ULYB252011 SOW Pavement Repair Base Wide w Attachments.pdf

139 AIRLIFT WING

MISSOURI AIR NATIONAL GUARD

705 MEMORIAL DRIVE

ST. JOSEPH, MISSOURI

STATEMENT OF WORK

PROJECT NUMBER ULYB252011

Pavement Repair Base Wide

FOR

139TH AIRLIFT WING CONTRACTING OFFICE

MISSOURI AIR NATIONAL GUARD

ST. JOSEPH, MISSOURI

PREPARED BY

139 CES/CEE

April 2025

Project Coordination:

POL: _______________________

VM: _______________________

Newlon Hanger: _______________________ Fire Department: _______________________

Safety Officer: _______________________ Security Police: _______________________ ATFP Officer: _______________________

Environmental Officer: _______________________ Bio Environmental: _______________________

Airfield Manager: _______________________ Real Property Manager: _______________________

Grounds: _______________________ Base Facility Manager: _______________________

Base Civil Engineer: _______________________

ULYB252011 Base Wide Asphalt Pavement Repair

Summary of Work:

The contractor shall provide the necessary, personnel, equipment, transportation, and materials required to repair or replace asphalt and concrete pavements located on the Air National Guard Base in St. Joseph MO. Various areas on Base will have either full depth asphalt replacement or topcoat mill and overlay of asphalt. Pavement replacement will include remarking of all pavements. All work performed under this Statement of Work shall be conducted in accordance with all applicable state and federal laws and regulations, ANG policies and regulations, and this SOW as outlined below.

Project Scope:

A. Asphalt Area - The following areas require asphalt pavement work as specified. The intent of this project is to have the topcoat milled, no more than 2”, and overlayed with new asphalt. Reference project drawings for location.

i. The areas shown on the attached project drawing and listed below shall have the topcoat milled and overlayed with new asphalt per section D below. The following areas are approximate measurements; contractors are responsible to field verify.

Base Bid:

POL Complex: 56,800 SF VM Parking: 9,900 SF Option 1:

Fire House Parking: 12,870 SF Option 2:

West Hangar Parking: 10,350 SF Total Mill and Overlay: 89,920 SF

ii. Areas within the POL Complex area damaged beyond the mil and overlay repair.

Roughly 200 SF contractors to field verify measurements, shall have full depth asphalt replacement. Gravel sub-base can be reused but must be recompacted.

Areas shown on drawing are approximate locations, and precise locations shall be verified with PM.

iii. New asphalt markings per section C.

B. Measurements: All measurements are estimates for reference only. The contractor is responsible for verifying all measurements when formulating bids. All areas are marked by pavement edge or by marking paint. The contractor is responsible for providing all asphalt/concrete or sealers as required to meet the marked areas.

C. Pavement Markings: Contractor is responsible for replacing all pavement markings to match original layout unless new layout is provided. All markings shall match exiting widths and lengths unless otherwise stated. Contractors shall use commercial grade latex road paint, white, highly visible, and designed for parking lots and roadways.

D. Asphalt Pavement: Asphalt shall be in accordance with Missouri Standard Specifications for Highway Construction. All asphalt and asphalt millings shall be recycled to an approved recycling location.

E. Concrete Pavement: All concrete paving shall be in accordance with 2020 Missouri Standard Specifications for Highway Construction. Concrete shall use cementitious materials of the same type, brand, and source throughout the project. Portland Cement shall be ASTM C 150 Type I or Type II, gray, supplemented with ASTM C 618, Class F or C Fly Ash. Aggregates shall be ASTM C 33, Class 3M coarse aggregate or better, graded.

F. Demo’d Material: All demo’d material is to be disposed of at a certified landfill or recycling center.

G. Parking Stop Blocks & Road Barriers: Contractor is responsible to move and reset all existing parking stop blocks and jersey barriers needed to complete work.

H. Site Conditions: Contractor is responsible for the clean-up and removal of all debris and unused material. No leftover material is to be left on base unless directed by Base CE.

Contractor is responsible for repairs to any damage to existing buildings, sidewalks, asphalt/concrete, curbs, grass areas, fencing, utility lines/boxes, and any other government property that occur as a result of construction. All grass areas will be free of debris and ruts and will be re-seeded as needed.

General Notes:

1) Project Location: 139th Airlift at Rosecrans Memorial Airport on 705 Memorial Drive

(Airport Rd) in St Joseph, Missouri.

2) Performance Period: 160 calendar days from NTP.

3) Hours of Operation: 0700 - 1600 Monday through Friday except Government Holidays.

The contractor must get approval in advance for any work done on non-duty hours/days.

4) Scheduling: Scheduling of the work is critical to base operations. The Base must maintain access to all buildings. Contractor shall submit a construction schedule/plan, for approval, before work is to begin. The contractor is to provide one week of notice to PM before work begins.

a) The POL complex is considered a controlled area, and continuing operations is critical.

The contractor is required to conduct a meeting one week prior to beginning work in this area to discuss plan and schedule. All work in this area must be completed before progressing to another area.

5) Use of Base Utilities: No utilities will be available for contractor use. Contractors shall provide their own port-a-pot facilities.

6) Hazardous Materials: The contractor planning to use hazardous material (HM) for the project shall register with the base Hazardous Material Pharmacy (HMP) prior to start of work in order to support the installation’s compliance with Executive Order 12856, Federal Compliance with Right-to-Know Laws and Pollution Prevention Requirements. All HM required to support the contract shall be reported to the HMP using the Contractor HM Identification Form. The HM Identification Form will be a submittal requirement and must be submitted and approved before work can begin. (See Attachment)

7) Fire Protection: Open flame devices or any welding are not permitted except when a permit has been applied for and received. Permits may be applied for by submitting an AF form 592 to Building 302, Fire House, 24 hours prior to using any open flame devices or welding devices. Contractors shall provide their own fire protection to include fire extinguishers.

8) Digging Permits: Any digging shall require a digging permit. The digging permit shall be obtained through the Base Civil Engineering Office (BCE) or the Project Manager.

9) Contractor’s Equipment & Supplies: Store all Contractor tools, equipment and supplies in a location approved by the government project manager, on or off base property.

Government shall not be held responsible for missing or damaged contractor owned equipment or materials.

10) Differing Site Conditions: Bring any unforeseen project conditions to the attention of the

Contracting Officer immediately. Differing site conditions, which may alter the scope of work, shall be approved by the CO prior to such work being performed.

11) AT/FP Provisions:

1.Access and General Protection/Security Policy and Procedures. This standard language is for contractor employees with an area of performance within 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 contractor security matters or processes.

1b. 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-III) 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 other theater regulations.

4. Antiterrorism Awareness Level I Training (AT Level I). This standard language is for contractor employees with an area of performance within a 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 I training within 45 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. AT Level I may be accomplished by a Level I qualified instructor; completing the Force Protection computer-based training (CBT) course on Joint Knowledge Online (JKO) at https://jkodirect.jten.mil/Atlas2/ faces/page/login/Login.seam. For those without a CAC, select" Non-CAC" user on the JKO site. Tracking for each contractor or subcontractor employee is the responsibility of the COR or unit AT Representative.

12) Material Submittals: The contractor shall submit to the CO for approval all items listed in the specifications booklet on an AF Form 66 within 10 calendar days of the notice to proceed - or - provide a copy of the AF Form 66 indicating when each material submittal shall be submitted for approval. Ensure that any disapproved material submittal will not impact the approved project execution schedule, as disapproved submittal shall not be considered grounds for a time extension. Allow for a minimum of 14 calendar days and maximum of 30 calendar days for the Government’s processing of material submittals. The contractor shall not order, deliver or install any materials without CO’s material approval.

Remove any materials on site, which have not been properly approved.

13) Damage to Government Property: Any damage caused by the contractor or subcontractor to any government property while the contractor is on base shall be replaced or repaired to the satisfaction of the government by the contractor at no cost to the government.

14) Trash, Refuse & Debris: The contractor shall not use any government disposal bins, dumpsters or trash receptacles for any reason at any time. The contractor shall provide appropriate disposal bins/trash receptacles. Approval of disposal bins/trash receptacles location(s) shall be coordinated through government project manager. The contractor shall not allow debris to leave the work area due to potential damage to aircraft engines.

Contractor shall coordinate with the base. All debris or trash shall be disposed of off base.

All demolition debris shall be disposed of at a permitted landfill, with landfill authorization, unless other arrangements have been coordinated through the EMO. Provide proof of landfill disposal from the landfill that accepts the materials. This may be accomplished by providing the government project manager with landfill receipts; waste manifests, or weight tickets from the landfill that accepts the construction debris.

15) Communications Cabling: Any communication cabling and/or pathways and/or equipment shall not be altered without prior written approval of the 139th communications flight.

Contactor must ensure any installed equipment, ductwork, piping, electrical etc., does not obstruct future access to existing communication cabling and pathways. Any cost associated with CF approved alterations will be the responsibility of the contractor. Under no circumstances will the contractor void the Governments current inside plant certification and warranty.

16) Sustainable Procurement Requirements:

a) All asphalt shall contain a minimum of 20% 0f recycled material.

17) Inadvertent Archeological Finds: In case of an inadvertent discovery of a cultural or archaeological resource, the following applicable actions will be taken immediately:

a) Workers will cease all excavation activity, ensure the site is secured, and contact Base

Civil Engineering at 816-236-3318.

b) The Environmental Office (EMO) will ensure that activities have ceased at the discovery site and that the site has been secured from human and natural forces.

c) The Environmental Office will notify any applicable tribal Governments and State

Historic Preservation Office (SHPO) of the discovery. SHPO will determine if the State Archaeologist should be contacted.

d) The Environmental Office will notify the Base Judge Advocate General (JAG), Installation Commander, NGB/A7CV and the base Public Affairs Officer (PAO).

e) If the Environmental Manager (EM) has reason to believe that Native American human remains, funerary or sacred objects have been discovered, the EM will provide immediate telephone notification of the discovery, along with written notification by certified mail, to the Department of the Interior’s Departmental Consulting archaeologist (DCA) at the following:

Archaeological Assistance Division National Park Service Washington, D.C.20013-7127 Telephone: 202-343-4101

END SECTION

Attachment 1

Contractor Hazardous Material Identification Form

Date: ________ Part I

This part is to be completed by Contractor prior to start date, and shall be maintained on the job site.

Contractor Company: __________ Proposed work term: ________to_________ Contractor Point of Contact: ____________ Phone number: ___________

HM to be used:

MFG./Product

M.S.D.S Attached

Quantity used

Disposal Procedures Used/Unused material removed from ANG installation

Note: This form is for a one-month period and is to be submitted to the hazardous material pharmacy (HMP). All HM (hazardous material) used thereafter will be identified to Contacting Officer's Technical Representative for approval by the HMP. See Part II for Contractor close out procedures. HMP phone number is (816) 236-3573.

HMP Approval Signatures: _______________________________________________________

BEE (Base Environmental Officer) _________________________________________________

ENV (Environmental Manager) ____________________________________________________

Safety Officer: __________________________________________________________________

Attachment 2 Contractor HM Identification Form

(Close Out Procedures)

Part II

Attach this part to Part I The Contractor shall accompany the Environmental Manager on the closeout inspection to ensure all used/unused HM was removed from the installation.

Date: ________

Closeout Signatures:

ENV (Environmental Manager) _____________________________________________________________

Contracting Officer's Technical Representative _________________________________________________

Contractor ______________________________________________________________________________

POLICE RECORD CHECK

Project: __________________________

Government POC: _________________________

DATE OF REQUEST: _____________________

Name:

(First) (Middle) (Last)

Social Security Number:

Drivers License #:_______________________ State of Issue: __________________

Date of Birth: Sex: Race:__________

Company: _____________________________________________

I HEREBY CONSENT TO RELEASE FROM MY FILES THE INFORMATION REQUESTED

BELOW.

Signature:

(TO BE COMPLETED BY POLICE AGENCY)

Request a Criminal History and Nationwide Check be conducted to provide the following information.

1. Has the individual listed above a Police record, to include minor traffic violations? Yes No (If YES, what was the offense or charge, date, disposition and sentence?)

2. Is the individual listed above now undergoing court action of any kind? Yes No (If YES, give details)

THIS IS TO CERTIFY THAT THE ABOVE DATA AS CORRECTED ARE TRUE AND

CORRECT ACCORDING TO THE RECORD ON FILE IN THIS OFFICE. THIS

INFORMATION IS CONFIDENTIAL AND CANNOT BE USED IN ANY OTHER MANNER

EXCEPT FOR OFFICIAL PURPOSES.

DATE:

TITLE:

VERIFIED BY:

(Signature)

Return to: 139 SFS/SFO 705 Memorial Drive St Joseph, MO 64503

This document may contain information or attachments which must be protected IAW AFI 33-332 and DoD Regulation

5400.11. The Privacy Act of 1974 (as amended) applies, and this document and any attachments thereto are For Official Use

Only (FOUO). Information from this document or any attachments thereto must not be introduced into another system of records unless that system of records is described in the Federal Register IAW AFI 37-120.

Attachment 4

Missouri Air National Guard

HEADQUARTERS 139TH AIRLIFT WING

705 MEMORIAL DRIVE, ST. JOSEPH, MISSOURI 64503-9307

19 July 2024 TO: Primary Contractor and Subcontractor Employees

FROM: 139th Security Forces Squadron (SFS)

RE: Contractor Responsibilities While at Rosecrans Air National Guard Base

1. BASE ENTRY REQUIREMENTS: All personnel requesting access to 139th Airlift Wing must abide by the following requirements:

A. Shall possess a valid State or Government picture identification card. Furthermore, individuals presenting identification cards from a state that is non-compliant with the REAL ID Act will require additional documentation to gain unescorted base access.

Additional documentation includes a valid U.S. or foreign government issued passport, an employment authorization document that contains a photograph, or identification cards issued by federal state or local government agencies that include a photo and biographic information. A full list of REAL ID Act compliant and non-complaint states can be found at https://www.dhs.gov/current-status-states-territories.

B. Personnel requesting vehicle access to 139th AW shall provide a valid driver's license, current vehicle registration, and valid vehicle insurance.

C. All contractor vehicles entering the installation are subject to search daily at the commercial vehicle inspection tent and individual vehicles may be searched at random.

2. ESCORTING: Only individuals that possess a Common Access Card (CAC) are allowed to escort personnel on the installation under trusted traveler or if Police Record Check is complete but pass has not yet been issued

3. CRIMINAL BACKGROUND CHECK: All contractors working on the installation are required to have a favorable police background check completed prior to working on the installation. The 139th Civil Engineering Squadron (CES) will provide a Police Background Form which needs to be completed and provided to Security Forces two (2) weeks prior to being considered for unescorted access. Provide this information for all primary and subcontractor employees. For resident aliens, please include a photocopy of the resident alien identification card. Failure to complete the background check will result in the necessity for escorts.

The 139th SFS will conduct both local and nation-wide criminal background checks using the Back Ground Check Consent Form provided by CES project managers. Both open-source websites as well as information provided by local agencies will be reviewed.

Individuals may be denied access and access credentials based on information obtained during identity vetting that indicates the individual may present a threat to the good order, discipline and morale of the installation, including, but not limited to the following:

(a) The individual is known to be or reasonably suspected of being a terrorist or belongs to an organization with known terrorism links/support.

(b) The installation is unable to verify the individual's claimed identity.

(c) The individual has previously been barred from access to a federal installation or stand-alone facility.

(d) The individual is wanted by Federal, State, Local, or other civil law enforcement authorities, regardless of offense or violation.

(e) The individual has any conviction for espionage, sabotage, treason, terrorism, or murder.

(f) The individual’s name appears on any Federal or State agency’s watch list or hit list for criminal behavior or terrorist activity.

(g) The individual has been convicted of a firearms or explosive violation.

(h) The individual has been convicted of sexual assault, armed robbery, rape, child molestation, child pornography, trafficking in humans, drug possession with intent to sell, or drug distribution.

(i) The individual has knowingly and willfully engaged in acts or activities designed to overthrow the U.S. Government by force.

Once the temporary credential expires, the person will be fully vetted again and have his or her fitness for installation access revalidated.

Visitor Center hours are Mondays, Wednesdays, and Fridays from 0700-1100

4. CONTRACTOR SECURITY REQUIREMENTS: You and your employees will stay in your immediate work area. Contractors are not be allowed to go “sight-seeing” around the installation.

Photography or videotaping by contractor employees is not permitted, unless prior arrangements have been made through your Sponsor who will contact the 139th Security Forces Squadron and the Public Affairs Office and/or Airfield Management as applicable, and the photography and/or videotaping is associated with the work being done on the installation.

The government assumes NO responsibility for lost or stolen material, equipment, or tools. The security of these items lies solely with the contractor. Any theft or damage of tools and/or equipment must be immediately reported to Security Forces and the contracting officer’s representative.

Contractors who witness any accident, suspicious activity or security incident are required to immediately report the event to Security Forces at the numbers provided below or make contact with any Security Forces personnel.

5. PROHIBITED ITEMS: Except as necessary to accomplish your contract/project, you and your employees shall not bring or possess any of the following items while on the Rosecrans MAP (ANG) Base:

Weapons. In the interest of public safety the items listed below are considered dangerous weapons.

Weapons include, but are not limited to, firearms, tazers, pepper spray, paint ball guns, pellet guns, BB guns, blowguns, bows and arrows, underwater spear guns, hunting slingshots, and throwing spears.

• Knives in excess of 3 inches, spring-loaded knives (switchblades), swords, blackjacks, metal knuckles, "Nunchacku" fighting sticks, kung-fu stars, boomerangs, chains (wrapped), and billy clubs. Possession of these items is expressly prohibited at all times, except when they are in use as part of the bearer's lawful "tools of the trade," such as craftsmen (electricians, carpenters, or other such trades.).

• Explosive Material: Consists of ammunition, gunpowder, firecrackers, and similar items.

Narcotics or drugs in any quantity except for those prescription drugs issued by a licensed pharmacist based on written prescription from a licensed medical doctor for health care purposes.

Drug paraphernalia and any contents contained therein.

Alcohol, which includes but is not limited to beer in open containers no matter what the quantity, is strictly prohibited from being consumed on the base and/or job site.

Remember, all individuals and vehicles are subject to search at any time.

6. ANTITERRORISM/FORCE PROTECTION. Contractor employees may be asked to leave the base at any time depending on Force Protection Condition level changes, security incidents, and potential threats. This will be done in a timely manner. Contact the 139 AW Antiterrorism Office at (816) 236-3585 for additional information. Antiterrorism Level I, Situation Awareness Training is available and may be provided to contractors as required by contract.

7. TRAFFIC/SAFETY REGULATIONS.

• Missouri State Motor Vehicle Law applies to all drivers and is enforced on the Rosecrans MAP (ANG) Base.

• The speed limit on the Missouri Air National Guard Base streets is twenty (20) miles per hour unless otherwise posted.

• Posted traffic signs (speed limit, stop signs, etc.) on the base will be obeyed by you and your employees.

• You and your employees are responsible for maintaining current registration requirements. This means your state vehicle registration, driver’s license, vehicle insurance, etc., must be up to date at all times.

• All vehicle occupants (exceptions - special purpose vehicles) will wear seat belts.

• Installation safety regulations prohibit riding in the bed of pickups.

• Contractors must pay special attention to Foreign Object or Debris (FOD). All streets or roadways must be kept clean so base or contractor vehicles do not track FOD onto the flight line. Contractors are required to complete FOD inspections prior to entering the aircraft parking ramp on the installation.

• Contractors are prohibited from using cellular telephones, without a hands free device, while they operate vehicles on the installation in accordance with Department of Defense guidance. Cellular phones cannot be used on the flight line area. Contractors may use their cellular phones when a vehicle is stopped if no hands free device is available. Contractors found to be operating vehicles in violation of the above criteria will be stopped by 139th

Security Forces personnel or other installation personnel and briefed accordingly.

• All Individuals must have a picture ID (driver’s license or state ID) and visitors pass (if issued) with them at all times.

8. MEDICAL EMERGENCIES. If an employee is injured or has a medical emergency on base call 911 or the Base Defense Operation Center (BDOC) at (816) 236-3394. Contractors may also make contact with any Security Forces patrols or any base personnel to notify of an emergency.

Calling 911 will connected to a tower in Kansas or a tower in Missouri. Either way whomever you reach you must state that you are on the Air National Guard base at Rosecrans Memorial Airport.

9. SEVERE WEATHER. Severe weather watches/warnings and safety instructions are announced over the installation public address system. Contractors are required to listen to these announcements and to follow the directions made over the public address system, made by the contracting officer’s representative, or by Security Forces members.

If you have questions/concerns please call SMSgt Ellis Couch at (816)236-3459 or TSgt Amy Zieber (816)236-3409