N6945022R0002_SectionJ_Amend0001.pdf

Section J

Documents, Exhibits and other Attachments

J-0200000 Management and Administration

N69450-22-R-0002

Amendment 1

Table of Contents

Attachment #

Attachment Title

J-0200000-01 Definitions and Acronyms

J-0200000-02 Directives and References

J-0200000-03 Forms

J-0200000-04 Government-Furnished Property, Materials and Services

J-0200000-05 Service Provider Information

J-0200000-06 Asset Specification

J-0200000-07 Characteristic Meter Readings

J-0200000-08 Utilities Attributes

J-0200000-09 FRCS Attributes

J-0200000-10 NAVFAC Maximo Data Reporting

J-0200000-11 NAVFAC Maximo System Access Procedures

J-0200000-12 Contractor Hazardous Material Inventory Log

J-0200000-13 Commander, Navy Region Southeast Instruction 4101.1 (series)

J-0200000-14 Exhibit Line Item Numbers (ELINS)

J-0200000-15 Section 01 57 19.01 20, Environmental Requirements NCBC Gulfport and

Associated Forms and Documents

J-0200000-16 Wage Determinations

J-0200000-17 FRCS Cybersecurity Plan and Roles and Responsibilities

Attachment J-0200000-01

Definitions and Acronyms

Term Description

Assessment A general term referring to either a survey or inspection of a facility to determine condition.

Asset A general term used to refer to an item, such as a component, system, building or facility, which is managed by an automated data management program.

Business Management

System (BMS)

A web-based tool that provides a systematic method for the management of business processes, common practices, and process quality improvements that produce and support the most efficient and effective delivery of NAVFAC’s products and services.

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.

One who can identify existing and predictable hazards in the working environment or working conditions that are dangerous to personnel and who has authorization to take prompt corrective measures to eliminate them.

Component Inventory

Management Unit

(CIMU)

An organization of like-kind real property into manageable maintenance units. CIMU is a building component, group of components or component assemblies, serving a specific purpose in a facility that can be expected to follow a common and predictable lifecycle behavior. This class of non-equipment will include items such as exterior walls, exterior windows, interior finish, and roofs. This class of equipment will include items such as fan coil units, air handling units, lighting, and water closets. CIMUs can include one or more items of installed equipment typically subject to routine scheduled maintenance.

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.

Construction

Equipment

Construction equipment refers to specialized heavy machinery that covers one industry and is specifically designed for executing construction work. Construction equipment requirements shall include a list of equipment establishing the size, quality, number of units, and unit prices. Construction 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, shipping and handling, union agreements, crew sizes, hand tools, universal equipment (excluding construction equipment), mobilization, demobilization, payroll burdens and fringes, overtime, job (field) overhead, 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 construction 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.

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.

http://en.wikipedia.org/wiki/Vehicle http://en.wikipedia.org/wiki/Construction

Term Description

Contracting Officer’s

Representative (COR)

The individual appointed by the KO responsible for monitoring the Contractor’s technical compliance and progress, relative to assigned contract(s)/orders(s), based on the contract requirements specified in the PWS and in accordance with the PAP. The COR performs a variety of contract administration duties that includes oversight of PA, documenting and rating Contractor performance, reviewing invoices, and acceptance of work. Assignment as a COR is a collateral duty typically performed by the FSCM or SPAR.

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 The actual vendor invoice charges for materials used for performance of work under this contract. Direct material costs shall include sales tax and 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. When questions arise concerning the cost of direct materials, direct 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 other cost such as sub-contractor cost, costs for pre-expended bin materials, shipping and handling, union agreements, crew sizes, hand tools, universal equipment, mobilization, demobilization, time for job preparation, safety standby personnel, payroll burdens and fringes, overtime, job (field) overhead, 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 price since the cost for these items are included in the UPL Hour unit price bid.

Electronic Operation

And Maintenance And

Support Information

(eOMSI)

A set of consultant-prepared data and document files 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 it is prepared during construction and submitted upon completion of a new facility or major facility upgrade. eOMSI’s typically include asset information, 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. eOMSI data and document files are provided in electronic formats.

Equipment Tangible asset that is functionally complete for its intended purpose, durable, and non-expendable.

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

Term Description

Fixed Burden Rate

(FBR)

The additional costs (expressed in percent of direct material cost) for ordering, handling, and stockpiling materials and repair parts. For example, if the offeror's Fixed Burden Rate for materials in the Base Period is 10% then:

$100,000.00 + ($100,000.00 x 10%) = $110,000.00

The Government will compensate the Contractor for the required parts and materials and not the total amount shown in Schedule of Indefinite Delivery Indefinite Quantity Work.

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.

Government Furnished

Property (GFP)

Property in the possession of, or directly acquired by, the Government and subsequently furnished to the contractor for performance of a contract. Government furnished property includes, but is not limited to, spares and property furnished for repairs, maintenance, overhaul, or modification. Government furnished property also includes contractor acquired property if the contractor acquired property is a deliverable under a cost contract when accepted by the Government for continued use under the contract.

Infrastructure Condition

Assessment Program

(ICAP)

A Navy automated data management program that utilizes historical asset lifecycle data and a structured assessment process to evaluate the condition facilities and their components.

Inspection A rigorous, detailed assessment of the condition of a facility performed to generate a fundable scope and cost estimate for prioritization and funding of maintenance and repair.

Job or Work Order An authorization for work that requires planning and estimating and has an individual line of accounting for financial and performance evaluation.

Load Handling

Equipment

A term used to describe cranes, hoists and all other hoisting equipment (hoisting equipment means equipment, including crane, derricks, hoists and power operated equipment used WITH RIGGING to raise, lower and/or horizontally move a load.

Term Description

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.

NAVFAC Maximo A specially configured software version of MAXIMO®, a commercially available computerized maintenance management system (CMMS), adopted by NAVFAC for enterprise facility asset data management. The terms “MAXIMO”, “NAVFAC

MAXIMO” or “Government’s MAXIMO” shall be used interchangeably in the document.

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)

The individual(s) assigned as a Technical Point of Contact (TPOC) / Subject Matter Expert

(SME) to the COR to perform duties as the on-site representative who assesses Contractor performance. The PAR periodically observes Contractor performance, reviews delivered services, reviews quality management corrective actions, periodically assesses and documents Contractor performance on PAWs and the MPAS, and communicates findings as necessary with the Contractor, SPAR, and COR.

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 Assurance

(QA)

The planned and systematic activities implemented in a quality system so that quality requirements for a product or service will be fulfilled.

Quality Control (QC) The observation techniques and activities used to fulfill requirements for quality.

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".

Real Property Inventory

Equipment (RPIE)

A Government owned or leased individual pieces of equipment, apparatus, or fixture that are essential to the function of the real property (i.e. plumbing, electrical, heating, cooling and elevators). It is physically attached to, integrated into, and built in or on the property.

Individual RPIE’s can be combined to make a CIMU to facilitate facilities management.

An individual RPIE can also be a CIMU if the equipment is complex enough to require its own management planning.

Term Description

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.

Unit Priced Labor

(UPL) Hour

The fully burdened 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, shipping and handling, wage determinations, union agreements, crew sizes, hand tools, equipment, universal equipment (excluding construction equipment), mobilization, demobilization, payroll burdens and fringes, overtime, job (field) overhead, 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.

Acronym Title

ACO Administrative Contracting Officer

BW Biweekly

CDR Contract Discrepancy Report

CIA Controlled Industrial Area

CIMU Component Inventory Management Unit

CMMS Computerized Maintenance Management System

COR Contracting Officer Representative

COR Condition of Readiness

DBH Diameter at Breast Height

DCR Direct Condition Rating

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

FRCS Facility Related Control System

FSC Facility Support Contract

FSCM Facility Support Contract Manager

GIS Geospatial Information System

GFE Government-furnished Equipment

GFF Government-furnished Facilities

GFM Government-furnished Materials

HCA Head Contracting Agency

ICAP Infrastructure Condition Assessment Program

ICP Integrated Contingency Plan iNFADS Internet Navy Facilities Asst Data Store

IPM Integrated Pest Management

IPMIS Integrated Pest Management Information System

IPMP Integrated Pest Management Plan

KO Contracting Officer

LAN Local Area Network

M Monthly

MAP Maintenance Action Plan

MDI Mission Dependency Index

MEP Mechanical, Electrical and Plumbing

MPAS Monthly Performance Assessment Summary

MRI Mission Readiness Index

SDS Safety Data Sheets

NAVFAC Naval Facilities Engineering Command

NMCI Navy Marine Corps Intranet

NOSC Navy-On-Scene Coordinator

PAP Performance Assessment Plan

Acronym Title

PAR Performance Assessment Representative

PAW Performance Assessment Worksheet

PEO Program Executive Officer

PM Project Manager

PM Planned Maintenance or Preventative Maintenance

PRCSP Permit Required Confined Space Program

PWS Performance Work Statement

PWO Public Works Officer

Q Quarterly

QC Quality Control

RPIE Real Property Inventory Equipment

RSL Remaining Service Life

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

Directives and References

Reference Title

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

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

Federal Acquisition

Regulations (FAR) http://www.acq.osd.mil/dpap/dars/dfarspgi/current/

Defense Federal Acquisition

Regulation Supplement

(DFARS)

http://www.acq.osd.mil/dpap/dars/dfarspgi/current/

Naval Facilities Acquisition

Supplement (NFAS) https://portal.navfac.navy.mil/pls/portal/url/page/navfac/navfac_business_pp

CNRSE Inst. 4101.1C Commander, Navy Region Southeast Energy Management Instruction dtd 16 Dec

UFC 3-430-07 Operations and Maintenance: Inspection and Certification of Boilers and Unfired

Pressure Vessels

OPNAV M-5090.1 Environmental Readiness Program Manual

NCBCINST 5090.4D Environmental Policy Management

MDEQ MS4 General Permit Small Municipal Separate Storm Sewer (MS4) General Permit No. MSRMS4

NCBCG Gulfport SWMP Storm Water Management Program Plan (SWMP), dated Nov 2020

NCBC Gulfport Operating Air

Permit No. 1020-00080 Synethic Minor Source – Air Permit

40 CFR 63 Subpart CCCCC Gasoline Dispensing Facilities Testing and Monitoring Requirement

CEPA-ARB TP-201-1E Vapor Recovery Test Procedures – Leak Rate and Cracking Pressure of Pressure

/Vacuum Values

CEPA-ARB TP-201-3B Vapor Recovery Test Procedures – Determination of Static Pressure Performance of Vapor Recovery Systems of Dispensing Facilities with Above-Ground Storage

Tanks

40 CFR 82 PROTECTION OF STRATOSPHERIC OZONE

DoD Ozone Depleting

Substances Turn-in Procedures http://www.dla.mil/Portals/104/Documents/Aviation/AviationEngineering/ODSR eserve/AV_ODS-TurnInProcedures_160714.pdf

NCBC Gulfport Oil and Hazardous Substance Spill Contingency Plan, dated Aug 2020

NCBC Gulfport Integrated Solid Waste Management Plan, dated Aug 2013

NCBC Gulfport Spill Prevention, Control and Countermeasures (SPCC) Plan, dated May 2016

NCBC Gulfport Integrated Pest Management Plan (dated Oct 2016)

NCBC Gulfport Hazardous Waste Management Plan (dated May 2020)

Attachment J-0200000-03-01, Forms

CONTRACTOR CRANE OR RIGGING OPERATION CHECKLIST

YES NO N/A

1 Is the Certificate of Compliance, P-1, in the operator’s cab (or in the contractor’s on-site office for rigging operations) with the current operator’s name listed?

2 Is the crane/machine transited to and from the job site correctly? Are the OEM instructions for travel being followed?

3 Does the operator know the weight of the load to be lifted?

4 Is the load to be lifted within the crane/machine manufacturer's rated capacity in its present configuration?

5 Are outriggers/stabilizers required and, if so, are they properly extended and down?

6 If outrigger/stabilizers are used, and the wheels are not off the ground is this the correct setup in accordance with the OEM?

7 Is the crane/machine level and on firm ground, or if the ground is not firm are adequate supporting materials provided?

8 If supporting materials are provided, is the entire surface of the outrigger/stabilizer pad supported and is the supporting material of sufficient strength to safely support the loaded outrigger/stabilizer pad?

9 If outriggers/stabilizers are not used, is the crane/machine rated for on-rubber lifts by the OEM’s load chart?

10 Is the swing radius of the crane counterweight clear of people and obstructions and are accessible areas within the swing area barricaded to prevent injury or damage?

11 Has the hook been centered over the load in such a manner to minimize swing?

12 Is the load well secured and balanced in the sling or lifting device after it is lifted a few inches for verification?

13 Is the lift and rotation path clear of obstructions?

14 If rotation of the load being lifted is hazardous, is a tagline or other restraint being used?

15 Are personnel prevented from standing or passing under a suspended load?

16 Is the operator paying full attention to the signal person?

17 Are proper signals being used? Is the operator responding properly to the signals? Are radios used for blind lifts?

18 Are empty hooks lashed or otherwise secured during travel to prevent swinging?

19 Does the operator remain at the controls while the load is suspended?

20 Does the operator ensure that side loading is prohibited?

21 Are personnel prevented from riding on a load?

22 Are start and stop motions in a smooth fluid motion (no sudden acceleration or deceleration)?

23 Is the lift a critical lift?

24 If so, is a lift plan provided and understood and check-off sheets initialed and signed off?

25 If overhead power lines are in the vicinity, is a critical lift plan provided addressing the requirements of 29 CFR 1926.1407-1411?

26 If pick and carry operations are allowed and performed, are OEM directions followed (e.g.

rotation lock engaged, boom centered over front or rear, etc.)?

27 When the crane/machine is left unattended, is it in a safe condition?

28 Is rigging gear undamaged and acceptable for the application?

Attachment J-0200000-03-01, Forms

YES NO N/A

29 Does rigging gear meet applicable ASME or host nation standards (e.g., ASME B30.9 for slings, B30.10 for hooks, B30.26 for rigging hardware such as shackles, safety hoist rings, and eyebolts, B30.20 for below the hook lifting devices)?

30 Was the rigging gear inspected prior to use?

31 Is sling protection used to protect slings (especially synthetic slings) and equipment from damage due to abrasion and sharp corners and edges?

32 Is the rigging gear used in accordance with its working load limit? Is the working load limit marked on the rigging gear?

33 Are positive latching devices (or “mousing”) used on crane and rigging hooks?

34 If a mobile crane is used on a barge, are all rules of 29 CFR 1926.1437(construction) being followed?

35 If a mobile crane is used on a barge are the outriggers/stabilizers blocked or are the crawlers traveling in a defined space as allowed by 29 CFR 1926.1437 (construction)?

36 For floating cranes, are rules of 29 CFR 1915 (ship repair) or 29 CFR 1926.1437 (construction) being followed?

37 If a multi-purpose machine, forklift, or construction equipment is being used, is there proof from the OEM (or qualified PE) that the machine is approved for suspended load lifting and is there a load chart?

38 If a personnel lift is being performed with a crane or base mounted hoist, are all requirements of NAVFAC P-307, paragraph 11.1.g(5) for a crane or 11.1.m for a base mounted hoist being followed?

Contractor: Subcontractor:

Location: Date:

Notes:

Signature of Government Representative:

Attachment J-0200000-03-02, Forms

CERTIFICATE OF COMPLIANCE

This certificate shall be signed by an official of the company that provides cranes (or multi-purpose machines, material handling equipment, or construction equipment used to lift loads suspended by rigging gear) or rigging gear for any application under this contract. Post a completed certificate on each crane or alternate machine (or in the contractor’s on-site office for rigging operations) brought onto Navy property.

CONTRACTING OFFICER’S POINT OF CONTACT

(Government Representative)

PHONE

PRIME CONTRACTOR/PHONE CONTRACT NUMBER

CRANE OR ALTERNATE MACHINE SUPPLIER/PHONE

(if different from prime contractor)

CRANE OR

ALTERNATE MACHINE NUMBER

(i.e., ID number)

CRANE OR ALTERNATE MACHINE MANUFACTURER/TYPE/CAPACITY

CRANE OR ALTERNATE MACHINE OPERATOR'S NAME(S)

I certify that

1. The above noted crane or alternate machine and all rigging gear conform to applicable OSHA regulations (host country regulations for naval activities in foreign countries) and applicable ASME B30 standards. The following OSHA regulations and ASME standards apply: EM385-1-1

2. The operators noted above have been trained and are qualified for the operation of the above noted crane(s) or alternate machine(s).

3. The operators noted above have been trained not to bypass safety devices during lifting operations.

4. The operators, riggers and company officials are aware of the actions required in the event of an accident as specified in the contract.

COMPANY OFFICIAL SIGNATURE DATE

COMPANY OFFICIAL NAME/TITLE

Attachment J-0200000-03-03, Crane and Rigging Gear Accident

Accident Category: Crane Accident Rigging Gear Accident

From:

UIC:

To: Navy Crane Center Bldg. 491 NNSY Portsmouth, VA 23709 Fax: 757-967-3808

Activity:

Report No:

Crane No:

Category:

Accident Date:

Time: hrs:

Category of Service: SPS GPS Crane Type:

Crane Manufacturer:

Was Crane/Rigging Gear Being Used in SPS: Yes No Was Crane/Rigging Gear Being Used in a Complex Lift/Critical Non-Crane Rigging Operation: Yes No

Location:

Weather:

Crane Capacity:

Hook Capacity:

Weight of Load on hook:

Fatality or Permanent Disability? Yes No

Material/Property Cost Estimate:

Reported to NAVSAFECEN? Yes No

Accident Type:

Personal Injury Overload Derail Damaged Rigging Gear

Load Collision Two Blocked Dropped Load Damaged Crane

Crane Collision Damaged Load Other: Specify

Cause of Accident:

Improper Operation Equipment Failure Inadequate Visibility

Improper Rigging Switch Alignment inadequate Communication

Track Condition Procedural Failure Other: Specify

Chargeable to:

Crane Walker Rigger Operator

Maintenance Management/Supervision Other: Specify

Crane Function:

Travel Hoist Rotate Luffing Telescoping Other N/A

Is this accident indicative of a recurring problem? Yes No

If yes, list Accident Report Nos.:

ATTACH COMPLETE AND CONCISE SITUATION DESCRIPTION AND CORRECTIVE/PREVENTIVE ACTIONS TAKEN AS ENCLOSURE (1). Include probable cause and contributing factors. Assess damages and define responsibility. For equipment malfunction or failure, include specific description of the component and the resulting effect or problem caused by the malfunction or failure. List immediate and long term corrective/preventive actions assigned and respective codes.

Preparer:

Phone:

E-mail:

Code:

Date:

Concurrences: (Include Code, Signature and Date)

Attachment J-0200000-03-03, Forms

CRANE AND RIGGING GEAR ACCIDENT REPORT INSTRUCTIONS

This form is designed for fax transmission without a cover page or by e-mail and, with enclosures and signatures, shall be the official document. Electronic submission will be accepted without signatures but the names of the preparer, concurring personnel, and certifying official (for crane accidents only) shall be filled in. The e-mail address is m_nfsh_ncc_accident@navy.mil. The fax number is (757) 967-3808.

1. Accident Category: Indicate either crane accident or rigging gear accident.

2. From: The naval activity that is responsible for reporting the accident and UIC number.

3. Activity: The naval activity where the accident took place.

4. Report No.: The activity assigned accident number (e.g., 95-001).

5. Crane No.: The activity assigned crane number (e.g., PC-5), if applicable.

6. Category: Identify category of crane (i.e., 1, 2, 3, or 4), if applicable.

7. Accident Date: The date the accident occurred.

8. Time: The time (24 hour clock) the accident occurred (e.g., 1300).

9. Category of Service: Check the applicable service (SPS as defined by NAVSEA 0989-030-7000).

10. Crane Type: The type of crane involved in the accident (e.g., mobile, bridge), if applicable.

11. Crane Manufacturer: The manufacturer of the crane (e.g., Dravo, Grove, P&H), if applicable.

12. SPS: Was the crane or rigging gear being used in an SPS lift?

13. Complex lift: Was the crane or rigging gear being used in a complex lift?

14. Location: The detailed location where the accident took place (e.g., building 213, dry dock 5).

15. Weather: The weather conditions at time of accident (e.g., wind, rain, cold).

16. Crane Capacity: The certified capacity of the crane (e.g., 120,000 pounds), if applicable.

17. Hook Capacity: The capacity of the hook involved in the accident at the max radius of the operation, if applicable.

18. Weight of Load on Hook: If applicable, the weight of the load on the hook.

19. Fatality or Permanent Disability?: Check yes or no.

20. Material/Property Cost Estimate: Estimate total cost of damage resulting from the accident.

21. Reported to NAVSAFECEN?: Self-explanatory.

22. Accident Type: Check all that apply.

23. Cause of Accident: Check all that apply.

24. Chargeable to: Check all that apply.

25. Crane Function: Check all functions in operation at time of accident. Check N/A if a rigging gear accident.

26. Is this a recurring problem?: Check yes or no. Identify any other similar accidents.

27. Situation Description/Corrective Actions: Self-explanatory.

28. Preparer: Self-explanatory.

29. Concurrences: Self-explanatory.

30. Certifying Official (Crane Accidents Only): Self-explanatory.

31. Brief Description: No more than one paragraph summarizing the resultant incident.

32. Background and Detailed Description: Provide the relevant background in a descriptive timeline of preconditions leading up to the event, as well as a detailed description of the event.

33. Corrective Actions: List all short term and long term corrective actions that are taken to prevent recurrence of the incident. Short Term Corrective Actions are those actions taken that will allow return to work in short time

Certifying Official (Crane Accident Only):

frame. Long Term actions are more ‘programmatic’ in nature and typically include: process revision, changes in training, ‘mistake proofing’, etc.

Attachment J-0200000-03-04, Forms

Crane and Rigging Gear Near Miss Report Near Miss Category: Crane Near Miss Rigging Gear Near Miss

From:

UIC:

To: Navy Crane Center Bldg 491 NNSY Portsmouth, VA 23709 Fax (757) 967-3808 nfsh_ncc_accident@navy.mil

Activity: Report No:

Crane/Equipment No: Category: Near Miss Date: Time:

hrs

Category of Service: SPS GPS Crane /Equipment Type: Crane/Equipment Manufacturer:

Location: Weather:

Crane/Equipment Capacity: Hook Capacity: Weight of Load on Hook:

Is this near miss indicative of a recurring problem? Yes No

If yes, list report numbers:

In the space below, include a brief description of the event and corrective actions taken to prevent recurrence:

Preparer:

Phone and email

Code Date

Attachment J-0200000-03-04, Forms

CRANE AND RIGGING GEAR NEAR MISS INSTRUCTIONS

This form is designed for fax transmission without a cover page or by e-mail and, with enclosures and signatures, shall be the official document. Electronic submission will be accepted without signatures but the names of the preparer, concurring personnel, and certifying official (for crane accidents only) shall be filled in. The e-mail address is nfsh_ncc_accident@navy.mil. The fax number is (757) 967-3808.

1. Near Miss Category: Indicate either crane or rigging gear near miss.

2. From: The naval activity that is responsible for reporting the near miss and UIC number.

3. Activity: The naval activity where the near miss took place.

4. Report No.: The activity assigned near miss number (e.g., 95-001).

5. Crane No.: The activity assigned crane number (e.g., PC-5), if applicable.

6. Category: Identify category of crane (i.e., 1, 2, 3, or 4), if applicable.

7. Near Miss Date: The date the near miss occurred.

8. Time: The time (24 hour clock) the near miss occurred (e.g., 1300).

9. Category of Service: Check the applicable service (SPS as defined by NAVSEA 0989-030-7000).

10. Crane Type: The type of crane involved in the near miss (e.g., mobile, bridge), if applicable.

11. Crane Manufacturer: The manufacturer of the crane (e.g., Dravo, Grove, P&H), if applicable.

12. Location: The detailed location where the near miss took place (e.g., building 213, dry dock 5).

13. Weather: The weather conditions at time of the near miss (e.g., wind, rain, cold).

14. Crane Capacity: The certified capacity of the crane (e.g., 120,000 pounds), if applicable.

15. Hook Capacity: The capacity of the hook involved in the near miss at the maximum radius of the operation, if applicable.

16. Weight of Load on Hook: If applicable, the weight of the load on the hook.

17. Is this a recurring problem: Check yes or no. Identify any other similar near misses or accidents.

18. Situation Description/Corrective Actions: Self-explanatory.

19. Preparer: Self-explanatory.

Attachment J-0200000-03, Forms

Attachment J-0200000-03-05

Equipment Changeover Spec Sheet

Attachment J-0200000-03-05 New Equipment Changeover Specification Sheet is provided as a separate attachment (Provided as file name: J-0200000-03-05 – Equipment_Changeover_Spec_Sheet.pdf).

Attachment J-0200000-03, Forms

Attachment J-0200000-03-06

Solid Waste Management Report

Solid Waste Recycled

Description

Amount

(lbs./tons) Cost Revenue

Glass

Metal (aluminum, circuit boards, steel)

Paper & Paper Board

Plastic

Food (cooking grease & oil, discarded food)

Wood (packaging, pallets, plywood)

Yard/Green Waste (mulch, trees, trimmings)

Concrete

Asphalt

Select Waste

Description

Amount

(lbs./tons) Cost Revenue

Construction and Demolition Debris

Used Oil

Ethylene Glycol Antifreeze

Lead-Acid Batteries

Other Waste

Description

Amount

(lbs./tons) Cost Revenue

Sewage Sludge (land applied)

Sewage Sludge (disposed)

Oil Water Separator Liquids

OWWO Oil

OWWO Sludge

Lift Station Grease

Other Waste (SPECIFY)

Attachment J-0200000-03-07

Contractor Hazardous Material Inventory Log (EPRCA)

PRIME COMPANY NAME: _______________________________CONTRACT NO: _____________________

PROJECT TITLE / LOCATION:

Material

Name Manufacturer

SDS

Number

State

(Liquid, Solid, Gas)

Storage Quantity Quantity

(lbs/gals) used in

Calendar

Year [ ]

Average

Daily

Maximum

Daily

Contractor(s) certifies that the hazardous material(s) removed from installation will be used/reused for its intended purpose.

Company Using Material Listed Above Company Representative’s Signature

Submitted By: ________________________ Phone: ______________ Fax: __________ Date: _________

Printed Name

Contracting Officer _____________________Phone: ______________ Fax: __________ or ROICC

Representative

Page ____ of ____

SECTION 01 57 19.00 20 – APPENDIX A

Attachment J-0200000-03-07

Contractor Hazardous Material Inventory Log (EPRCA)

Directions for Process Material Log Sheets

Chemical Description:

Material Name - List the brand or generic name of the chemical material.

Manufacturer - List the name of the manufacturer of the product.

Constituents of Concern - List the constituents (ingredients) as listed on the Material Safety Data Sheet

(MSDS).

CAS # - List the Chemical Abstract Service (CAS) Number for each Constituent of Concern listed. This information is found on the MSDS. If no CAS number is listed, state “N/L”.

% - List the concentration of each Constituent of Concern listed. This information is found on the MSDS. If the concentration is not listed, state “N/L”.

Product Weight - List the weight of material contained in one container of the product. This information is normally listed on the MSDS or can be determined from the density or specific gravity of the product listed on the MSDS.

In addition, check all the boxes that apply to this chemical:

o Pure or Mix - choose only one.

o Solid, Liquid or Gas - choose only one.

o Extremely Hazardous Substance (EHS), Ozone Depleting Substance (ODS), SARA TITLE III Chemical

(SARA III), Air Toxic Chemical (AIR TOX) or Carcinogen

(CARC) - based on the information provided by the material’s MSDS. Choose all that apply.

o HM exempt - per EPCRA section 312 and based upon user knowledge, choose this box if the material would normally be exempt from reporting for hazardous material storage.

o Tri exempt - per EPCRA section 313 and based upon user knowledge, choose this box if the material would normally be exempt from reporting for the Toxic Release Inventory (TRI).

Physical and Chemical Hazards:

For each material listed, check all the physical and health hazard boxes that apply. These hazard categories are defined in 40 CFR 370.2.

Fire Hazard - flammable, combustible liquid, pyrophoric, oxidizer.

Sudden Release of Pressure - explosive, compressed gas.

Reactive - unstable reactive, organic peroxide, water reactive.

Immediate (acute) Health Hazard - highly toxic, toxic, irritant, sensitizer, corrosive.

Delayed (chronic) Health Hazard - carcinogens, mutagens, other long-term health hazards.

Storage Description: Storage Code:

List the appropriate storage type, pressure and temperature condition codes for the material based upon the codes listed below. List the storage type in the first box, the applicable pressure code in the second box and the applicable temperature code in the third box. More than one storage code may apply if material is stored in different types of containers.

Storage Type:

A - Above Ground Storage Tank F Can L Cylinder

B - Below Ground Storage Tank G Carboy M Glass Bottle or Drum

C - Tank Inside Building I Fiber Drum N Plastic Bottle or Drum

D - Steel Drum J Bag R Other

E - Plastic/Non-metallic Drum K Box

Pressure and Temperature Conditions:

1 - Ambient Pressure 4 Ambient Temperature

2 - Greater than Ambient Pressure 5 Greater than Ambient Temperature

3 - Less than Ambient Pressure 6 Less than Ambient Temperature but not Cryogenic

7 - Cryogenic Conditions

Inventory in Pounds:

Maximum Amount - List the maximum amount of a material that was on-hand (stored) at any one time.

Amount must be recorded in pounds.

Average Amount - List the average amount of a material that was on-hand during the reporting period.

Amount must be recorded in pounds.

Days on Site - List the number of days during the reporting period each material was on-site. If the material was present for the whole year, record as 365.

Amount Used in Pounds:

List the amount of each material used during the reporting period. Amount must be recorded in pounds.

Amount used is the best estimate based on the contractor material tracking system.

Attachment J0200000-03, Forms

Attachment J-0200000-03-08

Spec Item 2.9.7 - Monthly On-Site Labor Report - Recurring Work

Solicitation/Contract No.: N6945022R0002

Company Name:

Date Submitted:

Labor Hours for the Month of:

ELIN/

Sub-ELIN

Annex/

Sub-annex

Spec Item Description Spec Item 3

Labor

Hours

Spec Items

1 and 2

On-Site

Labor Hours

1501000 Facility Management

X001 1501000 3.1

Infrastructure Condition Assessment

Program (ICAP) Services

X002 1501000 3.2 Technical Support Services

1502000 Facility Investment

Service Orders

X003 1502000 3.1.1 Emergency Service Orders

X004 1502000 3.1.2 Urgent Service Orders

X005 1502000 3.1.3 Routine Service Orders

Preventive Maintenance

X006 1502000 3.2.1 Auxiliary Generator Systems

X007 1502000 3.2.2 Compressed Air Systems

X008 1502000 3.2.3

Interior and Exterior Lighting

Systems

X009 1502000 3.2.4

Lightning Arrestors and Grounding

Devices

X010 1502000 3.2.5 Unfired Pressure Vessels (UPV)

X011 1502000 3.2.6 Weight Handling Equipment (WHE)

Integrated Maintenance Program

(IMP)

X012 1502000 3.3.1 Boilers and UPV Systems

X013 1502000 3.3.2 Fire Protection Systems

X014 1502000 3.3.3 HVAC and Refrigeration Systems

X015 1502000 3.3.4

Vertical Transportation Equipment

(VTE)

Other Recurring Services Program

X016 1502000 3.5.1 Exhaust Hoods and Ducts

X017 1502000 3.5.2 Grease and Grit Traps

X018 1502000 3.5.3 Oily Water Separators

1601000 Utilities Management

X019 1601000 3.1

Utility Infrastructure Condition

Assessment Program (UICAP)

Support

X020 1601000 3.2 Meter Reading

X021 1601000 3.3 Utility Locate Services

X022 1601000 3.4 Utility Escort Services

1602000 Electrical

X023 1602000 3.1

Operate Electrical Power

Transmission and Distribution

Systems

X024 1602000 3.2

Integrated Maintenance Program

(IMP)

1604000 Wastewater

X025 1604000 3.1 Operation

X026 1604000 3.2

Integrated Maintenance Program

(IMP)

1605000 Steam

X027 1605000 3.1 Operation

X028 1605000 3.2

Integrated Maintenance Program

(IMP)

X029 1605000 3.3 Inspection, Testing, and Certification

1606000 Water

X030 1606000 3.1 Operation

X031 1606000 3.2

Integrated Maintenance Program

(IMP)

X032 1606000 3.3 Inspection, Testing, and Certification

1800000 Environmental

X033 1800000 3.1

Oil and Regulated Substance Spill

Response and Cleanup Ashore

X034 1800000 3.2 Used Oil Management Services

X035 1800000 3.3 Storm Water Monitoring

Total Recurring Work:

Attachment J-0200000-03-08

Spec Item 2.9.7 - Monthly On-Site Labor Report - Non-Recurring Work

Solicitation/Contract No.: N6945022-R-0002

Company Name:

Date Submitted:

Labor Hours for the Month of:

ELIN/

Sub-ELIN

Order Number

(Task Order, Work

Authorization, Fed-MALL, etc.)

Description Spec Item 4

Labor

Hours

Spec Items

1 and 2

On-Site

Labor Hours

X700

Unit Priced Labor Hour Work -

MUST BE NEGOTIATED BY KO.

X701

BSVE Unit Priced Labor Hour Work –

MUST BE NEGOTIATED BY KO.

X702

Direct Material and Construction Equipment -

MUST BE NEGOTIATED BY KO.

X703

X704

X705

X706

X707

X708

X709

X710

Total Non-Recurring Work:

Attachment J-0200000-04

Government-Furnished Property, Material and Services

Section 0200000 – 2.1.2 - The Contractor shall maintain as current and accurate the records stored in the

Government's CMMS. The Government will make these systems available for the Contractor's use in managing the effort required under this contract.

Section 0200000 – 2.4 - The Government will provide access to all available mechanical drawings, control schematics and product data sheets. The Government will assist in the placement of HVAC equipment beyond the physical capabilities of contractor’s technicians.

Section 0200000 – 2.4.1 - The Government will provide air filters for PM operations.

Section 0200000 – 2.4.2 - Office and Storage space of approximately 1,200 square feet shall be provided for

Contractor use. Office shall have standard power also be heating and air-conditioned. Spaces will be wired for telephones for contractor’s cost reimbursable use.

Section 0200000 – 2.4.3 – There are no Government Furnished Vehicles and Equipment Associated with this contract.

Section 0200000 – 2.4.4 - The Government will supply incidental utilities for the spaces described above to include power, water and sewer.

Attachment J-0200000-05

Service Provider Information and Service Provider Reference Value List are attached as separate Excel files with file names: J-0200000-05-01_Service_Provider_Information_202108 and J-0200000-05-

02_NAVFAC_Service_Provider_Reference_Value_List

Attachment J-0200000-06

Asset Information and NAVFAC Asset Reference Value List are attached as separate Excel files with file names:

J-0200000-06-01_Asset_Information_201307 and J-0200000-06-02_NAVFAC_Asset_Reference_Value_List

Attachment J-0200000-07

Characteristic Meter Reading Information

Name Required

Length

Limit

NAVFAC MAXIMO FIELD

(MEASUMENT / ASSETMETER)

Site Y 8 SITEID/SITEID

Asset Y 25 ASSETNUM/ASSETNUM

Meter Y 15 METER NAME/METER NAME

Observation Y 2 OBSERVATION/LASTREADING

Measurement Date Y 10 MEASUREDATE/LASTREADINGDATE

Inspector Y 30 INSPECTOR / LASTREADINGINSPCTR

Observation Values

Facilities (DCR):

A (Amber)

A+ (Amber Plus)

A- (Amber Minus)

G (Green)

G+ (Green Plus)

G- (Green Minus)

R (Red)

R+ (Red Plus)

R- (Red Minus)

Utilities (UCR):

1 (Best/Highest CI Ranking)

5 (Worst/Lowest CI Ranking)

Attachment J-0200000-08

Utilities Attributes

Classification Required Specification Field

Actuator Actuator Type

Actuator Rated Pressure

Actuator Rated Pressure UOM

AirDryer Air Dryer Type

Barscreen Bar Screen Type

BatterySystem Battery Role

BatterySystem Battery Type

BatterySystem Number Of Batteries

Boiler Type ID

Boiler National Board No.

Boiler Capacity

Boiler Capacity UOM

Boiler Primary Fuel Type

Boiler Secondary Fuel Type

Burner UL Number

Burner Fuel Type

CapacitorBank Cap Bank Type

CapacitorBank Control Type

CapacitorBank Install Type

CapacitorBank Nominal Voltage

CapacitorBank Voltage Class

CapacitorBank Total Bank KVAR

ChemicalAddtion Chemical Type

Chiller Capacity

Chiller Capacity UOM

Chiller Compressor Type

Compressor NFAID

Compressor Compressor Type

CondensateCollector Steam Condensate Collector Type

CondensateCollector Associated Line Type

ControlSystem Type

ControlSystem Voltage

ControlValve Type

ControlValve Diameter

ControlValve Diameter UOM

ControlValve Regulation Type

ControlValve Material

DeaeratorAndStorageTank Deaerator Type

CLASSIFICATION REQUIRED SPECIFICATION FIELD

DeaeratorAndStorageTank Deaerator Capacity

DeaeratorAndStorageTank Deaerator Capacity UOM

DeaeratorAndStorageTank Storage Tank Volume

DeaeratorAndStorageTank Volume UOM

DeaeratorAndStorageTank Tank Material

DifferentialRelay Differential Relay Type

DifferentialRelay Calibration Date

DynamicProtectiveDevice Dyn Pro Dev Type

DynamicProtectiveDevice Device Control

DynamicProtectiveDevice Voltage Class

DynamicProtectiveDevice Interr Mechanism

DynamicProtectiveDevice Gang Operated

DynamicProtectiveDevice Interr Medium

DynamicProtectiveDevice Install Type

DynamicProtectiveDevice Nominal Voltage

ElectricLine Electric Line Type

ElectricLine Circuit Length

ElectricLine Length UOM

ElectricLine Voltage Class

ElectricLine Conductors per Phase

ElectricLine Install Type

ElectricLine Nominal Voltage

ElectricLine Radial Feeder

ElectricLine Cable in Conduit

ElectricMeter Electric Meter Role

ElectricMeter Meter Form

ElectricMeter Meter Class

ElectricMeter Nominal Voltage

ElectricPanel Panel Type

ElectricPanel Voltage

ElectricPanel Amp Rating

ElectricPanel Number Spaces

ElectroMechanicalRelay Relay Type

ElectroMechanicalRelay IEEE Device No

ElectroMechanicalRelay Calibration Date

ElectroMechanicalRelay Voltage Class

Enclosure Enclosure Type

Engine Driven Asset

Engine Fuel Type

ExpansionJoint Steam Exp Joint Type

ExpansionJoint Assoc Line Type

ExpansionJoint Diameter

ExpansionJoint Diameter UOM

CLASSIFICATION REQUIRED SPECIFICATION FIELD

ExpansionJoint Material

ExteriorLights Exterior Lights Type

ExteriorLights Nominal Voltage

ExteriorLights Light Ownership

ExteriorLights Wattage

ExteriorLights Lamp Type

ExteriorLights Quantity

Fan Fan Role

Filter Filter Type

Filter Filter Material

Filter Capacity

Filter Capacity UOM

Filter Rated Flow

Filter Rated Flow UOM

GearDrive Shaft Alignment

GearDrive Rated Power

GearDrive Power UOM

Generator Rated KW

Generator Generator Type

Generator Voltage Class

Generator Nominal Voltage

GreaseTrapAndOilWaterSeparator Pretreatment Device Type

GreaseTrapAndOilWaterSeparator System Type

GreaseTrapAndOilWaterSeparator Material

GritRemoval Grit Removal Type

Ground Grounding Device Type

Ground Ground Type

HeatExchanger Heat Exchanger Role

Hydrant Year Manufactured

Hydrant Bonnet Color

Hydrant Material

Hydrant Hydrant Type

Hydrant Seat Diameter

Hydrant Diameter UOM

Instrumentation Instrumentation Type

Insulator Insulator Type

Insulator Insulator Material

Insulator Install Type

Insulator Voltage Class

IonExchangeUnit Capacity

IonExchangeUnit Capacity UOM

LVBreakerPanel Install Type

LVBreakerPanel Nominal Voltage

CLASSIFICATION REQUIRED SPECIFICATION FIELD

LVBreakerPanel Wire

LVBreakerPanel Rated Ampacity

LVBreakerPanel Number Phases

LVBreakerPanel Number Spaces

LVBreakerPanel Spaces Filled

MechanicalMeter Mech Meter Role

MechanicalMeter Mech Meter Billing Type

MechanicalMeter Remote Read Indicator

MechanicalMeter Material

MechanicalMeter Meter Type

Mixer Mixer Type

Motor Motor Type

Motor Motor Control Type

Motor RPM

Motor Rated HP

Motor Nominal Voltage

Motor Voltage Class

OvercurrentRelay Overcurrent Relay Type

OvercurrentRelay Calibration Date

Pipe Service Area

Pipe Line Type

Pipe Pipe Length

Pipe Pipe Length UOM

Pipe Material

PowerInverter Nom. Input Volt.

PowerInverter Nom. AC Volt. Out

PowerInverter Cont/Nom Pwr Out.

Pump Type

Pump Submersible Indicator

Pump Rated Flow

Pump Rated Flow UOM

Pump Mechanical System Type

Pump Material

Receptacle Receptacle Type

Receptacle Install Type

Receptacle Voltage Class

Receptacle Nominal Voltage

Receptacle Rated Ampacity

ReliefValve Type

ReliefValve Diameter

ReliefValve Diameter UOM

ReliefValve Material

RotatingBiologicalContactor Capacity

CLASSIFICATION REQUIRED SPECIFICATION FIELD

RotatingBiologicalContactor Capacity UOM

ShorePowerBox Shore Power Box Type

ShorePowerBox Voltage Class

ShorePowerBox Nominal Voltage

ShorePowerBox Install Type

SolidStateRelay Relay Type

SolidStateRelay IEEE Device No

SolidStateRelay Calibration Date

SolidStateRelay…