Sitka SOW Attachments.docx

LIST OF ATTACHMENTS

Attachments Page Numbers

Attachment A – Site Plan of Sitka National Cemetery 1

Attachment B – Diagram of Graves 11

Attachment C – Business Management Questionnaire 2

Attachment D – Contractor’s Employee Statement of Compliance 2

ATTACHMENT A

SITE PLAN OF SITKA NATIONAL CEMETERY

ATTACHMENT B – DIAGRAM OF GRAVES

ATTACHMENT C

BUSINESS MANAGEMENT QUESTIONNAIRE

INSTRUCTIONS: Offerors must identify previous federal, state, and local government and private contracts that they have completed and that are similar to the contract being evaluated. (List at least three (3) no more than five (5) contracts for evaluation) (One contract reference per form, Form may be duplicated)

NOTE: If you have performed any National Cemetery Administration contracts list them first.

Contract Number: ___________________________________________________________

Contractor (Name, Address, Zip Code and Telephone# and email address):

Type of Contract: ______________________________________________________

Contract Dollar Value: __________________________________________________

Date of Award: ________________________________________________________

(If not completed, provide status):

Type/Extent of Subcontracting:

Complexity of Product/Service:

Percentage of Work completed by your company:

Description of supply/Service(s) provided, location and relevancy of work:

Address, Telephone Number and E-mail of the Contract Person and their position:

Name of Bank:__________________________________________________________________ Address:________________________________________________________________ Point of Contact:_________________________________________________________________ Telephone:_______________________________________________________________

(End of Section)

ATTACHMENT D

CONTRACTOR’S EMPLOYEE STATEMENT OF COMPLIANCE

Please check the appropriate blank.

FOR ALL EMPLOYEES

I have been briefed and understand the following guidance:

INITIALS

_________ I will not place or lean tools, equipment, or other items on headstones/niche covers, or monuments at any time.

_________ I will not place headstones/niche covers on dirt piles or mud once they are removed; in order to show appropriate respect towards the families visiting the gravesites and the remains that are buried, I will ensure headstones/niche covers are carefully stored at each associated gravesite and protected from damage or soiling, in accordance with Contract Specifications.

_________ I understand that the Contractor shall be responsible for replacing damaged headstones/niche covers and for restoring surrounding areas to original condition.

_________ Should any on-site activity, incident, emergency, or disaster result in exposure and/or damage to any remains, container for remains (i.e., 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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