ATTACHMENT 8.8 CONTRACTORS EMPLOYEE STATEMENT OF COMPLIANCE.docx
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- 36C78626R50110 -- S208
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- QSE--36C78626R50110
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This is an Attachment H Contractor's Employee Statement of Compliance form required for personnel working on National Cemetery Administration grounds maintenance contracts. The document serves as a mandatory briefing acknowledgment and annual confirmation statement that all contractor employees must complete—new employees upon hire and current employees by November 1 of each contract year or immediately after contract Notice to Proceed (NTP).
The statement requires employee acknowledgment of strict compliance requirements specific to operations at national cemeteries, which are designated as national shrines. Key compliance areas include: maintaining awareness of interred remains and treating them with utmost care; prohibiting walking, standing, sitting, or driving on headstones, markers, or monuments; never placing tools or equipment on grave markers; using only Contracting Officer Representative (COR)-approved methods and tools for removing headstones and markers from their sockets (explicitly prohibiting pick axes); properly storing removed headstones and markers on their associated gravesites without placing them on dirt or mud; understanding contractor responsibility for replacing damaged headstones and restoring damaged turf; and immediately notifying the Cemetery Director, COR, and Contracting Officer of any incidents involving exposure or damage to remains or burial containers. The completed signed statement must be returned to the COR and covers the period from October 1 through September 30 of the following year.
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Text version
ATTACHMENT H
CONTRACTOR’S EMPLOYEE STATEMENT OF COMPLIANCE
| EMPLOYEE NAME: | ______________________________ |
| POSITION/TITLE: | ______________________________ |
| DATE: | ______________________________ |
Please check the appropriate blank.
| ____ | New Employee, New Contractor |
| ____ | Annual Confirmation for current Employees or Contractor(s) (Due on Nov. 1 of each Contract year or immediately after NTP.) |
FOR ALL EMPLOYEES
I have been briefed and understand the following guidance:
INITIALS
| _________ | The National Cemetery Administration honors veterans with a final resting place and lasting memorial that commemorate their service to our Nation. National Cemeteries are National Shrines. Therefore, the standards for management, maintenance, appearance and operational procedures have been established by the National Cemetery Administration to reflect this Nations’ concern and respect for those interred there. For this reason, my strict adherence to the Performance Work Statement, Performance Work Requirements Summary and Guidance Specifications must be required and must be essential. |
| _________ | I will remain aware of the remains buried in the grounds where work is being performed. The utmost care must be given to these remains and the headstones and flat grave markers that mark those gravesites and memorialize the service of individuals. |
| _________ | I will not walk, stand, lean, sit or jump on headstones, markers, or monuments. Nor will I drive over them. |
_________ I will not place or lean tools, equipment, or other items on headstones, markers, or monuments at any time.
_________ I have been briefed on the approved methods and tools to remove headstones and markers from their sockets in accordance with the Contract Specifications. I will use the tools and methods approved by the Contracting Officer Representative (COR) to lift headstones and markers out of the ground in order to avoid damage; pick axes are not an acceptable tool.
_________ I will not place headstones or markers on dirt piles or mud once they are removed from their sockets; in order to show appropriate respect towards the families visiting the gravesites and the remains that are buried, I will ensure headstones and markers are carefully stored on each associated gravesite and protected from damage or soiling, in accordance with Contract Specifications.
_________ I understand that the Contractor must be responsible for replacing damaged headstones and markers and for restoring turf damaged during performance of this work.
_________ Should any on-site activity, incident, emergency, or disaster result in exposure and/or damage to any remains, container for remains (i.e., casket or urn), or outer burial container, I will IMMEDIATELY notify the Cemetery Director, the COR and/or the Contracting Officer; I will take immediate steps to protect and render safe any exposed remains; and stop any further work until the Cemetery Director provides the Contractor ‘s Supervisor guidance regarding disposition of the remains and permission to proceed.
SIGNATURE BLOCK
Signature Printed Name Date
IF THIS STATEMENT IS THE EMPLOYEE’S ANNUAL COMPLIANCE STATEMENT, THIS COMPLIANCE STATEMENT MUST BE RETURNED TO THE COR BY NOVEMBER 1 OR AFTER NTP.
AS TO STATEMENTS OR COMMITMENTS OF FUTURE ACTIONS, THIS COMPLIANCE STATEMENT COVERS THE PERIOD FROM OCTOBER 1 OF THE CALENDAR YEAR DURING WHICH THIS COMPIANCE STATEMENT IS DUE THROUGH SEPTEMBER 30 OF THE NEXT CALENDAR YEAR.
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