W50S6U21C0001 Repair Fire Water Line - KO Signed.pdf

F9Y0CC1197AW01-1

The purpose of this project is for " Repair Water Line" in accordance w ith the Statement of Work. In accordance w ith FAR 36.204, Magnitude of Construction Projects, the price range of this project is anticipated to be betw een $10,000 and $50,000. This requirement is being solicited as a 100% Small Business set-aside. The NAICS code for this acquisition is 237110 and the Small Business size standard is $39,5M. The aw ard w ill be made to the responsible offeror w hose offer conforms to the solicitation and is most advantageous to the Government considering only price and price related factors. Evaluation of offers w ill be in accordance w ith FAR 13.106-2.

Proposals shall only be submitted using email to the f ollow ing email addresses: barry.beale.1@us.af .mil, and 195WG.MS.Contracting@us.af.mil.

BARRY B. BEALE 530-634-9179

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS

NEGOTIATED

08-Sep-2021

(RFP)

(IFB)

X

CALL:

B. TELEPHONE NO. (Include area code) (NO COLLECT CALLS)

See Item 7

2. TYPE OF SOLICITATION

SEALED BID

3. DATE ISSUED

9. FOR INFORMATION A. NAME

SOLICITATION

X

NSN 7540-01-155-3212 1442-101 STANDARD FORM 1442 (REV. 4-85)

Prescribed by GSA

FAR (48 CFR) 53.236-1(e)

11. The Contractor shall begin performance w ithin _______10 calendar days and complete it w ithin ________30 calendar days after receiving aw ard, notice to proceed. This performance period is X mandatory, negotiable. (See _________________________

12 A. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

(If "YES," indicate within how many calendar days after award in Item 12B.)

YES X NO

13. ADDITIONAL SOLICITATION REQUIREMENTS:

A. Sealed offers in original and __________1 copies to perform the w ork required are due at the place specified in Item 8 by ___________ local time ______________09 Aug 2021 (date). If this is a sealed bid solicitation, offers must be publicly opened at that time.

shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

B. An offer guarantee is, X is not required.

C. All offers are subject to the (1) w ork requirements, and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

D. Offers providing less than _______30 calendar days for Government acceptance after the date offers are due w ill not be considered and w ill be rejected.

SOLICITATION, OFFER,

AND AWARD

(Construction, Alteration, or Repair)

1. SOLICITATION NO.

IMPORTANT - The "offer" section on the reverse must be fully completed by offeror.

4. CONTRACT NO.

W50S6U21C0001

7. ISSUED BY CODE

USPFO CA 195 MSC

1784 13TH ST

BLDG 2180

BEALE AFB CA 95903-2180

W50S6U

PAGE OF PAGES

1 OF

CODE

(Title, identifying no., date):

12B. CALENDAR DAYS

10:00 AM (hour)

Sealed envelopes containing offers

5. REQUISITION/PURCHASE REQUEST NO. 6. PROJECT NO.

8. ADDRESS OFFER TO (If Other Than Item 7)

FAX:TEL: TEL: FAX:

W50S6U21R0007 63

See Item 7

20B. SIGNATURE

(REV. 4-85)STANDARD FORM 1442 BACK

TO SIGN

NSN 7540-01-155-3212

SOLICITATION, OFFER, AND AWARD (Continued) (Construction, Alteration, or Repair)

CODE

7E3Y6

FACILITY CODE

17. The offeror agrees to perform the w ork required at the prices specif ied below in strict accordance w ith the terms of this solicitation, if this offer is accepted by the Government in w riting w ithin ________ calendar days after the date offers are due.

the minimum requirements stated in Item 13D. Failure to insert any number means the offeror accepts the minimum in Item 13D.)

AMOUNTS SEE SCHEDULE OF PRICES

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the solicitation -- give number and date of each)

AMENDMENT NO.

DATE

20A. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN

OFFER (Type or print)

AWARD (To be completed by Government)

21. ITEMS ACCEPTED:

SEE SCHEDULE

22. AMOUNT 23. ACCOUNTING AND APPROPRIATION DATA

$49,600.00 See Schedule

24. SUBMIT INVOICES TO ADDRESS SHOWN IN ITEM

(4 copies unless otherwise specified)

CODE

(Insert any number equal to or greater than

20C. OFFER DATE

25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO

10 U.S.C. 2304(c) 41 U.S.C. 253(c)

CODE F8770027. PAYMENT WILL BE MADE BY:26. ADMINISTERED BY

DFAS DEAMS-F87700

ACCTG DISB STA NR 387700

DFAS DEAMS

27 ARKANSAS RD

LIMESTONE ME 04751-6216

(Include ZIP Code)14. NAME AND ADDRESS OF OFFEROR

LACUSONG, LEILANI

LEIS CONSULTING GROUP

LEILANI LACUSONG

388 W 15TH ST

SAN PEDRO CA 90731-4806

15. TELEPHONE NO. (Include area code) 2139494240

See Item 14

(Include only if different than Item 14)16. REMITTANCE ADDRESS

30B. SIGNATURE

29. AWARD (Contractor is not required to sign this document.)

document and return _______ copies to issuing office.)1 Contractor agrees Your of f er on this solicitation, is hereby accepted as to the items listed. This award con-to f urnish and deliv er all items or perf orm all work, requisitions identif ied summates the contract, which consists of (a) the Gov ernment solicitation and on this f orm and any continuation sheets f or the consideration stated in this y our of f er, and (b) this contract award. No f urther contractual document is contract. The rights and obligations of the parties to this contract shall be necessary .

gov erned by (a) this contract award, (b) the solicitation, and (c) the clauses, representations, certif ications, and specif ications or incorporated by ref er-ence in or attached to this contract. REF:

30A. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED 31A. NAME OF CONTRACTING OFFICER (Type or print)

30C. DATE

(Type or print) Joshua J. Bullock / Contract Specialist

TEL: 318-550-8787 EMAIL: joshua.bullock.6@us.af.mil

31B. UNITED STATES OF AMERICA 31C. AWARD DATE

BY 08-Sep-2021

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

(Contractor is required to sign this28. NEGOTIATED AGREEMENTX

(M ust be fully completed by offeror)OFFER

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Job $49,600.00 $49,600.00 Water Line Repair

FFP

Pipe Repair, fill excavated area, and install asphalt in accordance with the statement of work.

NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item. The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent.

FOB: Destination

PURCHASE REQUEST NUMBER: F9Y0CC1197AW01-1

SIGNAL CODE: A

PSC CD: Y1ND

NET AMT $49,600.00

ACRN AA

CIN: 00000000000006934659

$49,600.00

Section C - Descriptions and Specifications

SOW

Statement of Work – Repair Fire Water Line B23 Project VHRJ212131

Sepulveda Air National Guard Station 15900 Victory Blvd

Van Nuys, California

1. DESCRIPTION OF SERVICES

1.1 General

The work to be performed under the provisions of these Contract Documents consists of furnishing all materials, equipment and tools, the performance of all necessary labor, and the construction complete, including all work appurtenant thereto, for the repair of a broken water line used for fire protection and at a separate location fill in an excavated area. All work shall be performed at the Sepulveda Air National Guard Station. This project shall meet all applicable state and federal codes in order for occupation of Government personnel in these facilities.

Work shall be in accordance with Unified Facilities Criteria (UFC) including:

UFC 1-200-01 DOD Building Code UFC 3-401-01 Mechanical Engineering UFC 3-420-01 Plumbing Systems UFGS 31-23 00.00 - Earthwork UFC/UFGS may be freely downloaded from https://www.wbdg.org/ffc/dod/unified-facilities-criteria-ufc.

The Contractor shall notify the Contracting Officer Representative (COR) and On-Site Point of Contact (POC) a minimum of 10 working days prior to the start of work on-site.

Role Name Phone Number Email

COR Sean Gann 530-634-8862 sean.gann.2@us.af.mil

On-Site POC Gregory Alonzo 818-909-2347 gregory.alonzo.2@us.af.mil

No Government personnel, other than the Contracting Officer (KO), has the authority to change or alter these requirements. The COR shall clarify technical points or supply relevant technical information, but no requirements in this scope of work may be altered as a sole result of such clarification.

1.2 Security Policy and Procedures

This standard language is for Contractor employees that shall be working within a Government controlled installation, facility, or area. The Contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Contracting officer’s Representative (COR). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by the local installation’s Security Forces, Director of Emergency Services or local Security office. The contractor shall ensure compliance with all personal identity verification requirements as directed by DoD, HAF and/or local policy. Should the Force protection Condition (FPCON) change, the Government may require changes in the contractor security matters of processes.

For Contractors that do not require CAC, but require access to a DoD Facility and/or installation.

Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-lll) and Terrorist Screening Database (TSDB) (AFI 10-245, AFI 31-101 and AFMAN 31-113), applicable installation, facility and area Commander installation/facility access and local security policies and procedures(provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and the theater regulations.

Antiterrorism Awareness Level 1 Training (AT Level 1). This standard language is for contractor employees with an area of performance within the US Government controlled installation, facility or area. All contractor employees, to include subcontractor employees, requiring access to US Government installations, facilities and controlled access areas shall complete AT Level 1 training within five calendar days after the contract award or effective date of incorporation of this requirement into the contract, whichever is applicable. AT Level 1 may be accomplished by a level 1 qualified instructor;

completing the Force Protection computer based training (CBT) course on the Advanced Distributed Learning System (ADLS), or Joint Knowledge Online at http://jkko.jten.mil. Tracking for each contractor or subcontractor employee is the responsibility of the COR.

The Contractor will provide first name, last name, Social Security number, photo copy driver’s license or State issued ID, and applicable vehicle data for all personnel requesting to access the installation. The Contractor shall submit this information to the COR NLT five working days prior to the date of required access. The information will be used by Security Forces to perform security background checks.

Personnel must maintain a valid driver’s license, vehicle registration and proof of insurance at all times while driving on base.

1.3 Contractors Access to Facility and Working Hours

The Contractor shall use the facility entrance and exit as directed by the POC. A speed limit of 10 mph is in effect at the site. The Contractor shall comply with this limit and obey all traffic signs and controls at the site. Normal working hours are 7:00AM to 4:00PM Monday through Friday excluding federal holidays.

The Contractor shall be permitted to use available areas on the site for construction purposes and for the storage of materials and equipment. The location and extent of the areas used shall be designated by the POC or his designee at the start of the project.

1.4 Mandatory Job Walk

Each bidder intending to bid the project is advised that a mandatory pre-bid jobsite walk-through is not required, however the Contractor is strongly encouraged to examine all the existing conditions and ascertain all necessary work entailed by the plans and specifications. To schedule a walk-through contact the POC at the number listed above.

1.5 Field Check of Existing Facilities

The dimensions and elevations of existing structures and locations of existing equipment on the Contract Drawings and documents were taken, for the most part, from the original plans of the facility and are not guaranteed for their accuracy. Government provided measurements and quantities shall not be used by contractors in establishing pricing. It shall be the responsibility of the Contractor to check dimensions and elevations of existing structures, pipelines, grades or other existing items affected under this Contract, prior to the start of construction or ordering of materials and equipment. Delay or extra expense to the Contractor which is due to encountering construction, piping, etc. not shown or in locations different from those indicated on the plans, and which could have been avoided by the required field check, shall not constitute a claim for extra work, additional payment, time extension, or damages.

The Contractor, at its expense, shall take necessary precautions, and furnish and place protection to ensure that existing facilities are not damaged or interfered with in any way. Should the Contractor disturb or damage such facilities without authorization, the Contractor shall, at its expense, immediately repair or replace the damaged facilities.

1.6 Cooperation with Others

In the fulfillment of its Contract obligations, the Contractor shall not willfully or unnecessarily interfere with the operation of the facility, nor with Government personnel engaged in site maintenance or repairs, nor with any other contractors engaged in construction work at the facility.

The Government personnel shall have the right-of-way over the Contractor on existing roads within the facility. The Contractor shall at all times yield the right-of-way to site vehicles. The Contractor will cooperate with Government personnel to maintain the existing facility in continuous operation.

1.7 Water and Electrical Power Services

Water and electrical power are available on-site. Contractor shall verify locations of utilities and if these meet their needs during the job-walk.

1.8 Utilities

All utilities indicated on maps are approximate and for reference only. Utility outages are unacceptable unless requested 14 days in advance and approved by the Contracting Officer. Coordination for planned utility outages are a responsibility of the contractor to forecast and manage once approved.

1.9 Submittals

Contractor shall provide submittals on AF Form 3000 to the Contracting Officer for all items to be installed for approval. The Government shall respond to all submittals within five (5) business days.

Required Contractor Submittals are identified in Section 2.0 WORK TO BE PERFORMED.

1.10 Disposal of Existing Material

The Contractor shall, at his expense, dispose of all materials removed from the areas within ten (10) working days. The Contractor shall use due diligence and any means available to protect all facilities and materials during the demolishing work. Loss or damage due to the demolishing work shall be sustained and borne by the Contractor at their own expense.

2.0 WORK TO BE PERFORMED

2.1 General

This Contract is for work to be performed at two separate locations. At the first location (Location 1) the Sepulveda Air National Guard Station has excavated and exposed a 6” Ductile Iron fire suppression water line that has developed an approximate 3”x3” hole and requires replacement at that location (see Enclosure # 1). The excavated area measures approximately 10’ x 20’. This repair includes but is not limited to removing/replacing a section of the 6” pipe, filling/compacting in the exposed working area after repairs are complete, saw cutting a clean edge along the existing asphalt around the working area, install 8” of Class II or better base, install 4” of PG 64-10 3/8 fine asphalt, and apply a final seal coat.

The second area (Location 2) requires the Contractor to fill/compact the exposed area, install 8” of Class II or better base, PG 64-10 3/8 fine asphalt, and apply a final seal coat. This area measures approximately 8’ x 10’. No work shall be scheduled if rain is forecasted in a 24-hour period. Should it rain while the Contractor is working he shall cease all work and return at a later date at no cost to the Government.

The expected completion of this work shall be the return of fire protection piping to normal operations and a clean, professionally installed asphalt surface.

2.2 Minimum Work to be performed is as follows:

2.2.1 Pipe Repair (Location 1)

Cut and replace a section of the damaged pipe from a minimum of one foot East (in direction of the building) from the damaged area and beyond the pipe joint to the West.

Once the damaged section is removed, the Contractor shall remove all debris in the pipe.

The section removed is to be replaced with Ductile Iron pipe and joined using two JCM 262 fabricated stainless steel couplings, or equivalent. The gasket and gasket seal inside the socket shall be wiped clean prior to assembly. Any lubricant other than that furnished with the pipe or recommended by the manufacture shall not be used unless otherwise approved by the Engineer. The Contractor shall follow the coupling manufacture installation instructions

After replacing the damaged section the system shall be charged and observed for leaks for a minimum of 30 minutes. Contractor shall make their request to charge the system to Gregory Alonzo a minimum of 45 minutes prior

Contractor shall flush the line of all debris. Note, this line is used for fire protection and its imperative the Contractor remove and prevent material from entering the system which may clog or block the fire sprinklers from operating as intended. The Contractor shall submit their flushing procedure for approval to the KO using AF Form 3000

Bedding material such as sand or other material approved by the KO shall be placed on a firm and unyielding subgrade so the pipe is supported for the full-length of the barrel.

Soft, spongy, unstable, or other unsuitable material encountered upon which the bedding material or pipe is to be placed shall be removed to a depth that does provide a solid unyielding subgrade

Backfill excavated area with soil previously removed. Only clean backfill material shall be permitted back into the open area. Any foreign material shall be removed for disposal.

The Contractor shall compact the soil to 90% or better in 1-foot lifts

Install 8” of Class II or better base rock, compacted to a minimum of 95%

Provide a clean cut along the existing asphalt to join with the new asphalt

Before placing pavement, all contact surfaces (except base rock) shall be painted with a uniform coating of hot asphalt or an emulsified asphalt conforming to the requirements for Grade SS-lh (slow setting, low viscosity, hard asphalt) asphaltic emulsion or asphalt binder

Asphalt delivery - hot-mix asphalt shall be delivered between 275-300 degrees Fahrenheit as measured in the truck bed. The asphalt shall be a minimum of 4” thick and installed/compacted per industry standards

After 30-day interval between completion of all paving work and immediately prior to final acceptance of the project, the Contractor shall clean the new asphalt and apply a seal coat of Grade SS-lh emulsified asphalt diluted with an equal amount of water and applied at a rate of 0.15 gallons per square yard over the newly paved area. [Sean – the coating should be allowed to dry for a minimum of 4 days prior to permitting traffic on it. We may want to ask Gregory to cone it off]

2.2.2 Fill Excavated Area and Install Asphalt (Location 2)

Backfill excavated area with soil previously removed. Only clean backfill material shall be permitted back into the open area. Any foreign material shall be removed for disposal.

The Contractor shall compact the soil to 90% or better in 1-foot lifts

Install 8” of Class II or better base rock, compacted to a minimum of 95%

Provide a clean cut along the existing asphalt to join with the new asphalt

Before placing pavement, all contact surfaces (except base rock) shall be painted with a uniform coating of hot asphalt or an emulsified asphalt conforming to the requirements for Grade SS-lh (slow setting, low viscosity, hard asphalt) asphaltic emulsion or asphalt binder

Asphalt delivery - hot-mix asphalt shall be delivered between 275-300 degrees Fahrenheit as measured in the truck bed. The asphalt shall be a minimum of 4” thick and installed/compacted per industry standards

After 30-day interval between completion of all paving work and immediately prior to final acceptance of the project, the Contractor shall clean the new asphalt and apply a seal coat of Grade SS-lh emulsified asphalt diluted with an equal amount of water and applied at a rate of 0.15 gallons per square yard over the newly paved area

2.3 Submittals

As a minimum, the Contractor shall provide the following submittals for approval to the KO using AF Form 3000.

Pipe Repair procedure, as a minimum, pipe replacement, debris removal, and coupling to include manufactures’ installation instructions

Pipe flushing procedure

Asphalt delivery receipts showing PG rating and rock used in asphalt (to be provided day of delivery, but MUST meet the requirements in these specifications)

Section E - Inspection and Acceptance

QASP

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

VHRJ212131 Repair Fire Water Line B23 Sepulveda ANGS

For

195 WG/CE

Issued 28 June 2021 ii

TABLE OF CONTENTS

1. INTRODUCTION

1.1 Purpose

1.2 Performance Management Approach

1.3 Performance Management Strategy

2. ROLES AND RESPONSIBILITIES

2.1 The Contracting Officer

2.2 The COR

3. IDENTIFICATION OF REQUIRED PERFORMANCE STANDARDS/QUALITY LEVELS

4. METHODOLOGIES TO MONITOR PERFORMANCE

4.1 Surveillance Techniques

4.2 Customer Feedback

4.3 Acceptable Quality Levels

5. QUALITY ASSURANCE DOCUMENTATION

5.1 The Performance Management Feedback Loop

5.2 Monitoring Forms

6. ANALYSIS OF QUALITY ASSURANCE ASSESSMENT

6.1 Determining Performance

6.2 Reporting

6.3 Reviews and Resolution

7. ATTACHMENT 1: PERFORMANCE REQUIREMENTS SUMMARY (PRS)

8. ATTACHMENT 2: QUALITY ASSURANCE MONITORING FORM

W50S6U21C0001

1. INTRODUCTION

This QASP is pursuant to the requirements listed in the statement of work (SOW) entitled Repair HVAC Cooling Tower Building 1, Project Number SACB202102. This plan sets forth the procedures and guidelines the 195 WG/CE will use in ensuring the required performance standards or services levels are achieved by the contractor.

1.1 Purpose

1.1.1 The purpose of the QASP is to describe the systematic methods used to monitor performance and to identify the required documentation and the resources to be employed. The QASP provides a means for evaluating whether the contractor is meeting the performance standards/quality levels identified in the SOW and the contractor’s quality control plan (QCP), and to ensure that the government pays only for the level of services received.

1.1.2 This QASP defines the roles and responsibilities of all members of the integrated project team (IPT), identifies the performance objectives, defines the methodologies used to monitor and evaluate the contractor’s performance, describes quality assurance documentation requirements, and describes the analysis of quality assurance monitoring results.

1.2 Performance Management Approach

1.2.1 The SOW structures the acquisition around “what” service or quality level is required, as opposed to “how” the contractor should perform the work (i.e., results, not compliance). This QASP will define the performance management approach taken by 195 WG/CE to monitor and manage the contractor’s performance to ensure the expected outcomes or performance objectives communicated in the SOW are achieved. Performance management rests on developing a capability to review and analyze information generated through performance assessment. The ability to make decisions based on the analysis of performance data is the cornerstone of performance management; this analysis yields information that indicates whether expected outcomes for the project are being achieved by the contractor.

1.2.2 Performance management represents a significant shift from the more traditional quality assurance (QA) concepts in several ways. Performance management focuses on assessing whether outcomes are being achieved and to what extent. This approach migrates away from scrutiny of compliance with the processes and practices used to achieve the outcome. A performance-based approach enables the contractor to play a large role in how the work is performed, as long as the proposed processes are within the stated constraints.

The only exceptions to process reviews are those required by law (federal, state, and local) and compelling business situations, such as safety and health. A “results” focus provides the contractor flexibility to continuously improve and innovate over the course of the contract as long as the critical outcomes expected are being achieved and/or the desired performance levels are being met.

1.3 Performance Management Strategy

1.3.1 The contractor is responsible for the quality of all work performed. The contractor measures that quality through the contractor’s own quality control (QC) program. QC is work output, not workers, and therefore includes all work performed under this contract regardless of whether the work is performed by contractor employees or by subcontractors. The contractor’s QCP will set forth the staffing and procedures for self-inspecting the quality, timeliness, responsiveness, customer satisfaction, and other performance requirements in the SOW.

The contractor will develop and implement a performance management system with processes to assess and report its performance to the designated government representative. The contractor’s QCP will set forth the staffing and procedures for self-inspecting the quality, timeliness, responsiveness, customer satisfaction, and other performance requirements in the SOW. This QASP enables the government to take advantage of the contractor’s QC program.

1.3.2 The Contracting Officer Representative (COR) will monitor performance and review performance reports furnished by the contractor to determine how the contractor is performing against communicated performance objectives. The contractor will be responsible for making required changes in processes and practices to ensure performance is managed effectively.

2. ROLES AND RESPONSIBILITIES

2.1 The Contracting Officer

The Contracting Officer (KO) is responsible for monitoring contract compliance, contract administration, cost control and for resolving any differences between the observations documented by the COR and the contractor. The KO will designate one full-time COR as the government authority for performance management. The number of additional representatives serving as technical inspectors depends on the complexity of the services measured, as well as the contractor’s performance, and must be identified and designated by the KO.

2.2 The COR

The COR is designated in writing by the KO to act as his or her authorized representative to assist in administering a contract. COR limitations are contained in the written appointment letter. The COR is responsible for technical administration of the project and ensures proper government surveillance of the contractor’s performance. The COR is not empowered to make any contractual commitments or to authorize any contractual changes on the government’s behalf. Any changes that the contractor deems may affect contract price, terms, or conditions shall be referred to the KO for action. The COR will have the responsibility for completing QA monitoring forms used to document the inspection and evaluation of the contractor’s work performance. Government surveillance may occur under the inspection of services clause for any service relating to the contract.

3. IDENTIFICATION OF REQUIRED PERFORMANCE STANDARDS/QUALITY LEVELS

The required performance standards and/or quality levels are included in the SOW and in Attachment 1, Performance Requirements Summary. If the contractor meets the required service or performance level, it will be paid the monthly amount agreed on in the contract. Failure to meet the required service or performance level will result in a deduction from the monthly amount.

4. METHODOLOGIES TO MONITOR PERFORMANCE

4.1 Surveillance Techniques

In an effort to minimize the performance management burden, simplified surveillance methods shall be used by the government to evaluate contractor performance when appropriate. The primary methods of surveillance are:

Random monitoring, which shall be performed by the COR designated inspector.

Periodic Inspection – COR typically performs the periodic inspection on a monthly basis.

4.2 Customer Feedback

4.2.1 The contractor is expected to establish and maintain professional communication between its employees and customers. The primary objective of this communication is customer satisfaction. Customer satisfaction is the most significant external indicator of the success and effectiveness of all services provided and can be measured through customer complaints.

4.2.2 Performance management drives the contractor to be customer focused through initially and internally addressing customer complaints and investigating the issues and/or problems but the customer always has the option to communicate complaints to the COR as opposed to the contractor.

4.2.3 Customer complaints, to be considered valid, must set forth clearly and in writing. The detailed nature of the complaint must be stated, document signed and forwarded to the COR. Upon receipt of a complaint, the COR will investigate and document the findings on the monitoring form, Attachment 2 and in the COR file.

4.2.4 Customer feedback may also be obtained from the results of formal customer satisfaction surveys or random customer complaints.

4.3 Acceptable Quality Levels

The acceptable quality levels (AQLs) included in Attachment 1, Performance Requirements Summary Table, for contractor performance are structured to allow the contractor to manage how the work is performed while providing negative incentives for performance shortfalls. For certain critical activities such as those involving fully functioning HVAC system, the desired performance level is established at 100 percent. Other levels of performance are keyed to the relative importance of the task to the overall mission performance.

5. QUALITY ASSURANCE DOCUMENTATION

5.1 The Performance Management Feedback Loop

The performance management feedback loop begins with the communication of expected outcomes.

Performance standards are expressed in the SOW and are assessed using the performance monitoring techniques shown in Attachment 1, Performance Requirements Summary.

5.2 Monitoring Forms

The government’s QA surveillance, accomplished by the COR, will be reported using the monitoring form in Attachment 2. The form, when completed, will document the government’s assessment of the contractor’s performance under the contract to ensure that the required quality levels are being achieved.

5.2.1 The COR will retain a copy of all completed QA surveillance forms.

6. ANALYSIS OF QUALITY ASSURANCE ASSESSMENT

6.1 Determining Performance

6.1.1 The Government shall use the monitoring methods cited to determine whether the performance standards/service levels/AQLs have been met. If the contractor has not met the minimum requirements, it may be asked to develop a corrective action plan to show how and by what date it intends to bring performance up to the required levels. Failure to meet the AQL may result in a deduction from the monthly payment.

6.2 Reporting

6.2.1 At the end of each month, the COR will prepare a written report for the KO summarizing the overall results of the quality assurance surveillance of the contractor’s performance. This written report, which includes the completed quality assurance monitoring form (Attachment 2), will become part of the QA documentation and COR file. It will enable the government to demonstrate whether the contractor is meeting the stated objectives and/or performance standards, including cost/technical/scheduling objectives.

6.3 Reviews and Resolution

6.3.1 The COR may require the contractor’s project manager, or a designated alternate, to meet with the KO, COR and other government IPT personnel as deemed necessary to discuss performance evaluation. The COR will define a frequency of in-depth reviews with the contractor, including appropriate self-assessments by the contractor; however, if the need arises, the contractor will meet with the COR as often as required or per the contractor’s request. The agenda of the reviews may include:

Monthly performance assessment data and trend analysis

Issues and concerns of both parties

Projected outlook for upcoming months and progress against expected trends, including a corrective action plan analysis

Recommendations for improved efficiency and/or effectiveness

Issues arising from the performance monitoring processes

6.3.2 The COR must coordinate and communicate with the contractor to resolve issues and concerns regarding marginal or unacceptable performance.

6.3.3 The COR and contractor should jointly formulate tactical and long-term courses of action. Decisions regarding changes to metrics, thresholds, or service levels should be clearly documented. Changes to service levels, procedures, and metrics will be incorporated as a contract modification at the convenience of the KO.

7. ATTACHMENT 1: PERFORMANCE REQUIREMENTS SUMMARY (PRS)

Pipe Repair (Location 1)

Performance Objective

Performance Standard Acceptable Quality Levels (AQL)

Surveillance Method / By Whom

Remove/Replace Water Line Pipe

Remove/Replace a section of 6” Ductile Iron Pipe.

100% Periodic / COR

Charge System & Observe for Leaks

Charge the system and observe for leaks. 100% Periodic / COR

Flush Line of Debris

Contractor shall flush the line of all debris. 100% Periodic / COR

Backfill Excavated Area

Bedding, clean backfill, and base rock material placed in open area then compacted to specifications

100% Periodic / COR

Asphalt Placement

Asphaltic emulsion or Asphalt Binder placed.

Hot-mix Asphalt placed & compacted

100% Periodic / COR

Clean & Apply Seal Coat

After 30-day interval, contractor shall clean & apply seal coat.

100% Periodic / COR

Disposal of demolished material

No demolished material or items brought on-site by the contractor remain on Sepulveda

ANGS

100% Periodic / COR

Submittal Repair procedures, Flush debris removal procedure, coupling manufactures’ installation instructions.

100% Periodic / COR

Rating & Specifications

Delivery receipts w/PG rate & rock in asphalt used along with specification requirement met.

100% Periodic / COR

Fill Excavated Area & Install Asphalt (Location 2)

Performance Objective

Performance Standard Acceptable Quality Levels (AQL)

Surveillance Method / By Whom

Backfill Excavated Area

Bedding, clean backfill, and base rock material placed in 8’ x 10’open area then compacted to specifications

100% Periodic / COR

Asphalt Placement

Asphaltic emulsion or Asphalt Binder placed.

Hot-mix Asphalt placed & compacted

100% Periodic / COR

Clean & Apply Seal Coat

After 30-day interval, contractor shall clean & apply seal coat.

100% Periodic / COR

Disposal of demolished material

No demolished material or items brought on-site by the contractor remain on Sepulveda

ANGS

Rating & Specifications

Delivery receipts w/PG rate & rock in asphalt used along with specification requirement met.

8. ATTACHMENT 2: QUALITY ASSURANCE MONITORING FORM

PERFORMANCE OBJECTIVE or STANDARD:

SURVEY PERIOD:

SURVEILLANCE METHOD (Check):

☐ Random Sampling ☐ 100% Inspection ☐ Periodic Inspection ☐ Customer Complaint

LEVEL OF SURVEILLANCE (Check):

☐ Monthly ☐ Quarterly ☐ As needed

PERCENTAGE OF ITEMS SAMPLED DURING SURVEY PERIOD: ______ %

ANALYSIS OF RESULTS:

Observed Service Provider Performance Measurement Rate: ______%

Service Provider’s Performance (Check): ☐ Meets Standards ☐ Does Not Meet Standards

Narrative of Performance during Survey Period:

PREPARED BY: Click or tap here to enter text. DATE: Click or tap to enter a date.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 10-SEP-2021 TO

19-OCT-2021

N/A 261 COS

GREGORY GARCIA

15900 VICTORY BLVD.

VAN NUYS CA 91406

(818) 909-2331 FOB: Destination

F9YGC0

Section G - Contract Administration Data

ACCOUNTING AND APPROPRIATION DATA

AA: 5713840 581 41A8 374436 01 52103 52278F 387700 F87700

AMOUNT: $49,600.00

ACRN CLIN/SLIN CIN AMOUNT

AA 0001 00000000000006934659 $49,600.00

Section I - Contract Clauses

CLAUSES INCORPORATED BY REFERENCE

52.203-8 Cancellation, Rescission, and Recovery of Funds for Illegal or

Improper Activity

MAY 2014

52.203-10 Price Or Fee Adjustment For Illegal Or Improper Activity MAY 2014 52.204-13 System for Award Management Maintenance OCT 2018 52.204-18 Commercial and Government Entity Code Maintenance AUG 2020 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities.

JUL 2018

52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

AUG 2020

52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, or Proposed for Debarment

JUN 2020

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.213-4 Terms and Conditions--Simplified Acquisitions (Other Than Commercial Items)

JUL 2021

52.219-6 Notice Of Total Small Business Set-Aside NOV 2020 52.219-13 Notice of Set-Aside of Orders MAR 2020 52.219-33 Nonmanufacturer Rule MAR 2020 52.222-6 Construction Wage Rate Requirements AUG 2018 52.222-7 Withholding of Funds MAY 2014 52.222-8 Payrolls and Basic Records JUL 2021 52.222-9 Apprentices and Trainees JUL 2005 52.222-10 Compliance with Copeland Act Requirements FEB 1988 52.222-11 Subcontracts (Labor Standards) MAY 2014 52.222-12 Contract Termination-Debarment MAY 2014 52.222-13 Compliance With Construction Wage Rate Requirements and

Related Regulations

MAY 2014

52.222-14 Disputes Concerning Labor Standards FEB 1988 52.222-15 Certification of Eligibility MAY 2014 52.222-19 Child Labor -- Cooperation with Authorities and Remedies JAN 2020 52.222-50 Combating Trafficking in Persons OCT 2020 52.222-62 Paid Sick Leave Under Executive Order 13706 JAN 2017 52.223-15 Energy Efficiency in Energy-Consuming Products MAY 2020 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

JUN 2020

52.223-19 Compliance with Environmental Management Systems MAY 2011 52.223-21 Foams JUN 2016 52.232-5 Payments under Fixed-Price Construction Contracts MAY 2014 52.232-17 Interest MAY 2014 52.232-27 Prompt Payment for Construction Contracts JAN 2017 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.233-3 Protest After Award AUG 1996 52.236-5 Material and Workmanship APR 1984 52.236-7 Permits and Responsibilities NOV 1991 52.237-3 Continuity Of Services JAN 1991 52.242-14 Suspension of Work APR 1984

52.243-1 Changes--Fixed Price AUG 1987 52.243-5 Changes and Changed Conditions APR 1984 52.245-1 Government Property JAN 2017 52.245-9 Use And Charges APR 2012 52.246-12 Inspection of Construction AUG 1996 52.246-21 Warranty of Construction MAR 1994 52.247-12 Supervision, Labor, or Materials APR 1984 52.249-4 Termination For Convenience Of The Government (Services)

(Short Form)

APR 1984

52.252-2 Clauses Incorporated By Reference FEB 1998 252.201-7000 Contracting Officer's Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

DEC 2019

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support

MAY 2016

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services

JAN 2021

252.211-7007 Reporting of Government-Furnished Property AUG 2012 252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or

Hazardous Materials

SEP 2014

252.223-7008 Prohibition of Hexavalent Chromium JUN 2013 252.225-7002 Qualifying Country Sources As Subcontractors DEC 2017 252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

252.232-7010 Levies on Contract Payments DEC 2006 252.232-7017 Accelerating Payments to Small Business Subcontractors--

Prohibition on Fees and Consideration

APR 2020

252.236-7000 Modification Proposals-Price Breakdown DEC 1991 252.237-7010 Prohibition on Interrogation of Detainees by Contractor

Personnel

JUN 2013

252.239-7001 Information Assurance Contractor Training and Certification JAN 2008 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.245-7001 Tagging, Labeling, and Marking of Government-Furnished

Property

APR 2012

252.245-7002 Reporting Loss of Government Property JAN 2021 252.245-7003 Contractor Property Management System Administration APR 2012 252.245-7004 Reporting, Reutilization, and Disposal DEC 2017

CLAUSES INCORPORATED BY FULL TEXT

52.204-1 APPROVAL OF CONTRACT (DEC 1989)

This contract is subject to the written approval of SMSgt Barry Beale, Contracting officer and shall not be binding until so approved.

(End of clause)

52.211-10 COMMENCEMENT, PROSECUTION, AND COMPLETION OF WORK (APR 1984)

The Contractor shall be required to (a) commence work under this contract within 10 calendar days after the date the Contractor receives the notice to proceed, (b) prosecute the work diligently, and (c) complete the entire work ready for use not later than . 30 days after contract award. The time stated for completion shall include final cleanup of the premises.

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (NOV 2020)

(a) Definitions. As used in this clause--

Long-term contract means a contract of more than five years in duration, including options. However, the term does not include contracts that exceed five years in duration because the period of performance has been extended for a cumulative period not to exceed six months under the clause at 52.217-8, Option to Extend Services, or other appropriate authority.

Small business concern--

(1) Means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR part 121 and the size standard in paragraph (d) of this clause. Such a concern is "not dominant in its field of operation" when it does not exercise a controlling or major influence on a national basis in a kind of business activity in which a number of business concerns are primarily engaged. In determining whether dominance exists, consideration shall be given to all appropriate factors, including volume of business, number of employees, financial resources, competitive status or position, ownership or control of materials, processes, patents, license agreements, facilities, sales territory, and nature of business activity.

(2) Affiliates, as used in this definition, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13

CFR 121.103.

(b) If the Contractor represented that it was any of the small business concerns identified in 19.000(a)(3) prior to award of this contract, the Contractor shall rerepresent its size and socioeconomic status according to paragraph (f) of this clause or, if applicable, paragraph (h) of this clause, upon occurrence of any of the following:

(1) Within 30 days after execution of a novation agreement or within 30 days after modification of the contract to include this clause, if the novation agreement was executed prior to inclusion of this clause in the contract.

(2) Within 30 days after a merger or acquisition that does not require a novation or within 30 days after modification of the contract to include this clause, if the merger or acquisition occurred prior to inclusion of this clause in the contract.

(3) For long-term contracts--

(i) Within 60 to 120 days prior to the end of the fifth year of the contract; and

(ii) Within 60 to 120 days prior to the date specified in the contract for exercising any option thereafter.

(c) If the Contractor represented that it was any of the small business concerns identified in 19.000(a)(3) prior to award of this contract, the Contractor shall rerepresent its size and socioeconomic status according to paragraph (f) of this clause or, if applicable, paragraph (h) of this clause, when the Contracting Officer explicitly requires it for an order issued under a multiple-award contract.

(d) The Contractor shall rerepresent its size status in accordance with the size standard in effect at the time of this rerepresentation that corresponds to the North American Industry Classification System (NAICS) code(s) assigned to this contract. The small business size standard corresponding to this NAICS code(s) can be found at https://www.sba.gov/document/support--table-size-standards.

(e) The small business size standard for a Contractor providing a product which it does not manufacture itself, for a contract other than a construction or service contract, is 500 employees.

(f) Except as provided in paragraph (h) of this clause, the Contractor shall make the representation(s) required by paragraph (b) and (c) of this clause by validating or updating all its representations in the Representations and Certifications section of the System for Award Management (SAM) and its other data in SAM, as necessary, to ensure that they reflect the Contractor's current status. The Contractor shall notify the contracting office in writing within the timeframes specified in paragraph (b) of this clause, or with its offer for an order (see paragraph (c) of this clause), that the data have been validated or updated, and provide the date of the validation or update.

(g) If the Contractor represented that it was other than a small business concern prior to award of this contract, the Contractor may, but is not required to, take the actions required by paragraphs (f) or (h) of this clause.

(h) If the Contractor does not have representations and certifications in SAM, or does not have a representation in SAM for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

(1) The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code assigned to contract number .

(2) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a women-owned small business concern.

(4) Women-owned small business (WOSB) concern eligible under the WOSB Program. [Complete only if the Contractor represented itself as a women-owned small business concern in paragraph (h)(3) of this clause.] The Contractor represents that--

(i) It [ ] is, [ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(4)(i) of this clause is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture.

[The Contractor shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: .] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(5) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the Contractor represented itself as a women-owned small business concern eligible under the WOSB Program in (h)(4) of this clause.] The Contractor represents that--

(i) It [ ] is, [ ] is not an EDWOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(5)(i) of this clause is accurate for each EDWOSB concern participating in the joint venture.