EXHIBITS.pdf

SECTION J

LIST OF ATTACHMENTS

EXHIBITS

EXHIBIT A, Reserved ...............................................................................................................................................1 page EXHIBIT B, Approximate Quantities by Area .....................................................................................................7 pages EXHIBIT C, Items to be Provided at Least One (1) Week Prior to Pre-Work Conference..................................................................................................2 pages EXHIBIT D, E Reserved ............................................................................................................................................1 page EXHIBIT F, Project Maps .....................................................................................................................................11 pages EXHIBIT G, H, I, Reserved........................................................................................................................................1 page EXHIBIT J, Contract Discrepancy Report (CDR) CELRH Form 1104...............................................................2 pages EXHIBIT K, Suggested Outline, Contractor Quality Control Plan ...................................................................2 pages EXHIBIT L, Sample Invoice Format.......................................................................................................................2 pages EXHIBIT M, Job Request Form, CELRH Form 2770 ...........................................................................................2 pages EXHIBIT N, Sample Contractor Work Schedule .................................................................................................1 pages EXHIBIT O, Partial Listing of Safety and Security Requirements ....................................................................4 pages EXHIBIT P, Playground Inspection Form, CELRH Form 2788 ..........................................................................1 pages

EXHIBIT Q, Task Order Form, DD Form 1155......................................................................................................2 pages EXHIBIT R, S, T, U, Reserved ..................................................................................................................................1 page EXHIBIT V, Suggested Format, Abbreviated Accident Prevention Plan........................................................9 pages EXHIBIT W, Quality Assurance Surveillance Plan ..........................................................................................29 pages EXHIBIT X, CELRH Form 2642, OSHA 300 Log, ENGForm 3394...................................................................11 pages EXHIBIT Y, Reserved ................................................................................................................................................1 page EXHIBIT Z, Contractor Equipment and Supply Inspection, CELRH Form 2800 ............................................5 pages

DRAWINGS

SEE EXHIBIT F

EX-F-1 Charles Mill Lake.................................................. Dated 12/2015 EX-F-2 Mohawk Dam ………........................................... Dated 12/2015 EX-F-3 Mohicanville Dam................................................. Dated 12/2015 EX-F-4 North Branch of Kokosing River Lake …………….. Dated 12/2015 EX-F-5 Pleasant Hill Lake….............................................. Dated 12/2015

J-1

EXHIBIT A

RESERVED

EXHIBIT B

APPROXIMATE QUANTITIES BY AREA

Charles Mill Lake

Item Acres to be Maintained

Area A

Area B

Dike 1

Dike 2

Pavonia Levee

3.5 Tables 25 0 0 0 0 Trash Cans 20 0 0 0 0 Grills 11 0 0 0 0 Restrooms 1 0 0 0 0 Drinking Fountains 1 0 0 0 0 Benches 4 0 0 0 0 Shelters 0 0 0 0 0 Playground Area 1 0 0 0 0

B-1

Mohawk Dam

Area A

5.05 Area B

20.9 Area C

Area D

Tables 0 0 0 0 Trash Cans 6 0 0 0 Grills 0 0 0 0 Restrooms 0 0 0 0 Drinking Fountains 0 0 0 0 Benches 0 0 0 0 Shelters 0 0 0 0

B-2

Mohicanville Dam

Area A 3.5

Area B 10.5

Area C

Area D

Area E

Dike 1

Dike 2

Tables 0 0 0 0 0 0 0 Trash Cans 0 0 0 0 0 0 0 Grills 0 0 0 0 0 0 0 Restrooms 0 0 0 0 0 0 0 Drinking Fountains 0 0 0 0 0 0 0 Benches 0 0 0 0 0 0 0 Shelters 0 0 0 0 0 0 0

B-3

North Branch of Kokosing River Lake

Area A

Area B Area C Area D 40 1 3

Tables 0 0 0 0 Trash Cans 6 0 0 0 Grills 0 0 0 0 Restrooms 0 0 0 0 Drinking Fountains 0 0 0 0 Benches 0 0 0 0 Shelters 0 0 0 0

B-4

Pleasant Hill Lake

Item Area A Area B Area C

Acres to be Maintained 2 6 11 Tables 11 0 0 Trash Cans 8 1 0 Grills 4 0 0 Restrooms 1 0 0 Drinking Fountains 1 0 0 Benches 1 1 0 Shelters 1 0 0

B-5

8-6

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 P lan. 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 Safety Plan. A suggested outline for the Contractor Safety P lan is contained as Exhibit V.

f. Government Furnished Compound Area. A statement concerning the Contractors’ rejection or desire to use a Government furnished compound area.

Above documents shall be typed and legible.

Exhibit C

EXHIBIT D

EXHIBIT E

EXHIBIT F

PROJECT MAPS

(See Drawings)

Mohawk Area A (Red) = 5.05 Acres Area B (Green) = 20.9 Acres Area C (Blue) = 26 Acres Area D (Orange) = 21 Acres Total Mowing at Mohawk = 72.95 Acres

Charles Mill Area A (Red) = 9 Acres Area B (Blue) = 15 Acres

Charles Mill Dikes Dike 1 (Yellow) = 9 Acres Dike 2 (Purple) = 3 Acres

Charles Mill Pavonia Levee Pavonia Levee (Green) = 3.5 Acres

Total Mowing at Charles Mill Dam = 39.5 Acres

Mohicanville Dam Area A (Red) = 3.5 Acres Area B (Light Blue) = 10.5 Acres Area C (Green) = 6 Acres Area D (Orange) = 2 Acres Area E (Dark Blue) = 2 Acres

Mohicanville Dam Dike 1 Dike 1 (Yellow) = 2 Acres

Mohicanville Dam Dike 2 Dike 2 (Purple) = 14 Acres

Total Mohicanville Dam Mowing = 38 Acres

North Branch of Kokosing River Lake Area A (Red) = 6 Acres Area B (Blue) = 40 Acres Area D (Orange) = 3 Acres

North Branch Kokosing River Lake (Bateman Town) Area C (Green) = 1 Acre

Total North Branch of Kokosing Mowing = 50 Acres

Pleasant Hill Dam Area A (Red) = 2 Acres Area B (Blue) = 6 Acres

Pleasant Hill Dam (Fuse Plug) Area C (Orange) = 11 Acres

Total Pleasant Hill Mowing = 19 Acres

EXHIBIT G

EXHIBIT H

EXHIBIT I

EXHIBIT J

CONTRACT DISCREPANCY REPORT (CDR)

(CELRH Form 1104)

CONTRACT DISCREPANCY REPORT

1.CONTRACT NUMBER 2. WORK ORDER NUMBER(s)

3. TO (List Contractor or Manager's Name) 4. FROM (Contracting Officer's Representative)

ACTION DATES

5.PREPARED (YYYYMMDD) 6.ORAL NOTIFICATION

(YYYYMMDD)

7. RETURNED BY CONTRACTOR

(YYYYMMDD)

8. ACTION COMPLETE

9. DISCREPANCY OR PROBLEM (Describe in detail, including references in contract or work order, attach continuation sheets as necessary)

D en a :i:: o mm z -i -i zc z

10a. SIGNATURE DATE (YYYYMMDD) 10b. SIGNATURE OF CONTRACTING OFFICER OR AUTHORIZED REPRESENTATIVE

11. TO (Contracting Officer or Authorized Representative) 12.FROM (Contractor)

13. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT REOCCURENCE (Attach continuation sheet if necessary and cite applicable Quality Control program procedures or new Quality Control procedures).

D en a :i:: o m z m -i -i c z

14a. SIGNATURE DATE (YYYYMMDD) 14b.SIGNATURE OF CONTRACTOR REPRESENTATIVE

15. GOVERNMENT EVALUATION (Acceptable, Partial Acceptance, Rejection, attach continuation sheet if necessary). D en a m:i:: o mz-1 -1-c z

16. GOVERNMENT ACT IONS (Payment Reduction, Cure Notice, Show Cause or Other). D en () :i:: o mm z -1 --1 c z

CLOSE OUT 17a. NAME AND TITLE (First Ml. Last) 17b. DATE (YYYYMMDD) 17c. SIGNATURE

CONTRACTOR NOTIFIED

CONTRACTI NG OFFICER

REPRESENTATIVE (COR)

CONTRACTI NG OFFICER

(CO)

CELRH FORM 1104, APR 2010 PREVIOUS EDITIONS ARE OBSOLETE. VERSION 1 0

EXHIBIT K

SUGGESTED FORMAT, CONTRACTOR QUALITY CONTROL PLAN

CONTRACTORS QUALITY CONTROL PLAN (OUTLINE)

1. INSPECTION OF SERVICES. Define the method of inspection for each in the contract 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.

7. CONTRACTOR WASTE REDUCTION PROGRAM. The Contractor shall provide a Waste Reduction Program as prescribed in Section I, Clause 52.223-10. The Contractor shall provide details on the program and state how the program will be complied with and enforced.

EXHIBIT K

EXHIBIT L

SAMPLE INVOICE FORMAT

SAMPLE INVOICE

FROM:

Contractor's Name Business Address Phone Number

INVOICE NO:

INVOICE FOR MONTH OF:

DATE OF INVOICE:

CONTRACT NUMBER: TASK ORDER NUMBER:

TO: US Army Corps of Engineers Walhonding Project Officer

36007 SR 715

Warsaw, OH 43844-9534 Phone: 330-365-4252

DATE TASK ORDER NUMBER AMOUNT

7-1-2003

Task Order Number 0001

Item No. 0154, Negotiated Work, Job for Sum $3,590.00

7-7-2003 Task Order Number 0002 Item No. 0035, Below Dam Area $ 400.00 Item No. 0036, Damsite $ 600.00 Item No. 0037, Office Area $ 75.00

TOTAL INVOICE $4,665.00

EXHIBIT M

JOB REQUEST FORM

(CELRH Form 2770)

GOVERNMENT COPY

1.CONTRACT NUMBER

SECTION I- DESCRIPTION

a.AREA b. LOCATION c. SUBMITTED BY (Name First M.I. Last and Title) d. DATE

(YYYYMMDD)

e.DESCRIPTION OF SERVICES REQUIRED (Attach additional plans, specifications or other information as necessary).

SECTION II- GOVERNMENT COST ESTIMATE

a.DATE

(YYYYMMDD)

b. SIGNATURE (Assigned to Contractor) c. DATE

(YYYYMMDD)

d. SUBMITTED BY (Name First M.I. Last and Title)

e. ITEM NUMBER f. SERVICES g. QUANTITY h. UNIT i. UNIT PRICE ($) j.AMOUNT ($)

1.

2.

3.

4.

5.

. -. k. TOTAL (S)

SECTION Ill - GOVERNMENT FURNISHED MATERIALS (GFM) a.LOCATION b. REMARKS

c. ITEM NUMBER d. DESCRIPTION e.QUANTITY

1.

2.

3.

4.

f. DATE (YYYYMMDD) g.SIGNATURE (For GFM Received By Contractor's Representative)

SECTION IV - RECOMMENDATIONS I APPROVAL

a. RECOMMENDATION OF

START DATE (YYYYMMDD)

b. ESTIMATED COMPLETION

DATE (YYYYMMDD)

c.SIGNATURE DATE

(YYYYMMDD)

d. RECOMMENDED BY SIGNATURE

e. ASSIGNED INSPECTOR (Name First Last) f. ASSIGNED WORK ORDER NUMBER g. COST CODE

h. AMENDMENT

i. SIGNATURE DATE

(YYYYMMDD)

j.SIGNATURE OF APPROVAL FOR RECOMMENDATION (COR)

YES 0 INO 0

CELRH FORM 2770, MAY 2010 PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of 3

VERSION 10

GOVERNMENT COPY

SECTION V - INSPECTION (This Section to be completed by Inspector) a.ACTUAL START DATE

(YYYYMMDD)

b. ACTUAL COMPLETION DATE

c. EXCESS GOVERNMENT FURNISHED MATERIALS (GFM) RETURNED (If no attach explanation)

YES D INO D INOT APPLICABLE D

d. SERVICES HAVE BEEN INSPECTED AND ARE OR ARE NOT ACCEPTABLE(Explain below)

ARE D

ARE NOT ACCEPTABLE D

e. NAME INSPECTOR (First M.I. Last, Title and Email) f. DATE

(YYYYMMDD)

g. SIGNATURE (Inspector)

SECTION VI - INSPECTION NOTES

a.

ITEM

NUMBER

b.

DATE (YYYYMMDD)

c.

TIME (0001 -

2400) d.

LOCATION

e.

NOTES

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

f. FINAL REMARKS OR COMMENTS (Not noted elsewhere)

CELRH FORM 2770C, MAY 2010 PREVIOUS EDITIONS ARE OBSOLETE. Page 2 of 3

VERSION 1 0

CONTRACTOR COPY

1.CONTRACT NUMBER

SECTION I- DESCRIPTION

a.AREA b. LOCATION c. SUBMITTED BY (Name First M.I. Last and Title) d. DATE

e. DESCRIPTION OF SERVICES REQUIRED (Attach additional plans, specifications or other information as necessary).

SECTION II - GOVERNMENT COST ESTIMATE

a. DATE

b. SIGNATURE (Assigned to Contractor) c. DATE

(YYYYMMDD)

d.SUBMITTED BY (Name First M.I. Last and Title)

e. ITEM NUMBER f.SERVICES g. QUANTITY h.UNIT i. UNIT PRICE ($) j . AMOUNT ($)

1.

2.

3.

4.

5.

N ', :.::; •.

k.TOTAL ($)

SECTION 111 - GOVERNMENT FURNISHED MATERIALS (GFM)

a. LOCATION b. REMARKS

c. ITEM NUMBER d. DESCRIPTION e. QUANTITY

1.

2.

4.

f.DATE (YYYYMMDD) g. SIGNATURE (For GFM Received By Contractor's Representative) f.ADDITIONAL REMARKS OR COMMENTS (Not noted elsewhere)

CELRH FORM 2770C, MAY 2010 PREVIOUS EDITIONS ARE OBSOLETE. Page 3 of 3

EXHIBIT N

SAMPLE CONTRACTOR WORK SCHEDULE

SAMPLE

CLEANING SCHEDULE

AREA

8:00 a.m.

4:00 p.m.

8:00 AM - 9:00 AM

9:00 AM - 9:02 AM

9:02 AM - 9:40 AM

9:40 AM - 9:45 AM

9:45 AM - 10:15 AM

10:15 AM - 10:25 AM

10:25 AM - 11:15 AM

11:15 AM - 11:16 AM

11:16 AM - 11:55 AM

12:10 PM - 2:00 PM

Number one Campground , Level l

Number Two Restrooms, Level 1

Overlook Area, Level l

Travel to Damsite Area

Damsite Area, Level 3

Travel to Laurel Creek Campground

Laurel Creek Campground , Level 1

Travel to Lakeside Launch Ramp Area

Lakeside Launch Ramp Area, Level l

Travel to Lakeside Picnic Area

Lakeside Picnic Area, Level 1

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.

EXHIBIT N

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 – High-visibility apparel meeting, at a minimum, ANSI/ISEA 07-2004

Performance Class 2 requirements, are to be worn when employees are working adjacent to project or public roadways.

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 business days prior to the meeting.

3. Great emphasis will be given to the development and proper use of Job Hazard Analysis (JHA).

When ordered, AHAs 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

PLAYGROUND INSPECTION FORM, CELRH FORM 2788

PLAYGROUND INSPECTION

CHECKLIST

1.PROJECT

2. CONTRACT NUMBER

3.CONTRACTOR

4.WORK ORDER NUMBER

Sa. WEEK OF DATE

6. AREAS RATING CODES

(1) NO PROBLEMS,SAFE FOR PUBLIC USE.

(2) INADEQUATE, NEEDS CORRECTION, BUT NOT AN IMMEDIATE DANGER.

(3) UNACCEPTABLE, CONTRACTOR SHALL IMMEDIAT ELY TAKE ACTION TO

REMOVE THE PARTICULAR ITEM FROM PUBLIC USE AND NOTIFY COR.

7.FOR ANY RATING OF 2 OR 3, SEE PAGES 2

0 OF 3 AND 3 OF 3 FOR DESCRIPTION OF

PROBLEM, DANGER OR CORRECTION NEEDED.

Sb. THRU WEEK OF

DATE (YYYYMMDD)

SAT.

SUN.

MON.

TUE.

WED.

THU.

FRI.

VISIBLE CRACKS, BENDING,WARPING, RUSTING OR BREAKAGE OF ANY COMPONENT

DEFORMATION OF OPEN HOOKS,SHACKLES,RINGS, LINKS ETC.,

WORN SWING HANGERS AND CHAINS

MISSING, DAMAGED OR LOOSE SWING SEATS, HEAVY SEATS WITH SHARP EDGES OR CORNERS

BROKEN SUPPORTS AND ANCHORS

FOOTINGS EXPOSED,CRACKED OR LOOSE IN GROUND

ACCESSIBLE SHARP EDGES OR POINTS

EXPOSED ENDS OF TUBING THAT SHOULD BE COVERED BY PLUGS OR CAPS

PROTRUDING BOLT ENDS THAT DO NOT HAVE SMOOTH FINISH CAPS OR COVERS,LOOSE BOLTS, NUTS ETC., SPLINTERED,CRACKED OR OTHERWISE DETERIORATED WOOD

BROKEN OR MISSING RAILS,STEPS, RUNGS OR SEATS

SURFACING MATERIAL WORN OR SCATTERED (In landing pits, etc.,)

CHIPPED OR PEELING PAINT

VANDALISM (Broken glass, trash, etc.,)

PINCH CRUSH POINTS (Exposed Mechanisms, juncture of moving components, e.g., axis of seesaw)

TRIPPING HAZARDS SUCH AS ROOTS, ROCKS OR OTHER ENVIRONMENTAL OBSTACLES

POOR DRAINAGE AREAS

UNSAFE ACCESS

OTHER

ACTUAL TIME INSPECTION COMPLETED (using military time 0001 - 2400 hours)

INITIALS OF CONTRACTOR INSPECTOR

ALL PLAYGROUND

EQUIPMENT DESCRIBED

IN THE CONTRACT HAS

BEEN INSPECTED AS

INDICATED.

8a. DATE (YYYYMMDD) 8b. CONTRACTOR SIGNATURE 9a.DATE (YYYYMMDD) 9b. COR SIGNATURE

CELRH FORM 2788 , MAY 2010 PREVIOUS EDITIONS ARE OBSOLETE. Page 1of 3

VERSION 1.0

THIS NOTICE IS TO ADV ISE YOU OF DEFICIENCIES FOUND DURING INSPECTION .THE DEFICIENCIES FOUND ARE IN THE PERFORMANCE AND I OR QUANTITY OF WORK.THE

DEFICIENCIES ARE TO BE CORRECTED AS SPECIFIED.

10a. LOCATION

10b.COMMENTS AND DEFICIENCIES, WHICH SHALL BE CORRECTED BEFORE WORK WILL BE ACCEPTABLE AND SATISFACTORY ARE AS FOLLOWS:

10c. COMMENTS ON CORRECTIONS OF DEFICIENCIES:

11a.NAME (First Ml. Last) 11b. DATE (YYYYMMDD) I 11c.INSPECTOR SIGNATURE

CELRH FORM 2788C, MAY 2010 PREVIOUS EDITIONS ARE OBSOLETE. Page 2 of 3

THIS NOTICE IS TO ADVISE YOU OF DEFICIENCIES FOUND DURING INSPECTION.

12a. LOCATION

12b.COMMENTS AND DEFICIENCIES:

12c. COMMENTS ON ANY ACTION TAKEN

13a.NAME (First Ml. Last) 13b. DATE (YYYYMMDD) I 13c.CONTRACTORS INSPECTOR SIGNATURE

CELRH FORM 2788C, MAY 2010 PREVIOUS EDITIONS ARE OBSOLETE. Page 3 of 3

EXHIBIT Q

TASK ORDER FORM

DD FORM 1155

SEE ADDENDUM

(No Collect Calls)b. TELEPHONE NUMBER 8. OFFER DUE DATE/LOCAL TIME

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

9. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

PAGE1 OF

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SEE SCHEDULE

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

See Schedule

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:UNRESTRICTED OR SET ASIDE:

S MALL BUSINESS

WOMEN-OWNED SMALL

BUSINESS (WOSB)

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

18a. PAYMENT WILL BE MADE BY CODE 964145

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE

SEE ITEM 9

15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFP

TEL:

FAX:

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL BUSINESS

(EDWOSB)

SIZE STANDARD:

NAICS:

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

EXHIBIT R

EXHIBIT S

EXHIBIT T

EXHIBIT U

EXHIBIT V

SUGGESTED FORMAT , ACCIDENT PREVENTION PLAN

EXHIBIT V

ACCIDENT PREVENTION PLAN

(OUTLINE)

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.

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 AP P 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 a s s oc ia te d ha za rds involve d. Contra c tor’s A P P s ha ll a ddre s s the ide ntifie d ha za rds involve d a nd 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, weed eating, 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, weed eating 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/Tag Out). 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 W

QUALITY ASSURANCE SURVEILLANCE PLAN

QUALITY ASSURANCE SURVEILLANCE PLAN

Muskingum Area Projects

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Table of Contents

SECTION PAGE NO.

SECTION I.

SECTION II.

Introduction.

A. General . 4 B. Acronyms and Definitions . 4

Acceptance/Rejection of Services A. General . . 8 B . Acceptance. 8 C . Rejection . 8

SECTION III. Calculating Deductions A . General . . . 10 B. Examples

1. Random Sampling 10

2. One-hundred Percent Sampling. 10

3. Planned Sampling . . 11

SECTION IV.

SECTION V.

SECTION VI .

Performance Requirements Summary Tables 14

Sampling Guides . . 17

Inspection Checklists A. Examples

1. Cleaning Services, Recreation Areas . 25

2. Grass Mowing and Maintenance of Landscaped

Areas . 26

3. Contractor's Quality Control Program 27

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SECTION I

INTRODUCTION

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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 . KO. Contracting Officer

e. PRS Performance Requirements Summary

f. PWS Performance Work Statement g . QA.

h . QAE

Quality Assurance

Quality Assurance Evaluator i . QASP. Quality Assurance Surveillance Plan j . QC.

k. QCP

1. N/A

Quality Control

Quality Control Plan

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

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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 Below Dam 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 .

number of defects by the sample size.

Determined by dividing the

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.

1. 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.

control the production of goods requirements of the contract.

Those actions taken or services to insure by a that contractor to they meet the

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.

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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.

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SECTION II

ACCEPTANCE/REJECTION OF SERVICES

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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 lot falls at or below the satisfactory. However, deficiencies.

Sampled Work. Whenever the number of defects for a established reject level the work will be considered the contractor is still required to correct the

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.

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SECTION III

CALCULATING DEDUCTIONS

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SECTION III. Calculating Deductions

A. General. Whenever work or parts of work are rejected deductions will be made. The following hypothetical examples are given to demonstrate how deductions for deficiencies would 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 : Contract price is $2,000 for 30 days of level 3 cleanings.

AND : The deducted percentage for cleaning restrooms is 25% (taken from the Performance Requirements Summary Table) .

AND : Sample size is 55 with a reject level of 6.

AND : Number of defects in sample is 10.

THEN: Deductions from the contractor's monthly invoice for performing Level 3 cleanings would be calculated according to the following equation:

Number of documented defects X Deduct Percentage X Contract Price Sample Size For Restroom Cleaning for Cleaning Services

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

10/55 x .25 x 2,000 = $90.91 Therefore, $90.91 would be deducted from the contractor 's monthly invoice for Level 3 cleanings.

2. One-hundred Percent Sampling. Two hypothetical situations involving a fixed price (e .g., mowing) and a negotiated (e.g., replacement of fascia) work order have been selected for demonstrating how a deduction would be calculated where the inspection mode is 100%.

a. Mowing (Fixed Price).

IF: Work Order specifies the mowing and trimming of five recreation areas.

AND: Contract price is $10,000.00 per complete mowing.

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AND: By the expiration of the completion date given on the Work Order contractor has successfully mowed and trimmed four areas, but has not begun work on the fifth and last area.

THEN : The contractor shall stop all mowing operations, a CDR may be issued, and the services of another contractor would normally be employed by the Government to complete the mowing and trimming of the fifth area. Actual costs incurred by the Government to obtain the services of another contractor to correct the deficiencies in the fifth area will be deducted from the contractor's invoice amount.

IF: The actual cost to the Government to correct the deficiencies is $2,000.00 which will be deducted from the Contractor's invoice for mowing.

of $10,000.00.

THEN: $2,000.00 will be deducted from the contractor's invoice

Example) .

b. Replacing Fascia Board on Picnic Shelter (Negotiated Price

SITUATION. In this example the Work Order specified the installation and painting of new fascia boards on a picnic shelter. Issuance of the Work Order was preceded by Contractor/Government negotiations which culminated in the issuance of the work order for the negotiated cost of $400.

The final inspection revealed the contractor has satisfactorily installed, but failed to complete the painting of, the new fascia by the completion date specified on the Work Order.

GOVERNMENT ACTION . The Government would issue the Contractor a CDR and take the necessary action to correct the deficiency (i.e., paint the new fascia) . In this example, the Government exercised the option to correct the deficiency by utilizing Government personnel. The Government would then deduct from the contractor's invoice the actual cost to the Government to correct the deficiency (i.e., paint the fascia).

CALCULATING THE DEDUCTION. Assuming the effective rate of the

Government maintenance personnel was $12.50 per hour and it took 2 employees 6 hours to correct the deficiency:

Deduction = (2) (6) (12.50) = $150 Therefore, $150 would be deducted from the contractor's monthly invoice.

3. Planned Sampling. This example shows how a deduction would be calculated when planned sampling documents deficiencies in Janitorial Services.

In this example, planned sampling has documented 3 defects in services over a

30 day (month) period. Therefore, the deduction would be calculated as follows:

$30.00/day.

a . Given factors: The Bid Item Price for Janitorial Services is

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b . Equation:

No. of Defects x Bid Item Price for = Amt. of Deduction Janitorial Services

Substituting in the numerical values from the example the deduction would be calculated as follows:

3 defects x $30.00/service = $90.00 deduction

Therefore, $90.00 would be deducted from the contractor's invoice for Janitorial Services for the month in question.

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SECTION IV

PERFORMANCE REQUIREMENTS SUMMARY TABLES

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PERFORMANCE REQUIREMENTS SUMMARY

Required Services

Section Number

Paragraph Number

Maximum Allowable Degree of Deviation

From Requirement(AQL)

Method of Surveillance

Deduction

Mowing Service C-2 C-2.2 All work must be per- 100% Inspection N/A (including init- formed in accordance ial mowing) with the work order.

Raking C-2 C-2.3 All work must be per- 100% Inspection N/A formed in accordance with the work order.

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PERFORMANCE REQUIREMENTS SUMMARY

Required Services

Section Number

Paragraph Number

Maximum Allowable Degree of Deviation From Requirement(AQL)

Method of Surveillance

Deduction

Restrooms and Vault Toilet Cleaning

Policing Grounds, Roads

Grills and Receptacles, Picnic tables, Park benches, and Drinking Fountains

Playground equipment, Bulletin boards, signs

Extra cleaning of restrooms

C-3

C-3.2 a g, c, i, b h d, j e, f

5%

10%

All work must be per-formed in accordance with the work order.

Random Sampling

100% Inspection

35%

30%

30%

5%

N/A

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SECTION V

SAMPLING GUIDES

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1. Service Requirement: Grass Mowing Service.

2. Corresponding Contract Section: C-3.

3. Method of Q.A.: 100% Inspection.

4. Acceptable Quality Level: N/A

5. Lot Size for Sampling: N/A

6. Sampling Size: N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will inspect all work at the completion of each area when notified by the Contractor and perform intermediate inspections daily. The COR will determine the times the intermediate inspections will be made.

9. Inspection Procedures: The inspector will get a copy of the work order, maps, and measuring devices needed to verify work and record all aspects of the work on an inspection checklist form. The Contractor will be informed of deficiencies in his performance.

10. Performance Criteria: The Contractor shall perform all work as specified in the individual work orders. 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 issuance of a CDR. A CDR will be issued should the Contractor fail to correct deficiencies by reperformance.

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1. Service Requirement: Raking

2. Corresponding Contract Section: C-3.

3. Method of Q.A. : 100% Inspection.

4. Acceptable Quality Level: N/A

5 . Lot Size for Sampling: N/A

6. Sampling Size : N/A

7. Reject Level: N/A

8. Sampling Procedures: The Government will completion of each work order and the COR may periodically inspected during performance.

inspect elect all work at the to have the work scope of work, any measuring devices needed to verify work and record all aspects of the work on an inspection checklist form. The Contractor will be informed of deficiencies in his performance.

10. Performance Criteria: The Contractor shall perform all work as specified in the individual work orders . 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 issuance of a CDR. A CDR will be issued should the Contractor fail to correct deficiencies by reperformance.

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1. Service Requirement: Restroom and Vault Toilet Cleaning.

2. Corresponding Contract Section: C-4.

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

4. Acceptable Quality Level: 5%

5. Lot Size for Sampling: 30 - 60

6. Sampling Size: 13

7. Reject Level: 3

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

9. Inspection Procedures: The inspection will be performed in accordance with the Contractors 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.

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.

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1. Service Requirement: Policing Grounds and Roads.

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

4. Acceptable Quality Level: 10%

5. Lot Size for Sampling: 30 - 31

6. Sampling Size: 13

7. Reject Level: 4

8. Sampling Procedures : The COR will randomly select areas to be inspected each month, and inform inspectors of the schedule .

9. Inspection Procedures: The inspection will be performed in accordance with the Contractors approved work schedule . Each area selected will be inspected and results recorded on an inspection checklist. 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

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1. Service Requirement:

Drinking Fountains.

Picnic Tables, Benches, Grills, Receptacles, and

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

4. Acceptable Quality Level : 10%

5. Lot Size for Sampling: 30 - 31

6. Sampling Size: 13

7. Reject Level: 4

8. Sampling Procedures: The COR will randomly select picnic tables, benches, grills, receptacles, traffic counters and water meters to be inspected each month, and inform inspectors of the schedule.

9. Inspection…