QASP.docx
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- Solicitation number
- W912CN-26-Q-A017
About this file
This is a Quality Assurance Surveillance Plan (QASP) for a Firm Fixed Price contract to provide preventive maintenance and repair services for Automatic Transfer Switches (ATS), Generators, and Uninterrupted Power Supply (UPS) systems at various military installations in Hawaii. The QASP outlines the Government's methods and procedures for ensuring the Contractor meets performance standards specified in the Performance Work Statement (PWS), serving as a living document that may be adjusted based on observed Contractor performance. The Contracting Officer is the sole authority to bind the Government, while the Contracting Officer's Representative (COR), Byron Oda, oversees technical aspects and maintains surveillance documentation in the Procurement Integrated Enterprise Environment - Surveillance and Performance Monitoring Application (PIEE-SPM).
The Contractor must perform quarterly preventive maintenance per manufacturer recommendations, submit a PM schedule within 10 working days before service commencement, and provide PM reports within 10 working days of completion. For repairs identified during PM, the Contractor must submit a work request log within two business days and complete repairs within 10 working days of receiving parts. Unscheduled repairs require a two-business-day response with on-site assessment and a detailed cost estimate within five business days if parts are unavailable. All parts must be new or equal to or exceed manufacturer specifications, with a one-year warranty on parts, materials, and labor. The Government will employ 100% inspection, random sampling, periodic inspection, and customer feedback as surveillance methods, with performance ratings ranging from Exceptional to Unsatisfactory. Nonconforming performance will be addressed through Corrective Action Requests (CARs) in four levels, with COR Status Reports due monthly by the 25th. Key deliverables include a Transition Plan, Quality Control Plan, Safety Plan, Spill Plan, Contingency Plans, PM schedules and logs, Work Order Requests, Generator Run Logs, Equipment Inventory Lists, and invoices, all with specified submission deadlines.
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Other files
| File | Type | Posted |
|---|---|---|
| TE Inventory FINAL.xlsx | XLSX spreadsheet | |
| PWS.pdf | ||
| TE 1 Inventory.xlsx | XLSX spreadsheet | |
| TE 2 Work Order Request Template.pdf | ||
| W912CN-26-Q-A017 PRICING SHEET.xlsx | XLSX spreadsheet | |
| Wage Determination Rev 26.pdf | ||
| TE 3 Deliverables.pdf | ||
| W912CN-26-Q-A017 SF1449.pdf |
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Text version
Quality Assurance Surveillance Plan
(QASP)
Preventive Maintenance and Repair of Automatic Transfer Switch/Generator/Un Interrupted Power Supply (ATS/Gen/UPS)
Army Contracting Command – 413th CSB
25 July 2025
Contract Info:
Contract Number:
Task Order Number:
Date of Award:
Contractor’s Information:
TABLE OF CONTENTS
1.0 Overview
2.0 Description of Services
3.0 Roles and Responsibilities
4.0 Contract Quality Requirements
5.0 Government Surveillance
6.0 Nonconforming Performance & Corrective Action Request (CAR)
7.0 Data Analysis
8.0 Acceptance of Services
9.0 COR Status Report
10.0 COR/Quality Assurance Surveillance File
11.0 Combating Trafficking In Persons (CTIP)
12.0 Contractor Performance Assessment Reporting System (CPARS)
13.0 QASP Changes
14.0 Appendices
15.0 Attachments
1.0 Overview.
1.1 Purpose. The purpose of this Quality Assurance Surveillance Plan (QASP) is to identify the methods and procedures the Government will use to ensure it receives the services under this contract as identified in the Performance Work Statement (PWS). This Quality Assurance Surveillance Plan (QASP) provides a structure for the Government’s surveillance and a means for evaluating whether the Contractor meets the performance standards or quality levels identified in the PWS. The QASP facilitates early identification and resolution of performance issues and helps minimize impact on mission performance. The QASP is not part of the contract. It is a living document. Flexibility in QASP enables an increase or decrease in the level of surveillance based on observed and documented Contractor performance.
This QASP is not intended to duplicate or replace the Contractor’s Quality Control Plan (QCP) and does not detail how the Contractor accomplishes the work. The Contractor is responsible for management and quality control actions to meet the contract terms and for implementing and delivering performance that meets the contract and quality standards using its Quality Control Plan (QCP).
1.2 Intent. The intent of this QASP is to 1) ensure Contractor performance meets or exceeds contract terms, conditions, and specifications; 2) hold the Contractor accountable for quality control; and 3) encourage the Contractor to take appropriate steps to control and improve quality. Accordingly, the Government will perform surveillance on the contract in accordance with (IAW) this QASP but reserves the right to monitor the contract in any manner necessary, at any time necessary, and at all places required to ensure that the rendered services conform to contract requirements. The Government also reserves the right to perform quality assurance at the subcontractor level and the Contractor's place of business, if applicable. The resolution of nonconforming services discovered at the subcontractor level will be addressed with the prime Contractor.
1.3 Authority. Authority for issuing this QASP is provided under FAR Part 46 and applicable contract quality clauses, which provide for inspection, acceptance, and documentation of the service(s) called for in the Task Order or contract. This acceptance is to be executed by the contracting officer or a duly authorized representative.
2.0 Description of Services
2.1 Scope of Work. This is a non-personal services contract to provide Preventive Maintenance and Repair of Automatic Transfer Switch/Generator/Uninterrupted Power Supply (ATS/Gen/ UPS) at various Military Installations State of Hawaii. The Contractor shall perform to the standards specified in this Performance Work Statement (PWS). Contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government. The Contractor shall be responsible for providing all parts required for Preventive Maintenance.
2.2 Type of Contract. Firm Fixed Price contract
3.0 Roles and Responsibilities. The Government will not exercise any supervision or control over the contract service providers. The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary as defined in this PWS.
3.1 Government.
3.1.1 Contracting Officer (KO). The KO is the only person with the authority to enter into, administer, and terminate contracts or make related determinations and findings on behalf of the Government. The KO is the only individual who can legally bind the Government.
Contracting Officer Info:
| Contracting Officer: |
| (Enter KO) |
| Organization or Agency: |
| Army Contract Command – 413th CSB |
| Phone: |
| {Enter KO Telephone} |
| Email: |
| {Enter KO Email} |
3.1.2 Contracting Officer’s Representative (COR). The COR is designated in writing by the KO to act as their authorized representative and assist in contract administration. A Designation Letter issued to the COR, a copy of which is provided to the Contractor, states the responsibilities and limitations of the COR. The COR oversees the contract and monitors all technical aspects of the contract. The COR will keep a surveillance file in the Procurement Integrated Enterprise Environment – Surveillance and Performance Monitoring Application (PIEE-SPM) that accurately documents the Contractor’s performance. The COR provides monthly performance assessments to the KO by completing the COR Status Report (Smart Form) and uploading surveillance documentation (checklist, schedule, etc.) in PIEE-SPM.
Contracting Officer Representative Info:
| Designated COR: |
| Byron Oda |
| Phone: |
| (808) 864-0930 |
| Email: |
| Byron.m.oda.civ@army.mil |
3.1.3 Contract Administrator.
3.1.4 Property Administrator.
3.2 Contractor.
3.2.1 Contract Manager.
3.2.2 Project Manager.
3.2.3 Quality Manager.
4.0 Contract Quality Requirements.
4.1 Contractor’s Quality Control Program. The Contractor’s quality control program (IAW FAR Part 46 and applicable 52.246-(Clauses)) is how the Contractor assures that work complies with the contract's requirement. The Contractor shall ensure services are performed IAW this PWS. The Contractor shall identify, prevent, and ensure non-recurrence of defective services.
4.2 Government Quality Assurance. The Government shall evaluate the Contractor’s performance under this contract IAW this QASP. This plan primarily focuses on what the Government will do to ensure that the contractor meets the performance standards and contractual obligations. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).
5.0 Government Surveillance. The Government has the right to inspect all contract deliverables at any time before acceptance. Inspections can be announced or unannounced, but they will not unduly delay work or include directions that would change the contract. The Government also has the right to reject a deliverable that does not meet contract requirements. For acquisitions of commercial items, FAR Subpart 46.202-1 requires the Government to rely on Contractors’ quality assurance systems as a substitute for Government inspection and testing before the items are tendered for acceptance (unless customary practices for the supplies being acquired include in-process inspection). Any in-process inspection by the Government must be consistent with commercial practices. For services, the COR monitors Contractor performance using various inspection methods. Before an inspection, the COR will check the contract for specific inspection and testing requirements. The COR shall use a systematic approach and ensure that the inspection methods do not interfere with the Contractor’s progress or disrupt that progress only when absolutely necessary and as minimally as possible.
5.1 Methods of Surveillance. The following surveillance methods will be utilized in monitoring the Contractors’ performance:
5.1.1 100% Inspection. This method inspects/evaluates performance at each occurrence. It is often costly (both time and money) but can be necessary due to health, safety, and other considerations.
5.1.2 Random Sampling. Random sampling works best when the number of instances of the services being performed is very large and a statistically valid sample can be obtained.
5.1.3 Periodic Inspection. This method, sometimes called “planned sampling," consists of planned inspection at specific dates or time intervals. It may be appropriate for infrequent tasks where 100 percent inspection or random testing is not desired.
5.1.4 Customer Feedback/Input (Complaints). Although usually not a primary method, customer feedback is a valuable supplement to more systematic methods. For example, when random sampling indicates unsatisfactory service, customer complaints can be used as substantiating evidence. In certain situations where customers can be relied upon to consistently provide feedback regarding performance quality (e.g., dining facilities, janitorial/maintenance services), customer surveys and complaints may be a primary surveillance method and customer satisfaction may be considered an appropriate performance standard.
5.2 Performance Requirements Summary (PRS). The Performance Requirements Summary (PRS) (Appendix 14.1) lists performance objectives, standards, and thresholds the Contractor must meet. This matrix details the method of surveillance the COR will use to validate and inspect these performance elements. Although the PRS contains only mission-essential items, the Government retains the right to inspect all contract requirements. Nonconformance with any contract requirement, whether addressed explicitly in the PRS or not, is still nonconformance (See Para 6.0 Nonconforming Performance). The PRS forms the foundation of the COR’s inspection checklist(s). Inspection of each element will be documented in the COR PIEE-SPM File.
5.3 Surveillance Checklist. The COR will complete a Surveillance Checklist based on the frequency of surveillance and for every surveillance/inspection conducted. The completed form will be uploaded into PIEE-SPM in the Surveillance Documents section as a Surveillance Checklist. The checklist assures the KO that the COR has surveilled all required performance elements and documented the specific findings and recommendations regarding the Contractor’s performance. Surveillance Checklists are not considered complete until reviewed and approved by the Government Quality Assurance Specialist (QAS) or other contracting office representatives such as KO or KS.
5.4 Surveillance Schedule. The COR will complete a Surveillance Schedule on a monthly basis. The completed form will be uploaded into PIEE-SPM in the Surveillance Documents section as a Surveillance Schedule. The schedule assures the KO that the COR has scheduled and documented the dates and times Contractor surveillance was planned to be performed.
5.5 Performance Rating Definitions. IAW FAR 42.1503, Table 42-1, the following performance ratings will be used to evaluate the quality of the Contractor's performance.
| Performance Rating |
| Criteria |
| Exceptional |
| Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very Good |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory |
| Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Marginal |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| Unsatisfactory |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
6.0 Nonconforming Performance & Corrective Action Request (CAR). CARs are used as a notice to the Contractor to document a nonconformance, notify the Contractor of Government rejection of supplies or services (including construction) not conforming to contract requirements, and request Contractor corrective action. The purpose is to allow the Contractor to correct or replace nonconforming supplies and services when this can be accomplished within the required delivery schedule IAW FAR 46.407 and contract terms and conditions. Nonconformances identified in CARs must be traced to contractual requirements. CARs may be issued as precursors to contract remedies.
There are four (4) Levels of CARs that can be used and issued to the Contractor to document and communicate the seriousness of the nonconformance. Level I CARs will be issued for minor nonconformances that the Contractor can promptly correct and do not require a Corrective Action Plan (CAP). Level II, III, and IV CARs will require the Contractor to provide the Government with an acceptable CAP with target dates for implementing planned actions or correcting nonconforming work. CARs will be submitted to the Contractor in a timely manner after nonconforming performance has been identified. Government-caused defects/discrepancies shall not be counted against the Contractor. The same applies to any other requirement of the contract when Government-caused defects/discrepancies are the cause of unacceptable Contractor performance.
7.0 Data Analysis. Data Analysis will identify cost, schedule, and performance risk trends. The analysis results will be documented in the COR Status Report and may be used to adjust surveillance schedules and increase or decrease surveillance if deemed appropriate. Negative trends noted using Government data/observations may result in issuing the Contractor a Corrective Action Request (Refer to Para 6.0 Nonconforming Performance & Corrective Action Request (CAR)). Trends noted using Contractor data will not result in a CAR unless the Contractor is not addressing the negative trend.
8.0 Acceptance of Services. The COR will accept the services by approving the Contractor’s Receiving Reports in Wide Area Work Flow (WAWF) in PIEE. The COR will authorize the Contractor's payment once all services are deemed acceptable and objective evidence in writing supports satisfactory performance.
9.0 COR Status Report. The COR will document the Contractor's performance (surveillance results) no later than the 25th of the month by completing a monthly COR Status Report in PIEE-SPM for the current month of surveillance. The COR Status Report will provide a synopsis of the Contractor’s performance for the inclusive dates of the report. The synopsis will summarize the surveillance performed and include any customer feedback/complaints, CARs, recommended adjustments to surveillance schedules, and any other pertinent information. The COR Status Report is not considered finalized until reviewed and approved by the KO.
10.0 COR/Quality Assurance Surveillance File. The official COR/Quality Assurance Surveillance File will be maintained in PIEE-SPM, IAW DFARS 201.602-2 and DoDI 5000.72. At a minimum, the COR’s PIEE-SPM file(s) contents will include (1) a current QASP, (2) COR Designation Letter, (3) monthly Contractor performance (Smart Form), (4) completed Surveillance Checklists,
(5) completed Surveillance Schedule for each month, (6) cost/payment tracker (if applicable),
(7) correspondence (i.e., MFRs, emails), (8) required submittals (Refer to Attachment 14.2). Comment by Devera, Carol L CIV USARMY 413 CONTR SPT BDE (USA): Verify ATT # and revise.
11.0 Combating Trafficking In Persons (CTIP). The COR will read and understand the CTIP FAR clause 52.222-50 in the base contract and, if applicable, perform surveillance on the Contractor's performance regarding compliance with trafficking in persons (CTIP). The COR will document surveillance results in the COR Status Report and the CTIP Surveillance Checklist (Attachment 15.3).
IAW PGI 222.17 and FAR 52.222-50, the KO will be notified immediately of any information from any source that alleges a Contractor employee, subcontractor, or subcontractor employee has engaged in conduct that violates the United States Government's “zero” tolerance policy regarding trafficking in persons.
12.0 Contractor Performance Assessment Reporting System (CPARS). If applicable, the COR shall complete CPARS IAW FAR 42.15 and AFARS 5142.15 – Contractor Performance Information. The COR will utilize surveillance data (COR Status Reports, completed surveillance checklists, customer feedback/complaints, and CARs, if any) to support CPARS ratings. The COR will document in PIEE-SPM that CPARS was completed.
13.0 QASP Changes. This QASP is a living document and, as such, may be changed as needed based on data analysis (trends) of Contractor performance, contract modifications, risk, etc. The COR will send any recommended changes to the KO for approval, and the KO must approve all changes.
14.0 Appendices.
14.1 Performance Requirements Summary (PRS)
14.2 Deliverables Table (CDRLs)
15.0 Attachments. The following attachments are part of this QASP. These attachments support surveillance efforts and allow the COR to document the Contractor’s performance IAW PRS and PWS/contract requirements. The documents are provided electronically and will become a part of the COR file in PIEE-SPM.
15.1 Surveillance Checklist
15.2 Surveillance Schedule
15.3 CTIP Surveillance Checklist
15.4 Customer Complaint
Appendix 14.1
Performance Requirements Summary (PRS)
The Contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.
Performance Objective (The Service required—usually a shall statement)
| Standard |
| Performance Threshold/ |
Acceptable Quality Level (AQL) Method of Surveillance
Para 8.2-8.2.1.3 Preventive Maintenance (PM) for Automatic Transfer Switch (ATS), Generators and Uninterrupted Power Supply (UPS) (ATS/Gen/UPS).
STD: The Contractor shall conduct Quarterly Preventative Maintenance (PM) IAW the manufacturer’s recommendations.
| AQL: 10% |
| Periodic Surveillance & Customer Feedback |
Para 8.3 Preventive Maintenance PM Schedule.
| STD: Contractor shall submit to the COR for approval a PM schedule within ten (10) working days before the start of service. |
| AQL: 10% |
Periodic Surveillance & Customer Feedback
Para. 8.4 Preventive Maintenance (PM) Service Report/Log.
| STD: The PM report/log shall be submitted to the COR within ten (10) working days of completion of scheduled preventive maintenance. |
| AQL: 10% |
| Periodic Surveillance & Customer Feedback |
Para. 8.5 Repairs identified during Preventive Maintenance (PM) Services.
STD: Provide work request log within two (2) business days to COR after repairs identified during preventive maintenance. Upon receiving replacement parts complete repair within ten (10) working days. Inform COR of scheduling for repair.
AQL: 10%
Periodic Surveillance & Customer Feedback
Para. 8.6 Generator Run Log.
STD: Timely submission of Generator Run Log as specified in the PWS
AQL: 10%
Periodic Surveillance & Customer Feedback
Para 8.7-8.7.2 Unscheduled/Assessment/Work Request STD: The Contractor shall respond within two (2) business days and shall perform an on-site assessment. If the Contractor is unable to complete repairs due to the unavailability of required parts, the Contractor shall submit a detailed cost estimate to the Contracting Officer’s Representative (COR) within five (5) business days. Assessments shall include description of what is wrong with equipment, parts necessary to complete repair, cost estimate and projected completion date.
AQL: 10%
Periodic Surveillance & Customer Feedback
Para. 8.8 Unscheduled Repairs STD: The contractor shall complete repairs as soon as possible. If the repairs cannot be completed on the same day the contractor shall inform the COR and will return the next day and/or upon receiving parts. The contractor shall use new parts specified by the manufacturer of items equal or better quality.
| AQL: 10% |
| Periodic Surveillance & Customer Feedback |
Para. 8.9 Replacement Parts
| STD: The Contractor will use new parts or parts equal to or exceeding the manufacturer’s original specifications, unless otherwise stated in the contract. The Contractor will warrant all parts, materials, and labor for one (1) year. |
| AQL: 10% |
Periodic Surveillance & Customer Feedback
Para. 8.10 Equipment Inventory List.
STD: Contractors adhere to contract terms
AQL: 10%
Periodic Surveillance & Customer Feedback
Para 8.11 Invoice
| STD: Upon completion of work the Contractor shall provide invoices, receipts and all required deliverables to COR NLT the 5th business day of month. |
| AQL: 10% |
Periodic Surveillance & Customer Feedback
Attachment 14.2
DELIVERABLES TABLE (CDRLS)
| CDRL# |
| CDRL NAME |
| FREQUENCY |
| METHOD & DISTRIBUTION |
A001
| Transition Plan |
| Submit to the KO/COR within ten (10) business days after contract award |
| Word, Excel or PDF |
| A002 |
| Quality Control Plan |
| Submit to KO for acceptance within thirty (30) calendar days after the contract is awarded. The Contractor shall submit any proposed changes in the QCP to the KO for written approval five (5) working days prior to implementation |
| Word, Excel or PDF |
| A003 |
| Safety Plan |
Submit to the KO for review and approval within ten (10) of commencement of work
Word, Excel or PDF
| A004 |
| Spill Plan |
Submit a Spill Plan to KO for approval within thirty (30) days of contract award.
Word, Excel or PDF
| A005 |
| Contingency Plans |
| Shall submit Contingency Plan NLT contract start date. |
Word, Excel or PDF
| A006 |
| Preventive Maintenance Schedule |
Contractor shall submit to the COR for approval a PM schedule within ten (10) working days before the start of service.
Word, Excel or PDF
| A007 |
| Preventive Maintenance Report/Log |
Submit a consolidated written PM report to the COR within ten (10) working days after PMs have been completed
Word, Excel or PDF
| A008 |
| Work Order Request |
| Preventive Maintenance and Urgent/Routine calls provide work request report within ten (10) working days to COR. |
Word, Excel or PDF
| A009 |
| Generator Run Log |
| The Contractor shall submit the completed General Run Log to the COR quarterly within ten (10) working days after completion of the quarter. |
Word, Excel or PDF
| A010 |
| TE 1 |
Contractor shall provide the updated inventory list to the Contracting Officer’s Representative (COR) immediately upon any revisions
Word, Excel or PDF
A011
Parts Receipts/invoice
Upon completion of work provide COR with invoice NLT the 5th business day of the month
Word, Excel or PDF
| A012 |
| Invoice |
Upon completion of work provide COR with invoice NLT the 5th business day of the month
Word, Excel or PDF
ATT-QASP-A
OCT 2024
image1.emf
TE #3 Deliverables AT Gen UPS 7-25-25.docx Technical Exhibit # 3 Deliverables
Identifier
Name
Description
Format
Frequency/Distribution
A001
Transition Plan
Will have a sixty (60) business day transition period that will be implemented by the Contractor and shall state Contractor key personnel on board. The Contractor shall provide sufficient experienced personnel during the phase-in and phase-out period to ensure that the services are maintained at the required level of proficiency
Word, Excel or PDF
Submit to the KO/COR within ten (10) business days after contract award
A002
Quality Control Plan
Quality Control is the responsibility of the Contractor. The Contractor shall provide a Quality Control Plan.
Word, Excel or PDF
Submit to KO for acceptance within thirty (30) calendar days after the contract is awarded. The Contractor shall submit any proposed changes in the QCP to the KO for written approval five (5) working days prior to implementation.
A003
Safety Plan
Contractor shall develop and implement a safety program for its employees.
Word, Excel or PDF
Submit to the KO for review and approval within ten (10) of commencement of work
A004
Spill Plan
The Contractor shall submit a Spill Plan to the KO for approval within thirty (30) days of contract award IAW Spill Prevention Control and Countermeasure Plan.
Word, Excel or PDF
Submit a Spill Plan to KO for approval within thirty (30) days of contract award.
A005
Contingency Plans
The Contractor shall establish procedures and identify responsible personnel to provide the services with no interruption in the event of a labor dispute. The Contractor shall establish procedures, identify personnel, document essential PWS disaster services and identify the means of maintaining essential PWS services during disasters.
Word, Excel or PDF
Shall submit Contingency Plan NLT contract start date.
A006
Preventive Maintenance Schedule
The Contractor shall develop a Quarterly Preventive Maintenance (PM) schedule in accordance with the manufacturer’s recommendations.
Word, Excel or PDF
Contractor shall submit to the COR for approval a PM schedule within ten (10) working days before the start of service.
A007
Preventive Maintenance Report/Log
The Contractor shall submit a consolidated written PM report to the COR within ten (10) working days after PMs have been completed.
Word, Excel or PDF
Submit a consolidated written PM report to the COR within ten (10) working days after PMs have been completed
A008
Work Order Request
Preventive Maintenance, Emergency and Urgent/Routine calls Contractor shall be provided on the work request (TE2) and shall include description of what is wrong with equipment, parts necessary to complete repair, cost estimate and projected completion date.
Word, Excel or PDF
Preventive Maintenance and Urgent/Routine calls provide work request report within ten (10) working days to COR.
A009
Generator Run Log
Generator Run Log shall include but not limit to Location, Date and time Generator meter start and end reading, Annotated Emergency or Non-Emergency (Planned) Usage.
Word, Excel or PDF
The Contractor shall submit the completed General Run Log to the COR quarterly within ten (10) working days after completion of the quarter.
A010
TE 1
Equipment Inventory List
Word, Excel or PDF
Contractor shall provide the updated inventory list to the Contracting Officer’s Representative (COR) immediately upon any revisions
A011
Parts Receipts/invoice
Parts itemized listing of all parts, materials and equipment used in the repair invoice.
Word, Excel or PDF
Upon completion of work provide COR with invoice NLT the 5th business day of the month
A012
Invoice
Invoice supporting documentation
Word, Excel or PDF
Upon completion of work provide COR with invoice NLT the 5th business day of the month image2.emf
ATT-SURV-checklist-A.xlsx
SERV-A
SURVEILLANCE CHECKLIST ATT-SURV-A
413TH CONTRACTING SUPPORT BRIGADE
VERSION 1.0 JUL 2024
DATE:
CONTRACT INFORMATION
CONTRACT # TASK ORDER #: RISK RATING: POP DATE START:
CONTRACTING CENTER:
SERVICE TYPE: KO: KS: END:
CONTRACTOR PRIMARY: TOTAL EMPLOYEES: COR NAME: RANK/ TITLE:
CONTRACTOR POC: EMAIL: EMAIL: DEROS:
SUB CONTRACTOR: TOTAL EMPLOYEES: UNIT: MOS / SERIES:
LOCATION: CAGE: OUTBRIEF: COR SIGNATURE:
SURVEILLANCE SURVEILLANCE METHOD: PERFORMANCE RATING SELECT RATING AUDITOR
EXCEPTIONAL AUDITOR
NAME:
| SURVEILLANCE PERIOD | NUMBER OF | ||
| NON-CONFORMANCES: | VERY GOOD |
SATISFACTORY AUDITOR
| START: | NUMBER OF REPEAT | ||
| NON-CONFORMANCES: | SIGNATURE: |
MARGINAL
REVIEW APPROVE DISAPPROVE
END: CARs ISSUED: UNSATISFACTORY RESULTS:
DELIVERABLES
CDRL# CDRL NAME FREQUENCY METHOD & DISTRIBUTION FORMAT DATE
SURVEILLANCE SUMMARY
MONTHLY SURVEILLANCE (OBSERVATIONS, COMMENTS, AND RECOMMENDATIONS)
KEY PERFORMANCE AREAS REVIEWER COMMENTS
FREQUENCY REFERENCE REQUIREMENT COMPLIANT COR ASSESSMENT
ADDITIONAL INFORMATION
image1.png image2.svg image3.emf
ATT-SCHL.pdf
COR SIGNATURE:
Requirement DefinitionPWS Paragraph #
QAS Name: COR NAME:
SURVEILLANCE SCHEDULE
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413TH CONTRACTING SUPPORT BRIGADE
VERSION 1.0 AUG 2024
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KEY PERFORMANCE CHARACTERISTICS
CONTRACT INFORMATION
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Notes
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PO
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CENTER:
SERVICE
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CONTRACT REFERENCE Enter Dates Planned or Anticipated Day of Surveillance
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ATT-CTIP-A.pdf
TOTAL EMPLOYEES:
EMPLOYEE NAME:
U
IT
O R
PO
P
TE START:RISK RATING:
AUDITOR
AUDITOR
NAME:
UNIT:
COR SIGNATURE:
APPROVE DISAPPROVERESULTS:
SIGNATURE:
CONTRACT INFORMATION
CONTRACT # TASK ORDER #:
1.Do you know what CTIP is? Have you received CTIP training?
Was the training in your native language?
Did you understand the training?
4.Are you working the same job and for the same contractor you were hired for?
5.Did the company provide transportation from your home country?
Does the company pay for your return to your home country?
6.Did you pay a recruitment fee to the company you are CURRENTLY working for?
REVIEWER COMMENTS
52.222-50(b)(6)
52.222-50(b)(5)(i)
52.222-50(b)(7)(i)
52.222-50(c)(1) 52.222-50(h)(3)
RESPONSEREQUIREMENTOBSERVED REFERENCE
2.Are there Human Trafficking posters in English and your native language at the workplace and, if applicable, the contractor’s website?
If not, have they been provided to each worker in writing?
Do you have the means to contact the hotline either via phone or email?
3.What language is your employment contract written in (Native language, Thai, Tagalog, English, etc…. )?
Do you understand it?
Do you have a copy?
MOS / SERIES:
N
TR
TO
PRIMARY:
NAME:
RANK /
TITLE:
EMAIL:
SUB CONTRACTOR:
DEROS:
LOCATION:
TOTAL EMPLOYEES:
OUTBRIEF CONTRACTOR:
CONTRACTOR POC: EMAIL:
SERVICE
TYPE:
CONTRACTING
CENTER: KO: KS:
CTIP EMPLOYEE INTERVIEW CHECKLIST
TT
-C
TI
P-
413TH CONTRACTING SUPPORT BRIGADE
VERSION 1.0 MAR 2024
DATE:
END:
EMPLOYMENT
TIME:
GUESTS:
ASSESSMENT
EM
PL
YE
E
REVIEW
ID INFORMATION:
WORK
DESCRIPTION:
BASE ACCESS
LEVEL:
LANGUAGE:INTERPRETER:
TITLE /
POSITION:
COUNTRY
ORIGIN:
INTERVIEW (OBSERVATIONS, COMMENTS, AND RECOMMENDATIONS)INTERVIEW SUMMARY
EMPLOYEE INTERVIEW QUESTIONS
52.222-50(h)(3)(ii) 52.222-50(h)(4)(i)
52.222-50(b)(9)
52.222-50(b)(9)
52.222-50(b)(8) 52.222-50(h)(3)(iv)
52.222-50(b)(3) 52.222-50(d)(1)(i)
52.222-50(b)(1) 52.222-50(d)(1)(i)
14.What is the condition of your living quarters?
Is it safe, sanitary or damaged?
Do any items in your living quarters need repair?
Are there pests, rodents or insects present?
15.How do you travel to and from work?
Does the company provide transportation or allowance?
What are the conditions of the transportation?
16. Are you threatened with physical harm or abuse by anyone?
Do you know of anyone threatened or abused?
Are you being forced to work?
17. Are you being sexually harassed or abused?
Do you know of anyone who is sexually harassed or abused?
7.Do you maintain possession of your passport?
Do you have a work visa?
Do you have an identification card?
Does the company hold any of these documents?
Did you give consent for them to hold it?
8.How many hours do you normally work a week?
Do you receive a regularly scheduled day off?
How many paid vacation days you receive?
9.Do you receive a housing allowance?
10.Are you paid the same amount as in your contract?
Do you receive a pay slip or summary explaining your earnings and any deductions from your earnings?
11.Where do you live?
How many people live in your living quarters?
Do you know your address?
Do you have keys to your living quarters?
12.Do you have a cafeteria or kitchen?
How many people use the kitchen?
Do you have a laundry facility?
Does the company provide cleaning supplies?
13.Do you have a bed, locker and room light?
Do you have water, electricity, toilets and showers?
ADDITIONAL INFORMATION
52.222-50(b)(4)
CONTROL NUMBER: CTIP PM SIGNATURE:
52.222-50 252.222-7002(a)
CTIP-A
CONTRACT:
TASK ORDER:
TYPE:
KO:
KS:
PRIMARY:
TOTAL EMPLOYEES:
CONTRACTOR POC:
EMAIL:
SUB CONTRACTOR:
TOTAL EMPLOYEES_2:
LOCATION:
OUTBRIEF CONTRACTOR:
NAME:
EMPLOYEE NAME:
ID INFORMATION:
POSITION:
ORIGIN:
LEVEL:
INTERPRETER:
LANGUAGE:
TIME:
DESCRIPTION:
GUESTS:
UNIT:
undefined_7:
undefined_10:
undefined_13:
undefined_16:
undefined_23:
undefined_26:
undefined_29:
undefined_32:
undefined_35:
undefined_38:
undefined_41:
undefined_44:
undefined_47:
undefined_50:
undefined_53:
CONTROL NUMBERRow1:
Date1_af_date:
Date2_af_date:
Date3_af_date:
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File details come from the government source that posted it. Updated .