC #, S/N, as applicable

· description of the part, OC #, S/N, as applicable

· corresponding estimate repair report number

1.9.2 When determined necessary by the COR to ship items to the Contractor’s off-site facility for repair, the Contractor shall arrange for the scheduling, repair of the failed item and provide the appropriate shipping data to the COR. The COR will process the required shipping documents and arrange for transportation of the item to the appropriate shipping bay for packaging, shipment, and transporting to the designated off-site facilities Free on Board (FOB) destination [Appendix B (Off-Base)].

1.10 Return of Equipment: Upon completion of the approved repair, the Contractor shall conduct a performance check on the repaired equipment to verify it is restored to operational condition. The Contractor shall provide documentation that the performance check has been completed and the equipment is in working order IAW paragraph 1.8, Service Report, of this PWS. The Contractor shall return the repaired equipment to the Government within the timeframe identified on the Estimate Repair Report.

1.11 Delivery: The Contractor shall ship all repaired and non-repairable equipment by the fastest and most traceable method in order to arrive within five (5) business days after the repair completion date.

1.12 Shipping: The Contractor shall provide to the COR, the date equipment was shipped out, shipment identification information and include contract number on the shipping paper work with a Free On Board (FOB) Destination. The ship to address is listed below.

ATTN: SURVEILLANCE COR #/Contract No: _____________

OC-ALC/OBC

Bldg. 3001 Staff Dr. Door G70 Post N68 Tinker AFB, OK 73145-3052

1.13 Quality Assurance: According to the contract’s inspection clause, the Government will evaluate the Contractor’s performance under this contract. The COR will participate in the administration of this contract. Any matter concerning a change to the scope, prices, terms, or conditions of this contract shall be referred to the CO. All services to be performed by the Contractor during the period of this contract will be subject to review by the CO or COR.

1.14 Corrective Action Report (CAR)/Complaint Contractor Response Time: The Contractor shall provide a written response within two (2) business days which addresses the root cause, corrective action, and preventive actions in relation to the submitted CAR or Customer Complaint.

1.15 Maintenance Documentation: The Contractor shall notify the Government Subject Matter Expert (SME) upon completion of each PM/RM/Repair/or similar requirement, IAW OC-ALC Operating Instruction (OI) 21-203, Chapter 1, 2, and 3, as applicable.

1.16 Continuation of Essential Department of Defense (DoD) Contractor Services During Crisis: This requirement has been determined not to be essential and does not require continued support during a crisis as defined in DFARS 252.237-7023.

1.17 Hours of Operation: The Contractor shall perform the work required under this contract during the following days and hours: Monday through Friday, 6am to 6pm. If work hours are required outside the hours stated, the Contractor shall contact the COR for approval from the CO. Upon approval from the CO, the Government Subject Matter Expert (SME) or COR must be present with the Contractor.

These dates and hours exclude Federal Holidays, base closures due to inclement weather, and furlough days, as applicable.

1.18 Contractor Personnel: The Contractor shall provide the name of the Contract Manager (CM) and any alternates who shall act for the Contractor when the CM is absent. They shall be designated to the CO and COR, in writing, within five (5) business days after the contract award date. The Contractor shall provide telephone numbers and email addresses where the CM and alternates may be contacted at any time. The CM or alternate shall have full authority to act for the Contractor on all matters relating to operation of this contract at the OC-ALC on Tinker Air Force Base (AFB). The CM or alternate shall be available to meet on the installation with Government personnel designated by the CO to discuss problem areas. The Contractor shall provide a CM who can read, write, speak, and understand English fluently.

1.18.1 The Contractor and Contractor personnel shall be required to identify themselves as contractor personnel by introducing themselves or being introduced as Contractor personnel. The Contractor personnel shall also display distinguishing badges or other visible identification for meetings with Government personnel or while performing work for the OC-ALC on Tinker AFB. The Contractor and Contractor personnel shall identify themselves as Contractor employees in telephone conversations and in formal and informal written correspondence.

1.19 Listing of Contractor Employees: The Contractor shall provide an initial listing of names and position titles of employees who will come to Tinker Air Force Base to the COR within five (5) business days after the contract award date. Within five (5) business days, the Contractor shall also provide an updated listing of personnel to the COR when employees affecting the work of this contract change status or position.

1.19.1 The Contractor shall not employ persons on this contract if such employee is identified to the Contractor as a potential threat to the health, safety, security, and/or general well-being, or operational mission of the installation and its population. The Contractor shall not employ any person who is an employee of the United States (US) Government if the employment of the person would create a conflict of interest. The Contractor shall not employ any person who is an employee of the Department of the Air Force (AF), either military or civilian, unless such person seeks and receives approval according to the DoD 5500.7-R Joint Ethics Regulations (JER). In addition, the Contractor shall not employ any person who is an employee of the Department of the AF if such employment would be contrary to the policies contained in Air Force Instruction (AFI) 64-106, Air Force Industrial Labor Relations Activities. The Contractor shall be prohibited from employing off-duty CORs who are providing surveillance on any contracts/sub-contracts awarded to the Contractor. All contract personnel, depending on particular condition, occasion, or place or job assignment shall be required to wear professional and suitable attire. All Contractor personnel shall conduct themselves in a professional and courteous manner. The selection, assignment, reassignment, transfer, supervision, management, and control of contractor personnel in performance of this PWS shall be the responsibility and prerogative of the Contractor; however, the Contractor shall comply with the requirements set forth in this PWS and Tinker AFB regulations concerning the conduct of employees as referenced herein. The Contractor shall employ and maintain a technically trained and experienced work force.

1.20 Environmental Protection and Safety. The contractor shall be knowledgeable of and comply with all applicable federal, state and local laws, regulations, instructions and requirements regarding environmental protection and occupational safety and health. The contractor shall comply with any laws, instructions or regulation changes during the term of this contract.

1.20.1 Contractors shall be compliant Tinker Air Force Base (TAFB) Sup to Air Force Instruction (AFI) 32-7086, “Hazardous Materials Management”, Tinker AFB procedures per Tinker Air Force Base Instruction (TAFBI) 32-7004, “Hazardous Waste Management”, and Complex procedures per Oklahoma City Air Logistics Complex (OC-ALC) Sup to AFI 32-7086, “Hazardous Material Management” and OC-ALCI 32-101 “Air Quality Record Keeping Procedure”.

1.21 Safety Data Sheet (SDS). The contractor shall not transport or use any chemical, material or substance used in the performance of this PWS on Tinker AFB before written approval is provided by 72 ABW/CEIE, Natural Infrastructure Management (Environmental Compliance). The contractor shall submit to the contracting officer representative (COR), ten (10) calendar days after contract award date all safety data sheets (SDSs). Contractor shall comply with the effective dates for SDS requirements in accordance with the Occupational Safety and Health Administrations (OSHA) Hazardous Communication Standard, Title 29, Code of Federal Regulation (CFR) Part 1910.1200. The COR will forward all SDS submittals to 72 ABW/CEIE for approval. 72 ABW/CEIE will determine any additional material requirements based on the hazard code of the material. Contractor shall maintain copies of manufacturer SDSs for all chemicals and SDSs shall be readily accessible at all times by contractor personnel as well as government employees.

1.22 Hazardous Waste (HAZMAT). The contractor shall not store chemicals or hazardous material (HAZMAT) on Tinker AFB. Contractors shall be compliant with HAZMAT management procedures per Oklahoma City Air Logistics Complex (OC-ALC) Sup to AFI 32-7086, “Hazardous Materials Management”. The contractor shall maintain a log of all HAZMAT that is used on base. This usage log shall be provided to the COR monthly, the last business day of each month, or when the required work is completed. The COR will forward the records to the UEC no later than the 4th day of the following month or the first subsequent business day.

1.23 Hazardous Waste. The contractor shall dispose of contaminated solid waste, spent or processed chemical solutions, used rags and hazardous waste in government furnished waste containers located in the shop or area the work is being performed. The contractor shall notify the COR if the required waste containers are not available on site.

1.24 Discharges. Any discharges into Tinker’s industrial waste treatment plant (IWTP) or sanitary sewer will be approved and done IAW Tinker Industrial Waste Water Discharge Permit as instructed by 72 ABW/CEIE, Natural Infrastructure Management (Environmental Compliance). The COR will submit the required notice of intent documentation to the UEC for 72 ABW/CEIE approval. The contractor shall maintain records of written approval issued by 72 ABW/CEIE for discharges into IWTP and sanitary sewer.

1.25 Off-Site Discharges. For discharges outside of Tinker AFB, the contractor shall ensure waste water discharges, that may contain pollutants resulting from any contracted service, go to a state or federal permitted treatment facility such as a municipal Publicly Owned Treatment Works (POTW). The contractor shall provide a letter ten (10) calendar days after contract award date to the COR from the POTW that states the POTW is permitted for all pollutants that the contractor may discharge during the contracted service.

1.26 Spills. Upon occurrence of any spill that could enter the storm system or cause any harmful environment effects, the contractor shall immediately call 911 to report the incident. When possible, the contractor shall use a base telephone to receive help from Tinker AFB 911. If using a cell phone, the contractor shall request Tinker AFB 911. The contractor shall immediately report all environmental violations to the contracting officer representative (COR) and unit environmental coordinator (UEC). The contractor shall provide five (5) copies of a typed or written report about the incident within four (4) clock hours as follows:

One (1) copy to the contracting officer (CO), two (2) copies to the COR, a copy for UEC and a copy for record. The format of the report shall be left up to the contractor, but the report shall contain the following information:

1.) Name and contact number of person reporting the spill 2.) Date and time of incident 3.) Location and source of spill 4.) Substance or pollutant spilled 5.) Amount spilled and rate of discharge 6.) Any damages or injuries involved 7.) Extent of area impacted 8.) Potential hazards 9.) Actions taken 10.) Organizations contacted 11.) Remarks Section - that addresses the cause of the spill (e.g. human error, equipment, etc.) and whether 911 was called and which agencies responded.

1.27 Environmental Training. Contractor personnel performing duties in the service of this PWS shall have training that acquaints the person with the details of Resource Conservation Recovery Act (RCRA) regulations in 40 CFR 260 through 279; applicable State Laws and regulations; DoD, Air Force and local requirements. This training can be obtained through creditable training institutions or companies. All training shall be approved by 72 ABW/CEIE, Natural Infrastructure Management (Environmental Compliance). RCRA training is available at http://www.natlenvtrainers.com/main.htm and http://www.access-safety.net/EPARCRA (These are examples of companies that offer training to meet RCRA regulation requirements) at the contractor’s expense. Prior to obtaining training, the contractor shall provide the name of the training institution or company and course description to the COR for approval within ten (10) calendar days after contract award date. Once written approval is received from the COR, The contractor shall provide the environmental training certificates for employees performing duties in the service of this PWS to the COR, within thirty (30) calendar days after contract award date. In addition to the required environmental training, contractors shall be compliant with Tinker AFB procedures per TAFBI 32-7004, “Hazardous Waste Management”.

1.28 Environmental Certification. Contractor shall ensure and provide written certification that the repaired Matec Inspection System is cleaned to remove all hazardous contaminants, dirt, shavings, oil, or grease, and drained and purged to remove all fluids, oils and liquids before return to Tinker AFB. Certification shall be on company letterhead with a statement which specifies the part or equipment is certified to be clean, drained and purged. In addition, as a minimum, said letter shall contain description of part or equipment, make, model, serial number, and OC number (if applicable). This certification shall be provided to the contracting officer representative (COR) two (2) work days prior to the return of the part or equipment.

1.28.1 The Government will ensure the part or equipment is clean, drained and purged before it is transferred to the contractor for repair. The Government will provide written certification of such to the contractor prior to shipment or pick up of the part or equipment. Certification will be on letterhead with a statement which specifies the part or equipment is certified to be clean, drained and purged. In addition, as a minimum, said letter will contain description of the part or equipment, make, model, serial number, and OC number (if applicable). This certification will be provided to the COR three (3) work days prior to the pick-up or shipment of the part or equipment. The COR will, in turn, provide it to the contractor within two (2) work days prior to the pick-up or shipment of the part or equipment.

1.29 Housekeeping: The Contractor shall keep the work areas clean and neat IAW industry standards, OSHA, fire and safety standards, and this PWS.

1.30 FOD and DOP: Contractor personnel who work in or travel though areas near operational and production aircraft, engines, munitions, missiles, drones, space systems, support equipment, Aerospace Ground Equipment (AGE), trainers, and the Contactor personnel operating vehicles and equipment on flight lines, runways, taxiways, parking ramps, and in aircraft hangers and maintenance areas are required to receive the FOD/DOP training and to comply with AFI 36-2232, AFMC Supplement 1, paragraph 9.2., and A4.3.4. (Initial)/A4.3.5. (Refresher). The Contractor and Contractor personnel shall acknowledge the FOD/DOP training either by viewing the Digital Versatile Disc (DVD) provided by the COR or the You Tube site, http://www.youtube.com/watch?v=tYcbodjFPnM. The Contractor shall provide a contractor devised certificate to the COR for each employee within five (5) business days after the contract award date. The certificates shall have the title of the training, the name of the person who received the training, and the date of the training. The Contractor shall also ensure all new employees view the FOD/DOP training and provide a contractor devised certificate of training to the COR prior to the employees starting work in the OC-ALC shops. On an annual basis, the Contractor and Contractor personnel shall be required to review the FOD/DOP training and to provide an updated contractor devised certificate of training to the COR within five (5) business days of the new period of performance (PoP) start date.

1.31 Tool Control and Accountability: While performing contract services in or around Maintenance Production Shops, which includes ramp areas, the Contractor shall comply with AFI 21-101_AFMC Supplement 1, 21-101, Chapter 10 (all paragraphs) and OC-ALCI 21-112, paragraph 14.1. and 14.5.3. The Contractor shall provide the completed MXRIWRS Form 032 prior to performing work in the OC-ALC industrial areas. The MXRIWRS Form 032 is available from the COR. The Contractor shall provide a Contractor Tool Listing, MXRIWRS Form 032, to the COR within five (5) business days after (insert type of action, i.e. PM, RM, etc.) actions. The Contractor or Contractor’s personnel shall inventory the container or bag of tools at the beginning of each work day and at the end of each work day. The Contractor personnel shall immediately notify the COR of any tools that are missing or lost from the work area or container (e.g. tool or job box or tool bag). The COR will report any missing Contractor’s tools which have not been located within one (1) hour after notification to the appropriate Government personnel. The Contractor shall obtain the Form 32 from the COR. The CM shall ensure each employee on the job site receives a briefing from the COR about Housekeeping, FOD/DOP, and Tool Control prior to starting work in OC-ALC Industrial Areas.

1.32 Privately Owned Motor Vehicles (POV): Contractor personnel shall comply with the directives pertaining to operation of POVs on Tinker AFB per AFMAN 31-116, in its entirety, “Motor Vehicle Traffic Supervision”. The Contractor shall comply with Tinker AFBI 24-302, in its entirety for the operation of POVs within Tinker AFB.

1.33 Visitors Pass: The Contractor shall contact the COR seven (7) business days before arriving on Tinker AFB in order to make arrangements for Visitors Passes. The COR will assign a sponsor for the Contractor from within the organization. The Contractor and the sponsor shall arrange to meet at Pass and Registration, Building 6611 at the Tinker Gate which is South of I-40 off of Air Depot. The Contractor shall provide two (2) forms of identification, one of which shall be a picture ID, to the 72 SFS. The 72 SFS will provide an AF Form 75, Visitors Pass, which will be valid for up to thirty (30) calendar days.

1.34 Foreign Nationals: The Contractor shall notify the COR before sending a Foreign National representative to perform services. Special rules apply for foreign nationals visiting a US Government facility.

1.35 Safety and Health on Government Installations: While performing work under this contract on a Government installation, the Contractor shall comply with federal, state and local regulations, and AFI 91-203, “Air Force Consolidated Occupational Safety Instruction”, as established by this contract and Appendix C. The Contractor shall notify the CO, COR, and Government Contract Administrator (CA) within one (1) business day of any injuries that occur to contractor personnel while they are on the installation. The Contractor shall notify the CO, COR, and Government CA within one (1) business day of damage to Government property or equipment during the execution of the contract.

1.36 Emergency Procedures: The Contractor personnel shall follow the direction of the Government personnel with regard to emergency procedures, such as fire, tornado, active shooter, bomb threats, or other emergency. It is the responsibility of the Contractor to provide guidance and to establish procedures for its employees to respond to an emergency. It is the Contractor’s responsibility to account for their employees following an emergency evacuation. The Contractor personnel shall participate with the Government personnel in all fire and tornado drills at no additional cost to the Government.

1.37 Contractor Manpower Reporting (CMR): The Contractor shall report ALL contractor labor hours, to include sub-contractor labor hours, required for the performance of the services provided under this contract via a secure data collection site. The Contractor is required to completely fill in all required data fields at the website http://www.ecmra.mil.

1.37.1 The Contractor shall report all labor hours executed during the Period of Performance (PoP) for each Government Fiscal Year (FY) which runs from 1 October through 30 September the following year. Although the labor hours executed may be completed any time during the FY, all data shall be completed no later than (NLT) 31 October of each calendar year. Contractors may direct questions to the CMR help desk email listed at http://www.ecmra.mil.

1.38 Training – General: The Government COR will provide training via slides, video, or classroom prior to the Contractor performing work at the OC-ALC. The Government will be responsible for all approved costs associated with the training identified below. The COR will document training on and maintain copies of the completed AF IMT 1151, Training Attendance and Rating, as part of the contract surveillance file. For purposes of identification and compliance with Personally Identifiable Information (PII) requirements, only the last four (4) of the contractor employee’s Social Security Number (SSN) will be input on the form.

1.38.1 The Contractor shall contact the COR prior to work being performed in order to accomplish the required training or to verify the required training as listed below has been completed:

Section Two

2.0 Performance Assessment

The Contractor shall be aware that in the absence of any contract requirement from the Service Summary (SS) does not detract from its enforceability nor limit the rights or remedies of the Government under any other provision of the contract. The Contractor shall ensure the following SS requirements are accomplished:

Service Summary (SS) Table 2-1

SS

NO

Performance Objective

PWS

Paragraph

Performance Threshold

· the equipment identification number (ID#)

· a brief description of the malfunction

· location of equipment

· name and telephone number of the Point of Contact (POC)

Upon notification of the system malfunction, the technician shall arrive on site at the equipment location within three (3) business days or if overseas five (5) business days.

· the equipment ID#

· date of evaluation

· description of findings and recommendations

· required parts and part numbers (P/N)

· cost of parts

· number of parts needed

· estimated labor hours required to complete the repair

Any recommendations cited shall consider:

· the priority of the requested service

· available source for obtaining new parts

· the availability of the new parts

· shipping and delivery schedules of parts

· other factors which may be peculiar to the specific repair requirement

· name of the company

· requested service date

· contract number

· equipment ID#

· description of services provided

· additional services recommended (if any)

· printed name and signature of technician who performed the services

· printed name and signature of on-site Government SME or COR

· start and completion dates

· complete breakdown of the labor cost (hours and rate)

· materials and parts used

· details of any other charges

· printed name and signature stating only new parts and materials were used

· written verification statement that a performance check to verify operational condition was performed and that the equipment is in working order.

The Contractor shall provide written documentation via email which supports a request to remove from the premises any system, sub-system or peripheral. Said written documentation and request shall include, as a minimum, the information listed below.

· contract number

· part number, OC #, S/N, as applicable

· description of the part, OC #, S/N, as applicable

· corresponding estimate repair report number

SS 9

When determined necessary by the COR to ship items to the Contractor’s off-site facility for repair, the Contractor shall arrange for the scheduling, repair of the failed item and provide the appropriate shipping data to the COR. The COR will process the required shipping documents and arrange for transportation of the item to the appropriate shipping bay for packaging, shipment, and transporting to the designated off-site facilities Free on Board (FOB) destination [Appendix B (Off-Base)].

1.9.2

100% Compliance

ATTN: SURVEILLANCE COR #/Contract No: _____________

OC-ALC/OBC

Bldg. 3001 Staff Dr. Door G70 Post N68 Tinker AFB, OK 73145-3052

One (1) copy to the contracting officer (CO), two (2) copies to the COR, a copy for UEC and a copy for record. The format of the report shall be left up to the contractor, but the report shall contain the following information:

1.) Name and contact number of person reporting the spill 2.) Date and time of incident 3.) Location and source of spill 4.) Substance or pollutant spilled 5.) Amount spilled and rate of discharge 6.) Any damages or injuries involved 7.) Extent of area impacted 8.) Potential hazards 9.) Actions taken 10.) Organizations contacted 11.) Remarks Section - that addresses the cause of the spill (e.g. human error, equipment, etc.) and whether 911 was called and which agencies responded.