TE A-6.4 - PWO Turn Over Memo Templates.docx
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Fort Gordon BASOPS Technical Exhibit A-6.4 Ft. Gordon Turn-Over Memo Templates
MEM-001
CESAS-CD-GOC
MEMORANDUM FOR: Director of Public Works (IMSE-GOR-PWF), Fort Gordon, GA 30905 ATTN: DPW O&M Division
SUBJECT: Contract {CONTRACT_NO} {DELV_ORDER_NO}, {CONTRACT_TITLE}, Real Property transfer for Building {ASK_LINEOFTEXT Enter Building Number} DPW Work Order #: DExxxxx-xP
Attached are copies of the following documents/materials relating to the subject project, supplied in the quantities indicated:
| 1. | Operation & Maintenance Manuals (one hardcopy/ three CDs, or per contract) | Initial or N/A | |
| □ Fire Alarm | ____________ | ||
| □ Sprinkler | ____________ | ||
| □ Mechanical | ____________ | ||
| □ Plumbing | ____________ | ||
| □ Electrical | ____________ | ||
| 2. | Training Videos (two CDs or per contract) and Sign-in sheets (one hardcopy) | ||
| □ Fire Alarm | ____________ | ||
| □ Sprinkler | ____________ | ||
| □ Mechanical | ____________ | ||
| □ Plumbing | ____________ | ||
| □ Electrical | ____________ |
3. Operational Certificates & Reports (one hardcopy/ no deficiencies)
| □ Test/Balance (TAB) Report | ____________ | |||||||
| □ Commissioning Report | ____________ | |||||||
| □ Onyx (one CD) | ____________ | |||||||
| □ NFPA 13 System Acceptance | ____________ | |||||||
| □ NFPA 72 System Acceptance (three hardcopies) | ____________ | |||||||
| □ UFC 3-600-01 Design Analysis and Sealed Red-Line(CD) | ____________ | |||||||
| 4. | Submittals/ Shop Drawings (one CD and/ or hardcopy) | ____________ | ||||||
| 5. | Installed Equipment List (one CD with Excel file and hardcopy) | ____________ | ||||||
| 6. | Warranty Management Plan/ Extended Warranties (one CD & one hardcopy) | ____________ | ||||||
| 7. | O&M Component Keys (XLS Spread Sheet) | ____________ | ||||||
| 8. | Spare Parts (Transfer Property List & Signed Acknowledgement of Receipt) | ____________ | ||||||
| Sincerely, |
{SIGNATURE_NAME}
{SIGNATURE_TITLE}
Encl (as specified above)
{LETTER_NO}
| Receipt Acknowledged | __________________________________ | |||
| Name / Title | Signature | Date |
MEM-002
CESAS-CD-GOC
MEMORANDUM FOR: Director of Public Works (IMSE-GOR-PWF), Fort Gordon, GA 30905 ATTN: DPW Engineering Division
SUBJECT: Contract {CONTRACT_NO} {DELV_ORDER_NO}, {CONTRACT_TITLE}, Real Property transfer for Building {ASK_LINEOFTEXT Enter Building Number}Error! Reference source not found.
DPW Work Order #: DExxxxx-xP
Attached are copies of the following documents/materials relating to the subject project, supplied in the quantities indicated:
| Initial or N/A | ||||
| 1. | Warranty | |||
| □ Warranty Management Plan (one CD and one hardcopy) | ____________ | |||
| □ Certificates (extended warranties) (originals) | ____________ | |||
| □ Installed Equipment List (one CD and/ or hardcopy) | ____________ |
| 2. | Drawings | ||
| □ Redline Drawings (one hardcopy) | ____________ | ||
| □ Final As-Builts (one CD and hardcopy) | ____________ |
3. As-Built Specifications (one CD ) ____________
4. BIM Model (CD only) ____________
5. GIS Documentation (CD only) ____________
6. LEED Documentation (one CD and/ or hardcopy) ____________
7. Shop Drawings (CD only) ____________
Sincerely, {SIGNATURE_NAME}
{SIGNATURE_TITLE}
{LETTER_NO}
| Receipt Acknowledged | __________________________________ | |||
| Name / Title | Signature | Date |
ATTN: DPW ED
SUBJECT: Contract {CONTRACT_NO} {DELV_ORDER_NO}, {CONTRACT_TITLE}, Real Property transfer for Building {ASK_LINEOFTEXT Enter Building Number}
Attached are copies of the following documents relating to the subject project, supplied in the quantities indicated:
NPDES & LID Stormwater Documentation, Initial or N/A (Site one acre or more, provide NPDES documentation; Site less than one acre, provide LID documents.)
| · NPDES/ LDA daily, weekly, monthly inspection reports | ____________ | ||
| · Turbidity Monitoring Results | ____________ | ||
| · Final Approved and Red-lined SWPPP Drawings | ____________ | ||
| · Notice of Termination (NOT) | ____________ | ||
| · Final Approved Erosion Control Plan and Red-lined Erosion Control Drawings | ____________ |
Hazardous Waste Documentation
| · Asbestos Shipment Records | ____________ | |
| · Asbestos/ Lead Paint Remediation Documents & Certificates | ____________ |
| Pesticide/ Termiticide Application Record and Applicator Certification | ____________ | |
| Construction Waste Dump/Haul Tickets (verification of 50% diversion) | ____________ | |
| LEED Documentation | ____________ |
Spill Control and Countermeasure Plan requirement.
· Aboveground Storage tank (AST) design, specifications,
· Operation and maintenance manuals, spill plan addition / modification. ____________
· Generator design, specifications, o/m manual, fuel type, compliant fuel storage
| documentation and spill control design specifications. | ____________ | |
| · UST installation design, specifications, certifications, testing results. | ____________ |
· UST removals provide content sampling analysis, certification of tank destruction, manifest of disposal of contents, IDW disposal documentation and manifests. Confirmatory soil sampling of surrounding soil, old spill contamination of no spill contamination. ____________
GIS Documentation electronic – complete and legible file. ____________ Compliant with current approved version of SDSFIE; Compliant with Army Quality Assurance Plan (QAP) for that data layer, if available; Projected into WGS84 UTM 17N or NAD83 Georgia State Plane East coordinate system.
NEPA mitigation specified in documentation and attached memorandum ____________
Sincerely, {SIGNATURE_NAME}
{SIGNATURE_TITLE}
Encl (as specified above)
{LETTER_NO}
| DPW Environmental Division Chief _______________________________ | ______________ | |
| Date |
MEM-004
CESAS-CD-GOC
ATTN: DPW Real Property Accountable Officer
SUBJECT: Contract {CONTRACT_NO} {DELV_ORDER_NO}, {CONTRACT_TITLE}, Real Property transfer for Building {ASK_LINEOFTEXT Enter Building Number} DPW Work Order #: DExxxxx-xP
Attached are copies of the following documents/materials relating to the subject project:
| Initial or N/A | ||
| 1. For each Capitalized Improvement DD Form 1354 | ____________ |
2. Lifecycle Event Transaction Information; as applicable Acquisition Event - Work Authorization (one required for each event)
| · DA Form 4283 (OMA) | ____________ | |
| · o DA Form 1391 (MILCON, or OMA > $5M) | ____________ |
3. Contract front page, pertinent statement of work describing, Task Orders/Delivery Orders
| · DD Form 1155 (ALL Task Orders) | ____________ | |
| · SF Form 1442 (MILCON) | ____________ |
4. Photographs (before and after construction) ____________
5. Construction Data
| · Length, width, depth L x W x D | ____________ | ||||
| · Number of floors | ____________ | ||||
| · Exterior material: Steel, Metal, Brick, Stucco, Block, Wood, etc. | ____________ | ||||
| · Customer ID: DE (DPW), DL (DOL), etc. | ____________ | ||||
| 6. 11” X 17” Floor Plan | ____________ | ||||
| 7. Facility Keys & Keying Schedule/ Plan (per DPW Key.xls) | ____________ | ||||
| 8. LEED Scorecard (signed as required per contract) | ____________ |
NOTE: This is the last Turn-Over Document to be signed and formally transfers project to DPW.
Sincerely, {SIGNATURE_NAME}
{SIGNATURE_TITLE}
| Receipt Acknowledged | __________________________________ | |||
| Name / Title | Signature | Date |
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