N4008422T5400_Spec_draft_220325.pdf

Section C – 0100000

General Information

0100000 – General Information

Spec Item Title

1 General Information

1.1 Outline of Services

1.2 Acquisition of Additional Work

1.3 Background Information

1.4 Navy PBSA Approach

1.5 Standard Template

1.6 Related Information

1.7 Verification of Workload and Conditions

1.8 Contractor's Knowledge

1.9 Technical Proposal Certification

DRAFT

0100000 – General Information

Spec Item Title Description

1 General Information

1.1 Outline of Services Except where otherwise stated, the Contractor shall furnish all labor, supervision, management, tools, materials, equipment, facilities, transportation, incidental engineering, and other items necessary to provide the services outlined below and described in this Performance Work

Statement (PWS) at U.S. Marine Corps Air Station (MCAS) Iwakuni under a performance-based contract that is comprised of both Recurring Work and Non-Recurring Work Items.

The PWS is organized into annexes. Annex 1 is "General Information."

Annex 2 contains the on-site project management and administration requirements. Annexes 3 through 18 contain the technical requirements.

The annex numbers are identified as 1 through 18 in the description column, but the fully expanded annex numbers include seven digits (e.g., Annex 1 expanded number is 0100000 as shown in the header row at the top of this page).

Annex 1 General Information

Annex 2 Management and Administration Annex 3 Command and Staff: Not Applicable (N/A)

Annex 4 Public Safety: N/A

Annex 5 Air Operations: N/A

Annex 6 Port Operations: N/A

Annex 7 Ordnance: N/A

Annex 8 Range Operations: N/A

Annex 9 Health Care Support: N/A

Annex 10 Supply: N/A

Annex 11 Personnel Support: N/A

Annex 12 Morale, Welfare and Recreation Support : N/A

Annex 13 Galley: N/A Annex 14 Housing: N/A

Annex 15 Facilities Support

Annex 16 Utilities: N/A

Annex 17 Base Support Vehicles and Equipment: N/A

Annex 18 Environmental

1.2 Acquisition of

Additional Work

The Government reserves the right to acquire additional services at additional locations, within the scope of the annexes and areas included in

Spec Item 1.1 Outline of Services, in addition to the services and locations identified in the requirements of this contract. Additional services will be incorporated into the contract in accordance with the CHANGES clause, SECTION I or ordered under the non-recurring work provisions of the contract. Items of work not covered by this contract but within the general intent are considered in the scope of this contract.

1.3 Background Information The intent of this solicitation is to obtain Medical Waste collection, transportation and disposal services to ensure a safe, healthy, and pleasant environment surrounding U.S. MCAS Iwakuni facilities. The contract is a performance-based specification relying on the Contractor’s experience and expertise determining the best method of providing those services.

MCAS Iwakuni home page link: http://www.mcasiwakuni.marines.mil/

1.4 Navy PBSA Approach The Navy’s approach to performance-based service acquisition (PBSA) includes four component parts, which are 1) performance outcomes, 2) measurable standards, 3) consideration of incentives, and 4) performance assessment plan.

1.5 Standard Template Key to implementing the PBSA approach is using a standard template that ensures Navy-wide consistency yet affords appropriate tailoring to meet local needs.

The standard template contains 18 standard annexes. Annex 1 will always contain General Information that is relevant to the entire scope of the contract. Annex 2 contains Management and Administration requirements that are relevant to the entire scope of the contract. Annexes 3 through 18 and their associated sub-annexes contain the General Information, Management and Administration requirements, Performance Objectives, Related Information, and Performance Standards that are relevant to that technical annex. Except where otherwise stated, Annexes 3 through 18 and their associated sub-annex requirements are not relevant to one another. Within each technical annex and sub-annex, the organization of information and requirements are also standardized. Specification Item 1 will always contain General Information. Specification Item 2 will always contain the Management and Administrative requirements. Specification Item 3 will always contain the Recurring Work requirements.

Specification Item 4 will always contain the Non-Recurring Work requirements. Requirements and standards for higher level specification items apply to all subordinate specification items, e.g., Specification Item

3 standards apply to all recurring work specification items. Specification

Item 3.1 is applicable to all 3.1 subordinate specification items.

Specification Items 3.2 and 3.3 are not considered subordinate to 3.1 nor are they considered subordinate to one another. All costs associated with

Annexes 1 and 2 and Specification Items 1 and 2 shall be priced, and their price shall be allocated to the Exhibit Line Items.

1.6 Related Information There are four types of Related Information that can be found in the Description and Related Information columns of the specification as follows:

Informational Notes as used throughout this PWS provides additional information to offerors to be used in developing a thorough understanding of the work to be performed in this contract. Any block of text marked

“Informational Notes” throughout Annexes 1 through 18 and their associated sub-annexes are subject to this disclaimer. Offerors may not rely upon the "Informational Notes" as material representations of the

Government. Information provided in "Informational Notes" does not create a contractually binding requirement on either party.

Clarifying Information describes client expectations in a more detailed manner than the Performance Objective and Performance standard alone.

Constraining Information describes limitations to the work performed to meet the Performance Objective and Performance Standard.

Requirement Information further describes client requirements associated with each Performance Objective.

1.7 Verification of

Workload and

Conditions

Throughout the PWS, the workload data is generally referred to as being located in Sections C and J. Section C provides data such as descriptions, specifications, and the statement of work. Section J provides data such as system descriptions, maps, floor plans, and tables to represent the type and location of services to be provided.

All facilities, systems, and assets identified in this contract shall be accepted by the Contractor in "AS-IS" condition. The Contractor is fully responsible for all work up to and including the limits of liabilities specified.

As prescribed in FAR 52.237-1, offerors or quoters are urged and expected to inspect the site where services are to be performed and to satisfy themselves regarding all general and local conditions that may affect the cost of contract performance, to the extent that the information is reasonably obtainable. In no event shall failure to inspect the site constitute grounds for a claim after contract award.

1.8 Contractor's Knowledge The Navy expects to receive insightful management from its contractors.

This management will include the knowledge, skills, authority and willingness to use contractor resources to find better ways of serving Navy clients’ strategic and operational goals and objectives. The Navy's use of performance-based objectives evidences this principle. Although performance work statements will typically contain several levels of performance assessment, the Navy wants its contractors to exercise maximum discretion within bounds of prudent risk management to adjust processes and resources needed to reach specified objectives at the highest performance level.

1.9 Technical Proposal

Certification

The Contractor warrants that its proposal incorporated herein by reference will meet or exceed the performance objectives set forth in this contract.

1800000 – Environmental

Table of Contents

Spec Item Title

1 General Information

1.1 Concept of Operations

2 Management and Administration

2.1 Definitions and Acronyms

2.2 Personnel

2.2.1 Certification, Training, and Licensing

2.3 Special Requirements

2.3.1 Permits and Licenses

2.3.1.1 Joint Venture Agreement (JVA)

2.3.2 Inspection of Disposal Facilities

2.3.3 Records and Reports

2.3.3.1 Control Manifest for Industrial Waste

2.3.3.2 MW Quantity Chit

2.3.3.3 MW Collection Report

2.3.3.4 MW Container Quantity Report

2.4 References and Technical Documents

3 Recurring Work

3.1 Discarded Medical Waste (MW) Management

3.1.1 Collection of Discarded MW

3.1.2 Transportation of MW

3.1.3 MW Disposal

3.1.4 MW Containers

4 Non-Recurring Work

Spec

Item Title Description

1 General Information The Contractor shall provide all labor, management, supervision, tools, material, and equipment required to perform environmental services at U.S. MCAS Iwakuni, Japan.

1.1 Concept of Operations The intent of 1800000 Environmental is to specify the

Environmental requirements which primarily consist of the following services:

collection, transportation and disposal of medical waste

(MW), both infectious and non-infectious.

The following services are not considered Environmental and are not included in this contract:

collection, transportation and disposal of non-medical waste are covered by another contract.

2 Management and

Administration

2.1 Definitions and Acronyms Definitions and Acronyms are listed in J-1800000-01.

2.2 Personnel The Contractor shall provide personnel with the training, qualifications, technical knowledge, experience and skills required for efficient operations within the environmental function.

2.2.1 Certification, Training, and

Licensing

The Contractor shall provide the necessary training to personnel who perform MW collection, transportation, and disposal in order to provide services in compliance with applicable Installation regulations and programs, JEGS, and all applicable Japanese, prefectural, and local laws and regulations.

Personnel shall be fully knowledgeable of all safety and environmental requirements associated with the work they perform, and possess applicable certifications and licenses required to engage in each type of work.

Copies of certifications and/or licenses and information of personnel shall be included in the Medical Waste Management

(MWM) Plan required in Spec Item 3.1 of this Annex.

2.3 Special Requirements The Contractor shall comply with the special requirements listed below.

2.3.1 Permits and Licenses The Contractor shall possess all required permits, licenses and authorizations to perform work under this contract in compliance with the JEGS, Waste Management and Public Cleansing Act

(Haikibutsu no Shori oyobi Seiso ni Kansuru Horitsu) and all other applicable Japanese, prefectural and local laws and regulations.

At a minimum, the Contractor shall possess the following permits issued by all applicable prefectural or city authorities:

Permit for Collection and Transportation of (Ordinary)

Industrial Waste (IW)

Permit for Disposal of (Ordinary) IW

Permit for Collection and Transportation of Specially Controlled Industrial Waste (SCIW)

Permit for Disposal of SCIW

The Contractor shall submit copies of all the required permits and licenses per Section F.

All permits and licenses shall be kept up to date by the Contractor.

Renewed permits and licenses shall be submitted per Section F.

2.3.1.1 Joint Venture Agreement

(JVA)

The JEGS prohibits the generators of IW to contract with a licensed transporter that requires the transporter to then separately subcontract with a licensed disposal facility. Therefore, a single contractor shall be licensed to both transport and dispose of IW. A JVA wherein one joint venture partner possesses a required transportation permit and the other partner possesses a required disposal permit is an acceptable alternative to meet this single contractor requirement. Such joint venture must be registered in the Contractor Central Registration website and possess a valid

Data Universal Numbering System (DUNS) number prior to submittal.

2.3.2 Inspection of Disposal

Facilities

After contract award, the Government may request to visit the

Contractor’s disposal facilities to view the MW disposal process.

When requested, the Contractor shall cooperate with the

Government in scheduling such a visit.

2.3.3 Records and Reports The Contractor shall submit the records and reports listed below.

2.3.3.1 Control Manifest for Industrial

Waste

All MW leaving the Installation under this contract shall be accompanied with Controlled Manifest for Industrial Waste

(hereinafter referred to as the “Manifest”) forms. Manifest shall be issued for each type of waste (infectious and non-infectious) from each location. The Contractor shall ensure the Manifest forms are issued in accordance with all applicable Japanese, prefectural and local laws and regulations.

Blank Manifest forms shall be furnished by the Contractor.

Refer to Spec Items 3.1.2 and 3.1.3 for the requirement of submission of hard copy Manifest forms.

Electronic copies of the Manifest forms showing the completion of the final disposal (Form “E”) shall be submitted per Section F.

2.3.3.2 MW Quantity Chit The Contractor shall prepare blank MW Quantity Chits for each collection service for the wastes to be collected.

The Contractor shall fill out the chits after each collection and obtain signatures as per Spec item 3.1.2. Copies of the signed chits shall be submitted per Section F.

A sample chit is provided in J-1800000-02.

2.3.3.3 MW Collection Report The Contractor shall submit a MW Collection Report identifying the quantity and classification of the waste collected per Section F.

The MW Collection Report Form is included in J-1800000-03.

2.3.3.4 MW Container Quantity

Report

The Contractor shall record the number of containers furnished as

Contractor-Furnished Materials (CFM) for this contract and submit a MW Container Quantity Report per Section F.

Refer to Spec Item 3.1.4 for the requirement of MW containers.

2.4 References and Technical

Documents

References and Technical Documents are listed in J-1800000-04.

Item Title

Performance

Objective Related Information

Performance

Standard

3 Recurring Work The Contractor shall perform collection, transportation and disposal of MW to ensure MW is properly treated in compliance with applicable

Federal, Japanese and local statutes and regulations, and with

DoD and Navy policies, instructions and guidance.

The Contractor shall comply with all Federal, Japanese and local statutes and regulations, and with

DoD and Navy policies, instructions and guidance such as those listed in the References and

Technical Documents in J-

1800000-04.

If MW handling procedures or operations are found to be out of compliance, the Contractor shall immediately notify the KO or

COR with recommendations for appropriate action.

Services are performed in a timely manner and in compliance with

Federal, Japanese and local statutes and regulations, and with

DoD and Navy policies, instructions and guidance.

All deficiencies notified to the KO or

COR in a timely manner.

3.1 Discarded

Medical Waste

(MW)

Management

The Contractor shall manage discarded MW to ensure MW is treated in compliance with Federal, Japanese and local statutes and regulations, and with

DoD and Navy policies, instructions and guidance.

The Contractor shall develop a

MW Management Plan (MWMP) describing the procedures of how

MW will be collected, transported, and disposed of under this contract. The Plan shall comply with all Federal, Japanese and local statutes and regulations, and with DoD and Navy policies, instructions and guidance, including the JEGS, Waste

Management and Public Cleansing

Act, Infectious Waste Treatment

Manual (Haikibutsu no Shori Ho ni Motozuku Kansensei

Haikibutsu no Shori Manual), OPNAVINST 5090.1, and

BUMEDINST 6280.1.

The Contractor’s MWMP shall be submitted per Section F. The plan shall be revised as necessary and as requested by the KO or COR.

The Contractor shall not bring non-Federal waste onto the

Installation.

MW Disposal Historical Data describing the types and quantities of MW collected and disposed of in the previous contract is provided in J-1800000-05.

Collection and disposal of amalgam is not included in this contract.

MW is managed per the Contractor’s

MWMP.

No release of MW to the environment due to

Contractor’s non-performance, mismanagement or negligence.

No documented citations such as

Notices of Violation

(NOV) or warning letters due to

Contractor’s non-performance, mismanagement or negligence.

Item Title

Performance

Objective Related Information

Performance

Standard

3.1.1 Collection of

Discarded MW

The Contractor shall provide scheduled collection services for discarded MW to ensure the Installation complies with Federal, Japanese and local statutes and regulations, and with

DoD and Navy policies, instructions and guidance.

The Contractor shall collect discarded MW from the MW

Deposit Areas identified in J-

1800000-06.

Detailed information of the wastes to be collected from each location, including the required collection frequencies, is provided in J-

1800000-07.

After each collection service, the

Contractor shall clean and disinfect the MW deposit areas.

This type of cleaning shall include sweeping the floor for loose debris and dust. The floor shall then be wiped with a mop and a 10% bleach/water solution. This shall be done before new containers are stored.

Additionally, the Contractor will be required to conduct a thorough cleaning of the MW deposit areas twice a year at the request of the

Government. This thorough cleaning shall include disinfecting, washing and rinsing of MW storage areas and the surrounding areas.

The Contractor shall develop and submit a monthly collection schedule per Section F.

Wastes to be collected under

Recurring Work of this contract are limited to the quantities listed in J-1800000-08. When work is expected to exceed these limits, or if the total weight of the wastes collected reaches 70% of the limit before the 10th month of each contract period, the Contractor shall notify the KO or COR via email and report it in the Daily

Report.

Additional services may be acquired by a bilateral modification, non-recurring work

MW collections are performed per the

Contractor’s MWMP.

Scheduled MW collections are completed per the established schedule.

MW Deposit Areas are sightly following collection operations.

Item Title

Performance

Objective Related Information

Performance

Standard task order, or means other than this contract.

3.1.2 Transportation

of MW

The Contractor shall provide MW transportation services to ensure the Installation complies with Federal, Japanese and local statutes and regulations, and with

DoD and Navy policies, instructions and guidance.

Prior to transportation of the collected MW, the Contractor shall weigh the wastes with a calibrated scale under designated Government representative’s observation. Infectious waste and non-infectious waste shall be weighed separately.

Once the weights are verified, the

Contractor shall fill out Manifest forms and MW Quantity Chit to have them signed by the authorized Government representative. (Civilian employees are not authorized to sign the Manifest.) The

Government will provide the information of the authorized personnel after the contract award.

The Contractor shall give the applicable pages of the original

Manifest forms to the Government representative who signed the

Manifest.

Refer to Spec Items 2.3.3.1 and

2.3.3.2 for more information on the Manifest forms and MW

Quantity Chit, respectively.

MW transport complies with Federal, Japanese and local statutes and regulations, and with

DoD and Navy

3.1.3

MW Disposal

The Contractor shall dispose of MW to ensure the Installation complies with Federal, state and local statutes and regulations, and with DoD policies, instructions and guidance.

The Contractor shall dispose of the collected MW in accordance with the Contractor’s MWMP and all applicable laws, regulations and standards.

All fees associated with disposal shall be paid by the Contractor.

After the final disposal of the MW has been completed, the

Contractor shall submit the

Manifest hard copy “E” to the

POC at each location as the certificate of the final disposal.

The copy “E” shall be submitted no later than the end of the following month after the Manifest is issued.

MW disposal complies with Federal, state and local statutes and regulations, and with

DoD and Navy

Item Title

Performance

Objective Related Information

Performance

Standard

3.1.4 MW Containers The Contractor shall

furnish a sufficient number of containers for infectious MW to ensure the waste may be discarded in a timely manner.

All containers shall meet the requirements specified in Chapter

17, MEDICAL WASTE, of the

JEGS and shall be a product that has been approved as adequate for infectious MW.

The containers shall be large enough to store the Clinic’s nine

(9)-gallon sharps collection containers (29.84 cm x 31.75 cm x

45.08 cm) and small enough to fit in the biohazardous room inside the Clinic.

All containers shall be approved by the Government through a visual inspection prior to use. The visual inspection will be conducted prior to the commencement of work for the base period and for each option period.

The Contractor shall provide a sufficient (or requested) number of containers to the POC at each location prior to the commencement of work.

Containers provided for the

Medical and Dental Clinic (Bldg.

110) will be stored in the Storage

Room (MW Deposit Area), and those for the Veterinary Clinic inside the building (Bldg. 1052).

The Government will place

Infectious MW into these containers as needed.

When wastes are collected, the

Contractor shall provide additional new containers as required or as requested by the Government.

The number of containers that the

Medical and Dental Clinic has in stock shall be between 200 and

300 at all times.

The historical data of the MW containers furnished in the previous contract is included in J- 1800000-05.

A sufficient number of containers are furnished for proper disposal.

Item Title

Performance

Objective Related Information

Performance

Standard

In the case that the Veterinary

Clinic needs to dispose of animal carcasses that do not fit in the containers in stock, the

Government will provide the information (size and number) of the animal carcasses and the

Contractor shall prepare containers that can hold the oversize animal carcasses and provide them to the

Government.

Spec Item Title Performance Objective Related Information Performance Standard

4 Non-Recurring

Work

Non-Recurring work may be ordered utilizing

DoD FedMall in accordance with Section

H or on a task order in accordance with the

PROCEDURES FOR

ISSUING ORDERS

clause in Section G. The order will specify the exact locations and types of work to be accomplished. The period of performance will be specified in each order.

Refer to Non-Recurring ELINs for task listings, descriptions, and related requirements. All periods of performance are measured from issue date of order to acceptance of the work.

Performance standards for Non-

Recurring work will be the same as those in Spec Item 3 where applicable.

0200000 – Management and Administration

SECTION F: DELIVERIES OR PERFORMANCE

Section F – 0200000

Management and Administration

DELIVERABLES

Annex/

Spec Item

Form

Attachment

Number Deliverable Title Date(s) of Submission

Distribution

Frequency Original

Copies

(including original)

0200000/

2.2.1.2

N/A Request to Work

Outside Government’s

Regular Working

Hours

For approval:

At least 15 calendar days prior to requested day

Affected divisions and/or activities

1 As required

For acceptance:

Within three working days after approval and prior to the requested day

KO or

COR

0200000/

2.3.1

N/A Sign-In Sheets and

Minutes

Within two working days. KO, COR

1 As required

0200000/

2.3.5

N/A Certificate of

Insurance

Within 15 calendar days after contract award; prior to commencement of work, and at least seven calendar days prior to expiration of the existing policy

KO or

COR

1 As specified

0200000/

2.5

N/A Samples, Safety Data

Sheets (SDS) or

Manufacturer’s Data

Cut Sheets

Within seven calendar days of Government request

KO or

COR

As required

When requested

0200000/

2.6.1

N/A Cybersecurity Incident Immediately upon discovery during regular working hours and by

0800 the following work day for discoveries after regular working hours

KO or

COR

1 As required

0200000/ 2.6.4 and

2.9.8

J-0200000-05 Daily Report By 10:00 a.m. of the following work day

COR or

PAR

1 Daily

Monthly On-Site

Labor Report

Firs work day of each month monthly

0200000/

2.6.5

N/A Notification of any

Difficulty in

Scheduling Work

By the end of each workday

KO or

COR

1 As required

0200000/

2.6.9.1

N/A Quality Management

(QM) Plan

Within 15 calendar days after award and within seven calendar days of changes.

KO or

COR

1 As specified

0200000/

2.6.9.2

N/A Quality Inspection and

Surveillance File

Within five calendar days after completion or termination of the contract

KO or

COR

1 As specified

DELIVERABLES

Annex/

Spec Item

Form

Attachment

Number Deliverable Title Date(s) of Submission

Distribution

Frequency Original

Copies

(including original)

0200000/

2.6.9.3

N/A Contractor Quality

Inspection and

Surveillance Report

First work day of each month.

KO or

COR

1 Monthly

*Note: The frequency may be adjusted based on the

Contractor’s quality of performance

0200000/

2.6.10

N/A Property Management

Plan

Within 15 calendar days of Government request.

KO or

COR

1 When requested

0200000/

2.7.1

N/A List of Key Personnel and Qualifications

Initial submission: Within

15 calendar days after contract award

(May be exempted if included in the proposal submittals.)

For changes:

At least 14 calendar days prior to appointing new personnel

When requested by the

Government:

Within 14 calendar days after Government request.

KO or

COR

1 As specified

0200000/

2.7.1

N/A Organizational Chart Initial submission: Within

15 calendar days after contract award

For changes:

At least 14 calendar days prior to appointing new personnel

When requested by the

Government:

Within 14 calendar days of Government request.

KO or

COR

1 As specified

0200000/

2.7.1.3

N/A Documentation of

Completion of

Coursework

Within one year after contract award and every year from previous training completion date.

KO or

COR

1 Annually

0200000/

2.7.3

N/A Service Contract

Reporting (SCR)

No later than 31 October N/A

(direct input)

Annually for labor executed during the period of performance

DELIVERABLES

Annex/

Spec Item

Form

Attachment

Number Deliverable Title Date(s) of Submission

Distribution

Frequency Original

Copies

(including original) during each

Government fiscal year

(FY)

0200000/

2.8.1 and

2.8.2

N/A Employee List and

Vehicle List

Within 15 calendar days after contract award, within 15 calendar days of each option period exercise, and within seven calendar days of updates or changes

KO or

COR

1 Annually, and as required

0200000/

2.9.2 through

2.9.4.4

J-0200000-07 and

J-0200000-08

Accident Prevention

Plan (APP):

incorporate the

Activity Hazard

Analyses (AHAs), and Safety and

Occupational Health

(SOH) Risks and

Compliance Plans

[General] Within 15 calendar days after contract award, within 15 calendar days of changes, and at least two working days prior to the commencement of work.

[For modifications]

Within 15 calendar days after modification is signed and at least two working days prior to the commencement of work.

[For non-recurring UPL and one-time work occurrences ]

With the associated proposal.

KO or

COR

1 As specified

0200000/ 2.9.6

J-0200000-09 NAVFAC Initial Mishap Notification

Report

Within four hours of occurrence.

KO or

COR

1 As required

Note: The Contractor shall submit a follow-up report for any updates when required by the

Government.

0200000/

2.9.6

J-0200000-10 NAVFAC Contractor

Incident Reporting

System (CIRS) Report

Initial: Within 12 hours of occurrence

KO or

COR

1 As required

Follow

-up:

Submit updates as needed

1 As required

Final: Within 30 days of occurrence

1 As required

0200000/

2.9.6

J-0200000-11 Weight Handling

Equipment (WHE)

Accident Report

Within 15 working days of accident.

KO or

COR

1 As required

0200000/

2.9.6

J-0200000-12 Initial Near Miss

Notification Report

Within 24 hours of occurrence.

KO or

COR

1 As required

0200000/

2.9.6

J-0200000-13 Crane and Rigging

Gear Near Miss

Report

Within 15 working days of occurrence.

KO or

COR

1 As required

DELIVERABLES

Annex/

Spec Item

Form

Attachment

Number Deliverable Title Date(s) of Submission

Distribution

Frequency Original

Copies

(including original)

0200000/

2.9.8

N/A Monthly On-Site

Labor Report *Refer to Spec Item 2.6.4.

0200000/

2.9.9.1

N/A LSIO Citations and

Violations Corrective Action Report

Within 48 hours after receiving a citation.

KO or

COR

1 As required

0200000/

2.9.10

N/A Contractor Safety

Inspection and

Monitoring Report

Within seven calendar days of Government request

KO or

COR

1 When requested

0200000/

2.9.11

N/A Safety Certifications Within 15 calendar days after award and as old certifications expire.

KO or

COR

1 As specified

0200000/

2.10.1.2

N/A Request for

Permission to Use

High-Energy

Consuming Tools or

Equipment

At least seven calendar days prior to use of the tools or equipment

KO or

COR

1 As specified

0200000/

2.10.2

N/A Environmental

Protection Plan

Within seven calendar days of Government request

KO or

COR

1 When requested

0200000/ 2.10.2.7

N/A Spill Prevention and Response Plan

Within 15 calendar days after contract award and prior to commencing work

KO or

COR

1 As specified

0200000/

2.10.2.8

N/A Request to Bring and/or Use Hazardous

Materials on

Installation

Within 15 calendar days after contract award, and at least seven calendar days prior to bringing or using the hazardous materials

KO or

COR

1 As required

0200000/

2.10.3

N/A Sustainable

Procurement and

Practices Plan

Within seven working days of Government request

KO or

COR

1 When requested

0200000/

2.10.3

N/A Sustainable Delivery of Services Report

Within seven working days of Government request

KO or

COR

1 When requested

0200000/ 2.10.3.2

N/A Recovered Material Certification

When a product containing recovered materials is equal to or better than the original and could be used; and at least

14 calendar days prior to use

KO or

COR

1 As specified

0200000/

2.14.1

N/A Recurring Work

Proposals

As specified in the RFP KO and

CS

1 When RFP is issued

2.15.1.1 N/A Non-Recurring Work

Quantities Report

By the fifth day of the following month

KO or

COR

1 Monthly

0200000/

2.15.2.1

N/A Non-Recurring Work

Proposals

As specified in the RFP KO and

CS

1 When RFP is issued

*Note: When the distribution is to “KO or COR,” the primal recipient shall be COR unless otherwise notified.

Refer to Spec Item 2.6.6 for the general requirements of all deliverables.

Annex/Spec Item: 0200000/2.2.1.2

Deliverables Form Preparation Instructions

Deliverable Title: Request to Work Outside Government’s Regular Working Hours

Form Attachment No.: N/A Government Approval Required: X Yes No

Media: X Hard Copy X Electronic (PDF/email) ___ Direct System Input

Instructions:

1. Required File Format: The request shall be prepared using a form that the Contractor considers appropriate.

2. Cover Sheet: The Government specified cover sheet is required. The cover sheet will be provided after contract award.

3. Purpose: For Government approval and acceptance.

4. Distribution List and Method of Submission: Hard copy to all affected divisions and/or activities. /

Electronic copy to KO or COR.

1) Take the request letter form (hard copy) to all affected divisions and/or activities for their approval as necessary.

2) The request letter endorsed (approved) by all affected divisions and/or activities shall be converted to PDF file and submitted to the KO or COR via email for acceptance.

3) If the KO or the COR accepts the request letter, the Government will notify the Contractor of

Government acceptance. If the KO or the COR responds with review comments, then incorporate the Government’s comments and resubmit the request letter to the KO or COR via email. Continue this cycle until the Government notifies the Contractor of the Government acceptance.

5. Content: The request shall contain but not be limited to:

contract number and title, Contractor name, requested work day and time, justification of the need to work outside Government’s regular working hours, endorsement from affected divisions and/or activities (if necessary), and as determined by the Contractor to include all applicable regulatory information.

6. Other Requirement: The submitted request shall accurately reflect its intended use.

7. Due Dates:

For approval: The request letter shall be submitted at least 15 calendar days prior to requested day.

For acceptance: The endorsed letter shall be submitted within three working days after the request is approved and prior to the requested day.

Annex/Spec Item: 0200000/2.3.1

Deliverable Title: Sign-In Sheets and Minutes

Form Attachment No.: N/A Government Approval Required: ___ Yes X No

Media: X Hard Copy X Electronic (PDF/email) ___ Direct System Input

1. Required File Format: The sign-in sheets and minutes shall be prepared using forms that the Contractor considers appropriate.

2. Method of Submission:

Sign-in sheets shall be printed out and provided at the meetings. After the meetings, the sign-in sheets shall be converted to PDF and electronically submitted with the meeting minutes.

Meeting minutes shall be converted to PDF and electronically submitted.

3. Purpose: For Government acceptance.

4. Distribution List: KO or COR

If the KO or the COR accepts the minutes, the Government will notify the Contractor of Government

If the KO or the COR responds to the minutes with review comments, then incorporate the Government’s comments and resubmit the minutes via email to recipients on the distribution list.

Continue this cycle until the Government notifies the Contractor of Government acceptance.

5. Content:

Sign-in Sheet: At a minimum, sign-in sheets shall contain the following:

Contract Number and Title

Date and Location of the meeting

Columns for attendees’ names, units/organizations, telephone numbers and e-mail addresses.

Minutes: At a minimum, minutes shall contain the following:

Contract Number and Title

Date, Time and Location of the meeting

Descriptions of the meeting (e.g., topics discussed, determinations made, etc.)

Any other information the Contractor considers necessary

6. Other Requirements

The submitted minutes shall accurately reflect its intended use.

7. Due Dates: The Contractor shall submit the meeting minutes within two working days after the meeting.

After first submission, if comments are received from the Government, the Contractor shall submit the revised minutes within two working days after receiving the Government comments.

Annex/Spec Item: 0200000/2.3.5

Deliverable Title: Certificate of Insurance

Form Attachment No.: N/A Government Approval Required: Yes X No

Media: ___ Hard Copy X Electronic (PDF/email) ___ Direct System Input

1. Method of Submission: Via email. The Certificate of Insurance shall be converted to PDF file, Adobe Acrobat form.

2. Purpose: For Government acceptance.

3. Distribution List: KO or COR

If the KO or the COR accepts the Certificate of Insurance, the Government will notify the

Contractor of Government acceptance.

If the KO or the COR responds with review comments, then incorporate the Government’s comments and resubmit the Certificate of Insurance via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government

4. Content: Copies of certificate of insurance listed under Spec Item 2.3.5.2, Minimum Insurance

Amounts of Annex 2.

Note: Copies of automobile insurance shall be submitted for all vehicles that will be mobilized on the Installation.

5. Other Requirement: The submitted Certificate of Insurance shall accurately reflect its intended use.

6. Due Dates: Within 15 calendar days after contract award; prior to the commencement of work; and for renewal, at least seven calendar days prior to the expiration of the existing policy

Annex/Spec Item: 0200000/2.5

Deliverable Title: Samples, Safety Data Sheets (SDS), or Manufacturer’s Data Cut Sheets

Form Attachment No.: N/A Government Approval Required: Yes X No

1. Method of Submission: Via email. The Samples Safety Data Sheets (SDS), or Manufacturer’s Data

Cut Sheets shall be converted to PDF file, Adobe Acrobat form.

If the KO or COR accepts the Samples, Safety Data Sheets (SDS), or Manufacturer’s Data Cut

Sheets, the Government will notify the Contractor of Government acceptance.

If the KO or COR responds with review comments, then incorporate the comments and resubmit the Samples, Safety Data Sheets (SDS), or Manufacturer’s Data Cut Sheets via email to recipient on the distribution list. Continue this cycle until the Government notifies the Contractor of

Government acceptance.

4. Other Requirements: The submitted Samples, Safety Data Sheets (SDS), or Manufacturer’s Data Cut

Sheets shall accurately reflect their intended use.

Note: As required in Spec Item 2.6.6, Deliverables of Annex 2, all submittals shall be translated in English. The Contractor shall submit the Samples, Safety Data Sheets (SDS), or Manufacturer’s Data

Cut Sheets with English translation.

5. Due Dates: The Samples, Safety Data Sheets (SDS), or Manufacturer’s Data Cut Sheets shall be submitted within seven calendar days of Government request.

Annex/Spec Item: 0200000/2.6.1

Deliverable Title: Cybersecurity Incident

Form Attachment No.: N/A Government Approval Required: Yes X No

1. Method of Submission: Via email. (The first notification may be given verbally.)

2. Purpose: For Government acknowledgement.

4. Content:

Date/Time of incident, Incident description, Action taken to mitigate the impact of the incident, Any other information relevant to the incident that the Government should know, and

Any additional information requested by the Government

5. Other Requirements:

If the first notification is given verbally, it shall be followed by an email notification.

The Contractor shall provide any additional information regarding the incident if requested by the

6. Due Dates: Immediately upon discovery during regular working hours and by 0800 the following work day for discoveries after regular working hours

Annex/Spec Item: 0200000/2.6.4

Deliverable Title: Daily Report

Form Attachment No.: J-0200000-04 Government Approval Required: ___ Yes X No

1. Required File Format: The report shall be prepared in accordance with the form provided in J-0200000-04.

2. Method of Submission: Via email. The report form shall be converted to PDF file, Adobe Acrobat form.

4. Distribution List: COR or PAR

If the COR or the PAR accepts the report, the Government will notify the Contractor of Government

If the COR or the PAR responds with review comments, then incorporate the Government’s comments and resubmit the report via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.

5. Content: All the work items performed, including non-recurring work items, must be reported and the report shall contain the following;

All items included in the form provided in J-0200000-04, all information required by the contract to be included in the Daily Report, Monthly On-Site Labor Hours: This information shall be included in the Daily Report. (Filling out the

Daily Report form each time work is performed should fulfill this requirement.)

The submitted report shall accurately reflect its intended use.

7. Due Dates: When any item of work is performed, the Daily Report shall be submitted by 10:00 am on the following work day. The monthly on-site labor hours (the total hours worked during the month) shall be included in the first Daily Report of the following month.

Annex/Spec Item: 0200000/2.6.5

Deliverable Title: Notification of any Difficulty in Scheduling Work

Form Attachment No.: N/A Government Approval Required: Yes X No

Media: Hard Copy X Electronic (PDF/email) ___ Direct System Input

1. Method of Submission: Via email.

2. Purpose: For Government acknowledgement.

4. Content: At a minimum, the notification shall include the following:

The date and time the work was initially coordinated, The name and phone number of the Government person with whom the work was initially coordinated, The name and phone number of the Government person who prevented the work from being performed as previously coordinated, and

The alternative date and time, the Government person requested the work be accomplished.

5. Other Requirement:

The Contractor shall provide any additional information if requested by the Government.

The notification shall accurately reflect its intended use.

6. Due Dates: By the end of the day when difficulty in scheduling work is encountered.

Annex/Spec Item: 0200000/2.6.9.1

Deliverable Title: Quality Management (QM) Plan

Form Attachment No.: N/A Government Approval Required: Yes X No

1. Required File Format: The QM Plan shall be prepared using a form that the Contractor considers

2. Method of Submission: Via email. The QM Plan shall be converted to PDF file, Adobe Acrobat form.

If the KO or the COR accepts the QM Plan, the Government will notify the Contractor of

If the KO or the COR responds with review comments, then incorporate the Government’s comments and resubmit the QM Plan via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.

5. Content: The QM Plan shall describe the Quality Management System (QMS) methodology and approaches used under this contract and include, at a minimum, the following:

Policy and objectives of QMS

Quality organization

List of personnel

Organization Chart

Responsibilities & lines of authority

Training and qualifications

Quality Manager resume

Approach to assuring quality of services provided and conformance with performance objectives and standards

Methods and procedures for effective planning, operation and control of processes and performance of work Procedures for inspection and surveillance of services to include all contractual requirements.

Scheduling and performance of inspection and surveillance

Measurement, data collection and analysis

Corrective action, preventive action, and continuous improvement

Oversight of subcontracted work

Documentation and records management

Communication with government (supported commands)

6. Other Requirement: The submitted QM Plan shall accurately reflect its intended use.

7. Due Dates: The QM Plan shall be submitted within 15 calendar days after contract award, and within seven calendar days of any change during the period of performance.

Annex/Spec Item: 0200000/2.6.9.2

Deliverable Title: Quality Inspection and Surveillance File

Form Attachment No.: N/A Government Approval Required: Yes X No

Media: Hard Copy X Electronic (PDF/CD) ___ Direct System Input

1. Required File Format: The Quality Inspection and Surveillance File shall be prepared using a form that the Contractor considers appropriate.

2. Method of Submission: The Quality Inspection and Surveillance File shall be converted to PDF file, Adobe Acrobat form, and burnt on to a CD or DVD.

If the KO or the COR accepts the Quality Inspection and Surveillance File; the Government will notify the Contractor of Government acceptance.

If the KO or the COR responds with review comments, then incorporate the Government’s comments and resubmit the Quality Inspection and Surveillance File via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of

5. Content: The Quality Inspection and Surveillance File shall contain all scheduled and performed inspections and surveillances, inspection and surveillance results, dates, and details of corrective and preventive actions.

The Quality Inspection and Surveillance File shall be made available during the Government’s regular working hours.

The submitted Quality Inspection and Surveillance File shall accurately reflect its intended use.

7. Due Dates: Within five calendar days after completion or termination of the contract.

Annex/Spec Item: 0200000/2.6.9.3

Deliverable Title: Contractor Quality Inspection and Surveillance Report

Form Attachment No.: N/A Government Approval Required: ____Yes X No

1. Required File Format: The Quality Inspection and Surveillance Report shall be prepared using a form that the Contractor considers appropriate.

2. Method of Submission: Via email. The Quality Inspection and Surveillance Report shall be converted to PDF file, Adobe Acrobat form.

If the KO or the COR accepts the Quality Inspection and Surveillance Report, the Government will notify the Contractor of Government acceptance.

If the KO or the COR responds with review comments, then incorporate the Government’s comments and resubmit the Quality Inspection and Surveillance Report via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of

5. Content

The Contractor Quality Inspection and Surveillance Report shall include a summary and results of the quality inspection and surveillance events performed and surveillance-driven corrective actions and process adjustments during the previous month(s).

As determined by the Contractor to include all applicable regulatory information.

6. Other Requirement: The submitted Quality Inspection and Surveillance Report shall accurately reflect its intended use.

7. Due Dates: The Quality Inspection and Surveillance Report shall be submitted on the first work day of each month. The Government may adjust the frequency of the submittal based on the Contractor’s quality of performance.

Annex/Spec Item: 0200000/2.6.10

Deliverable Title: Property Management Plan

Form Attachment No.: N/A Government Approval Required: ____Yes X No

1. Required File Format: The plan shall be prepared using a form that the Contractor considers

2. Method of Submission: Via Email. The plan shall be converted to PDF file, Adobe Acrobat form.

If the KO or the COR accepts the plan, the Government will notify the Contractor of Government

If the KO or the COR responds with review comments, then incorporate the Government’s comments and resubmit the plan via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.

5. Content: The plan shall contain but not be limited to:

contract number and title;

Contractor name;

Contractor’s policies, procedures, and practices in repairing, maintaining, preserving, protecting, and reporting any damage of the Government property; and

6. Other Requirement: The Contractor shall establish and maintain a plan that meets the contract clause requirements of Spec Item 2.4, Government-Furnished Property, Materials and Services, of this

Annex. The submitted request shall accurately reflect its intended use.

7. Due Dates: The request shall be submitted within 15 calendar days of Government request.

Annex/Spec Item: 0200000/2.7.1 (Page 1 of 2)

Deliverable Title: List of Key Personnel and Qualifications

Form Attachment No.: N/A Government Approval Required: Yes X No

1. Required File Format: The List of Key Personnel and Qualifications shall be prepared using the

Government specified resume form, which will be provided by the Government after contract award.

2. Method of Submission: Via Email. The resume forms and qualifications (certificates and licenses if applicable) shall be converted to PDF file, Adobe Acrobat form.

If the KO or the COR accepts the List of Key Personnel and Qualifications, the Government will notify the Contractor of Government acceptance.

If the KO or the COR responds with review comments, then incorporate the Government’s comments and resubmit the List of Key Personnel and Qualifications via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government

5. Content: The List of Key Personnel and Qualifications shall contain the following:

For initial submission:

- All items included in the Government-specified resume form,

- their qualifications (copies of their certificates and licenses, and credentials of the Competent

Person(s)), and

- Any additional information requested by the KO or the COR to validate their qualifications.

For addition or revision of Key Personnel:

- Request letter with justification of revising or appointing new Key Personnel and/or interpreter

(when applicable),

- The resume and qualifications of the new Key Personnel and/or interpreter (same information required for the initial submission), and

- Any additional information requested by the KO or the COR to certify their qualifications.

* Note: These instructions continue to the following page.

Annex/Spec Item: 0200000/2.7.1 (Page 2 of 2)

Deliverable Title: List of Key Personnel and Qualifications

Form Attachment No.: N/A Government Approval Required: Yes X No

* Note: Continued from the previous page.

6. Other Requirement

Technically, the interpreter is not included in the Key Personnel, but the Contractor shall submit the resume for the interpreter as part of this deliverable.

When requesting to add or revise Key Personnel, the revised Organizational Chart (see the following page) shall be submitted as well.

The submitted list and qualifications shall accurately reflect their intended use.

7. Due Dates

Initial submission: Within 15 calendar days after contract award.

For changes: At least 14 calendar days prior to appointing new personnel.

When requested by the Government: Within 14 calendar days after Government request.

Annex/Spec Item: 0200000/2.7.1

Deliverable Title: Organizational Chart

Form Attachment No.: N/A Government Approval Required: ___ Yes X No

1. Required File Format: The Organizational Chart shall be prepared using a form that the Contractor considers appropriate.

2. Method of Submission: Via Email. The Organizational Chart shall be converted to PDF file, Adobe

Acrobat form.

If the KO or the COR accepts the Organizational Chart, the Government will notify the Contractor of Government acceptance.

If the KO or the COR responds with review comments, then incorporate the Government’s comments and resubmit the Organizational Chart via email to recipients on the distribution list.

5. Content: The Organizational Chart shall contain:

lines of authority of the Key Personnel, on-site supervisor(s), and the interpreter (if applicable) for this contract;

names of personnel including any subcontractors to be used, their position titles and qualifications…