Exhibits.pdf

SECTION J

LIST OF ATTACHMENTS

EXHIBITS

EXHIBIT A, Items to be Provided at Least One Week Prior to Pre-Work Conference EXHIBIT B, Vicinity Map EXHIBIT C, Basic Outline, Contractor Safety Plan and Sample Plan EXHIBIT D, Sample Safety Forms EXHIBIT E, Sample Contractor Quality Control EXHIBIT F, Quality Assurance Surveillance Plan EXHIBIT G, Contract Discrepancy Report (CDR) ORH Form 2759 EXHIBIT H, Sample Invoice Format EXHIBIT I, Task Order, DD1155 EXHIBIT J, Work Schedule Calendars EXHIBIT K, Sample Contractor Work Schedule EXHIBIT L, Project Maps EXHIBIT M Approximate Quantities by Area EXHIBIT N, Playground Inspection Form EXHIBIT O, Beach Area Plan View EXHIBIT P, Swimming Beach Inspection Checklist EXHIBIT Q, Security Guidelines

EXHIBIT A

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

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

a. Quality Control Plan. A sample Contractor's Quality Control Plan is contained as

Exhibit E.

b. Contractor Representatives. List of names of Contractor Representatives.

c. Contractor Quality Control Inspectors. List of Quality Control Inspectors.

d. Contractor Accident Prevention Plan. A sample Contractor Accident Prevention

Plan is contained as Exhibit C.

e. Emergency Contacts. A prioritized list, including phone numbers of those persons

(normally Contractor Representatives) to call in case of emergencies.

EXHIBIT B

VICINITY MAP

EXHIBIT C

BASIC OUTLINE, ABBREVIATED CONTRACTOR ACCIDENT PREVENTION PLAN

CHECKLIST FOR CONTRACTOR

ABBREVIATED ACCIDENT PREVENTION PLAN

EM 385-1-1

30 Nov 14

APPENDIX A

Minimum Basic Outline for Abbreviated Accident Prevention Plans

k. 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 APP in lieu of a full APP. The abbreviated 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. The non-mandatory Abbreviated APP Form, Form A-01 (or similar) may be used to insure each area of required information has been provided.

(1) Title, signature, and phone number of the plan preparer.

(2) Background Information to include:

(a) Contractor;

(b) Contract number;

(c) Project name;

(d) Brief project description, Note: The project description shall provide a means to evaluate the work being done (see AHA requirements in 01.A.14), associated hazards involved and a RAC assigned to each. The overall RAC for the activity must be determined (based on highest task RAC) and accepted at the appropriate level in order for work to proceed.

(e) Description of work to be performed, and

(f) Location of work being performed, to include a map.

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

(4) 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 be asked to review the qualifications for acceptance.

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

(6) Procedures for job site inspections - assignment of responsibilities and frequency.

(7) Procedures for reporting man-hours worked and reporting and investigating any mishaps required by Section 01.D.

(8) 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.

(9) Drinking Water provisions, toilet and washing facilities.

(10) 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 kits (types/size).

(11) Personal Protective Equipment (PPE).

(a) 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, weed eating, chainsaw use, etc), they shall be worn.

(b) 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 chainsaw use, chipping, stump grinding, pruning operations, grass mowing, weed eating and blowing operations shall be provided safety eyewear (Z87.1) as a minimum.

(c) 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).

(d) Head Protection. Hard hats shall comply with ANSI Z89.1 and shall be worn by all workers when a head hazard exists, per Section 05.D.

(e) 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.

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

(g) 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.

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

(12) Machine Guards and safety devices. Power tools/equipment must have appropriate guards and safety devices in place and operational.

(13) Hazardous Substances. When any hazardous substances are procured, used, stored or disposed, a Hazard Communication Program must be in place and MSDSs (SDSs) 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.

(14) Traffic control shall be accomplished in accordance with DOT’s MUTCD.

(15) 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. > See Section 12.

(16) High hazard activities should not be encountered on these types of jobs. If they are (i.e., driving/operating equipment on slopes, working from/in boats, etc), a determination shall be made by the KO and local SOH Office as to whether an abbreviated APP is applicable. If so, they shall be fully addressed in the APP. AHAs are required on work activities which include high hazard activities.

U.S. Army Corps of Engineers Safety

Inspection Checklist Abbreviated

Accident Prevention Plan

Date of Inspection

Location (Plant or Facility) Contract Number

Contractor Name Project Name

Inspector Name (Print) Inspector Signature

This checklist serves as a guide only. It does not replace or eliminate the need to comply with the requirements set forth in Engineering Manual 385-1-1, Safety and Health Requirements Manual, dated XX September 2014.The references Included In this checklist correspond to the applicable sections of EM 385-1-1.

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.

Item Description Yes No N/A Remarks (Any NO or N/A Item)

1. Signature sheet

a. Includes the name, signature, and title of the Plan Preparer

(Qualified person, i.e. corporate safety staff person, QC)

b. Includes the name, signature, and title of the Plan Approver {e.g.

owner, company president, regional vice president

c. Includes the name{s), signature(s), and title{s) for Plan

Concurrence (provide concurrence of other applicable corporate and project personnel(contractor))

2.Background information

a. Includes the Contractor Name.

b. Includes the Contract Number.

c. Includes the Project Name.

d. Includes the Brief Project Description.

e. Includes the Location of the Project {map).

f. Includes a means to evaluate the work being done (see AHA requirements in 01.A.13) and associated hazards involved.

g. Addresses the identified hazards involved and the control measures to be taken.

3. Statement of Safety and Health Policy detailing their commitment to providing a safe and healthful work place for all employees.

4.Responsibilities and Lines of Authorities

a. Includes the identification and job responsibilities of personnel responsible for safety - at both corporate and project level - including their resumes.

b. Includes the lines of authority.

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

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

U.S. Army Corps of Engineers Safety

Inspection Checklist Abbreviated

Accident Prevention Plan

Date of Inspection

Item Description

Yes No N/A Remarks (Any NO or N/A item)

7.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).

8.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.

9. Drinking Water provisions, toilet and washing facilities.

10. 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).

11.Personal Protective Equipment

a. Work Clothing - Minimum Requirements. Employees to wear clothing suitable for the weather; minimum requirements for work shall be short-sleeve shirt, long pants (excessively long or baggy pants are prohibited) and leather work shoes. If AHA determines safety-toed (or other protective) footwear is necessary (i.e., mowing, weed eating, chain saw use, etc), they shall be worn.

b. 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, weed eating and blowing operations shall be provided safety eyewear (Z87.1) as a minimum.

c. Hearing Protection. Hearing protection must be worn by all exposed to high noise activities {includes grass mowing/trimming, chainsaw operations, tree chipping, stump grinding and pruning)

d. Head Protection. Hard hats shall comply with ANSIZ89.1 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 {b)

e. 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.

f. Protective Leg chaps shall be worn by all chainsaw operators.

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

h. If work is being performed around water and drowning is a hazard, PFD's must be provided and worn as appropriate.

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

U.S. Army Corps of Engineers Safety

Inspection Checklist Abbreviated

Accident Prevention Plan

Date of Inspection

Item Description

Yes No N/A Remarks (Any NO or N/A Item)

13. 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.

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

MUTCD.

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

16. 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.

Other Remarks

EXHIBIT D

SAMPLE SAFETY FORMS:

OSHA 300 Log Instructions

OSHA 300 Log

OSHA 300A Log

Activity Hazard Analysis

Examples of Job Steps

Exhibit D

JOB TASK

1.Operating Vehicles

2.Operating Power Tools

HAZARDS

1.1 Vehicle collision

and/or rollover

1.2 Caught between

injuries

1.3 Operation

around the public

2.1 Electric shock

2.2 Eye injury

2.3 Hearing loss

CORRECTIVE ACTION

1.1.1 Only qualified, licensed personnel shall operate vehicles. All vehicles shall receive a pre-operational check prior to operation. Should any problems be discovered which would adversely affect safe operation they shall be corrected before operation. Seat belts shall be worn at all times during operation by both the operator and passengers. Defensive driving practices shall be followed at all times. Cargo items shall be secured to prevent hazardous contact with the operator and passengers.

First aid kits shall be fully stocked and readily accessible. Fire extinguishers shall be charged and readily accessible.

1.2.1 Vehicle and equipment operators shall be alert to their surroundings at all times. Workers shall be aware of equipment operation and direction of travel at all times. Warning devices such as lights, horns, back-up alarms and 4-way flashers shall be utilized as conditions dictate.

1.3.1 Defensive driving practices shall be followed at all times. Workers shall constantly be alert for vehicles, children, pedestrians, bicyclists, animals, utility lines, public or private property, fallen tree limbs, physical obstacles and other hazards in roadways and be prepared to make sudden stops. Workers shall be aware of direction of travel as well as traffic patterns at all times. Spotters shall be used anytime there is potential for contact with vehicles and/or the public. Workers shall wear orange safety vests for increased visibility. Warning devices such as 4-way flashers, horns and lights shall be utilized as conditions dictate.

2.1.1 Only properly trained employees shall operate power tools. All tools shall be inspected before use to insure they are in good operating condition with all safety features in place. Power tools shall be double insulated and/or properly grounded utilizing GFCI’s. Personal protective equipment such as grounding mats, insulated gloves or rubber boots shall be utilized.

2.2.1 Eye protection such as safety goggles or safety glasses w/side shields shall be used when operating power tools. Likewise, adjacent workers who have the potential to be struck by flying objects shall wear eye protection as well.

2.3.1 Hearing protection is required when exposed to noise levels in excess of 85 dB. Equipment shall be tested and labeled to indicate the need for hearing protection.

2.Operating Power Tools, (cont)

3.Clean-ing of Rec.

Areas, Restrooms

2.4 Struck-by injuries

2.5 Slips, trips and

falls

3.1. Handling of

Hazardous Chemicals and Cleaning Compounds

3.2 Transmission of

disease from unsanitary conditions

3.3 Eye injuries

3.4 Slips, Trips and

Falls

2.4.1 Operators shall be alert to their surroundings at all times. If conditions create the potential to either be struck by adjacent workers, falling or flying objects, passing vehicles or members of the public or to strike bystanders or adjacent workers, signs, barricades, guards or spotters shall be utilized. Personal protective equipment such as hats, goggles and safety shoes shall be worn.

2.5.1 Workers shall be conscious of surface footing and walking conditions. Non-slip safety-toed shoes or boots shall be worn at all times. Good housekeeping practices shall be followed to eliminate obstacles in the work area and tripping hazards.

3.1.1 All workers shall be trained in handling hazardous chemicals and cleaning compounds prior to their use. Tool box safety meetings shall be conducted prior to beginning work to orient workers with conditions and operations. Material safety data sheets (MSDS’s) shall be obtained and re-viewed prior to the use of any hazardous chemicals/ compounds.

Manufacturers instructions on all labels shall be closely adhered to. Work areas shall be adequately ventilated at all times. Personal protective clothing such as long sleeved shirts, gloves, safety shoes and goggles shall be worn as required. Workers shall be well acquainted with first aid and emergency procedures should a problem occur.

3.2.1 There is the potential for disease transmission to both cleaning personnel and the public from improper cleaning methods. Personal protective clothing such as long sleeved shirts, gloves, goggles, face shields and respirators shall be utilized as needed to prevent contact with disease organisms. All specified facilities, surfaces and fixtures shall be properly cleaned as specified in the contract. Cleaners shall ensure that all shower stalls, toilets, sinks, urinals and restroom floors are sanitized during each cleaning. Buckets and brushes used to clean toilets, urinals and receptacles shall be color coded and not used for any other purpose.

3.3.1 Eye protection such as safety goggles or safety glasses w/side shields shall be used where the potential for splashing chemicals into eyes exists.

3.4.1 Workers must be conscious of surface footing and walking conditions at all times. Non-slip, safety-toed shoes or boots shall be worn at all times. Good housekeeping practices shall be followed to eliminate obstacles in the work area and tripping hazards. Excess water and spills shall be removed from floors to reduce slipping hazards to the public.

Cleaners shall only clean from ladders or in elevated positions when additional ground personnel are available to stabilize the ladder and hand up materials and supplies. Special precautions shall be taken when working on wet grass, mud, loose ground and steep slopes.

3.Clean-ing of Rec.

Areas, Rest-rooms (Cont)

3.5 Sprains, strains

and back injuries

3.6 Cuts, bruises, abrasions and punctures

3.7 Burns

3.8 Electrocution

3.9 Contact with the

public

3.10 Bee stings, spider bites, dog bites and other animal related injuries

3.5.1 Safe lifting procedures shall be followed at all times. Workers should avoid sudden jerking or twisting movements while lifting, setting or tossing loads. Care shall be taken not to overfill buckets, trash bags and containers. Workers shall request assistance or use mechanical lifting aids whenever possible.

3.6.1 Care shall be used when handling all trash and debris to avoid cuts and punctures from broken glass, splinters and sharp or jagged metal edges. Leather gloves and safety shoes shall be worn when handling these materials.

3.7.1 All fires and burning or burnt materials shall be extinguished and allowed to cool before attempting to remove them from fire rings, grills and cookers. Tools, leather gloves and fire resistant containers shall then be utilized to handle coals and burnt fragments.

3.8.1 Power shall be turned off, locked out and tagged out before cleaning any electrical fixtures. Only wooden or fiberglass ladders shall be used when cleaning lights and other electrical fixtures to avoid electrocution. Electric pressure cleaners and other power cleaning equipment shall be inspected before use to insure safe condition. GFCI protection shall be utilized. Special attention shall be given to electrical equipment, cords, etc. around water.

3.9.1 It is the cleaners responsibility to be aware of surrounding conditions at all times. Special attention shall be given to people entering potentially hazardous areas. Signs and barricades shall be used. Work areas shall be restricted to workers. Assurance shall be made that no hazardous conditions, such as excess water on floors, tripping hazards, hazardous chemicals or unsanitary conditions are left unattended.

3.10.1 Cleaners shall be alert for bees, spiders, snakes and other animals in or around the work area. Special attention shall be given cleaning under eaves of buildings, shelters, tables, windows and in poorly lit or enclosed spaces. Caution shall be exercised when approaching campsites with pets. First aid kits shall be readily accessible.

EXHIBIT E

SAMPLE CONTRACTOR QUALITY CONTROL

SAMPLE CONTRACTORS QUALITY CONTROL PLAN

1. INSPECTION OF SERVICES.

a. Scheduled Inspections. At the conclusion of each cleaning, the QCI shall inspect the cleanings and record and correct all deficiencies.

b. Unscheduled Inspections. If the Contractor is not the primary Cleaner, the Contractor or his Representative shall make unscheduled inspections as necessary to insure work is performed in compliance with the contract. Inspections shall be conducted a minimum of once each week services are ordered. The frequency shall be increased if deficiencies are noted. Deficiencies shall be documented and corrected.

The Contractor shall track deficiencies to identify and correct re-occurring problems.

c. Records and Filing. All inspections shall be documented and maintained in a file, which shall be available for COR inspection at any time.

2. DEFICIENCIES AND CORRECTIVE ACTION. All aspects of cleaning services shall be inspected. Deficiencies shall be corrected. Re-occurring deficiencies and Government documented deficiencies shall be immediately discussed with employee(s) responsible for the deficiency and with all employees within 7 days.

3. INSPECTORS and CONTRACTOR REPRESENTATIVES. A list of names and phone numbers of authorized Inspectors and Contractor Representatives shall be provided at the Pre-Work Conference.

4. SECURITY.

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.

QUALITY CONTROL CHECKLIST FOR CLEANING SERVICES

INSPECTION ITEM RATING COMMENTS

Restrooms / Washhouse

Fixtures

Toilet Tissue

Walls, Windows Mirrors

Insects

Cleaning Compounds/Methods

Tables and Benches

Grills

Trash Cans

Drinking Fountains

Shelters

Bulletin Boards, Signs, Etc.

Grounds – Rec Area

Grounds - Roadways

Grounds – Shoreline, Beach

Grounds - Trails

Beach & Playground Inspections Accurate

Minor Maintenance

Safe Work Habits and Equipment

Maintain Facility Security

1 – Work Done Correctly 2 – Deficiencies Found (Explain problem, correction, and prevention of repeat problem) 3 – Work Not Begun

EXHIBIT F

QUALITY ASSURANCE SURVEILLANCE PLAN

SUTTON LAKE

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

2. Planned Sampling

SECTION IV. Performance Requirements Summary Table

SECTION V. Sampling Guides

SECTION VI. Inspection Checklists

A. Examples

1. Cleaning

2. Contractor's Quality Control Program

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 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" is an example of a job.

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.

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 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 surveillance plan which contains all the information needed to perform a random sample. A "how to inspect guide" for each type of work to be performed.

u. Service Requirement. A job to be performed to the specified standard and within the acceptable quality level. The contractor must do the specific job, meet the standard, and meet the acceptable quality level before performance is acceptable and contractor will be paid.

v. Surveillance Plan. An organized written Government Document used for quality assurance surveillance.

x. Unscheduled Inspection. Impromptu inspections of contract requirements without a pre-planned schedule.

y. Validated Complaints. An evaluation method utilizing customer awareness.

z. Work. The general scope of services covered under the specifications of this contract.

SECTION II. Acceptance/Rejection of Services

A. General. Inspection of all services performed under this contract will primarily be done in accordance with a schedule developed by the Government, and will primarily be done by using one or a combination of the surveillance methods cited in this plan. The purpose of inspection is to document contractor performance and the quality of services or goods produced. Documentation of contractor performance will be done on the appropriate Inspection Checklist (see Section VI of this plan).

B. Acceptance.

1. Statistically Sampled Work. Whenever the number of defects for a lot falls at or below the established reject level the work will be considered satisfactory. However, the contractor is still required to correct the deficiencies.

2. 100% Inspection. When all work is performed in accordance with the Work Order.

C. Rejection.

1. Statistically Sampled Work. Whenever the defects exceed the reject level the Government will issue a

CDR and effect a monetary deduction from the Contractor's invoice.

2. 100% Inspection. Whenever the work does not conform to all requirements of the Work Order, the

Government will issue a CDR and proceed in accordance with the Inspection of Services Clause of the contract.

SECTION III. Calculating Deductions

A. General. Whenever work or parts of work are not performed or are rejected, deductions will be made.

The following examples are given to demonstrate how deductions could be calculated.

B. Examples.

1. Random Sampling. Once a random sample has been taken of a lot or population, and the number of defective items exceeds the AQL for that lot, a deduction will be made. The following example demonstrates how a deduction would be calculated for excessive defects in restroom cleanings. In this example, the lot or population size (i.e., the number of restroom cleanings over a 30 day period) is 125.

IF: Quality of work for cleaning restrooms is found to be unsatisfactory (i.e., the AQL of 5% is exceeded).

AND: The contract price of a restroom cleaning is $25.

AND: Sample size is 18 with a reject level of 3.

AND: Number of defects in sample is 5.

THEN: Deductions from the contractor's monthly invoice for performing Level 2 cleanings would be calculated according to the following equation:

No. of Defects X No. of Cleanings X Contract Price = Amount of

Sample Size in Period for Restroom Cleaning Deduction

Substituting in the numerical values (from the example) the deducted amount would be calculated as follows:

5/18 X 125 X $25 = $868.05

Therefore, $868.05 would be deducted from the contractor's monthly invoice.

2. Planned Sampling. This example shows how a deduction would be calculated when planned sampling documents deficiencies in Cleaning Services. In this example, planned sampling has documented non performance on a beach cleaning. A CDR was issued and the Government chose to have the services performed by another contractor. The actual cost to the government to correct the deficiency will be deducted from the Contractor’s invoice.

For example, if the actual cost to the Government to correct the deficiencies at the beach is $120.00, then

$120.00 will be deducted from the Contractor's invoice for cleaning.

PERFORMANCE REQUIREMENTS SUMMARY TABLE

REQUIRED SERVICES SECTION NO

PARAGRAPH

NO

MAXIMUM

ALLOWABLE

DEGREE OF

DEVIATION FROM

REQUIREMENT

(AQL)

METHOD OF

SURVEILLANCE

Restroom and Washhouse Cleaning

Policing Grounds, Roads, Trails;

Cleaning Grills, Receptacles, Picnic Tables, Shelters, Benches, Fountains, Bulletin Boards, Signs, Playground Equipment and Beaches; and Performing Minor Maintenance

C-2

C-2

C-2.2b

C-2.2c

5%

10%

Random Sampling

Random Sampling

SECTION V - SAMPLING GUIDES

1. Service Requirement: Restroom or Washhouse Cleaning.

2. Corresponding Contract Section: C-2.

3. Method of Q.A.: Random Sampling.

4. Acceptable Quality Level: 5%

5. Lot Size for Sampling: Variable

6. Sampling Size: Variable

7. Reject Level: Variable

8. Sampling Procedures: The COR will randomly select times and/or dates for restrooms and washhouses to be inspected each month, and inform inspectors of the schedule.

9. Inspection Procedures: The inspection will be performed in accordance with the Contractor's approved work schedule. Each restroom or washhouse selected will be inspected and results recorded on an inspection checklist. The Contractor will be informed of deficiencies in his performance.

10. Performance Criteria: The Contractor shall perform all work as specified in the work order. For all identified deficiencies the Contractor will be allowed to reperform if the work order and contract specifications allow. Defects in Contractor performance may be addressed by the issuance of a CDR. A

CDR will be issued should the Contractor fail to correct deficiencies by reperformance, or for any defects/rejects in service requirements. Should the reject level be exceeded, a deduction will be made.

1. Service Requirement: Policing Grounds, Roads, and Trails; Cleaning Grills, Receptacles, Shelters, Tables, Benches, Drinking Fountains, Bulletin Boards, Signs, Beaches and Playgrounds.

2. Correspondence Contract Section: C-2

3. Method of Q.A.: Random Sampling

4. Acceptable Quality Level: 10%

5. Lot Size for Sampling: Variable

6. Sampling Size: Variable

7. Reject Level: Variable

8. Sampling Procedures: The COR will randomly select times for the inspection to be done each month and inform inspectors of the schedule.

9. Inspection Procedures: The inspection will be performed in accordance with the Contractor's approved work schedule. Each area selected will be inspected and results recorded on an inspection checklist. The Contractor will be informed of deficiencies in his performance.

10. Performance Criteria: The Contractor shall perform all work as specified in the work order. For all identified deficiencies the Contractor will be allowed to reperform if the work order and contract specifications allow. Defects in Contractor performance may be addressed by the issuance of a CDR. A

CDR will be issued should the Contractor fail to correct deficiencies by reperformance, or for any defects/rejects in service requirements. Should the reject level be exceeded, a deduction will be made.

SECTION VI

INSPECTION CHECKLISTS

Exhibit F

EXHIBIT G

CONTRACT DISCREPANCY REPORT (CDR)

(ORH Form 2759)

EXHIBIT G

EXHIBIT H

SAMPLE INVOICE FORMAT

SAMPLE INVOICE

FROM: Contractor's Name INVOICE NO:

Address

Phone Number

INVOICE FOR MONTH OF: DATE OF INVOICE:

CONTRACT NUMBER:

TO: Resource Manager

Sutton Lake

P.O. Box 426

Sutton, WV 26601-0426

DATE ITEM AMOUNT

7-1-07 Line Item 001, Restroom Cleaning 2,000.00

Line Item 003, Grounds, Downstream 500.00

Line Item 004, Grounds, Bee Run Day Use 2,100.00

Line Item 005, Grounds, Kanawha Run, GRF 1,300.00

TOTAL INVOICE $5,900.00

EXHIBIT I

TASK ORDER

(FORM DD 1155)

Exhibit I

EXHIBIT J

WORK SCHEDULE CALENDARS

Exhibit J

Calendar Key

BDU – G, R – 2 - AM, PM

A B C

A – Indicates WHAT AREA is scheduled to be cleaned.

BDU – Bee Run Day Use Area

BCA – Bee Run Campground

DS – Downstream Day Use Area

SA – South Abutment Day Use Area

LGRF – Lower Gerald R. Freeman Campground

KR – Kanawha Run of Gerald R. Freeman Campground

MGRF – Middle Gerald R. Freeman Campground

UGRF – Upper Gerald R. Freeman Campground

BR – Bakers Run Campground

B – G - Indicates Grounds are to be cleaned once per day

C – Indicates how many restroom / washhouses are to be cleaned and when. A number is shown only for Bee Run Day Use Area and Bakers Run Campground.

Unless otherwise stated on the Work Order, when both restrooms are open, and the

Work Order Calendar shows – 1 – the Big Washhouse in Bakers Run Campground shall be cleaned and the New Washhouse in Bee Run Day Use Area shall be cleaned.

If a 2 is shown, BOTH restrooms/Washhouses shall be cleaned.

R – AM – Restrooms cleaned once per day, in the morning

R – AM, PM – Restrooms cleaned twice per day, in the morning and in the evening

EXHIBIT K

SAMPLE CONTRACTOR WORK SCHEDULE

SAMPLE CLEANING SCHEDULE

DOWNSTREAM DAY USE AREA

Saturday and Sunday and Holidays

6:00 am to 7:30 am 4:00 pm to 4:30 pm

Monday thru Friday

6:00 am to 7:30 am

SOUTH ABUTMENT DAY USE AREA

All Days

7:30 am to 8:00 am

BEE RUN DAY USE AREA

Saturday Sunday and Holidays

6:30 am to 8:30 am 5:00 pm to 5:30 pm

Monday thru Friday

8:30 am to 9:30 am

ALL GERALD R. FREEMAN CAMPGROUND

Friday, Saturday and Sunday

9:00 am to 10:00 am 6:00 pm to 7:00 pm

Monday thru Thursday

11:00 am to 12:00 NOON

BAKERS RUN CAMPGROUND

Friday, Saturday and Sunday

9:00 am to 10:00 am 6:00 pm to 7:00 pm

Monday thru Thursday

11:00 am to 12:00 NOON

NOTES:

1. Playground weekly work will be done on Fridays.

2. Beach weekly work will be done on Tuesdays.

3. North Abutment of Downstream will be cleaned on Mondays.

EXHIBIT K

EXHIBIT L

RECREATION AREA MAPS

EXHIBIT M

APPROXIMATE QUANTITIES BY AREA

EXHIBIT M

Down-stream

Day Use Area

South Abutment Day Use

Area

Bee Run Day Use

Area

Bee Run Camping

Area

Upper

GRF

Camping

Kanawha Run of

GRF

Camping

Middle

GRF

Camping

Lower

GRF

Camping

Bakers Run

Camping

Acres to be Maintained

26 13 25 3 15 5 6 20 29

Beaches 0 1 1 0 0 0 0 0 0

Benches 20 0 20 0 0 4 10 8 2

Boat Ramps / Lanes 1/1 1/2 1/3 0 0 0 1/2 1/1 1/1

Bulletin Boards 3 2 2 1 1 1 0 1 3

Campsites 0 0 0 13 37 30 45 47 78

Courtesy Docks / Fishing Piers

1 2 2 0 0 0 0 1 1

Drinking Fountains 3 0 6 1 3 5 4 7 4

Dump Stations / Water Tower

0 0 0 0 1 0 0 1 1

Dumpsters 1 0 1 0 2 0 2 0 2

Entrance Station 0 0 0 0 1 0 0 0 1

Gates 3 2 2 1 1 0 0 0 2

Grills 6 1 10 13 39 30 45 47 78

Guardrail (ft) 4500 1675 3040 0 0 0 0 850 2060

Parking Areas (Sq.

Yds)

6328 4581 9500 100 1414 627 1227 422 3950

Picnic Shelters 2 1 2 0 1 0 0 0 0

Picnic Tables 20 8 50 13 56 30 47 50 82

Play Areas 3 0

0 1 0 1 1 2

Restrooms / Showerhouses

1 0 2 0 1 1 0 1 2

Roads (miles) 1.3 0.5 2.3 0.3 0 0 0 3.6 3

Sewage Treatment Plants

1 0 1 0 0 0 0 1 1

Street Lights 35 4 5 2 5 3 4 4 5

Trash Cans 30 17 40 1 6 1 8 6 8

Use Fee Vault 0 1 1 1 1 0 0 0 1

Vault Toilets (Pairs) 1 - Winter 1 -

Summer 1 - Winter 1 0 0 0 0 0

APPROXIMATE QUANTITIES BY AREA

EXHIBIT N

PLAYGROUND INSPECTION FORM

EXHIBIT N

Exhibit N

EXHIBIT O

BEACH AREA PLAN VIEW

Exhibit O

EXHIBIT O

EXHIBIT P

SWIMMING BEACH INSPECTION CHECKLIST

EXHIBIT P

EXHIBIT Q

SECURITY GUIDELINES

AND EMPLOYMENT FORMS

SECURITY GUIDELINES FOR CONTRACTORS

Note: The following information is provided to assist Contractors with the basic Security requirements for the Corps of Engineers. The full requirements are found in the Contract, in section C-1.10. The Contractor is encouraged to contact the Huntington District Security Management Office with any questions.

1. Employee Selection and Background Review

a. Screen potential employees using E-Verify

(1) Complete Form I-9

(2) Enter required information in http://www.dhs.gov/E‐Verify

b. SF-85, Questionnaire for Non Sensitive Positions

NOTE: Additional instructions for forms are available on line.

c. Fingerprint Card (FD-285)

One copy for Digital Prints, Two copies for Ink Prints Form available from Corps Safety Management Office

d. The above information shall be provided a minimum of five days prior to scheduling an employee to work.

2. Training.

a. Anti Terrorism Awareness Training – AT Level 1. Web-based.

Employees shall complete training.

b. The first Contractor Safety Meeting shall include a handout presentation on:

(1) iWATCH, to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR and Resource Manager.

(2) OPERATION SECURITY (OPSEC) Training, dealing primarily with protecting sensitive but unclassified information that can serve as indicators about our mission, operations and capabilities.

c. Certificates for each employee for each training shall be submitted to SMO.