2013_-_2017_East_Lynn_Lake_Maintenance_Services_Contract_(Exhibits).pdf

EXHIBIT A

RESERVED

EXHIBIT B

APPROXIMATE QUANTITIES BY AREA

EAST LYNN LAKE

Swy Acc Acc Rds

Below Office Lakeside Lakeside Lick Laurel East @EF EF EF EF EF EF Overlook Rd, Fld & & Fac.

Item Dam Damsite Area Launch Picnic Creek Creek Fork CG #1 CG #2 CG #3 CG #4 CG #5 CG #6 Area OF Strip Area

Acres to be Maintained ........... 17 ............ 16 ............1 ............. 9 .............. 3 ..............7 ............. 3 .............. 9 ..............8 ............. 5 .............. 6 ..............8 ............. 3 .............. 6 ..............17 ........... 10 Ampitheater ............................. -- ............ -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. 1 .............. -- ..............-- ............. -- ............. -- .............. -- ............ -- ............. -- Basketball Crt (paved, 3800 sqft) ............ -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............1 ............. -- ............. -- ..............-- ............. -- ............. -- ..............1 ............. -- ............. -- Beach ..... ................................ -- ............ -- ..............-- ............. -- ............. 1 ..............-- ............. -- ............. 1 ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- .............. -- ............ -- ............. -- Benches.. ................................ 10 ............ 5 ..............1 ............. 0 .............. 4 ..............7 ............. -- ............. 11 ............8 ............. 12 ............ 10 ............7 ............. 4 .............. 5 ..............10 ........... -- ............. -- Bulletin Board .......................... 2 .............. 1 ..............-- ............. 2 .............. 1 ..............2 ............. .............. 2 ..............2 ............. 1 .............. 1 ..............1 ............. 1 .............. 1 ..............3 Boat Ramps ............................. -- ............. -- ..............-- ............. 1 .............. -- ..............1 ............. -- ............. 1 ..............-- ............. 1 .............. -- ..............-- ............. 1 .............. -- ..............-- ............. -- ............ -- Campsites ............................... -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............42 ........... 25 ............ 34 ............21 ........... 13 ............ 33 ............-- ............. -- ............. -- Drinking Fountains .................. 4 ............. -- ..............-- ............. 2 .............. 1 ..............2 ............. -- ............. 2 ..............5 ............. 5 .............. 4 ..............4 ............. 1 .............. 1 ..............3 ............. -- ............. -- Dump Stations ......................... -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............1 ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............ -- Dumpsters ............................... -- ............. -- ..............-- ............. 1 .............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. 1 ..............-- ............. -- ............. -- Electrical Hookup .................... -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............42 ........... 25 ............ 34 ............21 ........... 13 ............ 33 ............-- ............. -- ............. -- Entrance Stations .................... -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............1 ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- Fence-Security (ft.) .................. 100 .......... 1060 ........525 ......... 110 .......... -- ..............-- ............. -- ............. -- ..............770 ......... -- ............. -- ..............-- ............. 150 .......... -- ..............300 ......... -- ............. -- Fence- Wood (ft.) ................... 545 .......... 340 ..........50 ........... -- ............. -- ..............-- ............. -- ............. 250 ..........-- ............. 350 .......... -- ..............-- ............. -- ............. -- ..............35 ........... -- ............. -- Fishing Piers ............................ -- ............. -- ..............-- ............. -- ............. -- ..............-1 ............ -- ............. 1 ..............-- ............. 1 .............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- Fire Rings ................................ -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............43 ........... 30 ............ 36 ............21 ........... 13 ............ 33 ............-- ............. -- ............. -- GFCI Breaker/Receptacle ....... 5 .............. -- ..............-- ............. 5 .............. 3 ..............4 ............. -- ............. 3 ..............46 ........... 35 ............ 39 ............24 ........... 16 ............ 38 ............7 ............. -- ............. -- Grills ....... ................................ 17 ............ -- ..............-- ............. -- ............. 14 ............10 ........... -- ............. 8 ..............1 ............. -- ............. -- ..............-- ............. -- ............. -- ..............7 ............. -- ............. -- Guard Rails (L.F.) .................... -- ............ 3362 ........-- ............. 4150 ........ -- ..............1337 ....... -- ............. 2075 ........-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............1000 ....... -- ............. -- Horseshoe Pits ........................ 4 .............. -- ..............-- ............. -- ............. 1 ..............2 ............. -- ............. 1- .............-- ............. 2 .............. 1 ..............-- ............. -- ............. -- ..............4 ............. -- ............. -- Lantern Posts .......................... -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............42 ........... 25 ............ 34 ............21 ........... 13 ............ 33 ............-- ............. -- ............. -- Mooring Stanchions -- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. 17 ............18 ........... 28 ............ 25 ............15 ........... 8 .............. 4 .............................. -- ............. -- Mow/Trim (approx acres) ........ 15 ............ 14 ............1 ............. 7 .............. 3 ..............5 ............. 2 .............. 6 ..............Total of 33 acres for Areas 1 through 6 ... ................ ................15 ........... 8 Parking Areas (sq. yds.) .......... 1558 ........ 1300 ........1305 ....... 1500 ........ 400 ..........833 ......... -- ............. 1732 ........Total of 545 sq. yds. for Areas 1 through 6 .............. ................1760 ....... -- ............. -- Parking Lines L.F. ................... 598 .......... 600 ..........625 ......... 8200 ........ 2000 ........2110 ....... -- ............. 5040 ........-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............1240 ....... -- ............. -- Picnic Shelters......................... 1 .............. -- ..............-- ............. -- ............. -- ..............1 ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............2 ............. -- ............. -- Picnic Tables ........................... 52 ............ 1 ..............2 ............ 1 .............. 19 ............25 ........... -- ............. 18 ............44 ........... 27 ............ 34 ............21 ........... 12 ............ 33 ............38 ........... -- ............. -- Pit Toilets ................-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. 1 ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- Playground Equip (sets) .......... 1 .............. -- ..............-- ............. -- ............. -- ..............1 ............. -- ............. -- ..............- .............. 1 .............. -- ..............-- ............. -- ............. 1 ..............1 ............. -- ............. -- Portable Toilets ....................... -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- Restrooms ............................... 1 .............. -- ..............-- ............. 1 .............. 1 ..............1 ............. -- ............. 1 ..............-- ............. -- ............. -- ..............-- ............. 1 .............. -- ..............1 ............. -- ............. -- Retaining Walls (LF) ............... 120 .......... -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- Roads (miles) .......................... 0.5 ........... 1.5 ...........-- ............. 1.5 ........... -- ..............0.5 .......... 0.25 ......... 1 ..............Total of 5.5 miles in entire campgrounds ................ ................0.5 .......... 3 .............. 0.5 Security Street Lights .............. 6 .............. 1 ..............15 ........... 10 ............ -2- ............5 ............. -- ............. 5 ..............3 ............. 2 .............. 3 ..............3 ............. 3 .............. 2 ..............3 ............. -- ............. -- Sewage Treat. Plant -- ............. -- ............. 1 ..............1 ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............1 ............. -- ............. -- ..............-- ............. -- Trails ....... ................................ -- ............. 1 ..............-- ............. -- ............. 1 ..............-- ............. -- ............. -- ..............1 ............. -- ............. -- ..............-- ............. -- ............. -- ..............1 ............. -- ............. -- Trash-garbage cans ................ 35 ............ 8 ..............6 ............. 13 ............ 16 ............21 ........... 1 .............. 34 ............52 ........... 30 ............ 38 ............25 ........... 20 ............ 38 ............31 ........... 2 .............. -- Wash House/Showers* ........... -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............1 ............. 1 .............. 1 ..............1 ............. -- ............. 1 ..............-- ............. -- ............. -- Water Storage Tanks .............. -- ............. -- ..............-- ............. 1 .............. -- ..............1 ............. -- ............. -- ..............-- ............. 1 .............. -- ..............-- ............. 1 .............. -- ..............1 ............. -- ............. -- Water Treatment Plant ............ -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. 1 .............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- Well Houses ............................ -- ............. -- ..............-- ............. 1 .............. -- ..............1 ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............. -- ............. -- ..............-- ............ -- ............. --

*Two Wash houses have laundry facilities. @ includes Lower Area 1 and Fee Station Revised 06/18/2012 EXHIBIT B Page 1 of 1

EXHIBIT C

ITEMS TO BE PROVIDED ONE WEEK PRIOR TO PRE-WORK CONFERENCE

EXHIBIT C

Contractor shall provide the following, at least 1 week prior to the pre-work conference:

a. Schedule of Cleanings. The schedule provided by the Contractor shall be of sufficient detail to allow the Government to inspect all items of work covered under Section C-4 and Section C-9 of the contact as they are being performed (see Exhibit N). Schedule should include daily and non-daily items.

b. Quality Control Plan. A suggested outline for the Contractor's

Quality Control Plan is contained as Exhibit K.

c. Contractor Representatives. List of names of Contractor

Representatives.

d. Contractor Quality Control Inspector. List of Quality Control

Inspectors.

e. Contractor Accident Prevention Plan. A suggested outline for the

Contractor Accident Prevention Plan is contained as Exhibit U.

f. Government Furnished Compound Area. A statement concerning the

Contractors' rejection or desire to use a Government furnished compound area.

g. Operators. A list of names of individuals to be tested for equipment operator, boat operator, and Park Attendant.

h. CDL Licence. A list of names of individuals with valid CDL operators licence with endorsements.

* Above documents shall be typed and legible.

Exhibit C

Exhibit D

-Reserved-

EXHIBIT E

NAVIGATION AIDS AND SIGNS

(See Drawings)

EXHIBIT E-1

The following describes numbers and locations of buoys on the project:

(a) Damsite

4 4 "Keep Out" buoys in an arc pattern from the Intake Structure to the shoreline.

4 No Wake buoys across the lake upstream of the Spillway.

(b) Brushy Creek

3 No Wake buoys across mouth of Brushy Creek, evenly spaced.

(c) Marina

3 No Wake buoys across mouth of inlet.

1 Keep Out buoy at mouth of swim area.

2 Rock buoys at Lakeside Launch ramp at the ends of the cement walkways, (attached to eye bolt on walkway).

(d) Lick Creek

1 Green buoy on between Vine Branch and Big Branch at long point.

2 "Idle Speed No Wake" buoys evenly spaced across the channel near

Big Branch.

1 Rock buoy at Lick Creek Launch ramp at the end of the cement walkway or pier, (attached to eye bolt on walkway).

(e) Rich Creek

3 "Idle Speed No Wake" buoys at the mouth of Rich Creek,even spaced in a straight line.

(f) Twelvepole Creek

1 Red buoy at the point of the first curve upstream of Rich Creek.

1 Green buoy at the point of concrete steps entering the water, 2nd straight on left after above buoy.

(g) Beechy Branch

1 "Idle Speed No Wake" buoy placed in the middle of the mouth of

Beechy Branch.

(h) Bluelick

1 "Idle Speed No Wake" buoy placed in the middle of the mouth of Bluelick.

(i) Twelvepole Creek

5 Green buoys located just downstream of Bluelick and upstream of White Oak Creek.

4 Red buoys located in front of the mouth of Bluelick upstream of 5 green channel markers mentioned above.

4 Green buoys placed as shown from Bluelick toward the East Fork Beach.

5 Red buoys placed between above green channel markers and the East Fork Beach.

(j) East Fork Branch

2 "Idle Speed No Wake" buoys placed evenly across channel just downstream of the entrance to East Fork and beach area.

(k) East Fork

4 Green buoys placed in the section of East Fork downstream of the first curve.

4 Red buoys downstream of East Fork launch ramp.

1 Rock buoy at end of cement walkway at East Fork launch ramp, (attached to eye bolt at end of walkway).

2 Red buoys upstream of East Fork launch ramp.

3 Green buoys, two downstream and one upstream of the curve which is located above the launch ramp.

1 Red buoy just upstream from last green buoy placed.

EXHIBIT F

PROJECT MAPS

H1ORGJDS

Text Box East Lynn Lake Mowing Limits Below Dam 10.9 Spillway 8.09 Outflow 3.0 Damsite 11.9 Overlook 9.89 Facility Area 2.3 Lakeside 17.8 Lick Creek 6.97 East Fork 15.6 East Fork 42.0 Campground Total 128.46 Acres

Below Dam East Lynn Lake Mowing Limits

10.9 Acres

Spillway Area East Lynn Lake

8.09 Acres

Outflow Area East Lynn Lake

3 Acres

Damsite Area East Lynn Lake

11.9 Acres

Overlook Area East Lynn Lake

12.2 Acres

Overlook Area East Lynn Lake

9.89 Acres

Facility Area East Lynn Lake

2.30 Acres

Lakeside Area East Lynn Lake

17.8 Acres

Lick Creek Area East Lynn Lake

15.6 Acres

East Fork Area East Lynn Lake

15.6 Acres

East Fork Campground East Lynn Lake

42 Acres

EXHIBIT G

-Reserved-

EXHIBIT H

EQUIPMENT PROVIDED BY

THE GOVERNMENT

GOVERNMENT FURNISHED EQUIPMENT LIST

Dozer Backhoe/Endloader Air Compressor w/attachments Trailer for transporting government equipment (Air brakes) Pontoon Boat Jon Boat

The following list of government equipment is not normally available to the contractor. This equipment will only be made available to the contractor during emergency operations or unusual circumstances as approved by the Resource Manager:

5000 watt emergency generator Welder Oxy-Acetylene Torch System 4" water pump Electric winch/Tripod Plumbing snake Portable sump pump Table saw Pipe threader Scaffold Concrete Forms Leaf Blower

EXHIBIT I

EQUIPMENT PRE-OPERATIONAL CHECKLIST

CELRH FORM 2796 (Test)

PROPERTY CONTROL RECEIPT

ENG FORM 4900-R

EQUIPMENT INSPECTION MAINTENANCE WORKSHEET

ENG FORM 5007-R

VEHICLE OPERATIONAL RECORD FORM

CELRH FORM 2813 (Test)

EQUIPMENT MAINTENANCE CHECKS AND SERVICES

EMCS CHECKLIST

EMCS FOR CRAWLER TRACTORS, DOZERS, SCRAPERS,

MOTOR GRADERS, BACKHOES, HEAVY HAULAGE UNITS

Daily Pre-Operational EMCS

1. Walk around visual inspection of damage, pilferage and equipment condition of items listed below:

a. Rollover protection, moving parts and operator shields, guards and covers.

b. Lights, slow moving vehicles sign.

C. Tire condition.

d. Structural members and moving parts.

2. Seat belts and operator cab safety equipment.

3. Oil, fuel and radiator coolant levels per manufacturer recommendations.

4. Instrument panel check.

5. Fire extinguisher and first aid kit in place.

6. Equipment lubricated and greased per manufacturer recommendations.

7. Reverse alarm signal.

8. Check brake operation (parking and service).

9. Unit cleanliness.

Periodic (Hourly Usage and/or Seasonal) EMCS and Safety Checks

At each equipment service prescribed by the manufacturer’s service manual and prior to unit operation after initial receipt, major maintenance mothballing, receipt of equipment from another project or extended layup, the following EMCS apply:

1. Periodic and hourly maintenance services as prescribed in accordance with the Manufacturer Service Manual Recommendations (attached).

2. Unit cleanliness.

3. Complete Safety Inspection List CEORH Form 2824 (Test) for this Equipment Unit (attached).

4. Hourly Maintenance Schedule:

Spring and Fall EMCS, April 1st and September 30th.

500 hour service Due 3691 50 hour service Due 3741 100 hour service Due 3791 50 hour service Due 3841 100 hour service Due 3891 50 hour service Due 3941 100 hour service Due 3991 50 hour service Due 4041 100 hour service Due 4091 50 hour service Due 4141 1000 hour service Due 4191

Exhibit I

EXHIBIT J

CONTRACT DISCREPANCY REPORT (CDR)

(CELRH Form 1104)

EXHIBIT K

SUGGESTED FORMAT, CONTRACTOR QUALITY CONTROL PLAN

CONTRACTORS QUALITY CONTROL PLAN (OUTLINE)

1. INSPECTION OF SERVICES. Define the method of inspection for each task in the contract section including, but not limited to:

a. The individual(s) who shall inspect the service (Quality Control

Inspectors).

b. When or with what frequency inspections shall be performed (e.g.

daily, following each cleaning, at the completion of each task, etc.).

c. A copy of the Contractor's inspection forms or other documents identifying the specific tasks involved in the service which shall be inspected.

2. DEFICIENCIES AND CORRECTIVE ACTION. Explain the procedures for identifying deficiencies in the quality of services provided and methods of correction, before the level of performance is unacceptable.

3. RECORDS. Define the method for maintaining records of inspections and records of corrective actions taken, the individual(s) responsible for the records, and the location where the records shall be kept.

4. QUALITY CONTROL INSPECTORS. A consolidated list of authorized Quality

Control Inspectors.

5. CONTRACTOR REPRESENTATIVES. A list of names and phone numbers of authorized Contractor Representatives.

6. SECURITY. Define and explain the procedures and safeguards which shall be used to protect all equipment, materials, supplies, tools, and other resources provided by the Government to the Contractor including; but not limited to; Contractor audit procedures and inventory systems, if appropriate.

Examples of procedures and safeguards include:

a. All pilferable materials shall be kept under constant surveillance and shall be collected at the end of each work day and secured under lock.

b. Keys shall be removed from all vehicles and equipment when not in use.

c. All gates and doors which were opened to allow Contractor personnel access for work shall be closed and locked. Only authorized Contractor personnel or Government personnel shall be permitted to enter secured areas.

The COR or his representative shall be informed immediately if any unauthorized person enters a secured area.

EXHIBIT L

SAMPLE INVOICE FORMAT

SAMPLE CONTRACTOR INVOICE

MAINTENANCE SERVICE CONTRACT

P.O. BOX 1000

HUNTINGTON, WV 25701

Resource Manager, East Lynn Lake Contract No.: W91237-13-D-xxxx

U.S. Army Corps of Engineers Month of: MAY

HC 85, Box 35-C Terms: ½ of 1% FOB: 10 days

East Lynn, WV 25512 Invoice #54 Date: 06/18/13

DATE WORK ORDER NUMBER AMOUNT

05/29/13 Task Order # 0695 $6,222.57

TOTAL $6,222.57

CONTRACTOR

EXHIBIT M

JOB REQUEST FORM

(CELRH Form 2770)

EXHIBIT N

SAMPLE CONTRACTOR WORK SCHEDULE

SAMPLE

CLEANING SCHEDULE FOR EAST LYNN LAKE

Effective 6-01-13

Crew # 1

TIME AREA

7:00 AM - 7:50 AM Below Dam Area, Level 1

7:50 AM - 8:00 AM Travel to Overlook Area

8:00 AM - 9:00 AM Overlook Area, Level 1

9:00 AM - 9:02 AM Travel to Damsite Area

9:02 AM - 9:40 AM Damsite Area, Level 3

9:40 AM - 9:45 AM Travel to Lakeside Launch Ramp Area

09:45 AM - 10:15 AM Lakeside Launch Ramp Area, Level 1

10:15 AM - 10:16 AM Travel to Lakeside Picnic Area

10:16 AM - 10:55 AM Lakeside Picnic Area, Level 1

11:10 PM - 1:00 PM Spillway, Access Road, Field and

Outflow Strip, Level 3

NOTES: 1. Dam will be policed on last Wednesday of the month.

2. Shelter floors will be cleaned every Friday during morning cleaning.

SAMPLE

CLEANING SCHEDULE FOR EAST LYNN LAKE

Effective 6-01-13

Crew # 1

TIME AREA

4:00 PM - 4:30 PM Below Dam Area, Level 1

4:30 PM - 4:35 PM Travel to Overlook Area

4:35 PM - 5:05 PM Overlook Area, Level 1

5:05 PM - 5:10 PM Travel to Lakeside Launch Ramp Area

5:10 PM - 5:50 PM Lakeside Launch Ramp Area, Level 1

5:50 PM - 5:55 PM Travel to Lakeside Picnic Area

5:55 PM - 6:30 PM Lakeside Picnic Area, Level 1

NOTE: Restroom ceilings and exterior of restrooms shall be cleaned every

Monday.

EXHIBIT O

PARTIAL LISTING OF SAFETY AND SECURITY REQUIREMENTS

PARTIAL LISTING OF SAFETY AND SECURITY REQUIREMENTS

1. The following is a clarification of the Corps of Engineers' policy concerning the use of personal protective equipment for contract employees as defined in the EM 385-1-1, Safety and Health Requirements Manual. This is not meant to be a complete review of required safety equipment, but is simply provided to answer some of the more common questions concerning our safety policy.

The items of equipment listed below should be issued to each employee or made readily available for employee's use, when the work environment requires it:

a. Safety shoes - All employees except park aids performing traffic surveys and clerical personnel are to wear hard toe safety shoes at all times.

For those not required to wear steel toed safety shoes, leather work shoes shall be worn.

b. Hard hats - Hard hats are to be worn when operating or working around equipment that lifts overhead (e.g. backhoe-endloader) or working at ground level around mowing equipment. Hard hats will not be required when operating a riding mower, unless other mowing equipment is present. Hard hats will be required during construction type activities and wildfire suppression.

c. Safety glasses or goggles - Safety glasses with side shields or goggles are to be worn when operating equipment or working around equipment that may cause harm from flying debris (e.g. weed eaters), and when using power or hand tools.

d. Welders - Full face welder's helmets are to be worn during electric arc welding operations, and appropriate shields or warning shall be given or posted to protect other persons from the flash. During oxyacetylene welding or cutting, appropriate goggles or full face shield shall be worn.

e. Gloves - The proper type gloves are to be worn when there is a danger of burns, cuts, scrapes, scratches, wood splinters, or other injury to employee's hands.

f. Ear protection - Ear plugs or muffs shall be worn when operating any device that has been determined to produce 85 decibels or greater on a time-weighted average. It is your responsibility to determine the noise level of your equipment. Each piece of equipment that exceeds 85dB(A) rating should be labeled to indicate the need for hearing protection.

g Protective leg chaps - Protective leg chaps are to be worn when operating equipment such as a chain saw.

h. P.F.D's (Personal Flotation Device/Life Jacket) - P.F.D's are to be worn at all times when working around the water or on board watercraft.

i. Safety cans - Containers for flammable liquids shall be labeled and meet the requirements specified in Section O9.B.

j. Seat belts - Seat belts are to be worn at all times when operating, or being transported by motor vehicles and when operating mobile equipment with rollover protection.

k. Safety vests - "Contractor employees working along highways and roads, or close to vehicular traffic, heavy equipment or equipment loading operations shall wear High Visibility Apparel meeting, as a minimum, ANSI/ISEA 107-2004 Performance Class 2 requirements.”

l. Lock-Out/Tag-Out - Lock-Out/Tag-Out procedures will be used in accordance with EM385-1-1, Section 12 and in coordination with project personnel.

m. Respiratory Protection - Areas with respiratory hazards (chemical, dust, etc) shall be identified. Employees shall have a properly fitting respirator, of the appropriate type, prior to working in a respiratory hazard area. All work requiring the use of respirators shall be performed in accordance with EM 385-1-1, Section O.3.B.

n. Confined Space - Procedures outlined in EM 385-1-1, Section 6.1, and OSHA 29, CFR 1910, 146, shall be developed and followed when working in confined space. Such procedures must be approved by the COR prior to initiating them.

2. The Contractor shall conduct monthly safety meetings and weekly "tool box" safety meetings in accordance with EM 385-1-1, Safety and Health Requirements Manual. The Contractor may contact the COR about upcoming work planned, to determine appropriate subjects for the monthly safety meetings. The Government makes no guarantee that the list of upcoming work planned, will actually be ordered nor will work ordered be restricted to said list. The Contractor shall inform the COR of the date, time, and place of the monthly safety meeting, a minimum of 7 days prior to the meeting.

3. Great emphasis will be given to the development and proper use of Job Hazard Analysis (JHA). When ordered JHAs will be developed in detail, utilized during job performance, and available to employees at the job site.

4. Transporting employees and equipment to worksites:

a. Vehicles used to transport staff and equipment must be well maintained and never overloaded. Each vehicle occupant must have a seat belt available to him or her and must wear the belt.

b. Personnel and tools must be kept apart during travel. Tools and tool boxes must be secured in a manner which will prevent their causing injury in case of a sudden stop or collision.

c. Tool box lids must be securely latched or locked.

5. Contractor vehicles involved in liter pick-up along project and public roads must be equipped with an orange rooftop revolving light, a rear mounted warning sign and reflective warning tape on the bumper. Employees performing liter pickup along public and project roads must wear orange safety vests.

SECURITY REQUIREMENTS

1. The Contractor shall cooperate with the Government in providing for the security of Government property. Some examples of the security measures expected include:

a. Closing and locking all gates and doors which were opened to allow Contractor personnel access for work.

b. Ensure that only Government personnel or authorized Contractor personnel enter secured areas. The COR or his representative shall be informed immediately if any unauthorized persons enter a secured area.

c. Secure or maintain constant surveillance on all pilfer able items to prevent theft. Provide control to ensure that Government furnished equipment, property, or materials are utilized only for contract-purposes.

EXHIBIT P

Reserved

EXHIBIT Q

TASK ORDER FORM

DD FORM 1155

EXHIBIT R

RESERVED

EXHIBIT S

PLAYGROUND INSPECTION

CELRH FORM 2788

EXHIBIT T

SWIMMING BEACH INSPECTION CHECKLIST,

CELRH FORM 2790

EXHIBIT U

REQUIRED FORMAT, CONTRACTOR ACCIDENT PREVENTION PLAN

APPENDIX A

EM 385-1-1

APPENDIX A

MINIMUM BASIC OUTLINE FOR ACCIDENT PREVENTION PLANS

An Accident Prevention Plan (APP) is a safety and health policy and program document. The following areas are typically addressed in an APP, but an APP shall be job-specific and shall also address any unusual or unique aspects of the project or activity for which it is written.

The APP shall interface with the employer’s overall safety and health program, and a copy shall be available on the work site. Any portions of the overall safety and health program that are referenced in the APP shall be included as appropriate. ANSI/ASSE A10.38 should be referenced for Programmatic Issues.

> For LIMITED-SCOPE SERVICE, SUPPLY AND R&D CONTRACTS, for example, mowing (only), park attendant, rest room cleaning, the Contracting Officer and SOHO may allow an ABBREVIATED APP (customized APP requirements and waive the more stringent elements of this section). > See 01.A.11 and Appendix A, paragraph 11.

1. SIGNATURE SHEET. Title, signature, and phone number of the following:

a. Plan preparer (Qualified Person, Competent Person, such as corporate safety staff person, QC);

b. Plan must be approved, by company/corporate officers authorized to obligate the company;

c. Plan concurrence (e.g., Chief of Operations, Corporate Chief of Safety, Corporate Industrial Hygienist, project manager or superintendent, project safety professional, project QC). Provide concurrence of other applicable corporate and project personnel (Contractor).

2. BACKGROUND INFORMATION. List the following:

a. Contractor;

b. Contract number;

c. Project name;

d. Brief project description, description of work to be performed, and location; phases of work anticipated (these will require an AHA).

3. STATEMENT OF SAFETY AND HEALTH POLICY. Provide a copy of current corporate/company Safety and Health Policy Statement, detailing commitment to providing a safe and healthful workplace for all employees. The Contractor’s written safety program goals, objectives, and accident experience goals for this contract should be provided.

4. RESPONSIBILITIES AND LINES OF AUTHORITIES. Provide the following:

a. A statement of the employer’s ultimate responsibility for the implementation of his SOH program;

b. Identification and accountability of personnel responsible for safety at both corporate and project level. Contracts specifically requiring safety or industrial hygiene personnel shall include a copy of their resumes. Qualifications shall include the OSHA 30-hour course or equivalent course areas as listed here:

(1) OSH Act/General Duty Clause;

(2) 29 CFR 1904, Recordkeeping;

(3) Subpart C: General Safety and Health Provisions, Competent Person;

(4) Subpart D: Occupational Health and Environmental Controls, Citations and Safety Programs;

(5) Subpart E: PPE, types and requirements for use;

(6) Subpart F: understanding fire protection in the workplace;

(7) Subpart K: Electrical;

(8 Subpart M: Fall Protection;

(9) Rigging, welding and cutting, scaffolding, excavations, concrete and masonry, demolition;

health hazards in construction, materials handling, storage and disposal, hand and power tools, motor vehicles, mechanized equipment, marine operations, steel erection, stairways and ladders, confined spaces or any others that are applicable to the work being performed.

c. The names of Competent and/or Qualified Person(s) and proof of competency/qualification to meet specific OSHA Competent/Qualified Person(s) requirements must be attached. The District SOHO will review the qualifications for acceptance;

d. Requirements that no work shall be performed unless a designated competent person is present on the job site;

e. Requirements for pre-task safety and health analysis;

f. Lines of authority;

g. Policies and procedures regarding noncompliance with safety requirements (to include disciplinary actions for violation of safety requirements) should be identified;

h. Provide written company procedures for holding managers and supervisors accountable for safety.

5. SUBCONTRACTORS AND SUPPLIERS. If applicable, provide procedures for coordinating SOH activities with other employers on the job site:

a. Identification of subcontractors and suppliers (if known);

b. Safety responsibilities of subcontractors and suppliers.

6. TRAINING.

a. Requirements for new hire SOH orientation training at the time of initial hire of each new employee.

b. Requirements for mandatory training and certifications that are applicable to this project (e.g., explosive actuated tools, confined space entry, crane operator, diver, vehicle operator, HAZWOPER training and certification, PPE) and any requirements for periodic retraining/recertification.

c. Procedures for periodic safety and health training for supervisors and employees.

d. Requirements for emergency response training. > See paragraph 9.b. below for a list of requirements that may require emergency response training.

7. SAFETY AND HEALTH INSPECTIONS.

a. Specific assignment of responsibilities for a minimum daily job site safety and health inspection during periods of work activity: Who will conduct (e.g., SSHO, PM, safety professional, QC, supervisors, employees – depends on level of technical proficiency needed to perform said inspections), proof of inspector’s training/qualifications, when inspections will be conducted, procedures for documentation, deficiency tracking system, and follow-up procedures;

b. Any external inspections/certifications that may be required (e.g., USCG).

8. ACCIDENT REPORTING. The Contractor shall identify person(s) responsible to provide the following:

a. Exposure data (man-hours worked);

b. Accident investigations, reports, and logs: Report all accidents as soon as possible but not more than 24 hours afterwards to the Contracting Officer/Representative (CO/COR). The contractor shall thoroughly investigate the accident and submit the findings of the investigation along with appropriate corrective actions to the CO/COR in the prescribed format as soon as possible but no later than five (5) working days following the accident. Implement corrective actions as soon as reasonably possible;

c. The following require immediate accident notification:

(1) A fatal injury;

(2) A permanent total disability;

(3) A permanent partial disability;

(4) The hospitalization of three or more people resulting from a single occurrence;

(5) Property damage of $200,000 or more.

9. PLANS (PROGRAMS, PROCEDURES) REQUIRED BY THE SAFETY MANUAL. Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable occupational risks and compliance plans. Using the EM 385-1-1 as a guide, plans may include but not be limited to:

a. Layout plans (04.A.01);

b. Emergency response plans:

(1) Procedures and tests (01.E.01);

(2) Spill plans (01.E.01, 06.A.02);

(3) Firefighting plan (01.E.01, Section 19);

(4) Posting of emergency telephone numbers (01.E.05);

(5) Man overboard/abandon ship (Section19.A.04); N/A

(6) Medical Support. Outline on-site medical support and off-site medical arrangements including rescue and medical duties for those employees who are to perform them, and the name(s) of on-site Contractor personnel trained in first aid and CPR. A minimum of two employees shall be certified in CPR and first-aid per shift/site (Section 03.A.02; 03.D);

c. Plan for prevention of alcohol and drug abuse (01.C.02);

d Site sanitation plan (Section 02);

e Access and haul road plan (4.B);

f. Respiratory protection plan (05.G); N/A

g. Health hazard control program (06.A);

h. Hazard communication program (06.B.01);

i. Process Safety Management Plan (06.B.04);

j. Lead abatement plan (06.B.05 & specifications); N/A

k. Asbestos abatement plan (06.B.05 & specifications); N/A

l. Radiation Safety Program (06.E.03.a); N/A

m. Abrasive blasting (06.H.01); N/A

n. Heat/Cold Stress Monitoring Plan (06.I.02)

o. Crystalline Silica Monitoring Plan (Assessment) (06.M) ; N/A

p. Night operations lighting plan (07.A.08); N/A

q. Fire Prevention Plan (09.A);

r. Wild Land Fire Management Plan (09.K); N/A

s. Hazardous energy control plan (12.A.01); N/A

t. Critical lift Plan (16.H); N/A

u. Contingency plan for severe weather (19.A.03);

v. Float Plan (19.F.04); N/A

w. Site-Specific Fall Protection & Prevention Plan (21.C); N/A

x. Demolition plan (to include engineering survey) (23.A.01); N/A

y. Excavation/trenching plan (25.A.01); N/A

z. Emergency rescue (tunneling) (26.A.);

aa. Underground construction fire prevention and protection plan (26.D.01); N/A

bb. Compressed air plan (26.I.01); N/A

cc. Formwork and shoring erection and removal plans (27.C); N/A

dd. PreCast Concrete Plan (27.D); N/A

ee. Lift slab plans (27.E); N/A

ff. Steel erection plan (27.F.01); N/A

gg. Site Safety and Health Plan for HTRW work (28.B);

hh. Blasting Safety Plan (29.A.01); N/A

ii. Diving plan (30.A.13); N/A

jj. Confined space Program (34.A). N/A

10. RISK MANAGEMENT PROCESSES. Detailed project-specific hazards and controls shall be provided by an Activity Hazard Analysis (0I.A.13) for each major phase/activity of work.

11. ABBREVIATED APP for LIMITED-SCOPE SERVICE, SUPPLY AND R&D CONTRACTS. If service, supply and R&D contracts with limited scopes are awarded, the contractor may submit an abbreviated Accident Prevention Plan. This APP shall address the following areas at a minimum. If other areas of the EM 385-1-1 are pertinent to the contract, the contractor must assure these areas are addressed as well.

a. Title, signature, and phone number of the plan preparer.

b. Background Information to include: Contractor; Contract number; Project name; Brief project description, description of work to be performed, and location (map); The project description shall provide a means to evaluate the work being done (see AHA requirements in 01.A.13) and associated hazards involved. Contractor’s APP shall address the identified hazards involved and the control measures to be taken.

c. Statement of Safety and Health Policy detailing their commitment to providing a safe and healthful workplace for all employees.

d. Responsibilities and Lines of Authorities – to include a statement of the employer’s ultimate responsibility for the implementation of his SOH program; Identification and accountability of personnel responsible for safety at all levels to include designated site safety and health officer (SSHO) and associated qualifications. The District SOHO will review the qualifications for acceptance.

e. Training - new hire SOH orientation training at the time of initial hire of each new employee and any periodic retraining/recertification requirements.

f. Procedures for job site inspections - assignment of responsibilities and frequency.

g. Procedures for reporting man-hours worked and reporting and investigating any accidents as soon as possible but not more than 24 hours afterwards to the Contracting Officer/Representative (CO/COR). An accident that results in a fatal injury, permanent partial or permanent total disability shall be immediately reported to the Contracting Officer.

h. Emergency Planning. Employees working alone shall be provided an effective means of emergency communication. This may be cellular phone, two-way radio or other acceptable means. The selected means of communication must be readily available and must be in working condition.

i. Drinking Water provisions, toilet and washing facilities.

j. First Aid and CPR training (at least two employees on each shift shall be qualified/certified to administer first aid and CPR) and provision of first aid kit (types/size).

k. Personal Protective Equipment.

(1) WORK CLOTHING - Minimum Requirements. Employees shall wear clothing suitable for the weather however minimum requirements for work shall be short-sleeve shirt, long pants (excessively long or baggy pants are prohibited) and leather work shoes. If analysis determines that safety-toed (or other protective) footwear is necessary (i.e., mowing, weedeating, chain saw use, etc), they shall be worn.

(2) Eye and Face Protection. Eye and face protection shall be worn as determined by an analysis of the operations being performed HOWEVER, all involved in chain saw use, chipping, stump grinding, pruning operations, grass mowing, weedeating and blowing operations shall be provided safety eyewear (Z87.1) as a minimum.

(3) Hearing Protection. Hearing protection must be worn by all those exposed to high noise activities (to include grass mowing and trimming, chainsaw operations, tree chipping, stump grinding and pruning).

(4) Head Protection. Hard hats shall comply with ANSI Z89.1 and shall be worn by all workers when a head hazard exists. At a minimum, hard hats shall be worn when performing activities identified in (2) above.

(5) High Visibility Apparel shall comply with ANSI/ISEA 107, Class 2 requirements at a minimum and shall be worn by all workers exposed to vehicular or equipment traffic.

(6) Protective Leg chaps shall be worn by all chainsaw operators.

(7) Gloves of the proper type shall be worn by persons involved in activities that expose the hands to cuts, abrasions, punctures, burns and chemical irritants.

(8) If work is being performed around water and drowning is a hazard, PFDs must be provided and worn as appropriate.

l. Machine Guards and safety devices. Lawn maintenance equipment must have appropriate guards and safety devices in place and operational.

m. Hazardous Substances. When any hazardous substances are procured, used, stored or disposed, a hazard communication program must be in effect and MSDSs shall be available at the worksite. Employees shall have received training in hazardous substances being used. When the eyes or body of any person may be exposed to corrosives, irritants or toxic chemicals, suitable facilities for quick drenching or flushing of the eyes and body shall be provided within 10 seconds of the worksite.

n. Traffic control shall be accomplished in accordance with DOT’s MUTCD.

o. Control of Hazardous Energy (Lockout/Tagout). Before an employee performs any servicing or maintenance on any equipment where the unexpected energizing or startup of the equipment could occur, procedures must be in place to ensure adequate control of this energy.

p. Driving, working on (i.e., working with equipment/mowers) while on slopes, working from/in boats/skiffs, etc shall also be considered and dealt with accordingly.

EXHIBIT V

QUALITY ASSURANCE SURVEILLANCE PLAN

V-1

QUALITY ASSURANCE SURVEILLANCE PLAN

EAST LYNN LAKE

Date Contracting Officer

V-2

Table of Contents

SECTION PAGE NO.

SECTION I. Introduction.

A. General B. Acronyms and Definitions

SECTION II. Acceptance/Rejection of Services A. General B. Acceptance C. Rejection

SECTION III. Calculating Deductions A. General B. Examples

1. Random Sampling

2. One-hundred Percent Sampling

3. Planned Sampling

SECTION IV. Performance Requirements Summary Tables

SECTION V. Sampling Guides

SECTION VI. Inspection Checklists A. Examples

1. "Generic" Inspection Form

3. Cleaning Services, Recreation Areas

4. Grass Mowing and Maintenance of Landscaped Areas

5. Janitorial Services

7. Contractor's Quality Control Program

V-3

SECTION I

INTRODUCTION

V-4

SECTION I. Introduction

A. General. This plan will be used to assure the Government that work specified under this contract is completed satisfactorily. The plan is included for information purposes only. It does not supersede any of the requirements in other sections of the contract. Surveillance or inspections will be primarily conducted in three ways; however, the Government has the right to change or modify inspection methods at its discretion. The three principle inspection methods are random, one-hundred percent, and planned. In conjunction with describing the principle methods used for providing surveillance (i.e., inspecting), this plan defines common terms and acronyms;

summarizes in table form the performance requirements for each contract section; summarizes in table form a "sampling guide" for each contract section;

explains how deductions are calculated; and, provides examples of Inspection Checklists.

B. Acronyms and Definitions.

1. List of Acronyms.

a. AQL . . . . . . . . Acceptable Quality Level

b. CDR . . . . . . . . Contract Discrepancy Report

c. COR . . . . . . . . Contracting Officer Representative

d. CO. . . . . . . . . Contracting Officer

e. PRS . . . . . . . . Performance Requirements Summary

f. PWS . . . . . . . . Performance Work Statement

g. QA. . . . . . . . . Quality Assurance

h. QAE . . . . . . . . Quality Assurance Evaluator

i. QASP. . . . . . . . Quality Assurance Surveillance Plan

j. QC. . . . . . . . . Quality Control

k. QCP . . . . . . . . Quality Control Plan

l. N/A . . . . . . . . Non-Applicable

2. Definitions.

a. Acceptable Quality Level. Predetermined value used by the Government to distinguish between satisfactory and unsatisfactory performance.

AQL may be stated in percent and is the maximum number of defects per 100 units that can be considered satisfactory. As long as the defective performance does not exceed the AQL, the total service will not be rejected by

V-5 the Government. The Contractor, however, must reperform the defective service.

b. Defect. Any deficiency determined to be significant as to render the unit unsatisfactory.

c. Deficiency. Any inspection unit which does not meet the Contract requirements in their entirety.

d. Inspection Unit. For statistical sampling the unit is identified in the sampling guide. For all other work the inspection unit is the job. The inspection unit may include several tasks.

e. Inspector. Individual designated by the COR to perform Quality Assurance.

f. Item. The term item, when used with the Contract, refers to the Bid Items contained in Section B of the Contract.

g. Job. A job describes an individual, separate, and defined element of work to be performed. "Mowing the Below Dam Recreation Area" or "Painting the Number One Picnic Shelter in the Overlook Area" are examples of jobs.

h. Lot Size. The total number of times the service is performed in a given period of time, such as the total number of cleanings per month.

Also called a population.

I. 100% Inspection. An inspection method requiring the examination of each completed job. It is not required that the inspector be at the job site 100 percent of the time while the job is occurring. This approach is best suited for monitoring contract requirements that occur infrequently or are of great importance.

j. Percent of Sample Found Defective. Determined by dividing the number of defects by the sample size.

k. Planned Sampling. An evaluation method designed to inspect some part but not necessarily all of the contract requirements. Sample selection is based on some subjective rationale and sample size is usually arbitrarily determined.

l. Quality Assurance. Those actions taken by the Government to insure goods or services meet the requirements of the contract.

m. Quality Assurance Evaluator. A Government official responsible for evaluating Contractor's performance. Also, known as an inspector.

n. Quality Control. Those actions taken by a contractor to control the production of goods or services to insure that they meet the

V-6 requirements of the contract.

o. Random Number Table. A table of numbers arranged in a random fashion. A table used to make random samples.

p. Random Sample. A sampling method whereby each service output in a lot has an equal chance of being selected, or where any occurrence of a contract requirement is as likely to be evaluated as any other occurrence.

q. Random Sampling. A method of looking at a few individual items in a lot to determine the quality of that lot against a standard.

r. Reject Level. The number of defects beyond which the total service for that lot is rejected by the Government and deductions are made.

The Contractor must reperform defective services, when possible, even if the number of defects is less than the reject level.

s. Sample. A sample consists of one or more service outputs drawn from a lot, the outputs being chosen at random. The number of outputs in the sample is the sample size.

t. Sampling Guide. The part of the…