EXHIBITS.pdf

PDF 19 MB Posted May 18, 2017

Attached to: Mowing and Maintenance Services, Summersville Lake, Summersville, WV
Solicitation number: W91237-17-T-0060
Issued by: Department of the Army Corps of Engineers Engineering District Huntington

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C.01.11_Synopsis_of_Award.pdf	PDF	Sep 7, 2017
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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 Accident Prevention Plan (APP)

EXHIBIT D: Sample Safety Forms

EXHIBIT E: Suggested Outline, Contractor Quality Control

EXHIBIT F: Quality Assurance Surveillance Plan (QASP)

EXHIBIT G: Task Order DD Form 1449

EXHIBIT H: Contract Discrepancy Report (CDR) CELRH Form 1104

EXHIBIT I: Sample Invoice Format

EXHIBIT J: Project Maps

EXHIBIT K: Approximate Quantities by Area

EXHIBIT L: Equipment Provided By the Government

EXHIBIT M: Partial Listing of Safety and Security Requirements

EXHIBIT N: Contractor Equipment and Supply Inspection Form

EXHIBIT O: Equipment Pre-Operational Checklist, CELRH Form 2796 Vehicle Operational Record Form, CELRH Form 2813 Equipment Inspection/Maintenance Worksheet (ENG Form 5007-R)

EXHIBIT P: Job Request Form, CELRH Form 2770

EXHIBIT Q: Not Applicable

EXHIBIT R: Navigation Aids and Signs Map

EXHIBIT S: Accident Investigation Report, ENG Form 3394

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 suggested outline for the 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 Safety Plan. A suggested outline for the Contractor Safety Plan is contained as Exhibit C.

e. Emergency Work Personnel. A list of names, addresses, and telephone numbers, of persons who will be available for emergency work.

f. Emergency Contacts. A prioritized list, including phone numbers, of those persons (normally Contractor Representatives) to call in case of emergencies.

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

h. Operators. A list of qualified equipment operators along with the operator’s experience, training and qualifications for operating the government equipment they are qualified to operate.

i. CDL License Holders. A list of individuals holding a valid Commercial Drivers License and the expiration date.

EXHIBIT B

VICINITY MAP

Exhibit B

Vicinity Map

EXHIBIT C

BASIC OUTLINE, CONTRACTOR ACCIDENT PREVENTION PLAN (APP)

APPENDIX A

MINIMUM BASIC OUTLINE FOR ACCIDENT PREVENTION PLANS

An Accident Prevention Plan (APP) is a safety and health policy and program document.

The following areas are typically addressed in an APP, but an APP shall be job-specific and shall also address any unusual or unique aspects of the project or activity for which it is written.

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

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

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

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

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

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

2. BACKGROUND INFORMATION. List the following:

a. Contractor;

b. Contract number;

c. Project name;

d. Brief project description, description of work to be performed, and location;

phases of work anticipated (these will require an AHA).

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

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

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

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

(1) OSH Act/General Duty Clause;

(2) 29 CFR 1904, Recordkeeping;

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

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

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

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

(7) Subpart K: Electrical;

(8 Subpart M: Fall Protection;

(9) Rigging, welding and cutting, scaffolding, excavations, concrete and masonry, demolition; health hazards in construction, materials handling, storage and disposal, hand and power tools, motor vehicles, mechanized equipment, marine operations, steel erection, stairways and ladders, confined spaces or any others that are applicable to the work being performed.

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

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

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

f. Lines of authority;

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

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

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

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

b. Safety responsibilities of subcontractors and suppliers.

6. TRAINING.

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

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

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

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

7. SAFETY AND HEALTH INSPECTIONS.

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

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

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

a. Exposure data (man-hours worked);

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

c. The following require immediate accident notification:

(1) A fatal injury;

(2) A permanent total disability;

(3) A permanent partial disability;

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

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

9. PLANS (PROGRAMS, PROCEDURES) REQUIRED BY THE SAFETY

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

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

b. Emergency response plans:

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

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

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

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

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

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

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

d. Site sanitation plan (Section 02);

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

f. Respiratory protection plan (05.G);

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

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

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

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

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

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

m. Abrasive blasting (06.H.01);

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

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

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

q. Fire Prevention Plan (09.A);

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

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

t. Critical lift Plan (16.H);

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

v. Float Plan (19.F.04);

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

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

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

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

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

bb. Compressed air plan (26.I.01);

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

dd. PreCast Concrete Plan (27.D);

ee. Lift slab plans (27.E);

ff. Steel erection plan (27.F.01);

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

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

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

jj. Confined space Program (34.A).

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

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

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

b. Background Information to include: Contractor; Contract number; Project name; Brief project description, description of work to be performed, and location (map);

The project description shall provide a means to evaluate the work being done (see AHA requirements in 01.A.13) and associated hazards involved. Contractor’s APP shall address the identified hazards involved and the control measures to be taken.

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

d. Responsibilities and Lines of Authorities – to include a statement of the employer’s ultimate responsibility for the implementation of his SOH program;

Identification and accountability of personnel responsible for safety at all levels to include designated site safety and health officer (SSHO) and associated qualifications.

The District SOHO will review the qualifications for acceptance.

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

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

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

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

i. Drinking Water provisions, toilet and washing facilities.

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

k. Personal Protective Equipment.

(1) WORK CLOTHING - Minimum Requirements. Employees shall wear clothing suitable for the weather however minimum requirements for work shall be short-sleeve shirt, long pants (excessively long or baggy pants are prohibited) and leather work shoes. If analysis determines that safety-toed (or other protective) footwear is necessary (i.e., mowing, 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/Tagout). Before an employee performs any servicing or maintenance on any equipment where the unexpected energizing or startup of the equipment could occur, procedures must be in place to ensure adequate control of this energy.

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

EXHIBIT D

SAMPLE SAFETY FORMS:

CELRH Form 2642

Activity Hazard Analysis (AHA)

OSHA 300 Log Instructions

OSHA 300 Log

OSHA 300A Log

EXHIBIT E

SUGGESTED OUTLINE, CONTRACTOR QUALITY CONTROL PLAN

SUGGESTED OUTLINE

CONTRACTOR QUALITY CONTROL PLAN

1. INSPECTION OF SERVICES. Define the method of inspection for each service in the contract including, but not limited to: the individual(s) who shall inspect the service (Quality Control Inspectors); when or with what frequency inspections shall be performed (e.g. at the completion of each task, etc.); and a copy of the Contractor's inspection forms or other documents identifying the specific tasks involved in the service which shall be inspected.

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

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

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

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

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

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

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

c. All gates and doors which were opened to allow Contractor personnel access for work shall be closed and locked. Only authorized Contractor personnel or Government personnel shall be permitted to enter secured areas. The COR or his representative shall be informed immediately if any unauthorized person enters a secured area.

EXHIBIT F

QUALITY ASSURANCE SURVEILLANCE PLAN

SUMMERSVILLE LAKE

Date Contracting Officer

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. One-hundred Percent Sampling

2. Planned Sampling

SECTION IV. Performance Requirements Summary Tables

SECTION V. Sampling Guides

SECTION VI. Inspection Checklists A. Examples

1. "Generic" Inspection Form

2. Emergency Work Orders, Estimated Work Orders, etc

3. Grass Mowing and Maintenance of Landscaped Areas

4. Pesticide Application

5. Contractor's Quality Control Program

6. Comments / Description (Back of all Inspection forms)

SECTION I

INTRODUCTION

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" 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. 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 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.

n. Random Number Table. A table of numbers arranged in a random fashion.

A table used to make random samples.

o. 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.

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

q. 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.

r. 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.

s. 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.

t. 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.

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

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

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

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

SECTION II

ACCEPTANCE/REJECTION OF SERVICES

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

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. 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.

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.

THEN: $2,000.00 will be deducted from the contractor's invoice of $10,000.00.

b. Replacing Fascia Board on Picnic Shelter (Negotiated Price Example).

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 $20.00 per hour and it took 2 employees 6 hours to correct the deficiency:

Deduction = (2) (6) ($20.00) = $240

Therefore, $240.00 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 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:

a. Given factors: The Bid Item Price for Cleaning Services is $30.00/day.

b. Equation:

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

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.

SECTION IV

PERFORMANCE REQUIREMENTS SUMMARY TABLES

Exhibit F

PERFORMANCE REQUIREMENTS SUMMARY

REQUIRED SERVICES SECTION

PARAGRAPH

MAXIMUM ALLOWABLE

DEGREE OF DEVIATION

FROM REQUIREMENT

(AQL)

METHOD OF

SURVEILLANCE DEDUCTION

Maintenance of Landscaped Areas

Mowing Service

Buildings, Facilities, Mechanical, Electrical, Sewage System Maintenance

Maintenance and Repair of Roads, Parking Areas, Pull-Offs, and Launch Ramps

Maintenance of Guardrails, Signs, Barricades, Bumpers, Curbs and Posts

Maintenance of Navigation Aids

C-2

C-5

C-2

C-2.1 – C-2.10

C-5.3a

C-5.3b

C-5.3c

C-5.3d

All work must be performed in accordance with the Task Order.

100% Inspection

N/A

PERFORMANCE REQUIREMENTS SUMMARY

REQUIRED SERVICES SECTION

PARAGRAPH

MAXIMUM ALLOWABLE

DEGREE OF DEVIATION

FROM REQUIREMENT

(AQL)

METHOD OF

SURVEILLANCE DEDUCTION

Beach and Swim Buoy Maintenance

Park Attendant Services

Cleaning Recreation Areas / Janitorial Services

Drift, Debris and Trash Removal

Natural Resource Management

Disasters

C-5

C-5.3 e

C-5.3 g

C-5.3 f

C-5.3k

All work must be performed in accordance with the Task Order.

100% Inspection

N/A

SECTION V

SAMPLING GUIDES

1. Service Requirement: Maintaining Landscaped Areas

2. Corresponding Contract Section: C-2.

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 work order and the COR may elect to have the work periodically inspected during performance.

9. Inspection Procedures: The inspector will get a copy of the work order, scope of work, and technical instruments 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.

1. Service Requirement: Mowing Service.

2. Corresponding Contract Section: C-2.

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 work order and the COR may elect to have the work periodically inspected during performance.

9. Inspection Procedures: The inspector will get a copy of the work order, scope of work, and any other literature 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.

1. Service Requirement: Building, Facilities, Mechanical, Electrical, Water and Sewage Systems Maintenance.

2. Corresponding Contract Section: C-5.

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 work order and the COR may elect to have the work periodically inspected during performance.

9. Inspection Procedures: The inspector will get a copy of the work order, scope of work, any tools or 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.

1. Service Requirement: Maintenance and Repair of Roads, Parking Areas, Pull-offs, and Launch Ramps.

2. Corresponding Contract Section: C-5.

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 work order and the COR may elect to have the work periodically inspected during performance.

9. Inspection Procedures: The inspector will get a copy of the work order, scope of work, 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.

1. Service Requirement: Maintenance of Signs, Barricades, Bumpers, Curbs and Posts.

2. Corresponding Contract Section: C-5.

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 work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Maintenance of Navigation Aids

2. Corresponding Contract Section: C-5.

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 work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Beach and Swim Buoy Maintenance.

2. Corresponding Contract Section: C-5.

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 work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Park Attendant Services

2. Corresponding Contract Section: C-5.

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 work order and the COR may elect to have the work periodically inspected during performance.

9. Inspection Procedures: The Inspector will get a copy of the work order, scope of work, 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.

1. Service Requirement: Cleaning Recreation Areas

2. Corresponding Contract Section: C-5.

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 work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Drift, Debris and Trash Removal

2. Corresponding Contract Section: C-5.

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 work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Natural Resource Management

2. Corresponding Contract Section: C-5.

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 work order and the COR may elect to have the work periodically inspected during performance.

1. Service Requirement: Disasters

2. Corresponding Contract Section: C-5.

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 work order and the COR may elect to have the work periodically inspected during performance.

SECTION VI

INSPECTION CHECKLISTS

EXHIBIT G

TASK ORDER

FORM DD1449

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

BLOCK BELOW IS CHECKED 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)

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

TELEPHONE NO.

W912379. ISSUED BY

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.

PAGE 1 OF

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED.

ADDENDA ARE ARE NOT ATTACHED

See Schedule

OFFER DATED _________ . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS: SEE

SCHEDULE

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN Emailed Quote

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX WOMEN-OWNED SMALL

BUSINESS (WOSB)

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

18a. PAYMENT WILL BE MADE BY CODE

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

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFP

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL BUSINESS

(EDWOSB)

SIZE STANDARD:

$7.5M

NAICS:

561730

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.

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE OF16

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

EXHIBIT H

CONTRACT DISCREPANCY REPORT (CDR)

(CELRH Form 1104)

EXHIBIT I

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 Summersville Lake 2981 Summersville Lake Road Summersville, WV 26651

DATE WORK ORDER NUMBER AMOUNT

7-1-93 Work Order Number 0001 Item No 0023, Mowing Dam $XXXX.XX Item No 0034, Mowing Picnic Area XXX.XX

7-7-93 Work Order Number 0002 Item No 0002, Laborer XXX.XX Item No 0003, Truck Operator $XXX.XX

TOTAL INVOICE XXXXXX

EXHIBIT J

PROJECT MAPS

Exhibit J – Project Maps Index

Map Overview…………………………………………..…………………………………………………………….…………………1 Picnic Area…………………………………………………………………………………………………………………………………2 USACE Office………………………………………………………………………………………………………………………..……2 Section of Area A and C……………………………………………..………………………………………………………………2 Section of RT 129/ Battle Run Access Roads……………………………………………………………………………...2 Section of Area A and C……………………………………………….…………………………………………………………….3 Sections of Fields & Spillway, Area B…………………………………………………………………………………………..4 Section of RT 129/ Battle Run Access Roads……………………………………………………………………………….3 Section of Area A………………………………………………………………………….……………………………………………4 Section of RT 129/Battle Run Access Roads………………………………………….……………………………………4 Sections of Fields & Spillway, Area B………………………………………………………………………………………….4 Battle Run Campground……………………………………………………………….…………………………………………..5 Battle Run Beach……………………………………………………………….………………………………………………………5 Section of Battle Run Launch……………….…………………………………………………………………………………….5 Section of Area C………………………………………….……………………………………………………………………………5 Section of RT 129/Battle Run Access Roads……….………………………………………………………………….…..5 Battle Run Launch....................................................................................................................……..6 Section of Area C……………………………………….……………………………………………………………………………...6 Section of Area C (DIKE # 1)…………………………………………….…………………………………………………….…..7 Section of RT 129/Battle Run Access Roads……………………………………….……………………………….……..7 Section of Area C (Dike # 2)………………………………………………………….………………………………….………..8 Section of Overlooks Area (DAM)……………………………………………….……………………………………….….…9 Section of Area C………………………………………………………………………….…………………………………….……..9 Section of Overlooks Area (Longpoint)…………………………………………………………………………………….10 Longpoint Marina………………………………………………………………………………………………………………..….11 Section of Salmon Run……………………………………………………………………………………………………….…...12 Section of Salmon Run............................................................................................................… Section of Salmon…

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File details come from the government source that posted it. Updated Nov 14, 2017.