N6945024R0037_SectionF_0002.pdf

Section F

0200000 - Management and Administration

N69450-24-R-0037

Amendment 0002

DELIVERABLES OR PERFORMACE

Annex/

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

0200000/

2.2.1.2

N/A Request to Work

Outside

Government’s

Regular Working

Hours

At least seven calendar days prior to requested day.

KO and

COR

As required

0200000/

2.3.1

N/A Sign-in Sheets and

Minutes for

Review and

Comments

Within two working days

KO, COR

and all attendees

As Required

0200000/

2.3.1

N/A Sign-in Sheets and

Minutes Final

Revision

Within two working days

KO, COR

and all attendees

As Required

0200000/

2.3.4

N/A Permits and

Licenses

Before work commences and as requested by the KO.

KO and

COR

As specified

0200000/

2.3.5

N/A Certificate of

Insurance

Within 15 calendar days after award.

KO and

COR

As specified

0200000/

2.3.5

N/A Written Notice of cancellation or material change in policy coverage

At least 30 calendar days prior to cancellation or material change in policy coverage

KO and

COR

As required

2.3.10 N/A Phase-In Plan Within 5 days of

award

KO and

COR

As required

2.3.10 N/A Phase-out Plan 120 days prior to

contract completion date

KO and

COR

As required

0200000/

2.6.1

N/A Plans of Action and Milestones

(POA&Ms)

Within 15 calendar days prior to contract start and within seven calendar days of changes.

KO, COR,

and

Command

Security

Manager

As required

0200000/

2.6.1

N/A Cybersecurity

Incident

Immediately upon discovery during regular working hours and by

0800 the following work day for discoveries after regular working hours

KO, COR,

and

Command

Security

Manager

As required

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

0200000/

2.6.4

N/A Scheduling and

Work Status

Updates

Weekly, within

30 minutes of the inquiry during regular working hours, and by

08:00 the following work day for inquiries after regular working hours

KO and

COR

As Specified

0200000/

2.6.4

N/A Work Schedules Within 15 calendar days prior to contract start, 10 days prior to the beginning of the month in which services are scheduled to be performance, and within two calendar days of changes.

COR Monthly

0200000/

2.6.5

N/A Notification of any

Difficulty in

Scheduling Work

By the end of each workday

KO and

COR

As required

0200000/

2.6.6

N/A Status of

Deliverables

Within 30 minutes of the inquiry during regular working hours, and by

0800 the following work day for inquiries after regular working hours

KO and

COR

As required

0200000/

2.6.7

N/A Service

Interruptions

30 days in advance for planned outages;

as soon as possible for unplanned

KO and

COR

As required

0200000/

2.6.8.2

J-0200000-09 Sample Pipe

Delimited Flat-File

Within 30 calendar days prior to contract start.

KO or a representa tive designate d by the

KO

As required to demonstrate the ability to properly format the flat-file

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

0200000/

2.6.8.3

N/A List of personnel requiring access to

Government’s

Maximo

Within 30 calendar days prior to contract start.

KO and

COR

As specified

0200000/

2.6.9.1

N/A Quality

Management Plan

Within 15 calendar days prior to contract start.

KO and

COR

As required

0200000/

2.6.9.1

N/A Revised Quality

Management Plan

Within seven calendar days of changes.

KO and

COR

As specified

0200000/

2.6.9.2

N/A QC Inspection File Within five calendar days of completion/ termination of the contract.

KO and

COR

As specified

0200000/

2.6.9.3

N/A Contractor Quality

Inspection and

Surveillance

Report

First work day of each month.

KO and

COR

Monthly

0200000/

2.6.10

N/A Property

Management Plan

Within 45 calendar days after award.

KO and

COR

As specified

0200000/

2.7.1

N/A List of Key

Personnel and

Qualifications

Within 15 calendar days after award.

KO and

COR

As specified

0200000/

2.7.1

N/A Organizational

Chart

Within 15 calendar days after award.

KO and

COR

As specified

0200000/

2.7.2.6

N/A Proof of Legal

Residency

Prior to be admitted to site of work.

KO and

COR

As specified

0200000/

2.8.1

N/A Employee List Within 15 calendar days prior to contract start and within seven calendar days of changes and upon request.

KO and

COR

As required

0200000/

2.8.8

N/A OF-306

Declaration for

Federal

Employment and

Digital

Fingerprints

Prior to commencement of work.

KO, COR,

and

Security

Manager

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

0200000/

2.8.9

N/A List of personnel requiring access to and the justification for their access to

Government IT, OT, and FRCS

Within 15 calendar days prior to contract start and within seven calendar days of changes.

KO, COR,

and

Security

Manager

As required

0200000/

2.9.2

N/A Accident

Prevention Plan

Within 15 calendar days prior to contract start and within seven calendar days of changes.

KO and

COR

As specified

0200000/

2.9.3

N/A Activity Hazard

Analysis

Together with the

Accident

Prevention Plan and within seven calendar days of any changes.

KO and

COR

As specified

0200000/

2.9.4

N/A Compliance Plans, Programs, and

Procedures to include LOTO

Together with the

Accident

Prevention Plan and within seven calendar days of any changes.

KO and

COR

As specified

0200000/

2.9.4.7

N/A Report of periodic inspections of the energy control procedures

Together with the

Accident

Prevention Plan and within seven calendar days of any changes.

KO and

COR

As specified

0200000/

2.9.6

J-0200000-04 NAVFAC

Contractor Incident

Reporting System

(CIRS)

Within five calendar days of accident.

KO and

COR

As required

0200000/

2.9.6

J-0200000-04 Weight Handling

Equipment

Accident Report

Within 15 working days of accident.

KO and

COR

As required

0200000/

2.9.6

J-0200000-04 Crane and Rigging

Gear Near Miss

Report

Within 15 working days of accident.

KO and

COR

As required

0200000/

2.9.8

N/A Monthly On-Site

Labor Report

First work day of each month.

KO and

COR

Monthly

0200000/

2.9.9

N/A OSHA Citations and Violations

Corrective Action

Report

Within 48 hours after receiving a citation.

KO and

COR

As required

0200000/

2.9.10

N/A Safety Inspection and Monitoring

Report

First work day of each month.

KO and

COR

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

0200000/

2.9.11

N/A Safety

Certifications

Within 15 calendar days prior to contract start and as old certifications expire.

KO and

COR

As specified

0200000/

2.10

N/A EMS Goals and

Policy

Measurement

Information

Upon request. KO and

COR

As required

0200000/

2.10.1.1

N/A Water

Conservation Plan

Within 15 calendar days after award and for changes.

KO and

COR

As specified

0200000/

2.10.2

N/A Environmental

Protection Plan

Within 15 calendar days prior to contract start and within seven calendar days of changes.

KO and

COR

As specified

0200000/

2.10.2.21

N/A Air Quality

Reports for

Contractor’s

Controlled

Equipment

Within 15 calendar days after the end of each month and at termination of the contract.

KO and

COR

Monthly

0200000/

2.10.2.21

J-0200000-04 Solvent Use Log Within the first 10 working days of each month.

KO/COR/

Environ mental

Division

Monthly

0200000/

2.10.2.21

J-0200000-04 Gasoline Loading Within the first 10 working days of

KO/COR/

Environ mental

Division

Monthly

0200000/

2.10.2.6

N/A Sampling Plan Prior to Sampling KO and

COR

As required

0200000/

2.10.2.6

N/A Laboratory

Analysis

Upon Request KO and

COR

As specified

0200000/

2.10.2.8

J-0200000-04 Ozone Depleting

Annual Report

15 January KO/COR/

Environ mental

Division

Annually

0200000/

2.10.2.8

N/A Class I and II ODS

Report

Within 24 hours following delivery of refrigerant to

DLA and by the

10th of each month

KO/COR/

Environ mental

Division

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

2.10.2.8

J-0200000-04 ODS

Release/Recovery

Report

Within 24 hours following of ODS release

KO, COR

and

Environ mental

Division

As required

0200000/

2.10.2.9

J-1800000-08 Used Oil Disposal and Recycling

Sampling Plan

Within 15 calendar days prior to contract start.

KO, COR

and

Environ mental

Division

As specified

0200000/

2.10.2.9

J-1800000-08 Used Oil Disposal and Recycling

Summary Report

Form

By October 10th KO, COR and

Environ mental

Division

Annually

0200000/

2.10.2.9

J-1800000-12 Spill Prevention

Control and

Countermeasure

Plan inspection form for Oil-containing drums

Within 10 working days of each quarter

KO, COR

and

Environ mental

Division

Quarterly

0200000/

2.10.2.10/

2.10.2.11

J-0200000-04 Solid Waste

Management and

Recycling Reports

First work day of each month.

KO and

COR

Monthly

0200000/

2.10.2.10

J-0200000-04 Summary Solid

Waste

Management and

Recycling Report

By October 10th KO and

COR

Annually

0200000/

2.10.2.13

N/A Waste Stream

Determination

Report

Within 30 calendar days prior to start of contract performance and within 14 days of identification of any new waste stream.

KO and

COR

As required.

0200000/

2.10.2.15

N/A Fuel and hazardous substance spill notification

Verbal notification within 15 minutes of discovery

Regional

Dispatch

Center

As required

0200000/

2.10.2.15

N/A Fuel and hazardous substance spill notification

As soon as possible but not more than 2 hours after spill

KO and

COR

As required

0200000/

2.10.2.15

N/A Fuel and hazardous substance spill report

Within 48 hours of discovery

KO and

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

0200000/

2.10.2.16

N/A Emergency

Planning and

Community Right-

To-Know Act

(EPCRA) Report

Within 15 calendar days prior to contract start and not less than 10 working days prior to planned use of hazardous material.

KO and

COR

As specified

2.10.2.16

J-0200000-04 Contractor

Hazardous

Material Inventory

Log

Within 15 calendar days after the end of each month and at termination of the contract.

KO, COR

and

Environ mental

Division

Monthly

0200000/

2.10.2.20

N/A Asbestos

Containing

Material (ACM)

Verbally notify the KO and COR within one hour and follow-up with written

Notification within 24 hours

KO and

COR

As specified

0200000/

2.10.2.21

N/A Hazardous Air

Pollutants Semi-annual Reports

At intervals of

160 to 200 calendar days

KO, COR,

Installatio n

Environm ental

Division, City, State, and

EPA

Semi-annually

0200000/

2.10.2.21

N/A Hazardous Air

Pollutants Monthly

Data

First workday of each month.

KO, COR,

Installatio n

Environm ental

Division

Monthly

0200000/

2.10.2.24

N/A Identification of

Lead Based

Building Materials

One hour verbal notification and follow-up with written with in 24 hours.

KO, COR

Installatio n

Environm ental

Division

As required

0200000/

2.10.2.25

N/A Dewatering Plan In advance of work performance

KO, COR

Installatio n

Environm ental

Division

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

0200000/

2.10.2.26

N/A Recycling of

Ethylene Glycol

Report

Within 15 calendar days after the end of each quarter and at termination of the contract.

KO/COR/

Environ mental

Division

Quarterly

0200000/

2.10.3

N/A Sustainable

Procurement and

Practices Plan

Within 15 calendar days prior to contract start and within

15 calendar days after exercised option periods.

KO and

COR

Annually

0200000/

2.10.3

N/A Sustainable

Delivery of

Services Report

Within five calendar days after each contract period.

KO and

COR

Annually

0200000/

2.10.3.2

N/A Recovered

Material

Certification

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

KO and

COR

As Required

0200000/

2.11

N/A Mission Essential

Contractor

Services Plan

Within 15 calendar days prior to contract start and within seven calendar days of changes.

KO and

COR

As Required

0200000/

2.11

N/A Mission

Critical/Essential

Personnel List

Within 15 calendar days prior to contract start and within seven calendar days of changes.

KO and

COR

As specified

0200000/

2.12

N/A Technical Library

Table of Contents

Within 15 calendar days after contract start and within seven calendar days of changes.

KO and

COR

As specified

0200000/

2.14.1

Recurring Work

Proposals

Within five calendar days following receipt of request

KO and

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

0200000/

2.14.2

N/A Notification to the

Government for

Work Above the

Recurring Work

Limitations and

ROM Estimate

Within two hours of identification.

KO and

COR

As required

0200000/

2.15.1.1

N/A Non-Recurring

Work Quantities

Ordered via

FedMall

By the fifth day of the following month

KO and

COR

Monthly

0200000/

2.15.2.1

N/A Non-Recurring

Work Proposals

Within two working days following receipt of request.

KO As required

Deliverables Form Preparation Instructions

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

Form Attachment No.: N/A

Government Approval Required: ___ Yes X No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Submit a copy via email to recipients on the distribution list for Government review and comment.

1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.

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

Deliverable Title: GFE Inventory

Form Attachment No.: N/A

Government Approval Required: ___ Yes X No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Inventory shall include no less than the following information;

a. Description

b. Quantity

c. Manufacturer

d. Acquisition Cost

e. Model Number

f. Location

g. Serial Number

h. GFE Number

Submit a copy via email to recipients on the distribution list for Government review and comment.

Deliverable Title: Emergency Planning and Community Right-To-Know Act (EPCRA) Report

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

1. The report shall be prepared using Microsoft Office software.

2. Include the following:

a. EPCRA Plans and Procedures:

1) Hazardous Materials Planned for Use: Include an inventory of hazardous materials planned for use, including estimated quantities, and a copy of the corresponding material safety data sheets (MSDS) for hazardous materials expected to be used for this contract during each calendar year. The inventory shall include all information required to complete the Contractor Hazardous

Material Inventory Log shown in the Form Attachment. This report shall be submitted to the KO and Environmental Compliance Office via the KO.

2) Plan for protecting personnel and property during the transport, storage, and use of the materials.

3) Emergency procedures for spill response and disposal, including a site map with approximate quantities on site at any given time. The site map, showing where the hazardous substances are stored, shall be attached to the inventory.

4) Approved labeling system to identify contents of all containers on-site.

b. Hazardous Materials Actually Used: Include an inventory of the actual hazardous materials used, including include quantities, to the KO and Environmental Compliance

Office via the KO. The inventory shall include all information required to complete the

Contractor Hazardous Material Inventory Log shown in the Form Attachment.

3. Submit additional information to the Government as requested to support EPCRA reporting requirements.

Deliverable Title: Solvent Use Log

Form Attachment No.: J-0200000-04

Government Approval Required: X Yes ___ No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

1. The report shall be prepared using Microsoft Office software.

2. Include the following:

a. This report will be used to comply with the base Air permit.

b. Report will contain solvent usage for parts washers

c. Follow the instructions on the form J-0200000-04 Solvent Use Log.

3. Submit to the Government electronically to KO, COR, and Environmental Division (PRA4) within the first 10 working days of each month.

Deliverable Title: Gasoline Loading

Form Attachment No.: J-0200000-04

Government Approval Required: X Yes ___ No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

1. The report shall be prepared using Microsoft Office software.

2. Include the following:

a. This report will be used to comply with the base Air permit.

b. Report will contain fuel loading data for tanks.

c. Follow the instructions on the form J-0200000-04 Gasoline Loading.

within the first 10 working days of each month.

Deliverable Title: Ozone Depleting Annual Report

Form Attachment No.: J-0200000-04

Government Approval Required: X Yes ___ No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

1. The report shall be prepared using Microsoft Office software.

2. Include the following:

a. The annual report shall contain type of ODS/refrigerant and quantities (pounds)

b. The report must display the information by type of ODS.

3. Submit to the Government electronically to KO, COR, and Environmental Division (PRA4) by

15 January annually.

Deliverable Title: ODS Release/Recovery Report

Form Attachment No.: J-0200000-04

Government Approval Required: X Yes ___ No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

1. The report shall be prepared using Microsoft Office software.

2. Include the following:

a. This report will be used to comply with base air permit and ODS regulatory requirements.

b. Complete form in accordance with instructions provided on the form.

within 24 hours of an ODS release.

Deliverable Title: Spill Prevention Control and Countermeasure Plan inspection form for Oil-containing drums

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

1. The report shall be prepared using Microsoft Office software.

2. Include the following:

a. Report will contain inspection check-list for Oil-containing Drums that contain 55 gallons or larger, to comply with the Base SPCC.

b. This report will be used to comply with the base Spill Prevention, Control, and

Countermeasure (SPCC) Plan and 40 CFR-112.

c. Follow the instructions on the form.

3. Submit to the Government electronically to KO, COR, and Environmental Division (PRA4) the first 10 working days of each quarter.

Deliverable Title: Report of Hazardous Materials Inventory

Form Attachment No.: J-0200000-04

Government Approval Required: X Yes ___ No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

4. The report shall be prepared using Microsoft Office software.

5. Include the following:

a. Identifies hazardous materials issued to each activity supported.

b. Fill out figure J-0200000-04 Report of Hazardous Materials Inventory in accordance with NAVSUPPACTMIDSOUTHINST 5100.6.

6. Submit to the Government electronically to KO, COR, and Environmental Division (PRA4) annually by 10 April.

1501000 - Facility Management

DELIVERABLES OR PERFORMANCE

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

1501000/

3.1.1

N/A MAXIMO Asset

Changes Report

By COB the third workday of each month

COR, KO

& FMD

Monthly

1501000/

3.3

N/A MAXIMO Flat File When direct entry is not used

COR,

RCC and

FMD

Daily

1502000 - Facility Investment

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To

Frequency

1502000/

2.2.1

N/A

Certification and

Licenses

Within 15 days after award or as requested by the

KO

KO and

COR

Once for initial submittal, then as requested

1502000/

3.1

J-1502000-35 Service Order

Summary Report

First work day of each month

KO and

COR

Monthly

1502000/

3.1

N/A Roofing Repair

Report

Fifth work day of each month

COR and

Requirem ents

Branch

Hd.

Monthly

1502000/

3.2

Preventive

Maintenance

Program Plan

30 calendar days after contract award

KO and

COR

Annually

1502000/

3.2

N/A Monthly PM Work

Schedule

Five work days prior to the beginning of each month

COR and

Requirem ents

Branch

Head

Monthly

1502000/

3.2.8

N/A HVAC Oil Sample

Analysis Report

5 working days after test results received

COR,

Requirem ents and

Env.

Branch

Hd.

Annually

1502000/

3.2.1

J-1502000-35 Generator Service

Log

Within the first

10 working days of each month.

COR,

Requirem ents and

Env.

Branch

Hd.

Monthly

1502000/

3.2.3

N/A Monthly Cathodic

Protection

Inspection/Test

Schedule

Within 30 days following award

COR and

Require ments

Branch

Head

Annually and as changes occur

1502000/

3.2.3

N/A Annual Cathodic

Protection

Calibration

Schedule

Within 30 days following award

COR and

Require ments

Branch

Head

Annually

1502000/

3.2.3

N/A Cathodic Protection

Test Results

Within five working days of the test

COR and

Require ments

Branch

Head

Monthly

Form

Attachment

Number Deliverable Title

3.2.3

N/A Cathodic Protection

System Report

Upon completion of annual calibration

COR and

Require ments

Branch

Head

Annually

1502000/

3.2.5

J-1502000-10 Elevated Water

Tank PM Report

31July KO and

COR

Annually

1502000/

3.2.6

N/A Exterior Lighting

Systems Program

30 calendar days after contract award

KO and

COR

As specified

1502000/

3.2.9

J-1502000-35 Grounding System

Visual Inspection

Results

Five work days following inspection

KO, COR

and ESO

Every Six

Months

1502000/

3.2.9, 3.4.3

J-1502000-35 Grounding System

Test and Inspection

Results

Five work days following testing

KO, COR

and ESO

Annually, Monthly for new equipment

1502000/

3.2.11

N/A PTAC Summary

Replacement Report

Fifth work day of each month

COR and

Requirem ents

Branch

Head.

Monthly

1502000/

3.3

Integrated

Maintenance

Program Plan

30 calendar days after contract award

KO and

COR

Annually

1502000/

3.3

N/A Monthly IMP

Schedule and IMP

Maintenance and

Repair Status

Five work days prior to the beginning of each month

KO and

COR

Monthly

1502000/

3.4

Inspection, Testing, and Certification

Program Summary

Report

First work day of each month

KO and

COR

Monthly

1502000/

3.4

Inspection, Testing and Certification

Schedule and

Equipment

Certifications

First work day of each month

KO and

COR

Monthly

1502000/

3.4.1

J-1502000-38 Backflow Device

Test Report

Five working days after test

COR/

Requirem ents

Branch

Head.

As required

1502000/

3.4.3

Ground Point

Inspection and

Testing Results

First working day of each month

KO and

COR

Monthly

1502000/

3.4.5

Inspection and Test

Report for Vertical

Transportation

Equipment

By the fifth work day of each month

COR and

Requirem ents

Branch

Head.

Form

Attachment

Number Deliverable Title

3.5

Other Recurring

Services Program

Summary Report

First work day of each month

COR and

Requirem ents

Branch

Head.

Monthly

1502000/

3.5.1

N/A Boiler Water

Treatment Test

Results

Within 5 days following test

KO and

COR

As specified

1502000/

3.5.3.1

N/A FRCS Maintenance

Schedule

30 calendar days after contract award

KO and

COR

As specified

1502000/

3.5.3.2

N/A Report of FRCS in bypass mode

Within four hours of identification

KO, COR

and CIO

As specified

1502000/

3.5.3.2

N/A FRCS Network

Intrusion

Within four hours of identification

KO, COR

and CIO

As specified

1502000/

3.5.5

J-1502000-35 HVAC Water

Chemical Analysis

Report

Within five days after tests completed

COR and

Requirem ents

Branch

Head.

As specified

1502000/

3.5.6

N/A HVAC Condenser

Tube Inspection

Findings

Within five days after tests completed

COR and

Requirem ents

Branch

Head.

As specified

1502000/

3.5.7

N/A Oil/Water Separator

Service Log

After award, no later than

October 5th of each calendar year.

COR and

Environm ental

Branch

Hd.

Annually

1502000/

3.5.9

N/A Traffic Control

Device Program

30 calendar days after contract award

KO and

COR

As specified

1502000/4 N/A Non-recurring Work

Status Report

Fifth work day of each month

KO and

As specified

Deliverable Title: Service Order Summary Report

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

The Service Order Summary Report shall be a compilation of the previous months service order reports with the following information:

a. Detailed description of work actually completed, problems encountered and recommended follow-up actions required.

b. Brief description of material and parts used, including quantities and cost.

c. Date and time work began.

d. Date and time work was completed.

e. Total hours of labor (by craft) expended, including travel time.

f. Name of person accepting the work and any comments written on the service order ticket.

g. Last name and first initial of the Contractor employee(s) performing the work.

Submit a copy of the summary report via email to KO and COR for Government review and comment.

Deliverable Title: Service Order Status Report

Form Attachment No.: N/A

Government Approval Required: Yes X No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

At a minimum, the report shall include the following by service call (sort report by date completed then by Service Call Number):

Completed Open

a. Service call number. Y Y

b. Job order number. Y N

c. Date/time call received. Y Y

d. Name of Maintenance Representative and phone number

Y Y

e. Short description of required work. Y Y

f. Classification/ Priority Assigned. Y Y

g. Location of work. Y Y

h. Description of work performed Y N

i. Date/time completed Y N

j. For Emergency Service Calls: Date/Time work began.

Y N

Submit a copy of the status report via email to the COR and Customer Maintenance Reps (as needed) for

Government review.

Deliverable Title: Roofing Repair Report

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

The Roofing Repair Report summarizes temporary and permanent roof repairs Format is optional. At a minimum, the report shall contain the following information:

a. Service call number

b. Building number

c. Description of temporary/permanent repair

d. Date of temporary repair

e. Date of permanent repair or date permanent repair is scheduled

Submit a copy of the summary report via email to COR for Government review.

Deliverable Title: Preventive Maintenance Program Plan

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

The Service Order Summary Report shall be a compilation of the previous months service order reports with the following information:

a. Name of inspector/mechanic

b. Date

c. Checks made

d. Services performed

e. Corrective action performed

f. Materials used

g. Material cost

Submit a copy of the plan via email to KO and COR for Government review.

Deliverable Title: Monthly PM Work Schedule

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

The schedule shall be sent electronically and shall list all PM's to be performed by the week. PM's shall be listed by craft, i.e. HVAC, plumbing, etc., and building number. The schedule shall also show the day and week of performance and the PM Guide number.

Submit a copy of the report via email to the COR for Government review.

Deliverable Title: HVAC Oil Sample Analysis Report

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

An approved laboratory test report format shall be used annually for oil samples on all HVAC systems 70 tons or greater.

Submit a copy of the report via email to the COR, Environmental and Requirements Branch Heads for

Government review within five working days after tests results are received.

Deliverable Title: Backflow Device Test Report

Form Attachment No.: J-1502000-33

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Complete Backflow Device Test Report Form attached which is self-explanatory, or a similar contractor developed form (approved by ACO) each time a backflow device is tested.

Submit a copy of the report via email to the COR for Government review within five working days after test.

Deliverable Title: Inspection and Test Report for Vertical Transportation Equipment

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Provides a log/tabular list of all inspections, tests, maintenance and repair performed on each elevator and dumbwaiter, broken down by elevator/dumbwaiter. Exact format shall be developed by the contractor but as a minimum this record shall indicate the items shown on figure 3-2A and the following:

a. Elevator/Dumbwaiter identification

b. Date and time notified (if other than routine service)

c. Date and time service/repair

d. Name of mechanic

e. Nature of problem (if other than routine service)

f. Description of service performed

g. Item of equipment/component involved

h. What parts were replaced

Submit a copy of the report via email to the COR and for Government review by the fifth working day of each month

Deliverable Title: Report of Elevator/Dumbwaiter Inspections and Tests

Form Attachment No.: J-1502000-33

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Upon completion of inspections and/or tests the form (J-1502000-33 Report of Periodic Inspections and

Tests), or similar approved contractor developed form, shall be prepared by filling in the appropriate blanks. Inspection checklists as shown in ANSI 17.1 shall also be filled out and attached.

Submit a copy of the report via email to the COR for Government review within 5 working days of inspection/test completion.

Deliverable Title: Other Recurring Services Program Summary Report

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Format is optional and records may be kept in logs, record cards, or other format, and maintained either at the equipment or in a central location. Equipment that has no logbook shall have a record card. As a minimum the records shall indicate the following:

a. Name of inspector/mechanic

b. Checks Made

c. Date

d. Services performed

e. Corrective action performed

f. Materials used

g. Material cost

Deliverable Title: Water Chemical Analysis Report

Form Attachment No.: J-1502000-33

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Report format similar to J-1502000-33 Water Chemical Analysis Report or an equivalent approved laboratory report format shall be used to report results of monthly HVAC cooling water quality.

Deliverable Title: Non-recurring Work Status Report

Form Attachment No.: N/A

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Excel software.

Format is optional and Serves as a comprehensive listing of all non-recurring work requested by the

Government and provides a ready reference of the status of all indefinite quantity work from inception to completion. Report format is to be electronic spreadsheet; report will include the following information:

a. Work Request Number

b. Date Received

c. Job Title/Description

d. Priority

e. Whether Maint. Services or Davis-Bacon Work

f. Price

g. Delivery Order Number

h. Job Order Number

i. Estimated/Actual Start Date

j. Estimated/Actual Completion Date

Include with each report a listing of delivery orders completed the previous month.

Submit a copy of the report via email to the COR.

Deliverable Title: Generator Service Log

Form Attachment No.: J-1502000-33

Government Approval Required: X Yes ___ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Report will contain data for all generators.to include O&M run times and the emergency run times and cause. This report will be used to comply with the base Air permit. Follow the instructions on the form J-

1502000-33 Generator Service Log.

Submit a copy of the report via email to the COR for Government review within the first 10 working days of each month..

Deliverable Title: Cathodic Protection - Quarterly Structure-to-Electrode Potential Report

Form Attachment No.: N/A

Government Approval Required: Yes _X_ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Test in accordance with UFC 570-06 and forward results to ACO.

Submit a copy of the summary report via email quarterly to COR for Government review and comment five working days after tests completed.

Deliverable Title: Cathodic Protection - Monthly Rectifier Report

Form Attachment No.: N/A

Government Approval Required: Yes _X_ No

Media: Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Test in accordance with UFC 570-06 and forward results to ACO.

Submit a copy of the summary report via email monthly to COR for Government review and comment five working days after tests completed.

1503010 - Custodial

Spec Item

Form

Attachment

Number

Deliverable

Title

Date (s) of

Submission To Frequency

1503010/

2.2.1

N/A Pathogen

Training

Certificates

Upon request KO and

COR

Upon request

1503010/

2.3.1

N/A Pathogen

Exposure

Control Plan

Within 15 calendar days prior to contract start and annually thereafter

KO and

COR

As specified

1503010/

3.1

N/A Annual Work

Schedule

Within 15 calendar days prior to contract start

KO and

COR

Annually and five calendar days prior to implementing any changes to the schedule

1503010/

3.1

N/A Monthly Work

Plan

First work day of each month and five calendar days prior to implementing any changes to the schedule

KO and

COR

Monthly

1503010/

3.2

N/A Custodial

Service Order

Report

First work day of each month

KO and

1503020 - Pest Control

Annex/Spec

Item

Form

Attachment

Number

Deliverable Title

Date(s) of

1503020/2.2.1 N/A Copy of State

Certification for

Contractor Personnel

15 calendar days prior to start of work.

Copies of renewed certifications shall also be submitted.

KO,

COR,

and

PMC

As required

1503020/2.3.1 N/A Copy of Local/State

Business License

Prior to contract start.

Copies of renewed licenses shall also be submitted.

KO and

COR

1 per state

1503020/2.3.2 N/A Permits 5 days prior to the start of work requiring permits.

KO and

COR

As required

1503020/2.3.4 N/A Ultra-Low Volume

(ULV) Equipment

Calibration and

Droplet Analysis

Report

15 days prior to the start of work and thereafter every 50 hours of ULV equipment use.

KO,

COR,

and

PMC

As required

1503020/2.3.5 N/A Planned Pesticide Use

Sheets including

Pesticide Labels and

Material Safety Data

Sheets (MSDS)

15 days prior to the start of work.

Note: Any proposed changes in pesticide usage shall be submitted for

KO approval at least 5 business days in advance of pesticide use.

KO and

COR

1 for each pesticide per pest as required

1503020/3 N/A Contractor's Work

Plan

Prior to start of work.

KO and

Item

Form

1503020/3.3 J-1503020-14 Report of Pest

Management

Operations

Electronically once per month by the

15th of the following month

(Example:

July data must be submitted by August

15).

KO,

COR,

and

PMC

Monthly

1503020/3 N/A Report of Conditions

Conducive to Pest

Infestation

1 working day after citing conditions.

KO and

COR

As required

1503020/3, 3.3 N/A Monthly Summary of completed Pest

Control Service

Orders

Once per month by the

15th of the following month.

KO,

COR,

and

PMC

Monthly

1503020/3.1.3, N/A Five-year Termite

Treatment Warranties

10 days following the treatment.

KO and

COR

As required

1503020/3.1.3, J-1503020-18 Termite and Wood

Decay Inspection (DD

Form 1070) (per the appropriate Pest

Group Sheet)

10 working days after inspection completed.

COR/

Require ments

Branch

Head

As required

1503020/3, 4 J-1503020-18 Adult Mosquito Catch

(per the appropriate

Pest Group Sheet)

The same day as collected in a labeled, re-sealable plastic bag.

KO and

COR

As required

1503020/3.1.2, N/A Larval Mosquito

Survey Report (per the appropriate Pest

Group Sheet)

Within 1 day of the survey.

KO and

COR

As required

1503020/3.1.2, N/A Stored Product Pest

Survey (per the appropriate Pest

Group Sheet)

Within 1 day of the survey.

KO and

COR

As required

1503020/3.1.2, N/A Pharaoh Ant

Treatment: Floor Plan

Diagram (per the appropriate Pest

Group Sheet)

2 calendar days prior to beginning the treatment.

KO and

COR

As required

1503020/3.1.2, N/A Tick Survey Report

(per the appropriate

Pest Group Sheet)

Within 1 day of the survey.

KO and

Item

Form

1503020/3.1.4, N/A Mole Cricket Survey

Report (per the appropriate Pest

Group Sheet)

Within 1 day of the survey.

KO and

COR

As required

1503020/3.1.2, N/A Aerial Spray

Operations - FAA

Approval (per the appropriate Pest

Group Sheet)

24 hours prior to performing aerial operations.

KO and

Instructions for Contractor's Work Plan

The CWP shall adhere to applicable publications and directives contained in J-1503020-02 (Applicable Publications and Directives). The CWP will require approval by the Contracting Officer (KO). The CWP shall establish the strategy and methods for conducting a safe, effective, and environmentally sound pest management program in compliance with these specifications. Prospective contractors may review the installation’s historical records of pest activity and abatement actions, survey facilities and grounds, and consult with the Installation PMC in development of a plan. The CWP shall address continuous monitoring, pest response and removal procedures, record keeping, warranties, education and communication to installation personnel to prevent pests and disease vectors, bird control on applicable airfields and in hangars, etc. The IPM approach should use targeted (i.e., effective, environmentally sound) methods including habitat/facility modification, biological/genetic/cultural control, mechanical/physical control, and where necessary, the judicious use of least hazardous pesticides. The CWP shall include labels, MSDS sheets, and planned pesticide use sheets and comply with all applicable local, state, and Federal regulations, and the

IPMP.

Termite and Wood Decay Inspection (DD Form 1070) (per the appropriate Pest Group Sheet)

DESCRIPTION/PURPOSE: To report results of structural pest inspection.

APPLICATION/INTERRELATIONSHIP: Used to monitor condition of structures and effectiveness of structural pest control program.

PREPARATION INSTRUCTIONS: Computer generated format similar to the form in J-1503020-18 1) Report of Structural Pest Inspection

FREQUENCY: Every other year for each structure/facility except family housing units.

DUE DATE: Within 10 working days of inspection. Inspection reports for individual structures/facilities may be accumulated and submitted monthly. Conditions of critical or urgent nature shall be reported immediately.

DISTRIBUTION: Electronically to the COR..

Adult Mosquito Catch (per the appropriate Pest Group Sheet)

DESCRIPTION/PURPOSE: Provides a tally of female mosquitoes caught for each light trap.

APPLICATION/INTERRELATIONSHIP: Used to determine the need for mosquito control.

PREPARATION INSTRUCTIONS: Fill out Light Trap Survey form found in J-1503020-18 2) Mosquito Light

Trap Report

FREQUENCY: Four consecutive days per week 15 April through 30 September.

DUE DATE: The first work day of the following week.

DISTRIBUTION: Submit the collected mosquitoes and one copy of Light Trap Survey form to NAVHOSP

Preventive Medicine. Retain original on file for Navy inspections.

1503030 - Integrated Solid Waste Management (ISWM)

Spec Item

Form

Attachment

Number

Deliverable

Title

Date (s) of

Submission To Frequency

1503030/

2.3.1, 3.2.2

N/A Recycling

Revenue

Receipts

Report

With invoice/Monthly

KO and

COR

As specified

1503030/

2.3.2

N/A Weight

Tickets

With invoice/Monthly

KO and

COR

As specified

1503030/

2.3.3

N/A Disposal

Permits

Within 15 calendar days after Contract award

KO and

COR

As required

1503030/

3.1

N/A Solid Waste

Collection

Schedule

15 days after award/Annually

KO and

As specified

1503040 - Other (Splash Park)

DELIVERABLES OR PERFORMAMCE

Spec

Item

Form

Attachment

Number

Deliverable

Title

Date (s) of

Submission To Frequency

1503040/

2.1.1

N/A Certifications and Training

Within 15 days after award or as requested by the KO

KO and COR Once for initial submittal, then as requested

1503040/

3.5

N/A Water Analysis

Report

First work day of each month

KO and COR Monthly

1503040 - Other (Splash Park)

Deliverable Title: Water Analysis Report

Form Attachment No.: N/A

Government Approval Required: ___ Yes X No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Submit a copy via email to recipients on the distribution list for Government review and comment.

1. If the KO accepts the request, the Government shall notify the Contractor of Government acceptance.

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

1503050 - Grounds Maintenance and Landscaping

Form

Attachment

Number

Deliverable

Title

Date (s) of

Submission To Frequency

1503050/

2.2.1

N/A Certification, Training, and

Licensing

Within 15 calendar days prior to start of work.

Copies of renewed certifications shall also be submitted.

KO and COR Annually and as required by Section

H – Special Contract

Requirements, FAC

5252.237-9301

Substitutions of Key

Personnel (JUN

1994)

1503050/

2.3.1.1

N/A Business

Licensing

Within 15 calendar days prior to contract start.

Copies of renewed licenses shall also be submitted.

KO and COR As required

1503050/

2.3.1.4

N/A Planned

Pesticide/

Herbicide Use

Sheets including

Pesticide/

Herbicide

Labels and

Safety Data

Sheets (SDS)

Within 15 calendar days prior to contract start and at least 10 business days for any proposed changes.

KO, COR,

PMC

Annually for each pesticide/herbicide, as required.

1503050/

2.3.1.5

N/A Pest

Management

Operations

Report

Electronically by the 15th of the following month

(Example:

July data must be submitted by

August 15) on the format approved by

PMC.

KO, COR and

PMC

Monthly

1503050/

2.3.2

N/A Permits Within 15 calendar days prior to start of work.

KO and COR As required

1503050/ 3 N/A Weight Tickets With Invoice KO and COR As Specified

1503050/ 3 J-1503050-07 Recycling

Reporting

Form

As specified KO and COR With each invoice

1503050 - Grounds Maintenance and Landscaping

1503050/

3, 3.2.5

N/A SDS sheets and catalog cut sheets or samples for fertilizer, mulch, and herbicides

Prior to bringing on-board installation and prior to use

KO and COR As required

1503050/ 3 N/A Contractor

Work

Schedules

Within 15 calendar days prior to contract start

KO and COR Annually and five calendar days prior to implementing any changes to the schedule

1503050/

3.1.1.3

N/A Soil Analysis test results and proposed fertilizer

Within 15 days after receipt of the test results by the

Contractor

KO and COR As required

1503050/

3.1.1.3

N/A Top Dressing and Over

Seeding Seed

Type

Within 15 calendar days prior to contract start

KO and COR Annually and five calendar days prior to implementing changes to the schedule

1503050/

3.1.7

N/A Artificial Turf

Maintenance

Plan

Within 15 calendar days prior to contract start

KO and COR Annually and five calendar days prior to implementing any changes to the plan

1503050/

3.6

N/A Grounds

Maintenance

Service Order

Summary of

Completion

Report

By the fifth day of each month

KO and COR Monthly

1503060 - Pavement Clearance

Spec Item

Form

Attachment

Number

Deliverable

Title

Date (s) of

Submission To Frequency

1503060/

3.1

N/A Pavement

Sweeping

Schedule

15 working days after award and

15 working days after the start of each option year

KO and COR Annually

1503060/

3.2.2

N/A Snow Removal

Plan

15 working days after award and

15 working days after the start of each option year

KO and COR Annually

1601000 - Utility Management

Annex

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

1601000/

3.1.1

Contingency Plan 15 working days after award and

15 working days after the start of each option year

KO and

COR

Annually

1601000/

3.1.2

N/A Utility Outage

Request

Within 30 calendar days of request

COR/

UEM

Branch

Head

As

Required

1602000/

3.1.2

N/A Unscheduled

Outage

Within 24 hours of outage

COR/

UEM

Branch

Head

As

Required

1601000/

3.1.3

N/A Monthly Meter

Reading Report

By the 25th day of each month

Utilities

Branch

Head/KO

Monthly

1601000/

3.1.3

N/A Re-read Meter Within 1 day of request

COR/

UEM

Branch

Head

As

Required

1601000/

3.1.4, 3.1.6

N/A Excavation Permit

Utility Markings

Upon issuance Utilities

Branch

Head/COR and KO

As required

1601000/

3.2

N/A Utility

Infrastructure

Condition

Assessment

First work day of the each month in

Maximo

KO/COR Monthly

1601000/

3.2.1

N/A Notification of utility assets not included in the listing

As Specified KO/COR As

Required

1601000/

3.2.1

N/A Asset description change report

As Required KO/COR As

Required

1601000/

3.2.1

N/A Summary of

MAXIMO Asset

Changes Report

By COB the third workday of each month

COR/KO

& FMD

Monthly

1601000/

3.3

N/A Report of FRCS in bypass mode

Within four hours of identification

KO, COR

and CIO

As specified

1601000/

3.4

N/A MAXIMO Flat

File

As specified COR/RCC

/FMD

Deliverable Title: Meter Readings

Form Attachment No.: N/A

Government Approval Required: ___ Yes X No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Excel software.

Read all meters on specified dates each month. Record required meter readings for gas, electricity, sewage, and water in an Excel spreadsheet and return completed spreadsheet.

Submit the completed spreadsheet via email to the COR and UEM Branch Head by the first work day of

Deliverable Title: Utility Outage Request

Form Attachment No.: N/A

Government Approval Required: _X__ Yes No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Public Works approval must be obtained for planned outages. Public Works will obtain clearances from system users. Whenever possible, routine maintenance requiring shutdown of equipment shall be performed when winter heating or summer air conditioning is not required.

Submit a request via email to the COR and UEM Branch Head at least10 days prior to requested outage date.

Report Preparation Instruction

Report Title: MAXIMO Asset Changes Report

Form Attachment No.: J-1601000-11

Government Approval Required: __ Yes __ No

Media:

__ Hard Copy __ Electronic __ Direct System Input

Preparation Instructions:

The report shall be prepared using Microsoft Office Excel software.

The MAXIMO Asset Changes Report shall be a compilation of the previous months inventory changes with the following information:

a. Detailed description of why there is a change.

b. Brief description of asset, including quantities and cost.

c. Date and time asset changed.

d. Name of person that identified the change to the asset.

Submit a copy of the summary report via email to KO for Government review and comment.

1602000 - Electrical

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

1602000/

2.2.1

N/A Certification and

Training

Thirty calendar days before making splices or terminations

KO/COR As required

1602000/

N/A Critical Spare Parts

Inventory

15 days after award

KO and

COR

Once.

Update if the requiremen ts change.

1602000 /

3.1

N/A Standard Operation

Procedures

Within 30 days after contract start and within five days of any changes

KO Once.

Update if the requiremen ts change.

1602000/

3.3

N/A Service Order

Status Report

1st working day each week

COR and

UEM

Weekly

1602000/

3.3

N/A Service Order

Summary Report

1st working day each month

COR and

UEM

Monthly

1602000/

3.1

N/A Condition Report 1st working day each week

KO and

COR

Weekly

1602000/

3.1

N/A Unscheduled

Electrical Outage

Within 24 hours of outage

COR/

UEM

Branch

Head

As

Required

1602000/

3.1

N/A Outage Report Within 3 days after the end of the month

KO and

COR

Monthly

1602000/

3.2

N/A Generator Run

Time Report

1st working day each month

COR/

Environ mental

Branch

Head

Monthly

1602000 /

3.2, 3.4

N/A Electrical Power

Generators Testing

Schedule

30 days after award

KO Annually and any time a change is made to the schedule

1602000 /

3.4

N/A Preventive

Maintenance Plan and Preventive

Maintenance

Schedule

By the 25th day of each month

KO and

COR

Annually and any time a change is made to the schedule

1602000 /

3.4

N/A Monthly PM schedule

By the 25th day of each month

KO and

COR

Monthly

1602000 /

3.4

N/A Unaccomplished

Maintenance

Report

3 days after following the end of the month

KO and

COR

As

Required

1602000 - Electrical

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

1602000 /

3.4

N/A Repair Status

Report

By the 25th day of each month

KO/COR As

Deliverable Title: Unscheduled Electrical Outage

Form Attachment No.: N/A

Government Approval Required: ___ Yes X No

Media: ___ Hard Copy X Electronic ___ Direct System Input

Instructions:

The report shall be prepared using Microsoft Office Word software.

Provide information similar equivalent to NASMFS Form 11310/1 to document electrical outages.

Submit form via email to the COR and UEM Branch Head within 24 hours of the unscheduled outage.

1604000 - Wastewater

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

1604000/

N/A Road Closure

Request

Ten working days prior to service commencing

KO and

COR

As required

1604000/

N/A Critical Spare Parts

Inventory

15 days after award

KO and

COR

Update if the requiremen ts change.

1604000/

3.1.1

N/A Schedule of

Operator

Attendance

7 prior to the start of work Within 2 days of Request

KO and

COR

As required

1604000/

3.1.1

N/A Wastewater

Treatment

Operating Records, Logs, Reports

3 days after the end of the month during which work is performed.

KO and

COR

Monthly

1604000/

3.1.1

N/A Condition Report Weekly KO and

COR

Weekly

1604000/

3.1.1

N/A Monthly Outage

Report

By the First working day of each month

KO and

COR

Monthly

1604000/

3.2

N/A Service Order

Summary Report

First work day of each month

KO and

COR

Monthly

1604000/

3.2

N/A Service Order

Status Report

First work day of each week

COR and

UEM

Weekly

1604000/

3.3

N/A Preventive

Maintenance (PM)

Program

Within 30 days following contract award

KO and

COR

As specified

1604000/

3.3

N/A Monthly PM schedule

By the 25th day of each month

KO and

COR

Monthly

1604000/

3.5.1

N/A Pipeline Cleaning

Schedule

15 days after award

KO Annually and any time a change is made.

1604000/

3.5.2

N/A Schedule of Wet

Well Services

15 days after award

KO Annually and any time a change is made.

1604000/

3.5.2.1

N/A Wet Well Volume

Report

10 days after the end of each fiscal year.

KO Annually

1604000/

3.4.2

N/A Wet Well Cleaning

Report

30 days after contract award

KO and

COR

1606000 - Water

Spec Item

Form

Attachment

Number Deliverable Title

Date (s) of

Submission To Frequency

1606000/

2.2.1

N/A Proof of all

Certification, Training, and

Lic…