Attachment_3_Government_Inspection_Report-Hammond_Upgrades.pdf

PWS Paragraph 1.1.2 Develop & Comply with Work Schedule Develop and Comply Daily 100%

PWS Paragraph 1.1.3 Develop and Comply with Work Plan Develop and Comply Daily 100%

PWS Paragraph 1.1.4 Submit Samples of New Materials Provide Samples As Required 100%

PWS Paragraph 1.2.1 Project Management Provide Management As Required 100%

PWS Paragraph 1.3 Develop & Comply with Quality Control Plan Develop & Comply Daily 100%

PWS Paragraph 1.8.1 Report Hazardous Materials Provide MSDS/SDS As Required 100%

PWS Paragraph1.8.2 Green Procurement Use Perfered Products As Available 100%

PWS Paragraph 1.8.6 Environmental/Safety Comply with ESOHMS Daily 100%

PWS Paragraph 5 Provide All Provide All As Required 100%

PWS Paragraph 5.1 Administration Building Interior Breakdown/Removal As Required 95%

PWS Paragraph 5.1 Administration Building Interior Repair/Prepare As Required 95%

PWS Paragraph 5.1 Administration Building Interior Paint/Install As Required 95%

PWS Paragraph 5.2 Breakroom/Lab/Records Building Interior Breakdown/Removal As Required 95%

PWS Paragraph 5.2 Breakroom/Lab/Records Building Interior Repair/Prepare As Required 95%

PWS Paragraph 5.2 Breakroom/Lab/Records Building Interior Paint/Install As Required 95%

PWS Paragraph 5.3 Administration Building Exterior Breakdown/Removal As Required 95%

PWS Paragraph 5.3 Administration Building Exterior Repair/Prepare As Required 95%

PWS Paragraph 5.3 Administration Building Exterior Paint/Install As Required 95%

PWS Paragraph 5.4 Breakroom/Lab/Records Building Exterior Breakdown/Removal As Required 95%

PWS Paragraph 5.4 Breakroom/Lab/Records Building Exterior Repair/Prepare As Required 95%

PWS Paragraph 5.4 Breakroom/Lab/Records Building Exterior Paint/Install As Required 95%

Attachment 3

Contractor Remarks

COR Remarks/Notes

Rating See Note in

Remarks

Performance Requirements Summary Table (PRST) Section 5.2

Performance Requirements Summary Table (PRST) Section 5.3

Performance Requirements Summary Table (PRST) Section 1.1.2

Performance Requirements Summary Table (PRST) Section 5.1

Standard Task Action Minimum Frequency

APL

Required

Quality Level

Performed

Performance Requirements Summary Table (PRST) Section 1.2.1

Performance Requirements Summary Table (PRST) Section 1.1.3

Performance Requirements Summary Table (PRST) Section 1.1.4

Performance Requirements Summary Table (PRST) Section 1.3

The COR will observe the selected task at any time they determine a need to inspect a task or notices a deficiency. Results of each inspection will be documented on a “Government Inspectio Report”. A “pass”, “fail” or “N/A” rating will be assigned to each task inspected. A "pass" rating will be assigned when the Contractor performs a rated task at or above the listed "Acceptable Performance Level (APL )". A “fail” rating will be assigned when the Contractor performs a rated task below the listed "Acceptable Performance Level (APL) ". A brief description of the inspection and observed defects will be recorded. The COR will ascertain whether documented deficiencies were corrected and processes implemented to ensure re-occurrence of the deficiency is prevented. A “N/A” rating will be assigned when no work was required to be performed on a specific task. The COR will retain copies of each completed “Government Inspection Report” in the Contract COR File.

COR:

Government Inspection Report

Contract Number: Dates of Inspection:

Interior/Exterior Paint and Flooring Upgrade for the DLA Strategic Materials Depot located at Hammond, Indiana

Contractor:

Performance Requirements Summary Table (PRST) Section 5.4

Performance Requirements Summary Table (PRST) Section 5

Performance Requirements Summary Table (PRST) Section 1.8.1

Performance Requirements Summary Table (PRST) Section 1.8.3

Performance Requirements Summary Table (PRST) Section 1.8.6

Contractor Sign/Date: COR Sign/Date: