ATTACHMENT_1_-_Daily_Reports__Contractor.docx

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Attached to
LEASED PORTABLE FACILITIES Federal contract opportunity
Solicitation number
HSFE70-16-R-0005
Issued by
Federal Emergency Management Agency Logistics Section

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ATTACHMENT_1_-_Daily_Reports__Contractor

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Attachment_3_-_FEMA_Coverage_Area.pdf PDF
ATTACHMENT_5__PAST_PERFORMANCE_QUESTIONNAIRE__HSFE70-16-R-0005_8.5.16.docx DOCX document
ATTACHMENT_4--DHS_Subcontracting_Plan_Review_Checklist_DHS_Form_700-23_HSFE70-16-R-0005.pdf PDF
ATTACHMENT_2_TASK_ORDER_INSTRUCTIONS.pdf PDF
RFP_HSFE70-16-R-0005.pdf PDF

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Attachment 1 HSFE70-16-R-0005 (Sample) Daily Reports – Contractor: __________________

Contract Number: ________________________ Task#____________ Clin#________

Date: _______________ Signature: COR or Authorized FEMA Rep: _______________________ Toilet Inventory & Operational Status Report

Time
Total Regular Toilet Stalls

Equipment Operational Status (e.g. 18 of 20 Fully Mission Capable (FMC) 2 of 20 Not Mission Capable (NMC))

Total Accessible Toilet Stalls
Equipment Operational Status

Inoperable Equipment Status:

(e.g. awaiting parts, maintenance, awaiting installation or replacement)

Proposed Remedy and Estimated Timeframe to restore FMC status
Print: Name/Title/E-Mail & Phone Number-- Contractor On Site Representative
8:00 am
(e.g. 20)
(e.g. 18 of 20 FMC

2 of 20 NMC)

(e.g. 2)
(e.g.2 of 2 FMC

0 NMC)

(e.g. Both toilets awaiting maintenance)
(e.g. Repair/replace seat estimated completion date 10/18/2015)

Support Equipment Inventory & Operational Status Report

Time
Type Equipment

(e.g. generator, water bladder or water tanker)

Equipment Operational Status (e.g. 18 of 20 Fully Mission Capable (FMC) 2 of 20 Not Mission Capable (NMC)) Type Equipment (e.g. generator, water bladder, or water tanker) Equipment Operational Status

Inoperable Equipment Status:

(e.g. awaiting parts, awaiting maintenance, awaiting installation, or replacement)

Proposed Remedy and Estimated Timeframe to restore FMC status
Print: Name/Title/E-Mail & Phone Number-- Contractor On Site Representative
8:00 am
(e.g. Generators)
(e.g. 3 of 4 FMC

1 of 4 NMC)

(e.g. Water Bladders)
(e.g. 2 of 2 FMC

0 NMC)

(e.g. Generator awaiting parts)
(e.g. Install new valve estimated completion date 10/18/2015)

Services Status Report

Type of Service (e.g. cleaning, Supplies, potable water deliveries, waste water removal service)

Time Started
Time Completed
If Daily Service not performed why?
Proposed Remedy and Estimated Timeframe to complete service
Type & Status of affected Equipment:

(Fully Mission Capable (FMC) 2 of 20 Not Mission Capable (NMC)

Next Date/Time Service is to be executed
Print: Name/Title/E-Mail & Phone Number--Contractor On Site Representative
(e.g. Potable Water Delivery)
8:00 am
8:30 am
n/a
n/a
n/a
10/18/2015
(e.g. Restroom Cleaning)
8:00 am
10:00 am
n/a
n/a
n/a
10/18/2015

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