N6945013R7999SectionJAmendment0011.pdf

SECTION J

DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

TABLE OF CONTENTS

ATTACHMENT NUMBER ATTACHMENT TITLE

J-0200000-01 DEFINITIONS AND ACRONYMS

J-0200000-02 REQUIRED CONFERENCES AND MEETINGS

J-0200000-03 REFERENCES, INSTRUCTIONS, DIRECTIVES

J-0200000-04 INVOICING PROCEDURES

J-0200000-05 FORMS

J-0200000-06 GOVERNMENT-FURNISHED PROPERTY, MATERIALS, AND SERVICES

J-0200000-07 COMMANDER, NAVY REGION SOUTHEAST INSTRUCTION 4101.1

J-0200000-08 EXHIBIT LINE ITEM NUMBERS

N69450-13-R-7999 Section J

Amendment 0011

ATTACHMENT J-0200000-01

DEFINITIONS AND ACRONYMS

Definition Description Competent Person A person who has the professional experience and training necessary to identify existing and predictable hazards at a work or service environment, and who has the authority to take prompt and corrective action to eliminate or remove dangers from the environment.

Confined Work Space A space that is large enough and so configured that a person may bodily enter a space (such as in tanks, vessels, silos, storage bins, hoppers, vaults, pits, and like spaces where there is limited means of entry) and is hindered or restricted from escaping during an emergency.

Contracting Officer

(KO)

That individual with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings. The term includes certain authorized representatives of the Contracting Officer acting within the limits of their authority as delegated by the Contracting Officer.

Contractor That entity or its representative responsible for the delivery of the services or materials specified in this contract, as designated by contract award. The term Contractor as used herein refers to both the prime Contractor and any subcontractors. The prime Contractor shall insure that subcontractors comply with the provision of this contract.

Contractor Representative

That individual appointed by the Contractor, either orally or in writing, who has been assigned responsibility for executing the requirements of this contract.

Direct Material Costs Material requirements shall include a list of materials establishing the size, quality, number of units, and unit prices. The actual vendor invoice charges for materials used for performance of work under this contract. Direct material costs shall include transportation charges when such charges are included on the invoice by the vendor, as well as any discounts allowed for prompt payment and discounts or rebates for core value or salvage value that accrue to the Contractor. The contractor shall include shipping and handling costs and the cost to ship on a barge in the direct material burden rate. When questions arise concerning the cost of materials, material costs will be based on the lowest of quotes provided by the Contractor from at least three different commercial vendors for the direct material cost. The Government retains the right to obtain additional quotes in questionable situations. The lowest price will be used.

All indirect cost associated with performing work, such as: the Contractor’s hourly composite trade wage, adjusted to allow for workforce productivity; sub-contractor cost, costs for pre-expended bin materials, union agreements, crew sizes, hand tools, payroll burdens and fringes, overtime, job (field) overhead (including clerical support, supervision, inspection, fees, taxes, licenses, permits, and insurance), general and administrative (home office) overhead, profit, and all other associated markups shall not be included in the direct material cost since the cost for these items were included in the labor hour unit price bid.

Additionally, time for job preparation, safety standby personnel, and similar indirect labor elements shall not be included.

Electronic Operation And Maintenance And Support Information (eOMSI) eOMSI is a set of consultant-prepared data manuals that contain detailed, as-built technical information that describes the efficient, economical and safe operation, maintenance and repair of a facility, plant, equipment or system throughout its life cycle. Generally prepared following completion of new construction facility or major facility upgrade.

eOMSI’s typically include staffing and budgeting information, supply support including critical spare parts, operating procedures, troubleshooting and diagnostic guides, extended warranty data, maintenance task frequencies and documentation, technical data, repair procedures and manufacturer’s product data.

N69450-13-R-7999 Section J

Equipment Tangible asset that is functionally complete for its intended purpose, durable, and non-expendable. Equipment requirements shall include a list of equipment establishing the size, quality, number of units, and unit prices. Equipment prices provided by the Contractor shall be the lowest price available considering the availability of equipment and the time constraints of the job. The direct equipment price shall be adjusted by all discounts and rebates that accrue to the Contractor.

All indirect cost associated with construction equipment, such as: the Contractor’s hourly composite trade wage, adjusted to allow for workforce productivity; sub-contractor cost, costs for pre-expended bin materials, union agreements, crew sizes, hand tools, universal equipment (excluding construction equipment), payroll burdens and fringes, overtime, job (field) overhead (including clerical support, supervision, inspection, fees, taxes, licenses, permits, and insurance), general and administrative (home office) overhead, profit, and all other associated markups shall not be included in the equipment price since the cost for these items were included in the labor hour unit price bid. Additionally, time for job preparation, safety standby personnel, and similar indirect labor elements shall not be included.

Facility A building or structure designed and created to serve a particular function.

Frequency Of Service Annual (A). Services performed once during each 12-month period of the contract at intervals of 335 to 395 days.

Biennial (B). Services performed once during each 24-month period of the contract at internals of 670 to 790 days.

Daily (D5). Services performed once each calendar day, Monday through Friday, including holidays unless otherwise noted.

Daily (D7). Services performed once each calendar day, seven days per week, including weekends and holidays.

Monthly (M). Services performed 12 times during each 12-month period of the contract at intervals of 28 to 31 calendar days.

Quarterly (Q). Services performed four times during each 12-month period of the contract at intervals of 80 to 100 calendar days.

Semiannual (SA). Services performed twice during each 12-month period of the contract at intervals of 160 to 200 calendar days.

Semimonthly (SM). Services performed 24 times during each 12-month period of the contract at intervals of 14 to 16 calendar days.

Three times weekly (3W). Services performed three times a week, such as Monday, Wednesday, and Friday.

Twice weekly (2W). Services performed twice a week, such as Monday and Thursday or Tuesday and Friday.

Weekly (W). Services performed 52 times during each 12-month period of the contract at intervals of six to eight calendar days.

Infrastructure Condition Assessment Program

(ICAP)

A comprehensive assessment processes for planning, managing, and executing Navy infrastructure inspections.

Integrated Maintenance Program (IMP)

IMP is a recurring state-of-the-art, reliability-centered inspection, testing, maintenance and repair program that determines best practices for managing the functions and consequences of failures of facilities equipment and system components. IMP encompasses accepted commercial practices, including reactive, preventive, predictive and proactive maintenance, into one optimal program. The IMP approach gives the Contractor full responsibility to maintain systems and equipment and perform repairs whenever necessary to ensure equipment and systems are operational and remain in a constant state of readiness. Service calls will not be issued for accomplishment of repairs on systems and equipment maintained under IMP.

N69450-13-R-7999 Section J

JTF Commissions Each JTF Commission lasts for one week (7 days). The Government will provide the

Commission schedule at least two weeks in advance to the actual Commission begin date;

however, Commissions may be canceled at any time. Commissions are held at McCalla Airfield (Camp Justice, Expeditionary Legal Complex (ELC), and the CLOe OMC Buildings.)

Maintenance And Repair

The preservation or restoration of a piece of equipment, system, or facility to such condition that it may be effectively used for its designated purposes. Maintenance/repair may be adjustment, overhaul, reprocessing, or replacement of constituent parts or materials that are missing or have deteriorated by action of the elements or usage, or replacement of the entire unit or system if beyond economical repair.

R. S. Means A data collection and organization system developed by R. S. Means Company which can be used to prepare accurate, dependable construction estimates and budgets in a variety of ways. The Contractor shall use the latest edition. Material prices are based on a national average and computed labor costs are based on a 30-city national average. An estimate prepared using this data is called a "Means estimate"; data may simply be referred to as "Means".

Measurement Ton (MT) One Measurement Ton (1MT) equals 2000 pounds or 40 cubic feet.

Monthly On-Site Labor Report

A compilation of all Contractor and subcontractor employee-hours involved in delivering contract services on a Government property.

Performance Assessment

A method used by the Government to provide some measure of control over the quality of purchased goods and services received.

Performance Assessment Representative (PAR)

That individual designated by the KO to be responsible for the monitoring of Contractor performance.

Pre-Expended Bin Materials And Supplies

The minor materials and supplies that are incidental to the job, for which the total direct cost of any one material line item shown on the material estimate is $10.00 or less.

Examples of pre-expended bin materials and supplies include, but are not limited to, solder, lead, flux, electrical connectors, electrical tape, fuses, nails, screws, bolts, nuts, washers, spacers, masking tape, sand paper, solvent, cleaners, lubricants, grease, oil, rags, mops, glue, epoxy, spackling compound, joint tape, plumbers tape and compound, clips, welding rods, and touch up paint.

Property Administrator An authorized representative of the Contracting Officer who is responsible for administering contract property requirements, terms and conditions of the contract

Property Management Program

A Government program established for the purpose of reviewing and approving the Contractor’s Property Management Plan and System through performance of a system analysis whenever government property is in the possession of the Contractor.

Quality Control (QC) A method used by the Contractor to control the quality of goods and services produced.

Response Time The time allowed the Contractor after initial notification of a work requirement to be physically on the premises at the work site with appropriate personnel, tools, equipment, and materials, ready to perform the work required.

Shipping Costs Shipping costs consist of all inland and ocean freight charges including off/on loading, container consolidation, manifesting and documentation.

System An assemblage of mechanically and/or electrically interlocked parts, equipment, and components forming a unitary whole.

N69450-13-R-7999 Section J

Unit Priced Labor (UPL) Hour

The unit price bid by the Contractor to perform one hour of work-in-place. With the exception of direct material and construction equipment costs, the unit priced labor hour price shall include all indirect and direct costs associated with performing work, such as:

the Contractor’s hourly composite trade wage, adjusted to allow for workforce productivity; sub-contractor cost, costs for pre-expended bin materials, union agreements, crew sizes, hand tools, equipment, payroll burdens and fringes, overtime, job (field) overhead (including clerical support, supervision, inspection, fees, taxes, licenses, permits, and insurance), general and administrative (home office) overhead, profit, and all other associated markups. Any indirect cost or additional markups not allowed in the definition of direct materials shall be included in the UPL price. Additionally, time for job preparation, safety standby personnel, and similar indirect labor elements are included.

N69450-13-R-7999 Section J

Acronym Title ACO Administrative Contracting Officer BW Biweekly CDR Contract Discrepancy Report CIA Controlled Industrial Area CMMS Computerized Maintenance Management System COR Condition of Readiness DBH Diameter at Breast Height DoD Department of Defense DoN Department of Navy DRMO Defense Reutilization Management Office EPA Environmental Protection Agency EPCRA Emergency Planning and Community Right-to-Know Act FAR Federal Acquisition Regulation FFP Firm Fixed Price FIFRA Federal Insecticide, Fungicide, and Rodenticide Act FSC Facility Support Contract GFE Government-furnished Equipment GFF Government-furnished Facilities GFM Government-furnished Materials GPWS Guide Performance Work Statements HCA Head Contracting Agency ICP Integrated Contingency Plan IDIQ Indefinite Delivery Indefinite Quantity IPM Integrated Pest Management IPMIS Integrated Pest Management Information System IPMP Integrated Pest Management Plan KO Contracting Officer LAN Local Area Network M Monthly MSDS Material Safety Data Sheets NAVFAC Naval Facilities Engineering Command NMCI Navy Marine Corps Intranet NOSC Navy-On-Scene Coordinator PAP Performance Assessment Plan PAR Performance Assessment Representative PAW Performance Assessment Worksheet PEO Program Executive Officer PM Project Manager PRCSP Permit Required Confined Space Program PWS Performance Work Statement Q Quarterly QC Quality Control SC Security Clearances SM Semimonthly SPAR Senior Performance Assessment Representative TE Technical Exhibit VIQ Variation in Quantity WBS Work Breakdown Structure

ATTACHMENT J-0200000-02

REQUIRED CONFERENCES AND MEETINGS

Required Conferences and Meetings Frequency Administrative and Coordination Meetings As scheduled by the KO Pre-performance Conference As scheduled by the KO Performance Assessment Board Meetings As scheduled by the KO Partnering Sessions Refer to Section C 0200000 Spec Item 2.3.2.1 Installation Energy Management Refer to Section C 0200000 Spec Item 2.10.1 All Others As scheduled by the KO.

ATTACHMENT J-0200000-03

REFERENCES, INSTRUCTIONS, DIRECTIVES

All revisions and replacements of listed References and Technical Documents take precedent of those listed.

Reference Title

29 CFR 1910 Occupational Safety and Health Standards

29 CFR 1926 Safety and Health Regulations for Construction

40 CFR 82 Federal Solid Waste Disposal

40 CFR 136 Code of Federal Regulations (Protection of Environment)

40 CFR 261 Identification and Listing of Hazardous Waste

40 CFR 262 Generators of Hazardous Waste

40 CFR 263 Transporters of Hazardous Waste

40 CFR 264 Owners and Operators of Hazardous Waste Treatment, Storage, and Disposal Facilities

40 CFR 265 Interim Status Standard for Owners and Operators of Hazardous Waste Treatment Storage, and Disposal Facilities

49 CFR 171 General Information, Regulations, and Definitions

49 CFR 172 Hazardous Materials, Tables, and Hazardous Materials

49 CFR 178 Shipping Container Specification

ASME B30.22 Articulating Boom Cranes

ASME B30.3 Tower Cranes

ASME B30.5 Mobile and Locomotive Cranes

ASME B30.8 Floating Cranes and Floating Derricks

Commander Navy Region Southeast Instruction 4101.1

Commander Navy Region Southeast Energy Management Program Instruction 4101.1

DoD Directive 6050.16 Establishing and Implementing Environmental Standards at Overseas Installations

EM 385-1-1 U.S. Army Corps of Engineers Safety and Health Requirements

EP 1110-1-8 (Vol. 11) July 03 or latest revision) Chapter 2

US Army Corp of Engineers “Construction Equipment Ownership and Operating Expense Schedule

EXECUTIVE ORDER 13148 Greening the Government through Leadership in Environmental Management

Executive Order 13423 Strengthening Federal Environmental, Energy, and Transportation Management

FGS Final Governing Standards

NAVSTAGTMOINST

1710.10

Outdoor Recreational and Wildlife Instruction

NAVSTAGTMOINST 5090.1 Hazardous Waste Management Plan

NAVSTAGTMOINST 5090.4 Standard Operating Procedures for Landfill

NAVSTAGTMOINST 5090.7 Pollution Control Procedures for Oil and Hazardous Substances

NAVSTAGTMOINST 5090.8 Asbestos Program Management

NAVSTAGTMOINST Hazardous Material/Excess Hazardous Material Control and Safety Program

N69450-13-R-7999 Section J

5100.13

NAVSTAGTMOINST

Instruction 11300.3 series

GTMO Base Energy Conservation Regulation

NAVSTAGTMOINST

Instruction 4400.2B

Consolidated Hazardous Material Reutilization and Inventory Management Program.

NAVSTAGTMOINST

6242.1B

Domestic Animal Control Program

NAVFAC P-300 Management of Transportation Equipment

NAVFAC P-306 Testing and Licensing of Construction Equipment Operators Equipment operators

NAVFAC P-307 Testing and licensing of weigh handling and Construction equipment operators

NAVFAC Instruction 11330.14A, Safe Drinking Water at Naval Shore Activities

NFPA (all) National Fire Protection Association Standards

OPNAVINST 4100.5D Energy Management

Chapter 21, OPNAVINST 5090.1

OVERSEAS ENVIRONMENTAL COMPLIANCE ASHORE

OEBGD Overseas Environmental Baseline Guidance Document

OPNAV Instruction 4100.5 Series

Energy Management

OPNAVINST 6240.3 Environmental Protection Manual

P.L. 91-596 Occupational Safety and Health Act

SECNAV Instruction 4100.9A Department of the Navy (DON) Shore Energy Management UFGS 01 35 26 Unified Facilities Guide Specifications

UFC 1-201-01 Non-Permanent DOD Facilities In Support of Military Operations

N69450-13-R-7999 Section J

ATTACHMENT J-0200000-04

INVOICING PROCEDURES

Refer to clause 5252.232-9301 in the RFP for Invoicing Procedures Electronic (Feb 2009) and DFARS Clause 252.232-7003 titled “Electronic Submission of Payment Request.”

ATTACHMENT J-0200000-05

FORMS

Forms Description COMNAVBASEGTMOINST 11300.4G Clearance Request For Excavation Operation Form (See Form Below) CSIR Contractor Significant Incident Report (See Form Below)

COMNAVBASEGTMOINST 11300.4G

(DATE)

FROM: ___________________________________________ PHONE EXT.: ____________________

(ORGANIZATION)

TO: DIGGING PERMIT PROGRAM MANAGER, FMED, PUBLIC WORKS DEPARTMENT

U.S. NAVAL STATION, GUANTANAMO BAY, CUBA

SUBJ: CLEARANCE REQUEST FOE EXCAVATION OPERATION

REF: (a) COMNAVBASEGTMOINST 11300, 4G

1. PER REFERENCE (a), REQUEST THAT A CLEARANCE FOR EARTH EXCAVATION BE ISSUED FOR THE

PROJECT DESCRIBED BELOW.

A. LOCATION: _________________________________________________________________

B. TYPE OF EXCAVATION: ______________________________________________________

C. REASON: ___________________________________________________________________

D. EQUIPMENT TO BE USED: ____________________________________________________

E. DESIRED START DATE: ______________________________________________________

F. ANTICIPATED COMPLETION DATE: ___________________________________________

2. A DRAWING SHOWING THE AREA OF EXCAVATION IS ATTACHED. THE PROJECT SITE HAS ALSO BEEN

STAKED OR MARKED WITH SPRAY PAINT TO SHOW THE LIMITS OF CONSTRUCTION.

REQUESTOR NAME SIGNATURE

SERVICE CALL TYPE:

- REGULAR AUTHORIZED BY: _________________________________________

- EMERGENCY GOVERNMENT REPRESETATIVE

Initial Report Follow-up Report Final Report

Contractor Significant Incident Report (CSIR)

1. General Information Contracting Activity:

Accident Classification:

Injury Fatality Environment Procedural Issues

Lessons Learned Illness Property Damage Other_______________________________

Involving:

Confined Space Equip/Mrt Ver/Mat Handling (Heavy Construction Equip.)

Hazardous Material Crane and Rigging Equip/Mrt Ver/Mat Handling (Material Handling)

Trenching/Excavation Diving Equip/Mrt Ver/Mat Handling (Man-Lift/Elevated Platform)

Waterfront/Marine Operations

Demolition/Renovation Fall from Ladder Fall from Scaffold

Other___________________ Electrical Fall from Roof Fire

2. Personal Information Name (Last, First, MI):

Age: Sex:

Job Title/Description:

Employed By:

Supervisor Name (Last, First, MI) & Title:

Was the person trained to perform this activity/task?

Yes No What type of training was received (OJT, classroom, etc)?

Date of the most recent formal training and topics discussed?

3. Witness Information Witness #1: Name (Last, First, MI):

Supervisor Name (Last, First, MI):

Witness #2: Name (Last, First, MI):

Supervisor Name (Last, First, MI):

Additional Witnesses:

Yes No

4. Contract Information Type of Contract:

A/E BOS CLEAN Construction Design Build

FSCC FSSC

JOC RAC Service

Other_______________________________ Contract Number & Title:

Industrial Group & Industrial Type:

Prime Contractor Name/Address/Phone & Fax No:

Safety Manager (Last, First, MI):

Insurance Carrier:

Sub Contractor Name/Address/Phone & FAX No:

Safety Manager (Last, First, MI):

Insurance Carrier:

5. Accident Description Date of Accident:

Time of Accident:

Exact Location of Accident:

Describe the accident in detail in your words: (Use the back of page if you need additional space)

(List any additional witnesses on a separate sheet and attach.)

Direct Cause(s) of Accident:

Indirect Cause(s) of Accident:

Action(s) taken to prevent re-occurrence or provide on-going corrective actions:

Corrective Action Beginning Date:

Anticipated Completion Date:

Personal Protective Equipment:

Available and used Available and not used

Not Required Not related to Mishap Wrong PPE for job

List PPE Used:

Type of Construction Equipment (Make, Model, Serial #, VIN#) Involved:

Was Hazardous Material Spilled/Released?

Please List Hazardous Material(s) Involved:

Who provided first aid or cleanup of mishap site?

Any blood-borne pathogen exposure, other than EMTs?

Who?

List OSHA and EM-385-1-1 standards that were violated:

Was site secured and witness statements taken immediately?

By Whom?

6. Injury Illness/Fatality Information Severity of Injury/Illness:

Fatality

Lost Workday Case Involving Days Away From Work Temporary Disabillity

Recordable Workday Case Involving Restricted Duty Permanent Total Disability Other Recordable Case Recordable First Aid Case Permanent Partial Disability Non-Recordable Case

No Injury

Estimated Days Lost:

Estimated Days Hospitalized:

Estimated Days Restricted Duty:

List Primary Body List Other Body Part(s) Affected:

Part Affected:

Nature of Injury/Illness for Primary Body Part (Examples: Amputation, Burn, Hernia):

Type of Accident (Examples: Fall same level, Lifting, Bitten, Exerted):

Source of Accident (Examples: Crane, Carbon Monoxide, Ladder, Welding Equipment):

7. Causal Factors (Explain answers on supplementary sheet)

• Design – Design of facility, workplace, or equipment was a factor?

• Inspection/Maintenance – Inspection & Maintenance procedures were a factor?

• Persons Physical Condition – In your opinion, the physical condition of the person was a factor?

• Operation Procedures – Operating procedures were a

• Job Practices – One or more job safety/health practices not being followed when the accident occurred contributed to the accident?

• Human Factors – One or more human factors, such as a person’s size or strength contributed to the accident?

• Environmental Factors – Heat, cold, dust, sun, glare, etc.,

• Chemical and Physical Agent Factors – Exposure to chemical agents, such as dust, fumes, mist, vapors, or physical agents such as noise, radiation, etc., contributed to the accident?

• Office Factors – Office setting such as lifting office furniture, carrying, stooping, contributed to the accident?

• Support Factors – Inappropriate tools/resources were provided to perform the task?

• PPE – Improper selection, use or maintenance of PPE

• Drugs/Alcohol – In your opinion, were drugs or alcohol a

• Job Hazard Analysis – The lack of an adequate (IAW- EM-385-1-1 Sec 01.A) activity hazard analysis was a Yes No

N69450-13-R-7999 Section J contributing factor.

• Job Hazard Analysis – JHA was not site specific and/or did not address the type of work/operations performed when the mishap occurred.

Yes No

• Management – A lack of adequate supervision contributed to the accident.

• Management – Inadequate information was provided at pre con meeting.

CONTRACTOR SIGNIFICANT INCIDENT REPORT (CSIR) INSTRUCTIONS

Complete Sections Appropriate to Incident (Rev. 06/02).

NOTE: THE ATTACHED CSIR FORM IS TO BE USED BY CONTRACTORS TO RECORD THE

RESULTS OF THEIR ACCIDENT/INCIDENTS INVESTIGATIONS AND SHALL BE PROVIDED TO

THE CONTRACTING OFFICER WITHIN THE REQUIRED TIMEFRAMES.

GENERAL. Complete a separate report for each person who was injured in the accident. A report needs to be completed for all OSHA recordable accidents, property damage in excess of $2000.00 (This amount is for record purposes only. GOV is not required to enter property damage reports into FAIR database if it is less than $10,000.00.), WHE accidents, or near miss/high visibility mishaps. Please type or print legibly.

Appropriate items shall be marked with an “X” in box(es), non-applicable sections shall be marked “N/A”.

If additional space is needed, provide the information on a separate sheet of paper and attach to the completed form.

Mark the report:

INITIAL – If this form is being used as initial notification of a Fatality or High Visibility Mishap. The initial form is due within 4 hours of a serious accident. A form marked ‘Follow-up’ or ‘Final’ is required within 5 days.

FOLLOW-UP – If you are providing additional information on a report previously submitted.

FINAL – If you are providing a completed report and expect no changes.

SECTION 1 – GENERAL INFORMATION

CONTRACTING ACTIVITY/ROICC OFFICE - Enter the name and address of the Contracting Office administering the contract under which the mishap took place (e.g. ROICC MCBH, ROICC NORFOLK, PWC GUAM, etc.).

ACCIDENT CLASSIFICATION - INJURY/ILLNESS/FATALITY/PROPERTY DAMAGE/-

PROCEDURAL ISSUES/-ENVIRONMENTAL/LESSONS LEARNED/OTHER – Mark the appropriate block(s) if the incident resulted in any of these conditions.

INVOLVING - If the mishap involved any of the conditions listed under “Involving” mark the appropriate box(es). Specific questions associated with each of these conditions are available from the Contracting Officer to assist you in your investigation. When these questions are used they shall be attached as part of this report.

SECTION 2 - PERSONAL INFORMATION

NAME - Enter last name, first name, middle initial of person involved.

AGE - Enter age.

SEX - Enter M for Male and F for Female.

JOB TITLE/DESCRIPTION - Enter the job title/description assigned to the injured person (e.g. carpenter, laborer, surveyor, etc.).

EMPLOYED BY - Enter employment company name of the person involved.

SUPERVISOR’S NAME & TITLE - Enter name and title of the immediate supervisor.

WAS PERSON TRAINED TO PERFORM ACTIVITY/TASK? - For the purpose of this section “trained” means the person has been provided the necessary information (either formal and/or on-the-job (OJT) training) to competently perform the activity/task in a safe and healthful manner.

TYPE OF TRAINING - Indicate the specific type of training (classroom or on-the-job) that the injured person received before the accident happened.

DATE OF MOST RECENT FORMAL TRAINING/TOPICS DISCUSSED - Enter the month, day, and year of the last formal training completed that covered the activity/task being performed at the time of the accident. List topics that were discussed at the training identified above.

SECTION 3 - WITNESS INFORMATION

The following applies to Witness #1 and Witness #2:

WITNESS NAME - Enter last name, first name, middle initial of the witness.

JOB DESCRIPTION/TITLE - Enter the job title/description assigned to the witness (e.g. carpenter, laborer, surveyor, etc.).

EMPLOYED BY - Enter the name of the employment company of the witness.

SUPERVISORS NAME - Enter name of immediate supervisor of the witness.

ADDITIONAL WITNESSES - Provide same information, as above, for each witnesses. Use additional pages if necessary.

SECTION 4 - CONTRACTOR INFORMATION

TYPE OF CONTRACT - Mark appropriate box. A/E means architect/engineer. If “OTHER” is marked, specify type of contract on line provided.

CONTRACT NUMBER/TITLE - Enter complete contract number and tile of prime contract (e.g. N62477- 85-C-0100, 184 Pearl City Hsg. Revitalization).

CONSTRUCTION INDUSTRIAL GROUP AND INDUSTRIAL TYPE – This is the type of construction that will be done at this project.

1. First, you must choose the Industrial Group. You have 4 choices to choose from: (NOTE! Review of the Industrial Types below and knowing what the projects scope of work is will assist you in deciding what the Industrial Group should be.)

a. Buildings

b. Heavy Industrial

c. Infrastructure

d. Light Industrial

2. Once you have chosen the Industrial Group, you now select the Industrial Type. You have multiple choices under each Group, chose the one you feel fits the project most closely because on most projects there won’t be an exact match:

a. Buildings:

(1) Communications Ctr.

(2) Dormitory/Hotel

(3) High-rise Office

(4) Hospital

(5) Housing

(6) Laboratory

N69450-13-R-7999 Section J

(7) Low-rise Office

(8) Maintenance Facility

(9) Parking Garage

(10) Physical Fitness Ctr.

(11) Restaurant/Nightclub

(12) School

(13) Warehouse

b. Heavy Industrial:

(1) Chemical Mfg.

(2) Electrical (Generating)

(3) Environmental

(4) Metals Refining/Processing

(5) Mining

(6) Natural Gas Processing

(7) Oil Exploration/Production

(8) Oil Refining

(9) Pulp and Paper

c. Infrastructure:

(1) Airport

(2) Electrical Distribution

(3) Flood Control

(4) Highway

(5) Marine Facilities

(6) Navigation

(7) Rail

(8) Tunneling

(9) Water/Wastewater

d. Light Industrial:

(1) Automotive Assembly/Mfg.

(2) Consumer Products Mfg.

(3) Foods

(4) Microelectronics Mfg.

(5) Office Products Mfg.

(6) Pharmaceuticals Mfg.

CONTRACTOR’S NAME/ADDRESS/PHONE NUMBER

(1) PRIME - Enter the exact name (title of firm), address, phone and fax numbers of the prime contractor.

(2) SUBCONTRACTOR - Enter the exact name, address, phone and fax numbers of any subcontractor involved in the accident.

SAFETY MANAGER’S NAME

(1) PRIME - Enter the name of the prime contractor safety manager.

(2) SUBCONTRACTOR - Enter the name of the subcontractors safety manager.

INSURANCE CARRIER

(1) PRIME - Enter the exact name/title of the prime’s insurance company. Policy number not required.

(2) SUBCONTRACTOR - Enter the exact name of the subcontractor’s insurance company. Policy number not required.

SECTION 5 - ACCIDENT DESCRIPTION

DATE OF ACCIDENT - Enter the month, day, and year of accident.

TIME OF ACCIDENT - Enter the local time of accident in military time. Example: 14:30 hrs (not 2:30

N69450-13-R-7999 Section J p.m.).

EXACT LOCATION OF ACCIDENT - Enter facts needed to locate the accident scene (installation/project name, building/room number, street, direction and distance from closest landmark, etc.).

DESCRIBE THE ACCIDENT IN DETAIL. Fully describe the accident in the space provided. If property damage involved, give estimated dollar amount of damage and/or repair costs involved. If additional space is needed continue on a separate sheet and attach to this report. Give the sequence of events that describe what happened leading up to and including the accident. Fully identify personnel and equipment involved and their role(s) in the accident. Ensure that relationships between personnel and equipment are clearly specified.

Ensure questions below regarding direct cause(s), indirect cause(s), and actions taken are answered. NOTE!

Review questions in Section 7 below before completing.

DIRECT CAUSE(S) - The direct cause is that single factor which most directly lead to the accident. See examples below.

INDIRECT CAUSE(S) - Indirect cause are those factors, which contributed to, but did not directly initiate the occurrence of the accident.

Examples for Direct and Indirect Cause:

1. Employee was dismantling scaffold and fell 12 feet from unguarded opening.

Direct cause: Failure to provide fall protection at elevation Indirect causes: Failure to enforce safety requirements: improper training/motivation of employee (possibility that employee was not knowledgeable of fall protection requirements or was lax in his attitude toward safety); failure to ensure provision of positive fall protection whenever elevated; failure to address fall protection during scaffold dismantling in phase hazard analysis.

2. Private citizen had stopped his vehicle at intersection for red light when vehicle was struck in rear by contractor vehicle. (note contractor vehicles was in proper safe working condition.)

Direct cause: Failure of contractor driver to maintain control of and stop contractor vehicle within safe distance.

Indirect cause: Failure of employee to pay attention to driving (defensive driving).

ACTION(S) TAKEN TO PREVENT RE-OCCURRENCE OR PROVIDE ON-GOING

CORRECTIVE ACTIONS. Fully describe all the actions taken, anticipated, and recommended to eliminate the cause(s) and prevent reoccurrence of similar accidents/illnesses. Continue on back or additional sheets of paper if necessary to fully explain and attach to the complete report form.

CORRECTIVE ACTION DATES -

(1) Beginning - Enter the date when the corrective action(s) identified above will begin.

(2) Anticipated Completion - Enter the date when the corrective action(s) identified above will be completed.

PERSONAL PROTECTIVE EQUIPMENT (PPE) - Mark appropriate box(es) and list PPE which was being used by the injured person at the time of the accident (e.g. protective clothing, shoes, glasses, goggles, respirator, safety belt, harness, etc.)

TYPE OF CONTRACTOR EQUIPMENT - Enter the Serial Number, Model Number and specific type of equipment involved in the mishap (e.g. dump truck (off highway), crane (rubber tire), pump truck (concrete), etc.).

WAS HAZARDOUS MATERIAL SPILLED/RELEASED? - Mark appropriate block and list name(s) of any reportable quantities of hazardous materials spilled/released during the mishap.

WHO PROVIDED FIRST AID OR CLEAN-UP OF MISHAP SITE? - List name(s) of individual(s) and employer, if known.

ANY BLOOD-BORNE PATHOGEN EXPOSURE, OTHER THAN EMT? - Mark appropriate block and list name(s) of individual(s) and employer, if known.

LIST OSHA AND/OR EM 385-1-1 STANDARDS THAT WERE VIOLATED. - Self explanatory.

WAS SITE SECURED AND WITNESS STATEMENT TAKEN IMMEDIATELY? - Mark appropriate block and list by whom.

SECTION 6 - INJURY/ILLNESS/FATALITY INFORMATION

SERVERITY OF INJURY/ILLNESS – Mark appropriate box.

ESTIMATED DAYS LOST - Enter the estimated number of workdays the person will lose from work.

Update when final data is known.

ESTIMATED DAYS HOSPITALIZED - Enter the estimated number of workdays the person will be hospitalized. Update when final data is known.

ESTIMATED DAYS RESTRICTED DUTY - Enter the estimated number of workdays the person, as a result of the accident, will not be able to perform all of their regular duties. Update when final data is known.

BODY PART(S) AFFECTED - Enter the most appropriate primary and when applicable, secondary, etc.

body part(s) affected (e.g. arm: wrist: abdomen: single eye; jaw : both elbows: second finger: great toe: collar bone: kidney, etc.).

NATURE OF INJURY/ILLNESS FOR PRIMARY BODY PART - Enter the most appropriate nature of injury/illness (e.g. amputation, back strain, dislocation, laceration, strain, asbestosis, food poisoning, heart conditions, etc.).

TYPE AND SOURCE OF INJURY/ILLNESS - Type and Source Codes are used to describe what caused the incident.

(1) TYPE Code stands for an “Action” (Example: Worker, installing conduit, lost his balance and fell five feet from a ladder. Type Code: Fell different levels”.) Select the most appropriate Type of injury from the list below:

TYPE OF INJURY/ILLNESS

STRUCK

BY/AGAINST

CONTACTED

CONTACTED WITH (INJURED PERSON

MOVING)

CONTACTED BY (OBJECT WAS MOVING)

FELL, SLIPPED, TRIPPED

SAME LEVEL/DIFFERENT LEVEL/NO

FALL

EXERTED

LIFTED, STRAINED BY (SINGLE ACTION)

STRESSED BY (REPEATED ACTION)

CAUGHT

ON/IN/BETWEEN

EXPOSED

INHALED/INGESTED/ABSORBED/EXPOS

ED TO

PUNCTURED, LACERATED

PUNCTURED BY/CUT BY/STUNG

BY/BITTEN BY

TRAVELING IN

(2) SOURCE Code stands for an “object or substance.” (Example: Worker, installing conduit, lost his balance and fell five feet from a ladder. Source Code: “Ladder”.) Select the most appropriate Source of injury from the list below:

SOURCE OF INJURY/ILLNESS

BUILDING OR WORKING AREA

WALKING/WORKING AREA

STAIRS/STEPS

LADDER

FURNITURE

BOILER/PRESSURE VESSEL

EQUIPMENT LAYOUT

WINDOWS/DOORS

ELECTRICITY

DUST, VAPOR, ETC.

DUST (SILICA, COAT, ETC.)

FIBERS

ASBESTOS

GASES

CARBON MONOXIDE

MIST, STEAM, VAPOR, FUME

WELDING FUMES

PARTICLES (UNIDENTIFIED)

ENVIRONMENT CONDITION

TEMPERATURE EXTREME (INDOOR)

WEATHER (ICE, RAIN, HEAT, ETC.)

FIRE, FLAME, SMOTE (NOT TABACCO)

NOISE

RADIATION

LIGHT

VENTILATION

TOBACCO SMOKE

STRESS (EMOTIONAL)

CONFINED SPACE

CHEMICAL, PLASTIC, ETC.

DRY CHEMICAL - CORROSIVE

DRY CHEMICAL - TOXIC

DRY CHEMICAL - EXPLOSIVE

DRY CHEMICAL - FLAMMABLE

LIQUID CHEMICAL - CORROSIVE

LIQUID CHEMICAL - TOXIC

LIQUID CHEMICAL - EXPLOSIVE

LIQUID CHEMICAL - FLAMMABLE

PLASTIC

WATER

MEDICINE

MACHINE OR TOOL

HAND TOOL (POWERED: SAW, GRINDER,

ETC.)

HAND TOOL (NON POWERED)

MECHANCIAL POWER TRANSMISSION

APPARATUS

GUARD, SHIELD (FIXED, MOVEABLE,

INTERLOCK)

VIDEO DISPLAY TERMINAL

PUMP, COMPRESSOR, AIR PRESSURE TOOL

HEATING EQUIPMENT

WELDING EQUIPMENT

INANIMATE OBJECT

BOX, BARREL, ETC.

PAPER

METAL ITEM, MINERAL

NEEDLE

GLASS

SCRAP, TRASH, WOOD

FOOD

CLOTHING, APPAREL, SHOES

MACHINE OR TOOL

HAND TOOL (POWERED: SAW, GRINDER,

ETC.)

HAND TOOL (NON POWERED)

MECHANCIAL POWER TRANSMISSION

APPARATUS

GUARD, SHIELD (FIXED, MOVEABLE,

INTERLOCK)

VIDEO DISPLAY TERMINAL

PUMP, COMPRESSOR, AIR PRESSURE TOOL

HEATING EQUIPMENT

WELDING EQUIPMENT

INANIMATE OBJECT

BOX, BARREL, ETC.

PAPER

METAL ITEM, MINERAL

NEEDLE

GLASS

SCRAP, TRASH, WOOD

FOOD

CLOTHING, APPAREL, SHOES

VEHICLE

AS DRIVER OF PRIVATELY OWNED, RENTAL

VEH.

AS PASSENGER OF PRIVATELY OWNED,

RENTAL VEH.

DRIVER OF GOVERNMENT VEHICLE

PASSENGER OF GOVERNMENT VEHICLE

COMMON CARRIER (AIRLINE, BUS, ETC.)

AIRCRAFT (NOT COMMERCIAL)

BOAT, SHIP, BARGE

ANIMATE OBJECT

DOG

OTHER ANIMAL

PLANT

INSECT

HUMAN (VIOLENCE)

HUMAN (COMMUNICABLE

DISEASE)

BACTERIA, VIRUS (NOT HUMAN

CONTACT)

N69450-13-R-7999 Section J

MATERIAL HANDLING EQUIPMENT

EARTHMOVER (TRACTOR, BACKHOE, ETC.)

CONVEYOR (FOR MATERIAL AND

EQUIPMENT)

ELEVATOR, ESCALATOR, PERSONNEL HOIST

HOIST, SLING CHAIN, JACK

CRANE

FORKLIFT

HANDTRUCK , DOLLY

PERSONAL PROTECTIVE EQUIPMENT

PROTECTIVE CLOTHING, SHOES,

GLASSES, GOGGLES

RESPIRATOR, MASK

DIVING EQUIPMENT

SAFETY BELT, HARNESS

PARACHUTE

SECTION 7 - CAUSAL FACTORS

Review thoroughly. Answer each question by marking the appropriate block. NOTE! If any answer is yes, explain in section 5 above.

(1) DESIGN - Did inadequacies associated with the building or work site play a role? Would an improved design or layout of the equipment or facilities reduce the likelihood of similar accidents?

Were the tools or other equipment designed and intended for the task at hand?

(2) INSPECTION/MAINTENANCE - Did inadequately or improperly maintained equipment, tools, workplace, etc., create or worsen any hazards that contributed to the accident? Would better equipment, facility, work site or work activity inspections have helped avoid the accident?

(3) PERSONS PHYSICAL CONDITION - Do you feel that the accident would probably not have occurred if the employee was in “good” physical condition? If the person involved in the accident had been in better physical condition, would the accident have been less severe or avoided altogether? Was overexertion a factor?

(4) OPERATION PROCEDURES - Did lack of or inadequacy within established operating procedures contribute to the accident? Did any aspect of the procedures introduce any hazard to, or increase the risk associated with the work process? Would establishment or improvement of operating procedures reduce the likelihood of similar accidents?

(5) JOB PRACTICES - Were any of the provision of the Safety and Health Requirements Manual (EM 385-1-1) violated? Was the task being accomplished in a manner which was not in compliance with an established job hazard analysis or activity hazard analysis? Did any established job practice (including EM 385-1-1) fail to adequately address the task or work process? Would better job practices improve the safety of the task?

(6) HUMAN FACTORS - Was the person under undue stress (either internal or external to the job)?

Did the task tend toward overloading the capabilities of the person: i.e., did the job require tracking and reacting to many external inputs such as displays, alarms, or signals? Did the arrangement of the workplace tend to interfere with efficient task performance? Did the task require reach strengths, endurance, agility, etc., at or beyond the capabilities of the employee? Was the work environment ill-adapted to the person? Did the person need more training, experience, or practice in doing the task?

Was the person inadequately rested to perform safely?

(7) ENVIRONMENTAL FACTORS - Did any factors such as moisture, humidity, rain, snow, sleet, hail, ice, fog, cold, heat, sun temperature changes, wind, tides, floods, currents, terrain; dust, mud, glare, pressure changes, lighting, etc., play a part in the accident?

(8) CHEMICAL AND PHYSICAL AGENT FACTORS - Did exposure to chemical agents (either single shift exposure or long-term exposure such as dusts, fibers, (asbestos, etc.), silica, gases (carbon, monoxide, chlorine, etc.), mists, steam, vapors, fumes, smoke, other particulates, liquid or dry chemicals that are corrosive, toxic, explosive or flammable, by-products of combustion or physical agents such as noise, ionizing radiation, non-ionizing radiation (UV radiation created during welding, etc.) contribute to the accident/incident?

(9) OFFICE FACTORS - Did the fact that the accident occurred in an office setting or to an office worker have a bearing on its cause? For example, office workers tend to have less experience and training in performing tasks such as lifting office furniture. Did physical hazards within the office environment contribute to the hazard?

(10) SUPPORT FACTORS - Was the person using an improper tool for the job? Was inadequate time available or utilized to safely accomplish the task? Were less than adequate personnel resources (in

N69450-13-R-7999 Section J terms of employee skills, number of workers, and adequate supervision) available to get the job done properly? Was funding available, utilized and adequate to provide proper tools, equipment, personnel, site preparation, etc.

(11) PERSONAL PROTECTIVE EQUIPMENT - Did the person fail to use appropriate personal protective equipment (gloves, eye protection, hard-toed shoes, respirator, etc) for the task or environment? Did protective equipment provided or worn fail to provide adequate protection from the hazard(s)? Did lack of or inadequate maintenance of protective gear contribute to the accident?

(12) DRUGS/ALCOHOL - Is there any reason to believe the person’s mental or physical capabilities, judgment, etc., were impaired or altered by the use of drugs or alcohol? Consider the effects of prescription medicine and over the counter medications as well as illicit drug use. Consider the effect of drug or alcohol induced “hangovers”.

(13) JOB/ACTIVITY HAZARD ANALYSIS - Was a written Job/Activity Analysis completed for the task being performed at the time of the accident? If one was made, did it address the hazard adequately or does it need to be updated? If none made, will one be made? These may also need to be addressed in the Corrective Actions Taken section. Mark the appropriate box. If one was made, attach a copy of the analysis to the report.

(14) MANAGEMENT - Did the lack of supervisor or management support play a part in the mishap?

Mark the appropriate box.

SECTION - 8 OSHA INFORMATION - Complete this section if applicable

SECTION 9 - REPORT PREPARER

Providing a completed CSIR to the Contracting Officer is the PRIME CONTRACTOR’S RESPONSIBILITY. Enter the name, date of report, title, employer, phone number and signature of person completing the accident report and provide it to the Contracting Officer, or his representative, responsible for oversight of that contractor activity. NOTE! If prepared by other than the Prime Contractor, a person employed by the Prime Contractor must sign that they have reviewed and concur with the report and it’s findings (e.g. company owner, project supervisor/foreman, Safety Officer, etc.).

ATTACHMENT J-0200000-06

GOVERNMENT-FURNISHED PROPERTY, MATERIALS, AND SERVICES

Government Furnish Facilities Building Number Building Description Area (SF) AT27 Radio Range Storage Bunker 630 AV59 Contractor’s Main Office/Warehouse 29795 AV136 Auto Shop Storage 1050 AV 141 Pest Control Shop 3800 AV1320 Maintenance Shop 7500 Bldg 2160, 2160A, Northeast Yard #1, #2, #3, and #4

Northeast Yard

N101 Paint/Body Shop 4100 N102 Paint/Body Shop 4250 N36 Transportation Shop and Yard 55880 N36A Veh Maint Yard Wash Stand 6400 T1 Fumigation Chamber 1224 737 Laundry Building 3125 752 Service Call Reception Desk 856 Pest Control Warehouse 765 1654 General Warehouse 4000 1751 Resource Recovery Facility 5500 2141 Includes all parking areas within fence

2173 Hazardous Waste Collection Shed 91

2189 K-SPAN 4000

2208 Transportation KSPAN Storage 4800 2229 Maintenance Storage 1000 2295 Family Housing Service Call

Reception Desk

2310 Self Help/Office Space 18720

Government Furnish Utility Facilities DESCRIPTION Facility Description

WINDWARD FACILITY: DESAL

PLANT AREA (PP#4)

FAC. 2183 Chemical Storage Extension, 1650 Old Power Plant, 1650A DG 1000 KW Bldg, 1650B Chlorine Dowsing Hse., 1650C New Control Rm., 1652 Whse, Elec & Mech. Shop (2053 Whse, 2063 Whse extension), 1845 Chem. Storage, 1851 Industrial Gas Storage, , AV 104 Paint Storage, AV 105 Flammable Storage, AV 103 Flammable Storage, 1841 Industrial Gas Storage, WOTEC

WINDWARD FACILITY: BLDG-972

(EDG / WWT SHOP AREA) BLDG-972, Kitchen Cabana and Generator Shed

WINDWARD FACILITY: BLDG.AV-78

(WDS / EDS / SPECPROJ SHOP AREA) AV-78, Cabana and Material Shed

WINDWARD FACILITY: WATER

PUMP HOUSES 418 Pump Hse- 418

WINDWARD FACILITY: RADIO RR Substation, Office, Kitchen Cabana and Tool

N69450-13-R-7999 Section J

Government Furnish Utility Facilities DESCRIPTION Facility Description

RANGE FACILITY (RR SUBSTATION /

POWER PLANT)

Shop

WINDWARD FACILITY: BLDG-2338

CHLORINE BOOSTER STATION BLDG-2338

WINDWARD FACILITY: FAC. 815

(WATER PLANT #3)

Fac. 815 , 819 Backwash Pump House @ Water Plant 3, 958 Propane Storage @ Water Plant 3

WINDWARD FACILITY: WATER

PUMP HOUSES 1648 Pump Hse- 1648

WINDWARD FACILITY: WATER

PUMP HOUSES 866 Pump Hse- 866

WINDWARD FACILITY: WATER

PUMP HOUSES 821 Pump Hse- 821

WINDWARD FACILITY: WATER

PUMP HOUSES 857 Pump Hse- 857

WINDWARD FACILITY: WATER

PUMP HOUSES 140 Pump Hse- 140

WINDWARD FACILITY: AV-86 DESAL

OFFICE AV-86 Desal Office / AV-86A Trailer

LEEWARD FACILITY: AV-524 AV-524

LEEWARD FACILITY: AV-628 AV-628

LEEWARD FACILITY: RO PLANT LP RO Plant

LEEWARD FACILITY: WELLS #1

AND #2 LP Wells #1 & #2

LEEWARD FACILITY: AV-601 AV-601 Bldg (Swgr Room, Gen Control Rooms, D- 100 and D-105 MUSE DG)

WIND TURBINE FAC. 2367 E

* See functional sub-annex for any other Government Furnished Property.

Government Furnished Equipment

Make Serial

Number Description Property Number

Unknown N/A Wooden Bench / 3 vises No ID Stanley N/A Stanley Miter Saw - Min 60514-10167 Yates N/A Yates/ Werloan disc sander 714899 Baldor N/A Baldor Sawdust blower (2ea) / 55 Gal Drums (2ea) No ID Dayton N/A Dayton Plainer 60514-118534 Unknown N/A Anvil/Metal Stand 60514-101056 Dayton N/A Dayton 20" Drill Press 60514-118524 Dayton N/A Dayton 20" Drill Press 60514-118531 Invicta Delta N/A Invicta Delta table Saw 60514-350948 Unknown N/A Wooden Bench / Delta Circular Saw 60514-101054 Tannewitz N/A Tannewitz Band Saw 60514-101062 Unknown N/A PingPong Layout table No ID Unknown N/A One Large Fan No ID Unknown N/A Wooden Bench / 3 vises No ID

Unknown N/A Misc items: 2 office desks, planning bds, ref & metal bookshelves No ID

N69450-13-R-7999 Section J

Serial

Number Description Property Number

Unknown N/A ST 100 Recycling Machine No ID Honeoye Industries N/A Honeyoye Industries, Power Punch 60514-350934 Stanley N/A Manley Hydraulic Press (80 Ton Capacity) 60514-100023 Ace Enterprises N/A Ace Enterprises Sand All, Sandblasting Machine 60514-113829 Dreis & Krump N/A Dreis & Krump, Hand Bending (3 ft. of 14 Ga Cap) 60514-100000 Unknown N/A Buffalo Drill Press 60514-100149 R&D Kamas Kleen N/A R&D Kamas Kleen E-Z Part Cleaning Tank 60514-100159 Startech N/A Startech Recycling Machine Small (3 ea) No ID Startech N/A Startech Recycler 60514-124469 Rockwell GU503294B81 Drill Press No ID Delta N/A Table Saw Combo 60514-100787 Delta 1950 No ID Unknown N/A Doweling Machine 60514-100790 Rockwell N/A Plywood Cutter 60514-100794 Rockwell 1757083 14" Table Saw Combo No ID Delta 86H33721 Vertical Band Saw No ID Wysong N/A Mortise Machine 60514-100708 Northfield 551854-F Mortise Machine No ID Oliver 53078 Disk & Drum Sander No ID Rockwell N/A 10" Radial Arm Saw 60514-100711 Diehl 506947 Large table Saw No ID Northfield 512598-1 Mortise Machine No ID Cresent C-1307 Band Saw No ID Oliver N/A Planer No ID Rockwell FA6157 14" Radial Arm Saw No ID Oliver 53284 6" Jointer No ID Oliver N/A 6" Jointer 60514-100756 Delta 152 Planer No ID Delta 86F18225 14" Radial Arm Saw No ID Oliver N/A Tenon Machine 60514-100754 Delta N/A 12" Table Saw 60514-113857 Rockwell 40-306 Scroll Saw No ID Unknown N/A Lathe No ID Moak 10524 Band Saw No ID Delta 2414 Shaper No ID Mattison N/A Door Sander 60514-100744 Wysong N/A Disk & Drum Sander 60514-100744 Rockwell N/A Disk & Belt Sander 60514-118504 Unknown N/A Drill Press 60514-100808 Hanchett N/A Auto Grinder 60514-100807 Foley N/A Saw Filer 60514-100802 Foley N/A Saw Filer 60514-100804 Stihl N/A Chain Saw Filer 60514-100801 Rockwell 1816538 Bench Grinder No ID

N69450-13-R-7999 Section J

Serial

Number Description Property Number

Rockwell N/A Bench Grinder 60514-100799 Foley 4426 Saw Polisher No ID Foley 7859…