Midwest_Region_BECOS_IDIQ_QASP_dft_24_Oct_19_v1.0.docx

Quality Assurance Surveillance Plan

FA8903-20-R-0002

24 October 2019

QUALITY ASSURANCE SURVEILLANCE PLAN

FOR

BASE REALIGNMENT AND CLOSURE (brac) Environmental Construction and Optimization Services (BECOS) AT midwest region BRAC Bases: Former chanute, grissom, K.I. Sawyer, newark, Richards-gebaur, and wurtsmith afbs; general mitchell and o’hare air reserve stations (ARSs); gentile air force station (AFS); and rickenbacker air national guard base (angb)

CONTRACT NUMBER: FA8903-20-R-0002

24 OCTOBER 2019

QUALITY ASSURANCE SURVEILLANCE PLAN

FOR

BASE REALIGNMENT AND CLOSURE (brac) Environmental Construction and Optimization Services (BECOS) AT MIDWEST REGION BRAC BASES: FORMER CHANUTE, GRISSOM, K.I. SAWYER, NEWARK, RICHARDS-GEBAUR, AND WURTSMITH AFBS; GENERAL MITCHELL AND O’HARE AIR RESERVE STATIONS (ARSS); GENTILE AIR FORCE STATION (AFS); AND RICKENBACKER AIR NATIONAL GUARD BASE (ANGB)

Section A – Purpose

1. This Quality Assurance Surveillance Plan (QASP) has been developed and will be used by members of the multi-functional team to ensure contractor compliance with requirements for performance of BECOS at Midwest Region BRAC Bases: Former Chanute, Grissom, K.I. Sawyer, Newark, Richards-Gebaur and Wurtsmith AFBs; General Mitchell and O’Hare ARSs; Gentile AFS; and Rickenbacker ANGB. This QASP will be for this contract and will describe the general scope of the assessment for the contractor’s performance during the course of the contract. The contractor shall fulfill requirements for BECOS at Midwest Region BRAC Bases: Former Chanute, Grissom, K.I. Sawyer, Newark, Richards-Gebaur and Wurtsmith AFBs; General Mitchell and O’Hare ARSs; Gentile AFS; and Rickenbacker ANGB, which include a full range of environmental, construction, and optimization services necessary to conduct site restoration including maintenance of established remedies, implementation of optimization, and remediation activities to achieve performance objectives to include emerging requirements for environmental remediation at applicable sites as outlined in the Performance Work Statement (PWS) and as identified in each contract/Task Order (TO). PBR performance objectives will be established at the TO level and may include Long-Term Management (LTM), Remedial Action-Operations (RA-O), Response Complete (RC), and Site Closeout (SC).

2. This QASP will provide the Contracting Officer Representative (COR) with an effective systematic surveillance method for each item listed in the PWS, specifically on the attached Surveillance Matrix (SM). This QASP is based on the premise that the contractor is responsible for contract management and quality control, not the Government. The Government’s objective is to maintain a quality standard in the environmental remediation contract to allow for timely achievement of performance objectives as outlined in the PWS.

3. This plan is a living document and shall be revised or modified by members of the multi-functional team as circumstances warrant, throughout the life of the contract, to ensure adequate oversight of contractor performance is maintained.

Section B – Roles and Responsibilities

Multi-Functional Team - The purpose of the multi-functional team is to create an environment that shapes and effectively executes acquisitions within their purview. The emphasis is on teamwork, trust, common sense and agility. These stakeholders are responsible for the acquisition throughout the life of the requirement, instituted under the authority of the Air Force Civil Engineer Center (AFCEC) and 772d Enterprise Sourcing Squadron (ESS) senior leadership. Every representative within the multi-functional team brings to the team their unique level of expertise. The following members will participate in the performance management of this specific contract.

1. Functional Director/Functional Commander (FD/FC) Supervisor FD/FC: Has the overall responsibility for initiating, managing and tracking the program that supports the contract. The FD/FC is responsible for assisting in the preparation of requirement documents, managing program data, assessing and providing documentation for funding future program requirements, and interacting with the COR and CO regarding funding and program requirements. The FD/FC will also serve as the liaison between the COR and the Air Staff Environmental Program officials to relay progress information as appropriate.

2. Contracting Officer (CO): Has overall responsibility for overseeing the contractor’s performance. The CO, through an assigned COR, monitors the contractor’s performance in the areas of contract compliance, contract administration, and cost control. The CO reviews COR assessments of the contractor’s performance and resolves all differences between the COR version and the contractor’s version of events. The CO is the only person with the authority to direct the contractor in the performance of his duties under the contract and to make interpretations of and changes to the contract. The CO and COR share joint responsibility in facilitating the multi-functional team meetings.

3. Contracting Officer’s Representative (COR): Has the responsibility for the technical monitoring of the contractor’s performance and assessing, recording, and reporting on the contractor’s compliance with the terms and conditions of the contract. The COR will ensure their availability to receive mandatory COR training IAW DoDI 5000.72 prior to performing contractor surveillance. The COR will maintain surveillance documentation, and notify the CO of any significant performance deficiencies, and recommend improvements to the QASP and PWS throughout the life of the contract/TO. The COR shall also be responsible for reviewing all surveillance documentation and incorporating it into the project folder for future reference when certifying contractor progress, invoices and DD250s. The COR will assist the finance office by validating that all invoices are correctly posted against the assigned contractual and financial elements. The COR (also referred to as the Assessing Official’s Representative) will prepare a performance evaluation at the time of final acceptance of the work, at the time of contract termination, when contractor’s performance is unsatisfactory, or at other times, as appropriate, in accordance with agency procedures utilizing the Contractor Performance Assessment Reporting System (CPARS). The COR performing technical oversight/surveillance does not have authority to direct the contractor in any way except when officially designated, in writing, by the CO.

4. Alternate COR: The alternate COR shall assume all COR functions and responsibilities in the absence of the COR, when necessary.

5. Base Point of Contact (POC): Has the responsibility for the day-to-day technical monitoring of the contractor’s performance, and assessing, recording, and reporting on the contractor’s compliance with the technical performance terms of the contract. The Base POC shall provide field oversight and site subject matter expertise for the sites under this contract during site activities to evaluate compliance to work plan and contract requirements. The Base POC shall maintain hardcopy or electronic documentation to support observations and performance. The Base POC shall also serve as the Air Force regulatory interface at base level. Base POCs will receive COR training for specific duties to ensure correct surveillance and documentation. Base POCs will provide all data and observations to the appointed COR or Alternate COR for review and record. Each of the government-designated persons performing technical oversight/surveillance is responsible only for providing technical oversight of contractor’s activities and he/she does not have authority to direct the contractor in any way except when officially designated, in writing, by the CO.

6. Chief Financial Officer (CFO): CFO is responsible for ensuring that contractually awarded funds are available and engages Defense Finance and Accounting Services (DFAS) for issue resolution.

7. Quality Assurance Program Coordinator (QAPC): Supports the multi-functional team in the development of contract requirements specifically ensuring that requirements are clearly stated and enforceable. Researches the commercial market to ensure the multi-functional team is using the most efficient and effective assessment methods, techniques, and best commercial practices in performance of the contract. Trains CORs on the contracting requirements associated with the quality assurance program, trains Functional Commanders/Directors (FC/FD) and Supervisors, and assists in development of quality assurance related training as requested. Maintains the organization’s COR management system database (e.g. DoD Contracting Officer Representative Tracking Tool at https://wawf.eb.mil/). Duties include maintaining: a record of all COR designations and terminations of designations, to include COR’s; and a record of all COR and COR management training, including refresher training regardless of provider (e.g., QAPC, contracting officer, Defense Acquisition University (DAU), or commercial training provider). Maintains documentation of training provided by contracting personnel identified herein. Assists as required with the evaluation of the contractor’s Quality Control Plans. Provides initial/refresher training as necessary.

8. Contractor: Has the responsibility for complying fully with the terms and conditions of the contract, participating as a member of the multi-functional team in the post-award management phase, maintaining and implementing a Quality Control Plan (QCP) that compliments the performance plan, ensuring that non-conforming contract services are identified, and corrected. When necessary, the contractor will revise the QCP to prevent recurrence. The contractor shall perform remediation activities that conform to the contract requirements and, as necessary, recommend changes to the contract that will provide more effective operations or eliminate unnecessary costs.

Section C – Summary of Surveillance

1. The results in managing this contract through this QASP are to provide the Air Force Civil Engineer Center (AFCEC) with quality documentation necessary to achieve performance objectives in accordance with the PWS. Success for this contract is defined as achieving each individual performance objective within the timeframe required in the MPS within the negotiated contract price, including all options.

2. Positive incentives as a result of performance that continually exceeds the requirements as outlined in the PWS may result in reduced surveillance and/or favorable assessment reports under the Contractor Performance Assessment Reports System (CPARS). Negative performance incentives include contractor replacement or correction of any work found by the Air Force not to conform to contract requirements at no additional charge; Air Force replacement or correction of non-conforming work at a charge to the contractor; negative performance assessments under CPARS; increased surveillance; and/or Termination for Default.

In evaluating the quality of contractor’s performance, the following performance ratings may be used as referenced FAR 42.1503.

Performance Rating

To justify an Exceptional rating, identify multiple significant events and state how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified

To justify a Very Good rating, identify a significant event and state how it was a benefit to the Government. There should have been no significant weaknesses identified

To justify Marginal performance, identify a significant event in each category that the contractor had trouble overcoming and state how it impacted the Government. A Marginal rating should be supported by referencing the management tool that notified the contractor of the contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter)

To justify an Unsatisfactory rating, identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g., deficiency reports, or letters).

Section D – Methods of Surveillance and Surveillance Procedures

1. Strategy for Assessing Contractor Performance: At contract award, performance objectives will be established. The contractor’s performance will be monitored and assessed for this contract throughout the period of performance. The COR will perform an assessment of the contractor’s performance utilizing the attached performance assessment report (PAR) form. The contract assessment will be forwarded to the FD/FC. When a discrepancy or deficiency in the contractor’s performance occurs, the COR will notify the FD/FC and CO. The COR, FD/FC and CO will engage the PBR contractor to resolve the issue.

All personnel assigned as CORs will receive the appropriate training prior to assuming duties of a COR.

2. Methods of Assessment: The primary requirements of the Midwest Region BECOS contract for Former Chanute, Grissom, K.I. Sawyer, Newark, Richards-Gebaur and Wurtsmith AFBs; General Mitchell and O’Hare ARSs; Gentile AFS; and Rickenbacker ANGB are outlined in the PWS (Contract Attachment 1). The PWS and Enclosure(s) 1 outlines the activities necessary to meet the required performance objective for each site included in the contract. Methods of assessment, as listed below, will be utilized.

a. Trend Analysis: The government-designated person(s) performing technical oversight/surveillance shall regularly and continually monitor the contractor’s on-going performance over time. The milestones established for this contract are general indicators of contractor performance; however, it is more important that the performance objectives are met within reasonable timelines of this contract. Data shall be obtained from all deliverables and tracked in accordance with established procedures agreed to at project kickoff, or as amended during the performance of this contract. Full documentation of meeting performance objectives will be required prior to payment and authorization to proceed to other objectives.

b. Periodic Surveillance: Work progress may be inspected periodically (daily, weekly, monthly, quarterly, etc.) as determined by the COR to evaluate compliance with contract requirements. The results of the periodic inspections may be used as the basis for actions (other than payment reductions) towards the contractor. Periodic inspections may be conducted via site visits to verify progress on site or telephone calls with on-site representatives, and review of the contractor’s monthly status reports and other deliverable documents.

i. Observations shall be documented daily, weekly or as applicable. Entries are to include contractor activities, operation; compliance or non-compliance with contract requirements; instructions given to contractor; problems or potential problems observed; materials delivered to job site; manpower on job site; special equipment used and any other information requiring documentation.

ii. Documentation of safety violations and immediate reporting of emergency conditions to the base POC and program manager.

iii. Government property, either provided by the Government or purchased by this contract effort, shall be documented when delivered and/or on-hand for use. The care, handling, maintenance and security of government property shall also be documented, as applicable.

iv. Document any and all events of contractor actions giving the appearance of fraud, waste and/or abuse of Air Force assets. Entries will be factual and will not reflect the field surveillance person’s opinion or conjecture.

v. Events of non-compliance requiring action shall be reported to the CO and/or the COR immediately by telephone, facsimile (FAX), and/or e-mail for appropriate action. A formal written report of non-compliance activities shall be submitted within three (3) working days.

vi. Non-governmental personnel (i.e. contractor support) may gather information for or provide advice, opinions, recommendations, or ideas to Air Force officials. Non-governmental personnel will not accept or reject contractor products or services.

vii. The Base POC is responsible for day-to-day technical oversight and shall be responsible for ensuring that the COR receives a copy of field documentation when requested.

c. Customer Feedback: Customer complaints will be collected for this contract by the COR. The attached Customer Complaint Record may be used for this purpose. All complaints must be documented with the information required on the customer complaint form. Customer complaint forms become a permanent part of the COR records.

d. Third Party Assessments: Contractor evaluation by state and local regulators is independent of the Air Force. All documentation supplied to and produced by Federal, state and local regulators shall be made available to the Air Force.

3. SERVICE SUMMARY

As a minimum, CORs will monitor, review, and report on the Contractor’s performance and compliance with all Service Summary (SS) items shown below (from Section 7.0 of the PWS). The service requirements summarized below are the critical performance objectives that relate directly to mission essential items. The performance thresholds referenced in the table briefly describes the minimum acceptable levels of service required for each service requirement. The performance thresholds established for each of the performance objectives are the number of defects permitted before the COR notifies the contracting officer in accordance with FAR 52.246-4, Inspection of Services - Fixed Price.

No more than one instance of contractor/regulator interaction without AF prior knowledge As required

No more than 2 significant AF recommended rewrites in regards to content contractor analysis and conclusions in the context of industry standards and regulatory requirements.

As required

As required

4. Performance Status Notification: The COR will ensure the CO and FD/FC are continually informed of contract performance status. The CO will also be informed of any contract discrepancies noted during COR performance assessments.

5. Discrepancy Reporting: The COR will notify the CO and FD/FC of any discrepancies noted during the COR’s performance assessment. This notification is for discrepancy correction only and does not indicate concurrence to the discrepancy.

6. Documentation: The COR shall be responsible for reviewing all performance assessment documentation and incorporating it into the COR File (via CORTT) for future reference when certifying contractor invoices and DD250s. The COR shall review, approve, and maintain, at a minimum, the following information within the contract project folder (hardcopy or electronic file) or in an appropriate shared drive:

a. COR Letter of Appointment

b. Contract and Modifications

c. PWS, MPS, and Deliverables, such as:

i. Project Observations

ii. Schedules

iii. Cost and Status Reports

iv. Meeting Documentation

v. Notifications

vi. Quality Assurance Project Plan (QAPP)

vii. Permits, and technical documents

d. Other applicable documentation, such as:

i. Progress Reports such as Contractor Management Status Reports (CPSMRs) or as specified in the PWS

ii. Responses to Corrective Action Reports (CARs)

iii. Data and Technical Reports

iv. Correspondence (email, teleconference notes, etc.)

v. Financial documents to support invoicing

vi. Back up documentation for all invoices

vii. Observations on contractor activities

viii. Milestone payments

ix. Database records

x. Site visit surveillance documentation

Section E – Surveillance of Additional Items

1. In addition to the above surveillance, CORs will also review the overall progress made by the contractor regarding achievement of milestones and site objectives to ensure that the contractor is making sufficient overall progress to warrant continued exercise of options.

2. The CO, COR, and contractor will work in concert to provide pre-closeout of the contract throughout the five-year period of performance. Pre-closeout actions will be on a site-by-site basis. Upon completion of a site objective and payment of the final milestone for the final Contract Line Item (CLIN) associated with the site, the contractor shall provide the Government with a Release of Claims and Receiving Report in WAWF for the CLIN associated with that site. The COR shall sign the contractor’s submitted Receiving Report upon confirmation of site completion and payment of the final invoice for the site. The CO will review the Release of Claims, Receiving Report, and all invoices associated with the CLIN for the site and document the file accordingly. If any deobligation modification is required to remove funds not expended against the CLIN, the deobligation will be accomplished by 772 ESS/PKC prior to submission to the contracting closeout team. Final closeout will be accomplished by the contracting closeout team, 772 ESS/PKS.

Section F – Unacceptable Performance

1. When the contractor’s performance is deemed unacceptable, the COR shall attempt to determine the cause of the unacceptable performance. If any Government action, or lack of action, caused the unacceptable performance, the unacceptable performance shall not be counted against the contractor. The COR shall take action to ensure Government action, or lack of action, does not interfere with the contractor’s performance in the future. When the unacceptable performance is not the result of Government action, or lack of action, COR shall promptly notify the contractor and issue a Corrective Action Request (CAR) to the contractor to assure corrective action is taken. By signing and dating the CAR, the contractor is acknowledging that he or she has been informed of the unacceptable performance, and not necessarily agreeing that the performance was unacceptable. COR shall direct the contractor to re-perform the service, if possible, without additional cost to the Government. Unacceptable performance re-performed by the contractor shall still count as unacceptable performance. If the contractor challenges the validity of the CORs unacceptable surveillance findings, and the COR and contractor cannot come to an agreement, the matter shall be referred to the CO for resolution. The contractor shall be required to return all completed CARS to the COR, no later than the suspense date indicated on the CAR.

2. Corrective Action Requests (CARs): CARs will be initiated whenever the contractor is not meeting contract quality requirements. All CARs will be maintained in CORTT by the COR for tracking and trending purposes.

3. Remedies for Unacceptable Performance: If any of the work does not conform to contract requirements, the Air Force may require the contractor to replace or correct the work at no increase in the contract price. This includes, but is not limited to rework and resubmission of required deliverables, re-performance of remediation activities, and re-performance of monitoring activities or system maintenance activities within established timeframes. When the issues with environmental remediation cannot be corrected by re-performance, the Air Force may:

a. Require the contractor to take necessary action to ensure that future performance conforms to contract requirements; and

b. If the contractor fails to promptly perform the efforts again or to take the necessary action to ensure future performance in conformity with contract requirements, the Air Force may

i. By contract or otherwise, perform the efforts and charge to the contractor any cost incurred by the Air Force that is directly related to the performance of such efforts; or

ii. Terminate the contract for default.

In addition, other remedies may be implemented such as negative performance ratings and/or payment withholds for unacceptable performance that causes any schedule delays at either a CLIN level or overall contract level.

4. Certification of Milestone or Objective Completion: Certification of the completion of milestones is performed by the COR via WAWF system. Upon completion of a milestone, but no more than once per month, the contractor will input invoice information in the WAWF system. WAWF automatically notifies the appropriate COR via email of pending invoice. The COR accesses WAWF and verifies the data demonstrating that the milestone has been achieved. If data is correct, the COR certifies the invoice and payment is made by DFAS. The COR will consult with the contractor’s representative to mutually rectify the data, if errors in the invoice are encountered. If the contractor disagrees with COR, the issue will be forwarded to the CO for resolution.

5. Initial Contract Review: The initial evaluation of contractor performance shall take place within 60 calendar days after the contractor assumes full performance responsibilities (i.e. after completion of the PMP) to ensure the contractor has successfully started performance, completed transition, is fully operational, and is within the price, schedule, and performance parameters of the contract:

TECHNICAL. Assess the contractor’s conformance to contract requirements, specifications, and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, safety, or health standards).

SCHEDULE. Assess the timeliness of the contractor against contract requirements, milestones, delivery schedule, and administrative requirements (e.g., efforts that contribute to or affect the schedule variance).

MANAGEMENT/PERFORMANCE. Assess the integration and coordination of all activity needed to execute the contract.

Section G – Certification/Acceptance of Services

1. The COR shall submit all Performance Action Reports (PARs) to the CO by the 5th workday of the month after which any deficiencies with performance have been identified. These reports are essential for identifying areas that are nonconforming and whether the contractor has satisfied the basic requirements of the PWS. All PAR documentation shall be submitted with all validated customer feedback and CARs.

2. The COR shall certify receipt of Contractor completion of milestone acceptance criteria. The COR shall certify that the milestone is complete and all appropriate deliverables were received, in accordance with the terms and conditions of the contact. The COR shall certify receipt via the WAWF website. Approval of invoices shall be completed within a reasonable timeframe after confirmation of milestone completion and submission of appropriate documentation by the contractor.

3. The COR is responsible for scheduling and completing WAWF training at https://wawf.eb.mil/.

Section H – Contractor’s Quality Control

1. In accordance with the PWS, the contractor shall review all documents/deliverables before they are submitted to AFCEC/CIBE and other applicable parties. The contractor should establish a quality control/quality assurance review process to ensure documents/deliverables do not contain typos, formatting issues, contradictory information in tables and text, etc.

2. Additionally, the contractor shall implement, coordinate, and execute all regulatory reviews, shall ensure technical adequacy of the final design, and shall provide quality control of all phases of the contract.

Section I – Contract Management

1. The multi-functional team shall utilize the following approaches, methods, and tools to manage the contract upon award:

a. Initial Contract Performance Review: The initial evaluation of contractor performance is a joint determination by the multi-functional team that the contractor has successfully started performance, completed transition, is fully operational, and is within the estimated cost, schedule, and performance parameters of the contract.

b. COR shall conduct, document, track, and analyze contractor performance via surveillances as listed under Section D. The surveillance results shall be maintained as Past Performance Information (PPI) and utilized as applicable to submit information into the annual Contractor Performance Assessment Report System (CPARS).

c. The multi-functional team shall conduct periodic management reviews, not less than annually, to review the contractor’s performance. The multi-functional team shall document the meeting and identify issues, closed items, and open items with suspense timeframes to be completed. At these meetings the CO will apprise the contractor of how the Government views the contractor’s performance and the contractor will apprise the Government of problems, if any, being experienced. The contractor will also notify the CO, in writing, of any work being performed, if any, that the contractor considers over and above the requirements of the contract. Appropriate action shall be taken to resolve any outstanding issues.

2. COMBATING TRAFFICKING IN PERSONS: DoD has a zero tolerance policy for human trafficking. CORs are the first line of defense in the battle against human trafficking and must complete Combating Trafficking in Persons training annually. As the COR monitors the contractor and its employees, Combating Trafficking in Persons should rank among the COR’s chief priorities. CORs must be diligent in ensuring that contractors and contractor personnel are not trafficking in persons. During surveillance, the COR will monitor the contractor’s performance regarding trafficking in persons for compliance with all that is required IAW FAR clause 52.222-50, Combating Trafficking in Persons. The COR must inform the Contracting Officer if the contractor, contractor personnel, subcontractor, or subcontractor personnel have failed to comply with the requirements of the clause at FAR 52.222-50. After receiving this information, the Contracting Officer shall provide information for any investigation and enforcement to:

Program Manager DoD CTIP Law Enforcement and Support

OUSD (P&R) DHRA

4800 Mark Center Dr Suite 06J25-01 Alexandria, VA 22350-4000

Reports may also be made:

• On-line at http://ctip.defense.gov/;

• On-line via the National CTIP Hotline website at http://www.polarisproject.org/;

• By e-mail to CTIPReports@OSD.Pentagon.mil; or

• By phone to the National CTIP Hotline at 1-888-373-7888.

**Note: The COR must report any suspected violations or activities to the Contracting Officer (See FAR Subpart 22.17 and DFARS Subpart 222.17).

**Note: CORs should not personally investigate suspected incidents of Trafficking in Persons but should forward all reported or suspected violations to the Contracting Officer immediately.

**Note: The contractor must take appropriate action should a violation occur. For corrective procedures and remedies for non-compliance, see FAR 52.222-50.

3. Documentation Requirements: Thorough documentation of unperformed or poorly performed work is essential for tracking contractor performance throughout the period of performance. This documentation provides the CO with contractor status as it applies to the performance criteria. The CORs, as trained inspectors, will document deficient work by compiling facts describing the inspection methods and results. The CORs will document nonconformance with the terms of the contract. The documentation, together with any recommendations, will be forwarded to the contract specialist, who will decide whether to elevate the problem to the CO for corrective action.

REVIEW & ACCEPTANCE

The following Multi-Functional Team member signatures indicate their review and acceptance of this Quality Assurance Surveillance Plan for the Midwest Region BECOS contract for Former Chanute, Grissom, K.I. Sawyer, Newark, Richards-Gebaur and Wurtsmith AFBs; General Mitchell and O’Hare ARSs; Gentile AFS; and Rickenbacker ANGB.

FD/FC:

DATE: ______________________

CO:

Date: ______________________

COR:

ALT COR:

DATE: _____________________

BASE POC:

CFO:

QAPC:

Contractor:

CORRECTIVE ACTION REPORT (CAR)

(If more space is needed, use reverse and identify by number)

1. CONTRACTOR

2. CONTRACT NUMBER

3. TYPE OF SERVICES

4. FUNCTIONAL AREA

5. SUSPENSE DATE

6. CONTROL NUMBER

7. DEFICIENCY |_| MAJOR |_| MINOR

FINDING:

FINDING IMPACT:

Please respond with a written corrective action plan that details the corrective action of the cited deficiency, the cause of the deficiency, and actions taken to prevent recurrence by Suspense Date in Block 5. If date was not entered in Block 5, the contractor is not required to provide a response.

8. QUALITY ASSURANCE PERSONNEL (COR)

TYPED NAME AND GRADE

SIGNATURE AND DATE

9. ISSUING AUTHORITY

TYPED NAME AND GRADE

SIGNATURE AND DATE

10. COR RESPONSE TO CONTRACTOR CORRECTIVE ACTION AND ACTION TAKEN TO PREVENT RECURRENCE

11. COR DETERMINATION

|_| ACCEPTED |_| REJECTED

12. CLOSE DATE

CUSTOMER COMPLAINT RECORD

DATE/TIME OF COMPLAINT

SOURCE OF COMPLAINT

ORGANIZATION

BUILDING NUMBER

INDIVIDUAL

PHONE NUMBER

NATURE OF COMPLAINT

CONTRACT REFERENCE

VALIDATION

DATE/TIME CONTRACTOR INFORMED OF COMPLAINT

ACTION TAKEN BY CONTRACTOR

RECEIVED/VALIDATED BY

PERFORMANCE ASSESSMENT REPORT (PAR)

(If more space is needed, use reverse and identify by number)

1. CONTRACT/TASK ORDER NUMBER

2. CONTRACTOR

3. TYPE OF SERVICES

4. QUALITY ASSURANCE PERSONNEL (COR) SIGNATURE AND DATE

I. PERFORMANCE

7. |_| DEFICIENCY (CHECK ALL BOXES THAT APPLY)

|_| NEW

|_| REPEAT

|_| NO DEFICIENCY NOTED

8. SERVICES SUMMARY or PWS PARAGRAPH ITEM REVIEWED

II. CONTRACTOR VALIDATION

11. CONTRACTOR REPRESENTATIVE |_| CONCUR |_| NON-CONCUR

12. CORRECTIVE ACTION ESTIMATED COMPLETION DATE

13. CONTRACTOR REPRESENTATIVE CORRECTIVE ACTION AND PREVENTION OF RECURRENCE OR REASON FOR NON-CONCURRENCE OF COR CITED DEFICIENCY

III. ACTION CORRECTED

14. |_| CONCUR |_| NON-CONCUR COR SIGNATURE AND DATE

15. COR REMARKS (REQUIRED)

6. CONTRACTOR REPRESENTATIVE REMARKS