TE A-6.13 - Deliverables 26 Jan 22.docx
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Fort Gordon BASOPS Technical Exhibit A-6.13 Deliverables
6.0 DELIVERABLES
| Deliverable |
| Frequency |
| # of Copies |
| Medium/Format |
| Distribution |
ANNEX A OVERARCHING PWS
A0001 (PWS para. A-2.5.3) Monthly Functional Workload Update in GFEBS.
Contract Start Date Updates as required throughout month.
All data for the previous month in GFEBS 5 working days following the last day of the month.
On-line entry
| Direct input into GFEBS |
| KO – COR/O&M-QASP |
A0002 (PWS para. A-2.4.1, A-2.9.11) Meeting Minutes.
NLT 2 working days following the meeting.
Contract Start Date.
1 Electronic Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
A0003 (PWS para. A-2.4.1.1) Weekly DPW Staff Meeting.
Weekly - Contract Start Date
1 Electronic Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M-QASP DPW Dir |
A0004 (PWS para. A- 2.4.1.2) Management Plan
Initial Management Plan with Annuals Updates.
Contract Start Date
1 Electronic Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M-QASP DPW Dir |
| A0005 (PWS para. A-2.17.1) Licenses and Certifications |
| Initial submission NLT 30 calendar days prior to contract start date. NLT 5 working days after any new hire of employee or recertification. |
| 1 Electronic Copy to each listed in Distribution |
| .PDF of each license and Certification |
| KO – COR/O&M-COR/ED - QASP |
A0006 (PWS para. A-2.4.3.1) Key Personnel Emergency Contact List
Contract start date.
NLT 15 calendar days prior to a substitution becoming effective 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
| A0007 (PWS para. A-2.4.3.1) Key Personnel Change Notification. |
| Initial submission at contract start date. NLT 3 working days after any change. |
| 1 Electronic Copy to each listed in Distribution |
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
A0008 (PWS para. A-2.4.3.2/ A-2.19.1.3) Personnel Roster
| Initial submission at contract start date. NLT 3 working days after any change. |
| 1 Electronic Copy to each listed in Distribution |
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
A 0009 (PWS para. A-2.4.4.4.1) Sample Employee ID Badge.
| NLT 30 calendar days prior to contract start date |
| 1 Sample Badge each listed in Distribution |
| Actual Sample Badge |
| KO – COR/O&M-COR/ED - QASP |
| A1010 (PWS para. A-2.4.4.2.1) Request for Government Issued CAC Badge for Contractor. |
| During transition period and as needed |
| N/A |
| KO – COR/O&M-COR/ED - QASP |
| A1011 (PWS para. A-2.17.1.1) Training Plan |
| Prior to contract start and updated annually |
| 1 Electronic Copy to each listed in Distribution |
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
| A1013 (PWS para. A-2.15.2) iWATCH Training. |
| Contract Award |
NLT 5 calendar days after certificate receipt 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
A1014 (PWS para. A-2.15.3/ 2.15.3.1) Anti-terrorism (AT) and Operations Security (OPSEC) Awareness Trng Certification – Threat Awareness and Reporting Training (TARP)
Contract Award DPTMS will announce the training in advance. Contractor personnel must attend initial training after contract start and then complete annual training thereafter.
1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
A1015 (PWS A-2.15.5)
Information Assurance (IA)/Information Technology (IT) Training
| Within 30 days of reporting for duty, annually thereafter |
| 1 Electronic Copy of each plan to each listed in Distribution |
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
A1016 (PWS para. A-2.14.1/ A-2.14.1.1.2) Provide a Security Plan including; a Physical Security Plan; a Key Control Plan; a Fire Prevention and Protection Plan; and a Secured Area Access and Classified Information Security Plan Contract Award NLT 30 Days prior to contract start date; changes submitted for review and approval NLT 15 working days prior to change implementation 1 Electronic Copy of each plan to each listed in Distribution
MS Word
KO – COR/O&M-COR/ED - QASP
A1017 (PWS para.
A-2.14.1.3 2.14.1.4) Provide Key Inventories As Required by AR 190-51 Contract Start Quarterly
| 1 Electronic Copy to each listed in Distribution |
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
A1018 (PWS para.
A-2.14.1.5) Lost Key Report
Contract Start By close of business the next day following the key loss
| N/A |
| KO – COR/O&M-COR/ED - QASP |
| A1019 (PWS para. A-7.4.1.2.4 Completed Typed Damage Reports DA FORM 7306, Worksheet for Telephonic Notification of Ground Accident & DA Form 285 AB, U.S. Army Abbreviated Ground Accident Report (submitted and prepared through report it) |
| Contract Start |
NLT 5 calendar days after occurrence
| 1 Electronic Copy to each listed in Distribution |
| .PDF of forms DA-7306 & DA Form 285 |
| KO – COR/O&M-COR/ED - QASP |
A1020 (PWS para.
A-7.4.1.2.3) Accident Report (DA Form 285)
| Date of accident. Verbal report within one hour of occurrence; written follow up accident report (DA form 285) NLT 3 working days following occurrence |
| 1 Electronic Copy to each listed in Distribution |
| .PDF of completed DA Form 285 |
| KO – COR/O&M-COR/ED - QASP |
| A1021 (PWS para. A-7.4.1.2.5) Vehicular Accident Report (DA Form 285) |
| Date of accident. |
Vehicular accidents reported to the Ft. Gordon Provost Marshal at the scene 1 Electronic Copy to each listed in Distribution
| .PDF of completed DA Form 285 |
| KO – COR/O&M-COR/ED – QASP - DES |
| A1022 (PWS para. A-2.4.1.1.1) Facility Access and Command Inspection |
| Contract Start |
Close of business next working day following completion of inspection/visit
| 1 Electronic Copy to each listed in Distribution |
| KO – COR/O&M-COR/ED - QASP |
| A1023 (PWS para. A-2.16.2) Occupational Safety and Health Plan |
| Contract Award |
NLT 30 calendar days prior to contract start date 1 Electronic Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
| A1024 (PWS para. A 2.18.3.4) Citations, Notices of Violation, and Other Notices of Noncompliance |
| Contract Start |
Immediately, upon receipt.
1 Electronic Copy to each listed in Distribution
| .PDF of actual citation, violation of non-compliance issue(s) |
| KO – COR/ED - QASP |
| A1025 (PWS para. A-3.2.1) Quality Control Plan |
| Contract Award. |
NLT 30 calendar days prior to contract start date; updated copy of the plan NLT 20 working days prior to the implementation of changes 1 Electronic Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
| A1026 (PWS para A-3.2.1.4) Quality Control Report |
| Contract Start Date |
NLT 1 working day following conclusion of the week; monthly summary NLT 5 working days after the last day of the month 1 Electronic Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
| A1027 (PWS para. A-2.9.7) Subcontracting Log |
| Contract Start Date |
Monthly, NLT 5 working days from the last day of the month 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO- COR- QASP |
| A1028 (PWS para. A-2.9.7) Subcontracting Actions |
| Contract Start Date |
NLT 3 working days after issuing to vendor 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO- COR- QASP |
| A1029 (PWS para. A-7.5.1) Contractor Acquired Material (CAM) Summary |
| Contract Start Date |
Monthly, NLT 5 working days from the last day of the month 1 Electronic Copy to each listed in Distribution
EXCEL Spreadsheet Format provided by the Contractor
KO- COR- QASP
A1030 (PWS para. A-2.5.3.1.1) DPW Workload Data Contract Start Date Monthly, NLT 17th of the month 1 Electronic Copy to each listed in Distribution
Excel Spreadsheet
KO- COR- QASP
A1031 (PWS para. A-2.5.3.1.2 H 1.3.4) Facilities Maintenance Performance Metrics Contract Start Date Weekly, NLT close of business Friday for following week 1 Electronic Copy to each listed in Distribution
| IAW the template provided in TE A-6.13 Facilities Maintenance Performance Metrics |
| KO – COR/O&M- QASP |
A1032 (PWS para. A-2.5.3.1.2.1) Public Works Look Ahead Report
Contract Start Date Weekly, NLT close of business Friday for following week 1 Electronic Copy to each listed in Distribution
| Format provided by the Contractor |
| KO – COR/O&M- QASP |
| A1033 (PWS para A-2.14.4) Contractor Owned Vehicles. |
| Contract Start Date. Case-by-case basis. |
1 Electronic Copy to each listed in Distribution
EXCEL Spreadsheet
KO – COR/O&M-COR/ED - QASP
A1034 (PWS para. A-2.10) Warranty Plan Contract Award NLT 30 calendar days after contract award date
| 1 Electronic Copy to each listed in Distribution |
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
A1035 (PWS para. 7.4.1) Property Management System Contract Award NLT 30 calendar days prior to the end of the transition period 1 Electronic Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
A1036 (PWS para. A-7.4.1) Transition of Property to the Custody of the Contractor and Follow-Up Inventories Contract Award During contractor transition and then annually. NLT 31 Oct after FY being reported; NLT 5 working days after special request inventory agreed upon completion date 1 Electronic Copy to each listed in Distribution
| DD FORM 1662 (to be revised by UID regulations) |
| KO – COR/O&M-COR/ED - QASP |
| A1037 (PWS para. A 2.5.7.4 & 2.12) Record Drawings |
| Contract Start date |
As changes are identified. Upon completion of work
1 Electronic Copy to each listed in Distribution
| .PDF/Red Line Drawings |
| KO- COR- QASP |
A1038 (PWS para. A-7.4.1) Disposition of Contractor’s Inventory (DD Form 1638) and IAW Property Control System Contract Start Date Quarterly-Last day
1 Electronic Copy to each listed in Distribution
| .PDF(DD Form 1638) and IAW Property Control System |
| KO- COR- QASP |
A1039 (PWS para. A-7.4.1.2.6) Report of Lost, Damaged or Destroyed (LDD) Government Property Contract Start Date NLT 5 calendar days after knowledge of loss, damage or destruction 1 Electronic Copy to each listed in Distribution
MS Word IAW FAR Clause 52.245-1, Government Property, In Reporting Loss, Damage, And Destruction (LDD) of GFP
KO- COR- QASP
A1040 (PWS para. A-7.4.1.1 & 7.4.1.3.1) Utilization of GFF Plan Contract Award NLT 30 days after contract award date
1 Electronic Copy to each listed in Distribution
| MS Word |
| KO- COR- QASP |
A-1041 (PWS para. A-7.4.1.2.2) Heavy Equipment Report Contract Start Date Weekly. NLT 3 working days after the close of business the last day of week
1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO- COR- QASP |
A1042 (PWS para. A-2.4.7.4) Certificates of Compliance, Manufacturer's Descriptive Data And Product Samples Contract Start Date Within 5 days of receipt from Manufacturer 1 Electronic Copy to each listed in Distribution
| .PDF of each certificate |
| KO – COR/O&M-COR/ED - QASP |
A-1044 (PWS para. A-2.19.1.2 2.9.1.4, 2.19.1.5, 2.19.2, 2.19.3, 2.19.4) Updates to the Contractor’s Mobilizations and other Contingency Plans
| Initial submission NLT 15 calendar days prior to contract start date; updates 30 days after modifications to USAG Contingency Plans |
| 1 Electronic Copy to each listed in Distribution |
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
A1045 (PWS para. A-2.9.7.1) Public Works Division Work Load Data (Subcontracts) Contract Start Date Weekly, Wednesday of each week 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO- COR- QASP |
A1046 (PWS para. A-2.6.2.1) Public Works Division Work Load Data (DMOs)
Contract Start Date Weekly, Wednesday of each week 1 Electronic Copy to each listed in Distribution
EXCEL Spreadsheet
KO- COR- QASP
A1047 (PWS para. A-2.6.1.1) Public Works Division Work Load Data (Emergency DMOs)
Contract Start Date Daily, From the previous day 1 Electronic Copy to each listed in Distribution
EXCEL Spreadsheet
KO- COR- QASP
A1048 (PWS para. A-2.8) Public Works Division Work Load Data (OWOs)
Contract Start Date Weekly, Wednesday of each week 1 Electronic Copy to each listed in Distribution
EXCEL Spreadsheet
KO- COR- QASP
A1049 (PWS para. A-2.9.8.2 / 2.9.13) Engineer Work Order PWO Status Tracking Contract Start Date Monthly, NLT the 5th calendar day of the month following the reporting period 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M- QASP |
A1050 (PWS para. A-2.5.7.12.1.3) Unliquidated Contract Obligations Contract Start Date As Changes occur, Immediately 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
| A1050-1 (PWS para A 2.5.7.11.9) Provide Financial Data on Cost Projections, Labor Utilization, and Operating Budget |
| Contract Start Date |
As Changes occur, Immediately 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
A1051 (PWS para. A-2.9.8.3.1) Public Works Division Work Load Data (PWO Taskings – Estimates & Accomplishment) Contract Start Date Weekly, Wednesday of each week
1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO- COR- QASP |
A1052 (PWS para. 2.5.7.13.1) ISR Services (ISR-S) Performance Data Contract Start Date Quarterly, the last work day of the month following the end of each quarter 1 Copy to each listed in Distribution
| Submitted on Input Forms Provided by DPW. |
| KO- COR- QASP |
A1053 (PWS para. 2.5.7.13.2) ISR Infrastructure Data Contract Start Date Quarterly, the last work day of the month following the end of each quarter 1 Copy to each listed in Distribution
| Submitted on Input Forms Provided by DPW. |
| KO- COR- QASP |
A1054 (PWS para. A-2.4.7.12.1.2.1.1) Cost Transfer Voucher Contract Start Date Monthly, requirements will be received by cutoff for month end; as required NLT 5 working days after request 1 Copy to each listed in Distribution
| Form 3046 Or Form Designated By The Government |
| CH-BOID |
A1055 (PWS para. A-7-8) Contractor Manpower Reporting
Contract Start Date Annually, 31 October of each calendar year On-line entry
Electronic entry http://www.ecmra.mil
KO- COR- QASP
A1057 (PWS para. A-2.5.7.13.6, H2.37.3, J1.2.1.1) Annual Work Plan Input
Contract Start Date Within one week of government requesting initial submission NLT two weeks prior to the first day of full contract performance; subsequent submissions NLT 30 calendar days prior to the start of the fiscal year, with monthly updates 1 Copy to each listed in Distribution
EXCEL Spreadsheet
KO – COR/O&M- QASP-CH BOID
A1058 (PWS para. A-2.9.9.2.1.1) Project Schedule
Contract Start Date Per tasked PWO 1 Electronic Copy to each listed in Distribution
| Microsoft Project or Similar |
| KO- COR- QASP |
A1059 (PWS para. A-2.9.9.3) PWO Warranty Plan
Contract Start Date Per each installed component or piece of equipment 1 Electronic Copy to each listed in Distribution
| MS Word |
| KO- COR- QASP |
A1060 (PWS para. A-2.9.9.4 & H-2.1.3.1.2) Operations & Maintenance Manuals Contract Start Date Per each installed component or piece of equipment, 1 Electronic Copy to each listed in Distribution
.PDF of each manual Electronic media
KO – COR/O&M-COR/ED - QASP
A1061 (PWS para. A-2.9.9.9.1) Submittal Requirements Contract Start Date Per each installed component or piece of equipment.
Per completion of PWO 1 Electronic Copy to each listed in Distribution
| .PDF of each manual |
| KO- COR/)&M- QASP |
A1062 (PWS para. A-2.9.9.15.1) Lead Based Paint Permits Contract Start Date Per issue of each permit, per PWO 1 Electronic Copy to each listed in Distribution
| .PDF of each permit |
| KO – COR/O&M-COR/ED - QASP |
A-1063 (PWS para. A-2.9.9.15.1.1) Asbestos Permits
Contract Start Date Per issue of each permit, per PWO 1 Electronic/Hard Copy to each listed in Distribution
| .PDF of each permit |
| KO – COR/O&M-COR/ED - QASP |
A1064 (PWS para. A 1.6) Erosion Control and Wetlands Plans Contract Start Date NLT 1 month prior to project commencement 1 Electronic/Hard Copy to each listed in Distribution
MS Word
KO – COR/O&M-COR/ED - QASP
A1065 (PWS para. A 2.18.3.2) Hazardous Materials Management Plan Contract Start date draft NLT 30 calendar days after contract award; final within 15 calendar days of receipt of Government comments 1 Electronic/Hard Copy to each listed in Distribution
MS Word
KO – COR/O&M-COR/ED - QASP
A1066 (PWS para. A 2.18.3.2 M 3.4.2d) Hazardous Material Inventory Contract Start Date Annually, end of calendar year
1 Electronic/Hard Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
A1067 (PWS para. 2.18.6) Asbestos Operations And Maintenance Plan Contract Start Date Annually, NLT1 Oct of each year 1 Electronic/Hard Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
A1068 (PWS para. 2.18.6.4) Asbestos / Lead Based Paint Survey Contract Start Date Annually, NLT 1 JAN of each year, or as required
| 1 Electronic/Hard Copy to each listed in Distribution |
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
A1069 (PWS para. 2.18.6.1) Asbestos Project Folders Contract Start Date Per each ACM abatement tasking
1 Electronic/Hard Copy to each listed in Distribution
| .PDF for each tasking |
| KO –COR/O&M-COR/ED - QASP |
A1070 (PWS para. 2.18.7) Spill Report Contract Start Date NLT close of business 1 working day following each incident 1 Electronic/Hard Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
A1071 (PWS para. 2.18.7.1) Spill Control Response Materials Contract Start Date NLT close of business 5th working day of each month 1 Electronic Copy to each listed in Distribution
EXCEL Spreadsheet
KO – COR/O&M-COR/ED - QASP
A1072 (PWS para. 2.18.6.2) Lead Abatement Operations Plan Contract Start Date NLT 7 calendar days prior to end of transition period; updates annually thereafter 1 Electronic Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
A1073 (PWS para. 2.18.6.1.1) Asbestos Manifest Reports
Contract Start Date Per Occurrence Date of each shipment
| 1 Electronic/Hard Copy to each listed in Distribution |
| .PDF of Manifest Report |
| KO –ED - QASP |
| A1074 (PWS para.A-2.18.3.1 & H-6.2.2) SDS For all Paint/Materials Used |
| Contract Start Date |
Per Occurrence Submitted NLT 10th of Each Month
1 Electronic Copy of each item listed to each listed in Distribution
| PDF See FAR 52.223-3 Hazardous Materials Identification and Material Safety Data |
| KO – COR/O&M- ED - QASP |
A1075 (PWS para. A-2.20.2.2) Contractor Purchased RPMA Supply List Contract Start Date Monthly NLT the 5th working day of the month following the reporting period, with monthly maintenance reports updates 1 Electronic Copy to each listed in Distribution
EXCEL Spreadsheet
KO – COR/O&M- QASP
A-1076 (PWS para. A-2.20.2.4) RPMA Supply Item Standby List Contract Start Date Annually NLT 15 October
| 1 Electronic Copy to each listed in Distribution |
| EXCEL Spreadsheet |
KO – COR/O&M- QASP
A1077 (PWS para. A-2.20.2.5) RPMA Supply Operating Stock List Contract Start Date Annually NLT 15 October
| 1 Electronic Copy to each listed in Distribution |
| EXCEL Spreadsheet |
KO – COR/O&M- QASP
A1078 (PWS para. A-2.20.2.6) RPMA Supply Performance Data Contract Start Date Monthly, NLT the 5th working day of the month following the reporting period 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M- QASP |
| A1079 (PWS para. A-2.7.1) Operations and Maintenance Manuals for newly installed equipment. |
| Contract Start date |
As changes are identified. Upon completion of work
1 Electronic Copy to each listed in Distribution
| PDF of each manual |
| KO – COR/O&M- ED - QASP |
A1080 (PWS para. A-2.18.2.2) Monthly Waste Diversion Report
| Monthly NLT the 10th |
| 1 Electronic copy to each listed in the Distribution |
| Email with total waste disposed and diverted |
| KO – COR/O&M-ED - QASP |
A1081 (Annex A para 2.16.3.1) Hot Work Permit Log
| As Required |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP |
| A1082 (Annex A para 2.4.6) Manual Operations Plan |
| Contract Start Date |
First submission 15 days after contract award dates. Updates as required.
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- COR/EDQASP |
| A1083 (Annex A para 2.5.7.13.8.22) Inventory Management |
| Last business day of each month. |
| 1 Electronic Copy to each listed in Distribution |
| EXCEL Spreadsheet |
| KO – COR/O&M- QASP/BUILDER Program Manager |
ANNEX C UNACCOMPANIED HOUSING
C0001 (PWS para. C-2.2.4) FMO Monthly Inventory Report Contract Start Date Monthly, NLT the 5th working day of the month following the reporting period 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M- QASP |
ANNEX E SOLID WASTE MANGEMENT
E0001 (PWS para. E-2.1.4) Ground Water Sampling
Contract Start Date Annually NLT 1 March and 1 September
| 3 Original Copies |
| Original written reports with Professional Geologist (PG) seal and signature on all maps and tests. |
| KO – COR/ED - QASP |
E0002 (PWS para. E-2.1.6.5) Daily Tonnage Report Contract Start Date Monthly, NLT the 10th calendar day of the month following the reporting period.
1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
E0003 (PWS para. E-2.1.6.5) Monthly Tonnage Report Contract Start Date Monthly, NLT the 10th calendar day of the month following the reporting period.
1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
E0004 (PWS para. E-2.1.6.5 - 2.71.)
Quarterly Tonnage Report Contract Start Date Quarterly, NLT the 10th calendar day of the month following the reporting period.
1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
| E0005 (PWS para E- 2.1.6.6) Remaining Capacity Report |
| Contract Start Date |
Annually, NT 15 Jul
| 1 Electronic Copy to each listed in Distribution |
| .PDF State Form for Remaining Capacity |
| KO – COR/O&M-COR/ED - QASP |
| E0006 (PWS para. E-2.1.6.7) Fuel Delivery Report |
| Contract Start Date |
Per Occurrence/ Delivery.
1 Electronic/ Hard Copy to each listed in Distribution
| KO – COR/O&M-COR/ED - QASP |
| E0007 (PWS para E-2.3.5) Enterprise, Environmental, Safety, and Occupational Health-Management Information System |
| Contract Start Date |
Monthly, NLT the 5th calendar day of the month following the reporting period.
| Report Generated by EEOH-MIS |
| EEOH-MIS Format |
| KO – COR/O&M-COR/ED - QASP |
ANNEX F GROUNDS MAINTENANCE
| F0001 (PWS para. F 2.1.1.6) Request to Perform Work During Non-Operating Hours |
| Contract Start Date |
Minimum of two working days’ notice
1 Electronic Copy to each listed in Distribution
| KO – COR/O&M-COR/ED - QASP |
| F0002 (PWS para F 2.1.10) List of areas cut on the previous day ready for inspection |
| Daily Monday through Friday NLT 0800 local time |
| 1 Electronic/Hard Copy to each listed in Distribution |
| PDF-MS Word |
| KO – COR/O&M-COR/ QASP |
| F0003 (PWS paras F 2.1.6.15 &2.1.6.35) Yearly Schedule for Lawn Treatment |
| 30 days after contract award |
Annually 1 Electronic/Hard Copy to each listed in Distribution
| PDF-MS Word |
| KO – COR/O&M-COR/ QASP |
| F0004 (PWS para F 2.1.11.16 & 2.2.9.5) Basic Tree Risk Assessment Form |
| Monthly NLT the 5th working day of the month following each monthly reporting period |
| 1 Electronic/Hard Copy to each listed in Distribution |
| PDF-MS Word |
| KO – COR/O&M-COR/ENRMO - QASP |
ANNEX G SNOW ICE and SAND REMOVAL
| G0001 (PWS para. G-1.2) Severe Weather Emergency Action Plan |
| Contract Start Date on occurrence, NLT the 30th of September annually |
| 1 Electronic/ |
Hard Copy to each listed in the Distribution
| PDF of Snow and Ice Removal Plan |
| KO – COR/O&M-ED - QASP |
G0002 (PWS para. G-2.1.2.6) Borrow Pit / Surface Mine Operations Contract Start Date Weekly, NLT COB Thursday of each week 1 Electronic Copy to each listed in Distribution
| IAW template provided in TE G-004, Borrow Pit/Surface Mine Operations. |
| KO – COR/O&M-COR/ED - QASP |
ANNEX H FACILITIES MAINTENANCE VERTICAL
| H0001 (PWS para H para 1.3.1.1 c) Freeze Plan |
| 15 days after contract award |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP |
H0002 (PWS para. H 1.4.8.1 & 2.54.5) Certification Completion Report
Contract Start Date Weekly, NLT 10:00 am the first working day of the week 1 Electronic Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M- QASP |
H0003 (PWS para. H 2.2) Insignificant Emission Unit Maintenance and Reporting
| Contract Start Date Per Occurrence Submitted NLT 10th of each month |
| 1 Electronic/Hard Copy to each listed in the Distribution |
| .PDF Perform Preventative maintenance on fuel burning equipment with a rated heat input capacity of less than 10 Million BTU and report maintenance performed, any loss of function or failures |
| KO – COR/O&M-ED - QASP |
| H0004 (PWS para H 2.4.6 a) Seasonal Change Over Schedule |
| 60 days after contract award |
Annually 1 Electronic Copy to each listed in Distribution
| PDF/MS Word |
| KO – COR/O&M- QASP |
| H0005 (PWS para H 2.24) Vacant Facilities Log |
| Monthly |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP - UPH |
H0006 (PWS para H 2.29) Communication Manholes Inspection Contract Start Date Monthly, NLT the 5th working day of the month 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
H0007 (PWS para. H-2.33, 2.33.1.2) Emergency/ Stand-By/Back-up Generator Records
| Contract Start Date Per Occurrence Submitted NLT 10th of each month |
| 1 Electronic/Hard Copy to each listed in the Distribution |
| PDF of the performance testing, monitoring, calibration, and maintenance records |
| KO – COR/O&M-ED - QASP |
| H0008 (PWS para. H-2.33.3) Fuel Delivery Report |
| Contract Start Date |
Per Occurrence/ Delivery.
1 Electronic/ Hard Copy to each listed in Distribution
| KO – COR/O&M-COR/ED - QASP |
| H0009 (PWS para H 2.35.5) Visual Inspections and Certification of GPS, LPS AND CPS |
| Annually |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP |
H0010 (PWS para. H 2.37.1) Fire Alarm Technician Qualifications
Contract Start Date Annually initial submission NLT the 1st working day of the contract phase-in period; annual updates NLT the 5th working day of January 1 Electronic Copy to each listed in Distribution
| .PDF of each certification certificate |
| KO – COR/O&M- QASP |
| H0011 (PWS H para 2.37.3d) Annual MNS and Fire Alarm/ Suppression Systems Testing and Preventive Maintenance Report |
| Annually |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP |
H0012 (PWS para. H 2.42) MONACO D21 &ONYX Front End Troubles Report Contract Start Date Weekly 0800hrs every Tuesday 1 Electronic/Hard Copy to each listed in Distribution
| ONYX System Generated Report |
| KO – COR/O&M- QASP |
| H0013(PWS para H 2.47.1a) Unaccompanied Housing Facility Monthly Inspection Report |
| Monthly |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word/Excel |
| KO – COR/O&M- QASP |
| H0014 (PWS para H-2.47.1a) Semi-annual Work Schedule to Inspect Unaccompanied Housing facilities |
| 30 calendar days of the contract start date |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP |
| H0015 (PWS para H 2.50.1) Monthly Pools Inspection Report |
| Contract Start Date |
NLT THE 5th working day of the month following the reporting period 1 Electronic Copy to each listed in Distribution
| PDF/MS Word/Excel |
| KO – COR/O&M- QASP |
H0016 (PWS para H 2.51.6.1) Key Control Custodian And Unit Armorer Roster
Contract Start Date NLT THE 5th working day of the month following the reporting period 1 Electronic Copy to each listed in Distribution
| Government Provided EXCEL Spreadsheet |
| KO – COR/O&M- QASP |
H0017 (PWS para H 2.52.1.1) Provide Hood Cleaning Condition Contract Start Date Per schedule of each cleaning 1 Electronic Copy to each listed in Distribution
| KO – COR/O&M- QASP |
H0018 (PWS para H 2.52.1.2) Hood Cleaning Schedule
| Contract Start Date. Coordination with customers, at least 14 days prior to cleaning |
| 1 Electronic Copy to each listed in Distribution |
EXCEL Spreadsheet
KO – COR/O&M- QASP
| H0019 (PWS para H 2.52.11, 2.52.13) DFAC Fire Suppression Systems, Kitchen Exhaust Systems and Hoods Weekly Inspection List |
| Contract Start date, Monthly NLT 5th working day of month thereafter Monthly |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word/Excel |
| KO – COR/O&M- QASP – DFAC Manager |
| H0020 (PWS para H 2.52.12) DFAC Buildings Records of Inspections and Meetings |
| Contract Start date, Monthly NLT 5th working day of month thereafter. |
1 Electronic Copy to each listed in Distribution
| PDF/MS Word/Excel |
| KO – COR/O&M- QASP – DFAC Manager |
| H0021 (PWS para H 2.54.3) Crane Operator Training Schedule |
| within 15 calendar days of the start of the contract. |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP |
H0022 (PWS para H 2. 62) Central Wash Facility Training Roster
Contract Start Date Monthly, NLT the 5th working day of the month following the reporting period 1 Electronic Copy to each listed in Distribution
| MS Word |
| COR/O&M-COR/ED - QASP |
H0023 (PWS para H 4.1 U-Do-It Program Plan NLT 30 Days from Contract Start Date, with Annual Updates
1 Electronic Copy to each listed in Distribution
| PDF- MS Word |
| KO – COR/O&M- QASP |
H0024 (PWS para. H 4.4) U-Do-It Training Program Plan NLT 30 Days from Contract Start Date.
1 Electronic Copy to each listed in Distribution
| PDF- MS Word |
| KO – COR/O&M- QASP |
H0025 (PWS para H 4.4) U-Do-It Training Program Plan Updates
| Annually NLT 5 October |
| 1 Electronic Copy to each listed in Distribution |
| PDF- MS Word |
| KO – COR/O&M- QASP |
H0026 (PWS para. H-4.4.1) U-Do-It Training Schedule NLT 30 Days after Contract Start Date; with annul update NLT 5 Oct
1 Electronic Copy to each listed in Distribution
| PDF- MS Word |
| KO – COR/O&M- QASP |
H0027 (PWS para H 4.4.2, 4.7) Authorized Customer Listing Contract Start Date Monthly NLT the10th working day of the month following the reporting period 1 Electronic Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M- QASP |
H0028 (PWS para H 4.6) U-Do-It Central Locator File Contract Start Date Quarterly. NLT the 15 working days of the month following the reporting period 1 Electronic Copy to each listed in Distribution
EXCEL Spreadsheet
KO – COR/O&M- QASP
| H0029 (PWS para H 4.9.1 c) U-Do-It Transaction Record |
| Contract Start Date |
Monthly, NLT the 10th working day of the month following the reporting period 1 Electronic Copy to each listed in Distribution
| PDF-MS Word |
| KO – COR/O&M- QASP |
| H0030 (PWS para H. 4.9.2) U-Do-It Inspection & Audit Report |
| Upon Request from Government |
| 1 Electronic Copy to each listed in Distribution |
| PDF-MS Word |
| KO – COR/O&M- QASP |
| H0031 (PWS para. H 4.9.3) Monthly U-Do-It Program News Article |
| Contract Start Date, Monthly, NLT the 3rd working day of the month |
| 1 Electronic Copy to each listed in Distribution |
| PAO approved format |
| KO – COR/O&M- QASP |
| H0032 (PWS para H 5.1, 5.2.3) Energy Schedules, Inspection and Maintenance Records of Energy Conservation Systems |
| Contract Start Date |
Monthly, NLT the 3rd working day of the month 1 Electronic Copy to each listed in Distribution
| PDF-MS Word |
| KO – COR/O&M- QASP |
| H0033 (PWS para. H 6.2, 6.3) Vehicle Paint and Spray Booth Operation |
| Contract Start Date |
Monthly NLT 5th of the month 1 Electronic Copy/hard copy to each listed in Distribution
| PDF of operation records showing the amount of each paint, coating, adhesive, lacquer, etc. used per day, once per day of operation reading from manometer (pressure gauge) |
| KO – COR/O&M-COR/ED - QASP |
H0034 (PWS para. H-6.2.1) Paint and Spray Booth Operation: Air Filter Changes, Calibration, Maintenance & Repair Records
| Contract Start Date Per Occurrence Submitted NLT 10th of each month |
| 1 Electronic/Hard Copy to each listed in the Distribution |
| PDF of work performed records |
| KO – COR/O&M-ED - QASP |
H0035 (PWS para. H-6.3) Inventory of Filters, Bags and Other Consumables for Particulate/Dust Collection Systems
| Prior to contract start and updated annually |
| 1 Electronic/Hard Copy to each listed in the Distribution |
| 1 Electronic/Hard Copy to each listed in the Distribution |
| KO – COR/O&M-ED - QASP |
H0036 (PWS para. H-6.3) Woodworking Baghouse Maintenance and Reporting.
| Contract Start Date Per Occurrence Submitted NLT 10th of each month |
| 1 Electronic/Hard Copy to each listed in the Distribution |
| PDF of work performed records, (filter changes, maintenance, calibration) including pounds of dust/particles disposed |
| KO – COR/O&M-ED - QASP |
| H0037 (PWS para. H-6.4) Sponge-Jet Blaster Operations, Maintenance, & Calibration |
| Contract Start Date Per Occurrence Submitted NLT 10th of each month |
| 1 Electronic/Hard Copy to each listed in the Distribution |
| PDF of work performed records, (filter changes, maintenance, calibration) including pounds of dust/particles disposed |
| KO – COR/O&M-ED – QASP |
H0038 (PWS para. H-6.5) Welding Operations and Electrode Usage Contract Start Date Annually, 28 February of each calendar year
| 1 Electronic/Hard Copy to each listed in the Distribution |
| PDF of welding operations work performed, including electrode usage |
| KO – COR/O&M-ED – QASP |
| H0039 (PWS para. H – 6.6) Radon Test Results |
| Contract Start Date on occurrence, NLT the 10th working day of the month |
| 1 Electronic/Hard Copy to each listed in the Distribution |
| .PDF copy of any radon test results |
| KO – COR/O&M-ED - QASP |
| H0040 (PWS para H-11f) Flood Control Pump Stations Inspection Report |
| Weekly |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP |
| H0041 (PWS para H 11 (g)) Storm Water Systems Inspection and Corrective Action Plan |
| Semi-Annually |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP |
| H0042 (Annex H para 13 (b) Annual Leakage Survey Inspection |
| Annual |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP |
H0043 (PWS para.
H-14.2 ) Drinking Water and Maintenance and Repair Reports Contract Start Date Monthly, NLT the 5th working day of the month following the reporting period
| 1 Electronic copy to each listed in the Distribution |
| PDF of work performed records |
| KO – COR/O&M-ED - QASP |
H 0044 (PWS para. H-14.2a, 14.2.1) Drinking Water Leak Detection/Water Loss Report Form Contract Start Date Monthly, NLT the 5th working day of the month following the reporting period
| 1 Electronic copy to each listed in the Distribution |
| Submitted on Input Forms Provided by DPW |
| KO – COR/O&M-ED - QASP |
H0045 (PWS para. H-14.2.1a) Ground Water Operations Report Contract Start Date Monthly, NLT the 5th calendar day of the month, for the previous month 1 Electronic/Hard Copy to each listed in Distribution
| GEORGIA STATE FORM EDP 1.6 REV. April 2019 |
| KO – COR/O&M-COR/ED - QASP |
H0046 (PWS para. H-14.2.1 b) Micro-Bio Lab Results Contract Start Date Quarterly, NLT the 5th calendar day of the third month of each quarter (March, June, September and December 1 Electronic/Hard Copy to each listed in Distribution
| LABSUM – 12/93 |
| KO – COR/O&M- QASP |
H0047 (PWS para. H-14.2.ii) Drinking Water Repeat Micro-Bio Lab Results Contract Start Date Only if resampling is required, NLT the 5th working day of the month following the reporting period
| 1 Electronic/Hard Copy to each listed in the Distribution |
| PDF of Laboratory Analytical Report |
| KO – COR/O&M-ED - QASP |
H0048 (PWS para.H-14.2.1.c) Drinking Water Revised Total Coliform Rule Level 1 Assessment Contract Start Date Only if required in writing by the State of Georgia EPD, NLT 10 working days following receipt of EPDs violation letter
| 1 Electronic copy to each listed in the Distribution |
| Georgia State form Revised Total Coliform Rule Level 1 Assessment Form |
REV 09/2016
KO – COR/O&M-ED – QASP
H0049 (PWS para. H-14.2.1d) Drinking Water Wellhead Protection Plan Flushing Reports Contract Start Date Annually (or more frequent as needed by water system), NLT the 5th working day of the month following the reporting period
| 1 Electronic copy to each listed in the Distribution |
| Submitted on Input Forms Provided by DPW |
| KO – COR/O&M-ED - QASP |
H0050 (PWS para H-15.2) Bi-Annual Roadway Storm drain & Gutter Inspection Report and Corrective Action Plan
| At contract start and Semi-Annually thereafter, submit copies of inspection report and corrective action plan no later than the fifth working day of the month following the reporting period. |
| Electronic PDF |
| PDF of inspection report and corrective action plan |
| KO – COR/O&M-ED – QASP |
H0051 (PWS para. H-15.5,
15.6 14.3 15.8 16.1, 16.3, J2.1.6.1) Municipal Separate Storm Sewer System (MS4) Structure Maintenance Contract Start Date Quarterly, NLT the 5th working day of the month following the reporting period
| 1 Electronic copy to each listed in the Distribution |
| Submitted on Input Forms Provided by DPW |
| KO – COR/O&M-ED - QASP |
| H0052 (Annex H para 16.4) Notice of Storm Water Drainage Service Interruption |
| Date of event. Verbal report within one hour of occurrence; written follow up accident report (DA form 285) NLT 3 working days following occurrence |
| 5W format |
| Phone call followed by E-mail |
| KO – COR/O&M- QASP |
H0053 (Annex H para. 17.3) Spill Plan Contract Start date draft NLT 30 calendar days after contract award 1 Electronic/Hard Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
| H0054 (PWS para 20.0 Underground Storage Tanks and Testing |
| Annual, no later than 15 Dec each year |
| 1 Electronic/Hard Copy to each listed in Distribution |
| Format provided by the Contractor |
| KO – COR/O&M-COR/ED - QASP |
| H0055 (PWS para H 22.2) Backflow Test Results, Customer Service Inspections, Technician Training and Gauge Calibration |
| Contract Start Date |
Monthly NLT the10th working day of the month following the reporting period 1 Electronic/Hard Copy to each listed in Distribution
| PDF-MS Word |
| KO – COR/O&M-COR/ENRMO - QASP |
| H0056 (PWS para H 16.2 Flood Control Pump Stations Inspection Report |
| Weekly |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP |
| H0057 (PWS 2.24.2ii) Long Term Vacant Buildings Inspections Form |
| Bi-weekly for long term vacant buildings. |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| COR/O&M- QASP |
H0058 (PWSH1.3.1.4 &
K2.14.4) Notification of Emergencies/Unscheduled Interruptions of Utility Services/Major Component Equipment Failures.
| Contract start Date, No later than two (2) hours of the incident |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| COR/O&M QASP |
H0059 (PWS2.49a) Monthly Passenger, Freight, and Dumbwaiter Inspection Reports
| Contract Start Date, monthly NLT 10th of month |
| 1 Electronic Copy, 2 hard Copies to each listed in Distribution |
| PDF/MS Word |
| COR/O&M QASP |
H0060 (PWS2.49b) Annual Governor, Safety Test and Hydraulics Test.
| Contract Start Date, NLT 31 Oct each year |
| 1 Electronic Copy, 2 hard Copies to each listed in Distribution |
| PDF/MS Word |
| COR/O&M QASP |
H0061 (PWS2.49b) Five Year Tests
| Six Month Prior to Contract End. |
| 1 Electronic Copy, 2 hard Copies to each listed in Distribution |
| PDF/MS Word |
| COR/O&M QASP |
| H0062 (PWS 2.49c) Work Schedules: Detailed Schedule Inspection, Testing, Maintenance /Repair and Certification. |
| Contract Start Date, NLT 31 Oct |
| 1 Electronic Copy, 2 hard Copies to each listed in Distribution |
| PDF/MS Word |
| COR/O&M QASP |
| H0063 (PWS 2.49d) Firefighter’s Service Test |
| Contract Start Date, monthly NLT 10th of month |
| 1 Electronic Copy, 2 hard Copies to each listed in Distribution |
| PDF/MS Word |
| COR/O&M QASP |
H0064 (PWS2.32.2)
Thurmond Lake Annual Inspection
| Contract Start Date, Annually, as requested by DFMWR |
| 1 Electronic Copy 1 Hard Copy of each Inspection Form |
| PDF/MS Word |
| COR/O&M QASP |
H0065 (PWS 2.52.)
Contractor Updated DFAC Equipment Inventory, per DFAC Contract Start Date, NLT 31 Oct.
Updates as Required to Keep Inventory Current
| 1 Electronic Copy |
| MS Excel Spreadsheet |
| COR/O&M QASP |
ANNEX J FACILITY MAINTENANCE HORIZONTAL
| J0001 (PWS para. J 1.2.1.1d, 1.2.1.15) Maintenance of Traffic (MOT) Plan |
| Contract Start Date |
As required, minimum of 14 days prior to scheduled work 1 Electronic Copy to each listed in Distribution
.PDF depicting area and traffic plan
KO – COR/O&M-
QASP
J0002 (PWS para. J-1.2.1.3, & G-2.5) Street Sweeping Report At contract start and quarterly thereafter.
Submit report no later than the fifth working day of the month following the reporting period.
| 1 Electronic/Hard Copy to each listed in the Distribution |
| Submitted on Input Forms Provided by DPW |
| KO – COR/O&M-ED – QASP |
| J0003 (PWS para. J-1.2.1.3 & G- 2.5) Street Sweeping Landfill Tipping Receipts |
| At contract start and quarterly thereafter, submit copies of tipping receipts no later than the fifth working day of the month following the reporting period. |
| 1 Electronic Copy to each listed in Distribution |
| PDF of landfill tipping receipts |
| COR/DPW ED |
| J0004 (PWS para J-1.2.1.3) Street Sweeping Schedule |
| Contract Start Date |
Quarterly, NLT the 5th working day of the month following the reporting period Upon Government Request
| Electronic PDF |
| PDF of Quarterly street sweeping schedule |
| KO – COR/O&M-ED – QASP |
| J0005 (PWS para J-1.2.1.3) Utilization |
| Contract Start Date |
Quarterly, NLT the 5th working day of the month following the reporting period
| Electronic PDF |
| PDF of Utilization |
| KO – COR/O&M-ED – QASP |
| J0006 (PWS para. J 1.2.1.5, 1.2.1.7 2.1.2.1) Installation Street, Crosswalk and Parking Lot Striping Plan |
| Contract Start Date |
Annually - NLT 31 Oct. To include monthly updates on scheduled work 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M- QASP |
| J0007 (PWS para J-1.2.1.6) Inspection of Pavement Network |
| Semi-Annually submit copies of inspection report and corrective action plan no later than the tenth working day of the month following the reporting period. |
| Electronic PDF |
| PDF of Inspection of Pavement Network |
| KO – COR/O&M-ED – QASP |
| J0008 (PWS para J-1.2.1.16) Quarterly Inspection of all Gravel and Earth Surfaced Roads |
| Quarterly, submit copies of inspection report and corrective action NLT the 5th working day of the month following the reporting period |
| Electronic PDF |
| PDF of Inspection of all gravel and earth surfaced roads |
| KO – COR/O&M-ED – QASP |
J0009 (PWS para. J 2.1.5.2) Bridge Inspection Report Contract Start Date Annually, NLT 5 working days following completion of the inspection 1 Electronic Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M- QASP |
| J0010 (PWS para. J 2.1.6.2) Dam Inspection Report |
| Contract Start Date |
Annually NLT 5 working days following completion of the inspection 1 Electronic Copy to each listed in Distribution
| MS Word |
| KO – COR/O&M-COR/ED - QASP |
| J0011 (PWS para 2.1.7) Berms/ Bunkers |
| Contract Start Date |
Monthly, NLT the 5th working day of the month following the reporting period
| Electronic PDF |
| PDF of Berms/Bunkers |
| KO – COR/O&M-ED – QASP |
ANNEX K HEATING/COOLING SERVICES
K0001 (PWS para. K-1.1.1) Plant Operation & Maintenance Personnel Qualifications Contract Start Date Annually initial submission NLT the 1st working day of the contract phase-in period; annual updates NLT the 5th working day of January 1 Electronic Copy to each listed in Distribution
| Electronic Copy of Actual Certification, Training and Experience To include technician certification per 40 CFR 82 |
| KO – COR/O&M- ED - QASP |
| K0002 (PWS para. 2.3) Facility Engineer Operating Logs (Boiler Plant) |
| Contract Start Date |
Monthly, NLT the 5th calendar day of the month, for the previous month 1 Electronic Copy to each listed in Distribution
| DA FORM 3967 IAW references or contractor equivalent form |
| KO – COR/O&M-COR/ED - QASP |
K0003 (PWS para. K-2.14.8.12) Boiler Water Analysis Report Contract Start Date Monthly, NLT the 15th calendar day of the month, for the previous month 1 Electronic/Hard Copy to each listed in Distribution
| FORM 6-205A REV Apr 79 IAW references |
| KO – COR/O&M-COR/ED - QASP |
K0004 (PWS para. K-3.3.1) Monthly Standby Generator Exercise, Bldg 310 & Bldg 25910 Contract Start Date Contract Start Date Monthly, NLT the 1st calendar day of the month, for the previous month 1 Electronic/Hard Copy to each listed in Distribution
| FORM FGSP-190 |
| KO – COR/O&M-COR/ED - QASP |
K0005 (PWS para. K.3.3.4) Monthly Facilities Engineering Related Fuels Report
Contract Start Date Monthly, NLT the 1st working day of the month following the reporting period 1 Electronic Copy to each listed in Distribution
| MS Word/.PDF |
| KO – COR/O&M-COR/ED - QASP |
| K0006 (PWS para. K-3.3.5) Fuel Tank Monitoring & Fueling During Gas Curtailments |
| Contract Start Date |
As required. NLT 5 calendar days following request 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M- QASP |
K0007 (PWS para. K-3.3.6) Delivered Fuel Quantities
Contract Start Date As required. NLT 5 calendar days following request 1 Electronic Copy to each listed in Distribution
| .PDF of delivery manifest. |
| KO – COR/O&M- QASP |
K0008 (PWS para. K 3.3.7) Fuel Sampling Analysis Contract Start Date NLT 5 WORKING days after each delivery; hand deliver to DPW Air Monitor Program Mgr., Bldg 14600 1 Electronic/Hard Copy to each listed in Distribution
| .PDF copy of the “Bill of Lading”/fuel supplier certification stating the sulfur content in the diesel fuel off loaded. |
| KO – COR/O&M-COR/ED - QASP |
| K0009 (PWS para. K-4.4) Ozone Depleting Substances Leak Rate Calculation |
| Contract Start Date |
Per Occurrence – Occurrence = addition of refrigerant in unit containing 50lbs or more of refrigerant. Leak Rate Calculation must be performed at time work is performed.
Submitted NLT 10th of Each Month if leak rate below 10%. Any leak rate over 10% should be immediately reported to DPW ED
1 Electronic/hard copy to each listed in Distribution
| PDF leak rate calculation worksheet |
| KO – COR/O&M-COR/ED - QASP |
| K0010 (PWS para. K-4.6 & H-2.4.1) Ozone Depleting Chemical Containing Appliance Repair Records |
| Contract Start Date Per Occurrence – Submitted NLT 10th of each month To include any time an appliance containing 50lbs or more of refrigerant is maintained, serviced, repaired, or disposed of. |
| 1 Electronic Copy/Hard Copy to each listed in the Distribution |
| PDF of work performed record |
| KO – COR/O&M-ED - QASP |
K0011 (PWS para. K-4.6.1) Ozone Depleting Substance Usage Logs Contract Start Date Annually, 28 February of each calendar year
| 1 Electronic/Hard Copy to each listed in the Distribution |
| .PDF of amounts of ODS/ODC for all appliances removed for purposes of disposal, recycling, reclamation, and added due to leak, repair, etc. |
| KO – COR/O&M-ED - QASP |
K0012 (PWS para.K-4.7) Ozone Depleting Substances Turn-In
| Contract Start Date NLT the 10th working day of the month |
| 1 Electronic/Hard Copy to each listed in the Distribution |
| .PDF of receipt and/or list of stored excess ozone depleting substances for turn-in to Defense Reserve |
| KO – COR/O&M-ED - QASP |
K0013 (PWS para. K-5.0 & A-1.8) Opacity Reading Report Contract Start Date
1. Observations within 48hrs of switching to fuel oil from natural gas (boilers) OR
2. Within 2hrs if visible emissions are present AND/OR
3. Once every 7 days when burning fuel oil continuously submitted NLT 10th of the month If reading is over 40% - immediately notify DPW ED Air Program Manager 1 Electronic Copy/Hard Copy to each listed in Distribution using EPA Method 9/Visible Emission Observation Form 40 CFR 60 – Appendix A
| .PDF IAW TE K-008 |
| KO – COR/O&M-COR/ED - QASP |
ANNEX M INSTALLATION PEST MANAGEMENT
M0001 (PWS para. M-1.1.2) Pest Management Plan Contract Start Date Plan submitted with proposal; annual updates NLT 30 October 1 Electronic Copy to each listed in Distribution
| MSWORD |
| KO – COR/O&M-COR/ED – QASP - IPMC |
M0002 (PWS para M 1.2, 2.1.1, 2.2.1) Pest Management Inspection Schedule
| 15 days after contract award, then weekly submissions NLT COB of each Monday |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP |
M0003 (PWS para. M-1.2 1.3.1 3.4.3 Pest Management Report (Monthly) Contract Start Date Monthly, NLT the 10th working day of the month following the reporting period 1 Electronic/Hard Copy to each listed in Distribution
| DD FORM 1532, Pest Management Report or approved EXCEL spreadsheet equivalent |
| KO – COR/O&M-COR/ED – QASP – IP MC |
M0004 (PWS para M 1.3) Pest Management Information Required by Regulators
| As Required |
| 1 Electronic Copy to each listed in Distribution |
| PDF/MS Word |
| KO – COR/O&M- QASP |
M0005 (PWS para. M-1.4 , 1.4.1 c & 1.4.2.a) Licenses and Certifications Contract Start Date Annually or upon expiration of current certification or renewed certification
| 1 Electronic Copy to each listed in Distribution |
| .PDF of each Recertification Certificate |
| KO – COR/O&M-COR/ED – QASP - IPMC |
| M0006 (PWS para M 1.4.2.b) Pest Management Personnel Medical Surveillance Statement |
| Annually at completion of annual medical surveillance exams |
| 1 Electronic Copy to each listed in Distribution |
| MS WORD |
| KO – COR/O&M- QASP, IPMC |
| M0007 (PWS para M 1.6.8) Report of Conditions Favorable to Pest Infestations |
| Within one business day of finding |
| 1 Electronic Copy to each listed in Distribution |
| MS WORD |
| KO – COR/O&M- QASP |
| M0008 (PWS para 1.7.1.a) Notification of Termite Damage submittal |
| Upon detection of new termite damage |
| Electronic PDF Termite and Wood Decay Inspection Form |
| Email with Form |
| KO-COR/O&M |
ED-QASP
M0009 (Annex M para 1.7.1.c) Termite Warranty
| Upon completion of any termite treatment |
| 1 Electronic Copy to each listed in Distribution |
| KO – COR/O&M- QASP |
| M0010 (PWS para. M-2.1.4) Termite and Wood Decay Inspection |
| Contract Start Date |
Monthly, NLT the 5th working day of the month following the reporting period 1 Electronic Copy to each listed in Distribution
| IAW 2710-500 FGSP, Termite And Wood Decay Inspection Run Sheet |
| KO – COR/O&M-COR/ED - QASP |
M0011 (PWS para M-2.2.1.1) Vegetation Control
| Monthly Consolidated list of herbicide application record |
| Electronic PDF |
| Email following forms DD1532-1 Pest Management Maintenance Record or Electronic Spreadsheet equivalent |
| KO-COR/O&M |
ED-QASP
M0012 (PWS para. M-2.2.1.2) Tree Inspection Report Contract Start Date Monthly, NLT the 5th working day of the month following the reporting period 1 Electronic Copy to each listed in Distribution
| IAW format provided in the Association Of Virginia Arborists Guide or As Specified By The COR |
| KO – COR/O&M-COR/ED - QASP |
M0013 (PWS para M-2.2.3.5) Reporting Animal Control Operations Monthly Type of animal, Date and any property damage
| Electronic PDF |
| Email Following forms |
DD1532-1 Pest Management Maintenance Record or Electronic Spreadsheet Equivalent.
KO-COR/O&M
ED-QASP
| M0014 (PWS para M 2.3.3.b) Food Service Facility Inspection Documentation |
| Report Monthly |
IPM Log of all pest management services
| Electronic PDF |
| Email Facility Manager responsible for the Building and KO/COR |
| KO-COR/O7M |
ED-QASP
| M0015 (PWS para M2.3.4) Commissary Inspection |
| Perform weekly Report Monthly |
Inspection Log of all pest
| Electronic PDF |
| Email Forms to Facility Manager responsible for the Building and KO/COR/O&M |
| KO-COR/O&M |
ED-QASP
M0016 (PWS para. M-2.3.5) Report of Pest Problems Not Cited in Contract Contract Start Date As required NLT 3 calendar days after discovery 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
| M0017 (PWS para. M-2.3.6) Pest Control Standard Operating Procedures (SOP) |
| Contract Start Date |
As required NLT 5 calendar days days prior to initial pest control treatment applications 1 Electronic Copy to each listed in Distribution
| MS WORD |
| KO – COR/O&M-COR/ED - QASP |
| M0018 (PWS para. M-3.4.2.a) Pest Control Chemical Listing |
| Contract Start Date |
Annually - NLT 30 calendar days prior to the end of the phase-in period; updates NLT 30 Oct 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED - QASP |
M0019 (PWS para. M-3.4.2.b) Pesticide Inventory Contract Start Date Monthly, NLT the 5th calendar day of each month 1 Electronic Copy to each listed in Distribution
| EXCEL Spreadsheet |
| KO – COR/O&M-COR/ED – QASP -IPMC |
M0020 (PWS para M-3.4.2.c & h) Chemical Inventory Pesticide Storage and Mixing
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