Attachment_4_-_Government_Inspection_Report-Scotia.pdf

1.1.2 Work Schedule Provide & Follow Quarterly 95%

1.1.3 Work Plan Provide & Follow As Required 95%

1.2.1 Project Management Provide As Required 100%

1.3.3 Quality Control Plan Provide & Follow As Required 100%

1.6 Hours of Operation Satisfy As Required 90%

1.8.1 Hazardous Materials Provide SDS As Required 100%

1.8.4 Clean Up/Disposal of Waste Materials Satisfy As Required 100%

1.8.5 Spill Responsibility Satisfy As Required 100%

1.8.6 Safety Satisfy As Required 100%

4 Contractor Furnished Items & Services Provide All As Required 100%

5.1 Service Mechanical Systems Satisfy Quarterly 100%

5.2 Service Fuel Systems Satisfy Quarterly 100%

5.3 Service Hydraulic Systems Satisfy Quarterly 100%

5.4 Service Electrical Systems Satisfy Quarterly 100%

5.5 Service Lubrication Systems Satisfy Quarterly 100%

5.6 Service Body/Chassis Satisfy Quarterly 100%

5.7 Service Tires/Wheels Satisfy Quarterly 100%

5.8 Service Miscellaneous Systems Satisfy Quarterly 100%

5.9 Repair Services Satisfy As Required 100%

5.10 Quarterly Reports Provide to COR Quarterly 100%

5.11 Work Orders Provide to COR As Required 100%

Performance Requirements Summary Table (PRST) Paragraph 4

Performance Requirements Summary Table (PRST) Paragraph 5

Quality Level Performed

Performance Requirements Summary Table (PRST) Paragraph 1.1.3

Contractor Sign/Date: COR Sign/Date:

Attachment 4 to PWS

Contractor Remarks

COR Remarks/Notes

Rating See Note in

Remarks

Performance Requirements Summary Table (PRST) Paragraph 1.8

Performance Requirements Summary Table (PRST) Paragraph 1.6

The COR will observe the selected service(s) at any time they determine a need to inspect a service or notices a defect . Results of each inspection will be documented on a “Government Inspection Report” . A “pass”, “fail” or “N/A” rating will be assigned to each service inspected. A "pass" rating will be assigned when the Contractor performs a rated service at or above the listed "Acceptable Quality Level (AQL )" listed in the Performance Requirements Summary Table (PRST ) of this PWS. A “fail” rating will be assigned when the Contractor performs a rated service below the listed "Acceptable Quality Level (AQL) ". DLA Strategic Materials may (at the governments discretion) levy monetary deductions against the Contractor for “fail” ratings documented in the “Government Inspection Report ” as listed in the Performance Requirements Summary Table (PRST) of this PWS for each “Required Service” evaluated.

A brief description of the inspection and observed defect(s) will be recorded. The COR will ascertain whether documented defect(s ) were corrected and processes implemented to ensure re-occurrence of the defective service(s) performance is prevented. An “N/A” rating will be assigned when no work was required to be performed on a specific service during that rating period. The COR will retain copies of each completed “Government Inspection Report ” in the Contract COR File. The COR will upload copies of all completed “Government Inspection Reports ” into the CORT Tool.

COR:

Government Inspection Report

Contract Number: Dates of Inspection:

Repair and Maintenance of Operating Equipment at the DLA Strategic Materials Depot located in Scotia, New York

Contractor:

Performance Requirements Summary Table (PRST) Paragraph 1.1.2

Performance Requirements Summary Table (PRST) Paragraph 1.2.1

Performance Requirements Summary Table (PRST) Paragraph 1.3.3

Standard (PWS Paragraph) Required Service Action Minimum Frequency

AQL

Required