0200000 F Management and Administration.doc
DOC document 218 KB Posted
- Attached to
- LRS Support Services Federal contract opportunity
- Solicitation number
- N4019220R7040
About this file
This document outlines deliverables and reporting requirements for a management and administration contract. Key deliverables include quality management, safety, and environmental plans due within 15 days of award. Status reports such as daily quality inspection reports and monthly on-site labor reports are also required. Accident prevention plans and activity hazard analyses must be submitted for government approval. Notices for permits, licenses, personnel changes, and accidents are to be provided per the defined schedules. Sustainable procurement, water conservation, and hazardous materials plans and logs must be updated and reported annually.
View the file
Other files for this federal contract opportunity
Show all 50
LRS Support Services has more files on GovTribe.
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
0200000 – Management and Administration
SECTION F: DELIVERIES OR PERFORMANCE
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 |
| At least seven calendar days prior to requested day. |
| KO |
| 1 |
| As required |
0200000/
2.3.4
| N/A |
| Permits and Licenses |
| Before work commences and as requested by the KO. |
| KO |
| 1 |
| As specified |
0200000/
2.3.5
| N/A |
| Certificate of Insurance |
| Within 15 calendar days after award. |
| KO |
| 1 |
| As specified |
0200000/
2.6.7.1
| N/A |
| Quality Management Plan |
| Within 15 calendar days after award and within seven calendar days of changes. |
| KO |
| 1 |
| As specified |
0200000/
2.6.7.2
| N/A |
| QC Inspection File |
| Within five calendar days of completion/ termination of the contract. |
| KO |
| 1 |
| As specified |
0200000/
2.6.7.3
| N/A |
| Contractor Quality Inspection and Surveillance Report |
| Daily |
| KO |
| 1 |
| Daily |
0200000/
2.6.8
| N/A |
| Property Management Plan |
| Within 45 calendar days after award. |
| KO |
| 1 |
| As specified |
0200000/
2.7.1
| N/A |
| List of Key Personnel and Qualifications |
| Within 15 calendar days after award. |
| KO |
| 1 |
| As specified |
0200000/
2.7.1
| N/A |
| Organizational Chart |
| Within 15 calendar days after award. |
| KO |
| 1 |
| As specified |
0200000/
2.7.2.6
| N/A |
| Proof of Legal Residency |
| Prior to be admitted to site of work. |
| KO |
| 1 |
| As specified |
0200000/
2.7.3
| N/A |
| Contractor Labor Hours (eCMRA) Report |
| No later than 31 October |
| KO |
| 1 |
| Annually for labor executed during the period of performance during each Government fiscal year (FY) |
0200000/
2.8.1
| N/A |
| Employee List |
| Upon request. |
| KO |
| 1 |
| As required |
0200000/
2.8.8
| N/A |
| Personnel Security Investigation (PSI), Fingerprint Card (FD87), and OF-306 Declaration for Federal Employment |
| Prior to employee access to sensitive unclassified information. |
| KO/ |
Security Manager
| 1 |
| As required |
0200000/
2.9.1
| N/A |
| Accident Prevention Plan |
| Within 15 calendar days after award and within seven calendar days of changes. |
| KO |
| 1 |
| As specified |
0200000/
2.9.2
| N/A |
| Activity Hazard Analysis |
| Together with the Accident Prevention Plan and for changes. |
| KO |
| 1 |
| As specified |
0200000/
2.9.3
| N/A |
| Compliance Plans, Programs, and Procedures |
| Together with the Accident Prevention Plan and for changes. |
| KO |
| 1 |
| As specified |
0200000/
2.9.4
| J-0200000-05 |
| NAVFAC Contractor Incident Reporting System (CIRS) |
| Within five calendar days of accident. |
| KO |
| 1 |
| As required |
0200000/
2.9.4
| J-0200000-05 |
| Weight Handling Equipment Accident Report |
| Within 15 working days of accident. |
| KO |
| 1 |
| As required |
0200000/
2.9.4
| J-0200000-05 |
| Crane and Rigging Gear Near Miss Report |
| Within 15 working days of accident. |
| KO |
| 1 |
| As required |
0200000/
2.9.7
| N/A |
| Monthly On-Site Labor Report |
| First work day of each month. |
| KO |
| 1 |
| Monthly |
0200000/
2.9.8
| N/A |
| OSHA Citations and Violations Corrective Action Report |
| Within 48 hours after receiving a citation. |
| KO |
| 1 |
| As required |
0200000/
2.9.10
| N/A |
| Safety Certifications |
| Within 15 calendar days after award and as old certifications expire. |
| KO |
| 1 |
| As specified |
0200000/
2.10.1.1
| N/A |
| Water Conservation Plan |
| Within 15 calendar days after award and for changes. |
| KO |
| 1 |
| As specified |
| 0200000/ 2.10.2.4 |
| N/A |
| Spill Prevention Containment and Clean-Up |
| Within 15 calendar days after contract award and not less than 10 working days after occurrence. |
| KO |
| 2 |
| As specified |
| 0200000/ 2.10.2.5 |
| N/A |
| Contractor Hazardous Material Inventory Log |
| Within 15 calendar days after the end of each calendar year and at termination of the contract. |
| KO |
| 2 |
| Annually |
0200000/
2.10.3
| N/A |
| Sustainable Procurement and Practices Plan |
| Within 15 calendar days after award and within 15 calendar days after exercised option periods. |
| KO |
| 1 |
| Annually |
0200000/
2.10.3
| N/A |
| Sustainable Delivery of Services Report |
| Within five calendar days after each contract period. |
| KO |
| 1 |
| Annually |
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:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Permit and Licenses
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall without additional expense to the Government, obtain all required permits, licenses, clearances, and authorizations to perform work under this contract and comply with applicable federal, state and local activity laws. In addition, the contractor shall provide evidence of such permits and licenses to the Contracting Officer before work commences and at other times as requested by the Contracting Officer or Government representative.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Certificate of Insurance
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
Within 15 calendar days after award of this contract, the Contractor shall submit a Certificate of Insurance as evidence of the existence of the following insurance coverage in amounts not less than the amounts specified in accordance with the FAR Clause 52.228-05, INSURANCE – WORK ON A GOVERNMENT INSTALLATION. This insurance must be maintained during the performance period.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Quality Management Plan
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
Within 15 calendar days after award of the contract, the Contractor shall develop and submit a QM Plan. The QM Plan shall describe the QMS methodology and approaches used under this contract. Within seven calendar days of any change during period of performance, submit to the KO a revised QCP for acceptance.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: QC Inspection File
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall establish and maintain an inspection and surveillance system in accordance with the FAR Clause 52.246-4, INSPECTION OF SERVICES – FIXED PRICE, to ensure that the work performed conforms to the contract requirements. The Contractor shall document and maintain a file of all scheduled and performed inspections and surveillances, inspection and surveillance results, and dates and details of corrective and preventive actions. The quality inspection and surveillance file shall be the property of the Government and made available during the Government’s regular working hours. The file shall be turned over to the KO within five calendar days of termination of the contract.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Contractor Quality Inspection and Surveillance Report
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall submit a daily copy (8 AM of following day) of the Contractor Quality Inspection and Surveillance. The Contractor Quality Inspection and Surveillance Report shall include a summary and results of the quality inspection and surveillance events performed and assessment-driven corrective actions and process adjustments during the previous day. The Government may adjust the frequency of the submittal based on the Contractor’s quality of performance.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Property Management Plan
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall establish and maintain a plan that meets the contract clause requirements of Specification Item 2.4, Government-Furnished Property, Materials and Services, of this Annex. This plan shall identify the Contractor’s policies, procedures, and practices in receiving and performing physical inventories, repairing and maintaining, preserving and protecting, and reporting the disposition of accepted government property in its possession. The plan be submitted within 45 calendar days after award
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: List of Key Personnel and Qualifications
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
Within 15 calendar days after award of the contract, for other than qualification requirements required to be submitted with the offer, the Contractor shall submit to the Contracting Officer a List of Key Personnel and their qualifications and any additional information requested by the Contracting Officer to certify their qualifications.
The Contractor shall submit to the Contracting Officer an Organizational Chart showing lines of authority of the key personnel and on-site supervisor(s) for this contract. The chart shall include names of personnel and their position title in this contract. As a minimum, include the PM, Quality Manager, SSHO, and on-site supervisor(s) and who they will report directly to for this contract. The key personnel shall be revised as applicable for the contract.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance
Deliverables Form Preparation Instructions
Deliverable Title: Organizational Chart
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The report shall be prepared using Microsoft Office software.
The Contractor shall submit to the Contracting Officer an Organizational Chart showing lines of authority of the key personnel and on-site supervisor(s) for this contract. The chart shall include names of personnel and their position and title related to this contract. As a minimum, include the PM, Quality Manager, SSHO, and on-site supervisor(s) and who they will report directly to for this contract.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Proof of Legal Residency
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall submit Proof of Legal Residency for all employee or representative upon contract award. No employee or representative will be admitted to the site of work unless satisfactory Proof of Legal Residency is furnished.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Contractor Labor Hours (eCMRA) Report
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall report all contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address: https://doncmra.nmci.navy.mil.
Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Employee Listing
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall maintain a current Employee List and submit upon request The list shall include employee’s name, social security number, and level of security clearance.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Personnel Security Investigation (PSI), Fingerprint Card (FD87), and OF-306 Declaration for Federal Employment
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
Upon a favorable NACI, the Contractor personnel shall provide the completed Personnel Security Investigation (PSI) to the Security Manager along with the original signed release statements and applicant fingerprint card (FD87). The Contractor shall be responsible for providing the fingerprint card.
The request shall be renewed annually or for the duration of the contract if less than one year.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Accident Prevention Plan
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall develop and implement a site Accident Prevention Plan (APP) and submit within 15 calendar days after award. The APP shall be prepared by the Contractor’s SSHO and shall be followed by all Contractor employees, subcontractors, and vendors at each service site.
The APP shall follow the format and include all elements addressed in Appendix A of EM 385-1-1. The APP shall incorporate Activity Hazard Analyses (AHAs) and Occupational Risk and Compliance Plans and Programs that are relevant to the site specific hazards and controls for each activity and type of work that may be encountered in the performance of this contract.
The Contractor shall review, update, and submit revisions to the APP whenever a change in work conditions, hazards, or activities occur within 7 days of change. Submittal of the APP shall include Activity Hazard Analyses (AHAs).
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Activity Hazard Analysis
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall prepare Activity Hazard Analyses (AHAs) for all applicable common recurring work activities performed under this contract. AHAs for recurring work shall be submitted with the APP
AHAs shall follow format of Figure 1-2 of EM 385-1-1 and shall explain the following as detailed in the EM 385-1-1:
· The steps of the service process;
· Identify potential hazards that exist as a result of the Contractor’s service process within the environment;
· Measures or plans of actions to safely remove potential hazards away from people in and around the service process and environment;
· Specific materials and equipment necessary to safely remove potential hazards away from people in and around the service process and environment;
· Inspection requirements to assure service activity is safe; and
· Training of service personnel to be aware of potential hazards and measures or plans of actions to be used to remove hazards from service environment.
During performance of services, the SSHO shall periodically review the AHA at each service site and for each sub-annex to assess the effectiveness of the Contractor’s overall APP. If changes to the AHAs are required, such changes shall be submitted to the KO for review and acceptance within 7 days of change.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Compliance Plans, Programs, and Procedures
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall develop, provide and implement occupational risk and compliance plans, as necessary for the situation or types of work to be performed under this contract. These plans shall be submitted with the APP and shall be updated as situations change. Additional plans as referenced in Appendix A of EM 385-1-1 shall be developed as applicable when new types of work are required under this contract.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: NAVFAC Contractor Incident Reporting System (CIRS)
Form Attachment No.: J-0200000-05
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall report all accidents, mishaps, and near misses to the KO per NAVFAC Contractor Incident Reporting System (CIRS) in a timely manner as described below:
· An Initial Accident Reporting Notification Report shall be developed by the Contractor per attachment J-0200000-05 and provided to the KO immediately after that an accident, or near miss, has occurred. The Contractor may not have all the facts and information regarding the actual incident or near miss at the time of the initial report. However, it is the Government’s desire to receive notification of all mishap situations as early as possible.
· The Contractor shall develop a Follow-on Accident Reporting Notification Report and shall and provide a copy to the KO by close of business the day of the accident, or if the accident occurs after hours, at start of business the following morning. Follow-on reports shall be required daily until the Contractor can send a final, conclusive report of the nature, cause, and outcome of the accident.
The Contractor shall provide a Final Accident Reporting Notification Report of the accident to the KO within 24 hours after completing the investigation of the accident.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Weight Handling Equipment Accident Report
Form Attachment No.: J-0200000-05
Government Approval Required:
X Yes No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
3. The Contractor shall notify the Contracting Officer as soon as practical, but no more than four hours after any accident meeting the definition of Recordable Injuries or Illnesses or High Visibility Accidents, property damage equal to or greater than $2,000, or any Weight Handling Equipment (WHE) accident. Within notification include Contractor name; contract title; type of contract; name of activity, installation or location where accident occurred; date and time of accident; names of personnel injured; extent of property damage, if any; extent of injury, if known, and brief description of accident (to include type of equipment used, PPE used, etc.). Preserve the conditions and evidence on the accident site until the Government investigation team arrives on-site and Government investigation is conducted.
4. The Contractor shall conduct an accident investigation for recordable injuries and illnesses, for accidents requiring Medical Treatment, property damage accidents resulting in at least $20,000 in damages, and near misses as defined in EM 385-1-1, to establish the root cause(s) of the accident. The Contractor shall complete the applicable NAVFAC Contractor Incident Reporting System (CIRS), and electronically submit via the NAVFAC Enterprise Safety Applications Management System (ESAMS) per Section F.
Deliverables Form Preparation Instructions
Deliverable Title: Crane and Rigging Gear Near Miss Report
Form Attachment No.: J-0200000-05
Government Approval Required:
_X__ Yes No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The report shall be prepared using Microsoft Office software.
See Section C 0200000 specification item 2.9.5 Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Monthly On-Site Labor Report
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall submit a monthly On-Site Labor Report. This report is a compilation of employee-hours worked each month for all site workers, both prime and subcontractor.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: OSHA Citations and Violations Corrective Action Report
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall correct violations and citations promptly and provide a copy of each OSHA citation and OSHA report with written OSHA Citations and Violations Corrective Action Report to the KO within 48 hours after receiving a citation.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Safety Certification
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall submit copies of all the required Federal, state, county, city and industry safety related Safety Certifications for work performed within 15 calendar days after award under this contract. These certifications shall be kept up to date by the Contractor. The Contractor shall submit new versions of certifications as the old certifications expire. No work, that requires a certification, shall start without a valid and approved certification
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Water Conservation Plan
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The Contractor shall develop, submit and implement a Water Conservation Plan within 15 calendar days after award and changes.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Emergency Planning and Community Right-To-Know Act (EPCRA) Report
Form Attachment No.: N/A
Government Approval Required:
X Yes ___ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
1. The report shall be prepared using Microsoft Office( software.
2. Include the following:
a. EPCRA Plans and Procedures:
1) Hazardous Materials Planned for Use: Include an inventory of hazardous materials planned for use, including estimated quantities, and a copy of the corresponding safety data sheets (SDS) for hazardous materials expected to be used for this contract during each calendar year. The inventory shall include all information required to complete the Contractor Hazardous Material Inventory Log shown in the Form Attachment. This report shall be submitted to the KO and Environmental Compliance Office via the KO.
2) Plan for protecting personnel and property during the transport, storage, and use of the materials.
3) Emergency procedures for spill response and disposal, including a site map with approximate quantities on site at any given time. The site map, showing where the hazardous substances are stored, shall be attached to the inventory.
4) Approved labeling system to identify contents of all containers on-site.
b. Hazardous Materials Actually Used: Include an inventory of the actual hazardous materials used, including include quantities, to the KO and Environmental Compliance Office via the KO. The inventory shall include all information required to complete the Contractor Hazardous Material Inventory Log shown in the Form Attachment.
3. Submit additional information to the Government as requested to support EPCRA reporting requirements.
Deliverables Form Preparation Instructions
Deliverable Title: Contractor Hazardous Material Inventory Log
Form Attachment No.: N/A
Government Approval Required:
X Yes ___ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
3. The Contractor shall submit an Emergency Planning and Community Right to Know Act (EPCRA) Report and Contractor Hazardous Material Inventory Log per Section F.
Deliverables Form Preparation Instructions
Deliverable Title: Sustainable Procurement and Practices
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
Within 15 calendar days after award of the contract, the Contractor shall submit to the KO a Sustainable Procurement and Practices Plan that will identify how the Contractor will comply with all applicable Federal, state and local laws and regulation, including Executive Order 13423, Installation Water Conservation Programs and energy reduction requirements. The plan shall specifically address the following components:
· Recycled contents products
· Energy/Water efficiency
· Alternate Fuels and Alternate Fuel Vehicles
· Bio-Based Products
· Non-Ozone Depleting Products
· Environmental Preferred Products and Services
· Low/Non-Toxic and Hazardous Materials The Contractor shall submit an annual Sustainable Delivery of Services Report.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Sustainable Delivery of Services Report
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
The report shall be prepared using Microsoft Office software.
The Contractor shall submit an annual Sustainable Delivery of Services Report Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
Deliverables Form Preparation Instructions
Deliverable Title: Use of Recovered Materials
Form Attachment No.: N/A
Government Approval Required:
X Yes _ No
Media:
___ Hard Copy X Electronic ___ Direct System Input
Instructions:
Listings of EPA designated products containing recovered materials are found in 40 CFR 247. Make recommendation and submit Recovered Material Certification, when a product containing recovered materials is equal to or better than the original and could be used for this contract. All changes of products must be accepted by the KO before it is used.
The report shall be prepared using Microsoft Office Word( software.
Submit a copy via email to recipients on the distribution list for Government review and comment.
1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.
2. If the KO responds to the request with review comments, then incorporate the Government’s comments and resubmit the request via email to recipients on the distribution list. Continue this cycle until the Government notifies the Contractor of Government acceptance.
File details come from the government source that posted it. Updated .