A.01.30_Exhibits.pdf

Exhibits

Exhibits

List of Attachments

Exhibits Description

A. Items to be Delivered at Least One Week Prior to Pre-Conference B. Mowing and Cleaning Maps C. Approximate Quantities by Area D. N/A E. Pesticide Application Record F. N/A G. Quality Control Plan H. Quality Assurance Surveillance Plan (QASP) I. Sample Work Schedule J. N/A K. Government Furnished Equipment L. Task Order, DD 1449 M. N/A N. Contract Discrepancy Form, DD 2759 O. Contractor Equipment and Inspection Forms P. Vehicle Operations Q. Accident Prevention Plan

Exhibit A

Items to be Delivered at Least One Week Prior to Pre-Work Conference

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-3 and Section C-4 of the contact as they are being performed (see Exhibit K). Schedule should include daily and non-daily items.

b. Quality Control Plan. A suggested outline for the Contractor's Quality Control Plan is contained as Exhibit G.

c. Contractor Representatives. List of names of Contractor Representatives.

d. Contractor Quality Control Inspector. List of Quality Control Inspectors.

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

Prevention Plan is contained in Exhibit Q.

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

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

h. Operators. A list of qualified equipment operators, their qualifications, experience, and certifications for government furnished equipment.

i. CDL License. A list of individuals with valid CDL operator’s license with endorsements.

j. First Aid and CPR. First Aid and CPR certified individuals on each work crew.

k. SSHO. The contractor shall employ a Site Safety and Health Officer (SSHO) who has completed OSHA 30 hour Construction or General Industry Safety training or its equivalent and has (5) years experience relative to the work to be performed.

Above documents shall be typed and legible.

Exhibit B

Mowing and Cleaning Maps

Buoy Maps Legend A – No Wake/Idle Speed Only Buoy B – Keep Out Buoy C – Rock Buoy D – Red Channel Buoy E – Green Channel Buoy

Exhibit B-1

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

Damsite

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

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

Brushy Creek

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

Marina

3 No Wake buoys across mouth of inlet.

2 Keep Out buoy at mouth of swim area.

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

Lick Creek

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

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

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

Rich Creek

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

Twelvepole Creek

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

1 Red buoy two curves passed the Red buoy mentioned above.

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

Beechy Branch

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

Bluelick

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

Twelvepole Creek

6 Green buoys and 3 Red Buoys located just downstream of Bluelick.

4 Red buoys located in front of the mouth of Bluelick upstream of 6 green channel markers mentioned above.

East Fork Branch

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

East Fork

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

7 Red buoys downstream of East Fork launch ramp.

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

3 Green buoys in the next upstream curve passed the East Fork Launch Ramp

1 Red buoy just upstream from last green buoy placed.

Exhibit C

Approximate Quantities by Area

Item Below Dam Damsite

Office Area

Lakeside launch

Lakeside Picnic

Lick Creek

Laurel Creek

East Fork

EF CG

EF CG

EF CG

EF CG

EF CG

EF CG

Overlook Area

Swy Acc Rd, Fld & OF Strip

Acc Rds & Fac Area

Acres to be Maintained 17 16 1 9 3 7 3 9 8 5 6 8 3 6 17 10 3

Ampitheater 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0

Basketball Crt (Paved, 3800 sq ft) 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0

Beach 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0

Benches 10 5 1 0 4 7 0 11 8 12 10 7 4 5 10 0 0

Bulletin Board 2 1 0 2 1 2 0 2 2 1 1 1 1 1 3 0 0

Boat Ramps 0 0 0 1 0 1 0 1 0 1 0 0 1 0 0 0 0

Campsites 0 0 0 0 0 0 0 0 42 25 34 21 13 33 0 0 0

Drinking Fountains 4 0 0 2 1 2 0 2 5 5 4 4 1 1 3 0 0

Dump Stations 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0

Dumpsters 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0

Electrical Hookup 0 0 0 0 0 0 0 0 42 25 34 21 13 33 0 0 0

Entrance Stations 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0

Fence-Security (ft) 100 1060 525 110 0 0 0 0 770 0 0 0 150 0 300 0 0

Fence-Wood (ft) 545 340 50 0 0 0 0 250 0 350 0 0 0 0 35 0 0

Fishing Piers 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0

Fire Rings 0 0 0 0 0 0 0 0 43 30 36 21 13 33 0 0 0

GFCI Breaker/Receptacle 5 0 0 5 3 4 0 3 46 35 39 24 16 38 7 0 0

Grills 17 0 0 0 14 10 0 8 1 0 0 0 0 0 7 0 0

Guard Rails (lf) 0 3362 0 4150 0 1337 0 2075 0 0 0 0 0 0 1000 0 0

Horseshoe Pits 4 0 0 0 1 2 0 1 0 2 1 0 0 0 4 0 0

Lantern Posts 0 0 0 0 0 0 0 0 42 25 34 21 13 33 0 0 0

Mooring Stanchions 0 0 0 0 0 0 0 17 18 28 25 15 8 4 0 0 0

Mow/Trim (approx. acres) 15 14 1 7 3 5 2 6 Total of 33 acres for Area 1 through 6 15 8 3

Parking Areas (sq yds) 1558 1300 1305 1500 400 833 0 1732 Total of 545 sq yds for Area 1 through 6 1760 0 0

Parking Lines (lf) 598 600 625 8200 2000 2110 0 5040 0 0 0 0 0 0 1240 0 0

Picnic Shelters 1 0 0 0 0 1 0 0 0 0 0 0 0 0 2 0 0

Picnic Tables 52 1 2 1 19 25 0 18 44 27 34 21 12 33 38 0 0

Pit Toilets 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0

Playground Equip. (sets) 1 0 0 0 0 1 0 0 0 1 0 0 0 1 1 0 0

Item Below Dam Damsite

Office Area

Lakeside launch

Lakeside Picnic

Lick Creek

Laurel Creek

East Fork

EF CG

EF CG

EF CG

EF CG

EF CG

EF CG

Overlook Area

Swy Acc Rd, Fld & OF Strip

Acc Rds & Fac Area

Portable Toilets 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Restrooms 1 0 0 1 1 1 0 1 0 0 0 0 1 0 1 0 0

Retaining Walls (lf) 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Roads (miles) 0.5 1.5 0 1.5 0 0.5 0.25 1 Total of 5.5 miles in entire campground 0.5 3 0.5

Security Street Lights 6 1 15 10 2 5 0 5 3 2 3 3 3 2 3 0 0

Sewage Treat. Plant 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0

Trails 0 1 0 0 1 0 0 0 1 0 0 0 0 0 1 0 0

Trash Cans 35 8 6 13 16 21 1 34 52 30 38 25 20 38 31 2 0

Wash House/Showers* 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 0

Water Storage Tanks 0 0 0 1 0 1 0 0 0 1 0 0 1 0 1 0 0

Water Treatment Plant 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Well Houses 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0

Exhibit D

N/A

Exhibit E

Pesticide Application Record

Exhibit F

Exhibit G

Quality Control Plan

CONTRACTOR QUALITY CONTROL PLAN (OUTLINE)

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 H

Quality Assurance Surveillance Plan

QUALITY ASSURANCE SURVEILLANCE PLAN

CLEANING, JANITORIAL, MOWING, AND MAINTENANCE SERVICES

EAST LYNN LAKE

Table of Contents

SECTION PAGE NO.

SECTION I. Introduction.

A. General………………………………………………………………..….3 B. Roles and Responsibilities……………………………………….….3 C. Authority………………………………………………………….…3 D. Acronyms and Definitions……………………………………………3

SECTION II. Acceptance/Rejection of Services A. General……………………………………………………………………6 B. Acceptance………………………………………………………………..6 C. Rejection………………………………………………………………….6

SECTION III. Performance Requirements Summary Tables………………………………….6

SECTION IV. Sample Guides

SECTION V. Inspection Checklists A. Examples

1. Cleaning Services, Recreation Areas

2. Janitorial Services………………………………………………39

3. Grass Mowing and Maintenance………………………………41

4. Contractor's Quality Control Program…………………………..43

5. Playground Inspection Checklist…………………………….…45

6. Swim Beach Inspection Checklist………………………………48

SECTION VI. Random Sample Tables

Table A-1. Normal Surveillance………………………………………….51

Table A-2. Tightened Surveillance……………………………………….52

Table A-3. Reduced Surveillance…………………………………………53

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. Roles and Responsibilities

The following personnel shall oversee and coordinate surveillance activities.

Procuring Contracting Officer (PCO) – The PCO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The PCO shall also ensure that the contractor receives impartial, fair, and equitable treatment under this contract. Determine the final assessment of the contractor’s performance.

Assigned PCO: Matthew C. Wilson Organization or Agency: US Army Corps of Engineers, Huntington District Telephone: 304-399-5297 Email: Matthew.C.Wilson@usace.army.mil

Contracting Officer’s Representative (COR) The COR is responsible for providing continuous technical oversight of the contractor’s performance. The COR uses the QASP to conduct the oversight/surveillance process. The COR shall keep a Quality Assurance file that accurately documents the contractor’s actual performance. The purpose is to ensure that the contractor meets the performance standards contained in the contract. The COR is responsible for reporting early identification of performance problems to the KO. The COR is required to provide an annual performance assessment to the KO which will be used in documenting past performance. The QASP is the primary tool for documenting contractor performance. The COR is not empowered to make any contractual commitments or to authorize any contractual change on the Government’s behalf.

Other Key Government Personnel This may include performance monitors, inspectors, or others who provide information that helps the COR monitor contractor performance.

C. Authority

Authority for issuance of this QASP is provided under Part 46 of the Federal Acquisition Regulation, Inspection of Services clauses, which provides for inspection, acceptance and documentation of the service called for in the contract or order. This acceptance is to be executed by the contracting officer or a duly authorized representative.

D. Acronyms and Definitions.

1. List of Acronyms.

Page 3 of Exhibit H mailto:Matthew.C.Wilson@usace.army.mil

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 re-perform 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. Inspector 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 this Contract, refers to the Contract

Line Item Number (CLIN) contained in the price breakout schedule.

g. Job. A job described an individual, separate, and defined element of work to be performed. “Mowing the Below Dam Recreation Area” is an example of a job.

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

i. 100% Inspection. An inspection method requiring the examination of each completed job. It is not required that the inspector be at the job site 100 percent of the time while the job is occurring.

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

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

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

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

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

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

A table used to make random samples.

p. Random Sample. A sampling method whereby each service output in a lot has an equal chance of being selected, or where any occurrence of the 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 for unsatisfactory performance. The contractor must re-perform defective services, when possible, even if the number of defects is less than the reject level.

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

t. Sampling Guide. The part of the surveillance plan which contains all the information needed to perform a random sample. A “how to inspect guide” for each type of work to be performed.

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

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

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

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

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

SECTION II. Acceptance/Rejection of Services

A. General. Inspection of all services performed under this contract will primarily be done in accordance with a schedule developed by the Government, and will primarily be done by using one or a combination of the surveillance methods cited in this plan. Tables are included at the end of this plan to show the surveillance methods. Generally reduced surveillance is used, but if performance is not acceptable, normal or tightened surveillance may be used. 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 Task order, the Government will issue a CDR and proceed in accordance with contract clause 52.246-4.

C. Rejection.

1. Statistically Sampled Work. Whenever the defects exceed the reject level the Government will issue a CDR and effect a monetary deduction for unsatisfactory performance from the Contractor's invoice based on SECTION III B1 OR B2.

2. 100% Inspection. Whenever the work does not conform to all requirements of the Task order, the Government will issue a CDR and proceed in accordance with the contract clause 52.246-4.

SECTION III. Performance Requirements Summary Tables

A. General. Whenever work or parts of work are rejected deductions will be made. The following hypothetical examples are given to demonstrate how deductions could be calculated.

B. Examples.

1. Random Sampling. The process used to determine what specific services that will be inspected using random sampling is defined in the Huntington District Random Sampling Manual.

All the services that will be performed in the month are listed and numbered. A computer program is then used to pick at random the specific services that will be sampled based upon the number of samples required as defined in the surveillance tables at the end of the QASP.

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

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

AND: The calculated value of a restroom cleaning is $25 (based on Performance Requirements Summary

Table, Contract Prices, and other factors).

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

AND: Number of defects in sample is 5.

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

No. of Defects No. of Contract Price Amount ------------------ X Cleanings X for = of Sample Size in Period Cleaning Services Deduction

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

5/8 X 125 X $25 = $868.05

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

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

a. Mowing (Fixed Price).

IF: Task 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 Task order the 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 proceeded 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 Cleaning Services. In this example, planned sampling has documented non-performance on a beach cleaning. A CDR was issued and the Government chose to have the services performed by another contractor. The actual cost to the government to correct the deficiency will be deducted from the Contractor’s invoice.

For example, if the actual cost to the Government to correct the deficiencies at the beach is $120.00, then $120.00 will be deducted from the Contractor’s invoice for cleaning.

Page 8 of Exhibit H

PERFORMANCE REQUIREMENTS SUMMARY

Required Services

Section Number

Acceptable Quality Level

(AQL)

Method of Surveillance

Deduct.

Percent

Buildings, Facilities, Mechanical, Electrical and Sewage Systems Maintenance

Mowing Service, Raking, Planting or replacing trees and plants, Tree and brush cutting and pruning.

Pesticide Appl.

Access Road Clearing

C-5

C-2

C-2

All work must be per- formed IAW Task order

100% Inspection

100% Inspection

Page 9 of Exhibit H

Services

Section Number

Acceptable Quality Level

(AQL)

Method of Surveillance

Deduct.

Percent

Restrooms and washhouse cleaning

Policing grounds, Roads and dam

Grills and Receptacles

Picnic tables, Cleaning shelters, Park benches, Drinking Fountains, Traffic counters.

Bulletin boards, Signs, Horseshoe pits, and Playgrounds

Beach

Hiking Trails Clearing

Extra Cleaning of Restrooms and Shelters

C-3

All services in C-3 shall have a 10% AQL except as listed below

Random Sampling

NA

Page 10 of Exhibit H

Services

Section Number

Acceptable Quality Level

(AQL)

Method of Surveillance

Deduct.

Percent

Maintenance of guardrails, Signs, Bumpers, Curbs, and Posts

Maintenance and repair of roads, Parking areas, Pull-offs, and launch ramps

Drift, Debris and trash removal

Cleaning: Office/shop complex, Env. Interpretive Building

C-6

C-4

Page 11 of Exhibit H

Services

Section Number

Acceptable Quality Level

Method of Surveillance

Deduction Percentage

Natural Resource Protection and Enhancement

Recreation Area Maintenance

Boundary Marking

Picnic table Board Replacement

Beach/Swim Buoy Maintenance

Maintenance of Navigation Aids performed IAW

All work for C- 5 will be 100% inspection

Page 12 of Exhibit H

SECTION IV Sampling Guides

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

9. Inspection Procedures: The inspector will 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 Task orders. For all identified deficiencies the Contractor will be allowed to reperform if the Task 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.

Page 13 of Exhibit H

1. Service Requirement: Grass Mowing Service.

2. Corresponding Contract Section: C-2.

each area when notified by the Contractor and perform intermediate inspections daily. The COR will determine the times the intermediate inspections will be made.

Task orders. For all identified deficiencies the Contractor will be allowed to reperform if the Task order and contract specifications allow. Defects in Contractor performance may be

Page 14 of Exhibit H

1. Service Requirement: Raking, Pruning, Planting or Replacing Plants, Tree and Brush Cutting.

Task order and contract specifications allow. Defects in Contractor performance may be

Page 15 of Exhibit H

1. Service Requirement: Pesticide Application.

Task order and contract specifications allow. Defects in Contractor performance may be

Page 16 of Exhibit H

1. Service Requirement: Access Road Clearing.

Task order and contract specifications allow. Defects in Contractor performance may be

Page 17 of Exhibit H

1. Service Requirement: Restroom and Washhouse Cleaning.

2. Corresponding Contract Section: C-3.

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

4. Acceptable Quality Level: 10%

5. Lot Size for Sampling: Level 1 - 780 - 806

Level 2 - 390 - 403

6. Sampling Size: Level 1 - 32 Level 2 - 20

7. Reject Level: Level 1 - 6 Level 2 - 5

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

10. Performance Criteria: The Contractor shall perform all work as specified in the Task order.

For all identified deficiencies the Contractor will be allowed to reperform if the Task order and contract specifications allow. A CDR will be issued should the Contractor fail to correct deficiencies by reperformance. Should the reject level be exceeded, a deduction will be made.

Page 18 of Exhibit H

1. Service Requirement: Policing Grounds, Roads and Dam

5. Lot Size for Sampling: 390 - 403

6. Sampling Size: 20

7. Reject Level: 8

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

approved work schedule. Each area selected will be inspected and results recorded on an inspection checklist. The Contractor will be informed of deficiencies in his performance.

Page 19 or Exhibit H

1. Service Requirement: Cleaning Grills and Receptacles.

2. Corresponding Contract Section: C-3

3. Method of Q.A.: Random Sampling

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

approved work schedule. Each item selected will be inspected and results recorded on an

Page 20 of Exhibit H

1. Service Requirement: Cleaning Shelters, Tables, Park Benches, Drinking Fountains and Traffic Counters.

8. Sampling Procedures: The COR will randomly select shelters, tables, benches, drinking fountains and traffic counters to be inspected each month, and inform the inspectors of the schedule.

Page 21 of Exhibit H

1. Service Requirement: Cleaning Bulletin Boards, Signs, Playgrounds and Horseshoe Pits.

2. Corresponding Contract Section: C-3

5. Lot Size for Sampling: 390-403

8. Sampling Procedures: The COR will randomly select bulletin boards, signs, playground equipment and horseshoe pits to be inspected each month, and inform the inspectors of the schedule.

10. Performance Criteria: The Contractor shall perform all work as specified in the Task order. For all identified deficiencies the Contractor will be allowed to reperform if the Task order and contract specifications allow. A CDR will be issued should the Contractor fail to correct deficiencies by reperformance. Should the reject level be exceeded, a deduction will be made.

Page 22 of Exhibit H

1. Service Requirement: Extra Cleaning of Restrooms and Shelters.

2. Correspondence Contract Section: C-3

Task order and contract specifications allow. Defects in Contractor performance may be

Page 23 of Exhibit H

1. Service Requirement: Beach inspection and maintenance.

2. Correspondence Contract Section: C-3

5. Lot Size for Sampling: 60 - 62

6. Sampling Size: 5

7. Reject Level: 2

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

approved work schedule. The inspector will record all aspects of the work on an inspection checklist form. The Contractor will be informed of the Government's assessment of his performance.

Page 24 or Exhibit H

1. Service Requirement: Hiking Trails

Task order and 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.

Page 25 of Exhibit H

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

Task order and contract specifications allow. Defects in Contractor performance may be

Page 26 of Exhibit H

1. Service Requirement: Maintenance and Repair of Roads, Parking Areas, Pulloffs, and Launch Ramps.

Task order and contract specifications allow. Defects in Contractor performance may be

Page 27 of Exhibit H

1. Service Requirement: Drift, Debris, and Trash Removal.

2. Corresponding Contract Section: C-6.

Task order and contract specifications allow. Defects in Contractor performance may be

Page 28 of Exhibit H

1. Service Requirement: Cleaning Office/Shop Complex.

2. Corresponding Contract Section: C-4

3. Method of Q.A.: 100% Inspection inspection checklist. The Contractor will be informed of the Government's assessment of this

Page 29 of Exhibit H

1. Service Requirement: Natural Resource Protection and Enhancement.

Task order and contract specifications allow. Defects in Contractor performance may be

Page 30 of Exhibit H

1. Service Requirement: Recreation Area Maintenance

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

Task orders. For all identified deficiencies the Contractor will be allowed to reperform if the Task order and the 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.

Page 31 of Exhibit H

1. Service Requirement: Boundary Marking.

Task order and contract specifications allow. Defects in Contractor performance may be

Page 32 of Exhibit H

1. Service Requirement: Picnic Table Board Replacement.

Task order and contract specifications allow. Defects in Contractor performance may be

Page 33 of Exhibit H

1. Service Requirement: Beach and Swim Buoy Maintenance.

Task order and contract specifications allow. Defects in Contractor performance may be

Page 34 of Exhibit H

1. Service Requirement: Maintenance of Navigation Aids.

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

9. Inspection Procedures: The inspector will 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 Task orders. For all identified deficiencies the Contractor will be allowed to reperform if the Task order and contract specifications allow. Defects in Contractor performance may be

Page 35 of Exhibit H

SECTION V

Inspection Checklists

Page 36 of Exhibit H

SECTION VI

Random Sample Tables

Page 50 of Exhibit H

Exhibit I

Sample Work Schedule

East Lynn Lake

Contractor Name

Cleaning Schedule for East Lynn Lake

Effective 6-01-18

Time Area

0700-0750 Below Dam Recreation Area

0750-0800 Travel top Overlook Area

0800-0900 Overlook Area, Level 1

0900-0902 Travel to Damsite

0902-0940 Damsite Area, Level 3

0940-0945 Travel to Lakeside Launch Ramp Area

0945-1015 Lakeside Launch Ramp Area, Level 1

1015-1016 Travel to Lakeside Picnic Area

1016-1055 Lakeside Picnic Area, Level 1

1110-1300 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 J

Exhibit K

Government Furnished Equipment List

Government Furnished Equipment List

A. Dozer

• Make: John Deere

• Model: 450-C

• Year: 1976

• Serial Number: 256042T

• Acquisition Value: $14,938.50

B. Backhoe

• Make: John Deere

• Model: 310D

• Year: 1995

• Serial Number: T031DDG810165

• Acquisition Value: $43,635.19

C. Air Compressor w/ Attachments

• Make: Sullair

• Year: 2009

• Serial Number: 40171OUES029

• Acquisition Value: $10,755.91

D. Pontoon Boat, Motor

• Make: Kayot

• Year: 1983

• Serial Number: P064M83D

• Acquisition Value: $21,861.00

E. Jon Boat, Motor

• Make: Crestliner

• Year: 2015

• Serial Number: CRC40127A909

• Acquisition Value: $ 2,350.00

F. Tractor w/ Attachments

• Make: John Deere

• Model: 5105M

• Year: 2006

• Serial Number: LV5105C710982

• Acquisition Value: 14,976.53

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

5000 watt emergency generator Welder Oxy-Acetylene Torch System 4” water pump Electric winch/Tripod Plumping Snake Portable sump pump

Table saw Pipe threader Scaffold Concrete Forms

Leaf Blower

Exhibit L

Task Order Form, DD Form 1449

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

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

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

31b. NAME OF CONTRACTING OFFICER

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:

SMALL BUSINESS

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 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

TEL:

FAX:

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

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

TEL:

EMAIL:

31c. DATE SIGNED

SEE SCHEDULE

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

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

SAMPLE INVOICE

FROM:

Contractor's Name INVOICE NO:

Business Address Phone Number INVOICE FOR MONTH OF:

DATE OF INVOICE:

CONTRACT NUMBER: TASK ORDER NUMBER:

TO: US Army Corps of Engineers 683 Overlook Trail Rd.

East Lynn, WV 25512-8014 Phone: 304-849-2355

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

Exhibit O

Contractor Equipment and Inspections Forms

Exhibit P

Vehicle Operations

V-9

Exhibit Q

Accident Prevention Plan

EM 385-1-1

30 Nov 14

A-1

APPENDIX A

Minimum Basic Outline for Accident Prevention Plans

1. Accident Prevention Plan (APP) - General. An APP is a safety and health policy and program document that is contract- or job- specific. It is an integral part of the planning process. > See Section 01 and 01.A.12.

a. The APP shall interface with the employer’s overall safety and health program. Any portions of the overall safety and health program that are referenced in the APP shall be included as appropriate.

b. The APP shall be submitted to the GDA for acceptance prior to work starting.

(1) Understanding that the APP is submitted prior to work starting and that some project-specific information is not yet known (e.g., subcontractors to be used, type of fall protection to be used at a certain point in time, specific cranes or other load handling equipment (LHE) to be brought on site, etc.), the known information shall be provided and additional information added at each preparatory phase/meeting along with the appropriate Activity Hazard Analyses (AHAs).

(2) A copy of the contractor’s project-specific, accepted APP shall be available on the work site. > See ANSI/ASSE A10.38 for programmatic issues.

2. Abbreviated APP. In lieu of a fully-developed APP, for Limited-Scope Service, Supply and R&D Contracts (e.g. grass mowing, park attendant, rest room cleaning, etc.), the Contracting Officer (KO) and local Safety and Occupational Health Office (SOHO) may allow an Abbreviated APP to be developed and submitted for acceptance.

a. The non-mandatory Abbreviated APP Form, Form A-1 (or similar) may be used to insure each area of required information has been provided.

b. This APP is a short-version APP that can be used on low-risk, limited-scope contracts. > See 01.A.12.e, and Appendix A, paragraph 3.k.

c. Each sub-contractor shall be provided a copy of the APP by the prime contractor and be required to comply with it.

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3. APP Format. The following areas are typically addressed in an APP, but besides being job-specific, the APP shall also address any unusual or unique aspects of the contract or job for which it is written. The non-mandatory Accident Prevention Plan (APP) Checklist, Form A-2 (or similar), may be used to insure each area of required information has been provided. > See ANSI A10.33 for multi-employer projects.

a. Signature Sheet: Include title, signature, and phone number of the following:

(1) Plan preparer (Qualified Person (QP), Competent Person (CP), Corporate safety staff person, QC) and their qualifications;

(2) Plan must be approved by company/corporate officers authorized to obligate the company;

(3) Plan concurrence (e.g., Chief of Operations, Corporate Chief of Safety, Corporate Industrial Hygienist, project manager or superintendent, project safety professional, project QC). Contractors shall provide concurrence of other applicable corporate and project personnel.

b. Background Information. List the following:

(1) Contractor;

(2) Contract number;

(3) Project name;

(4) Brief project description, description of work to be performed, location (map), equipment to be used, anticipated high risk activities, and

(5) Major phases of work anticipated.

(6) Within these major phases of work identified, activities [includes Definable features of Work (DFOWs) and tasks] to be performed that will require an AHA shall be specifically highlighted. This information can then be used by QC, QA and Safety personnel to track AHA submittals. The AHAs for these activities, tasks of DFOWs are NOT submitted at this time (AHAs created/submitted at this time would not be activity-specific as they are intended to be). > See Sections 01.A.14 and 01.A.15.

c. 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 shall also be provided.

A-3

d. Responsibilities and Lines of Authority. Provide the following:

(1) A statement of the employer’s ultimate responsibility for the implementation of his SOH program for his own employees, all sub-contractors and all others on the worksite (includes the strict enforcement of the program).

(2) 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 be in accordance with Section 01.A.17.

Note: Only official OSHA 30-Hour cards will be accepted or, if equivalent training is provided, appropriate instructor qualifications. > See also Section 01.A.17.i, Exception 2.

(3) If equivalent training to the OSHA 30-hour classes is being presented as qualification, the training shall have covered the following areas:

(a) OSH Act/General Duty Clause;

(b) 29 CFR 1904, Recordkeeping;

(c) Subparts C, CC, D, E, F, K and M of OSHA;

(d) Rigging, load handling equipment (LHE), 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;

(4) The names of CP(s) and/or QP(s) and proof of competency/qualification to meet specific OSHA CP/QP requirements must be attached. The local SOHO will review the qualifications for acceptance;

(5) Requirements and details of the employer’s Risk Management Process;

Note: USACE uses the Activity Hazard Analysis (AHA) as part of a total risk management process. Contractors and other individual employer’s may use the AHAs or their own version [Job Safety Analyses (JSAs), Job Hazard Analyses (JHAs), or similar Risk Management assessment tools]. These documents are considered equivalent to, and acceptable substitutes for, the USACE’s AHA provided the data collected is the same as that required by the AHA.

(6) Requirements for initial activity-specific AHAs to be submitted and accepted at preparatory meetings, prior to work being performed;

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(7) Requirements that no work by the Contractor shall be performed unless a designated CP/SSHO is present on the job site;

(8) Policies and procedures regarding non-compliance with safety requirements (to include disciplinary actions for violation of safety requirements) should be identified;

(9) Lines of authority;

(10) Provide written company procedures for holding managers and supervisors accountable for safety.

e. Subcontractors and Suppliers. If applicable, provide procedures for coordinating SOH activities with other employers on the job site:

(1) Identification of subcontractors and suppliers. If not known at the time of initial APP submittal, the contractor shall include the following statement in their initial APP: “The subcontractors for the following DFOWs/activities are not known at this time, but additional information will be submitted to the APP for acceptance prior to the start of any activities listed”;

(2) Safety responsibilities of subcontractors and suppliers.

f. Training.

(1) Requirements for new hire SOH orientation training at the time of initial hire of each new employee.

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

(3) Procedures for periodic safety and health training for supervisors and employees.

(4) Requirements for emergency response training.

g. Safety and Health Inspections.

(1) Specific assignment of responsibilities for a minimum daily jobsite SOH inspection during periods of work activity: Who will conduct (e.g., SSHO, PM, 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;

A-5

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

h. Mishap Reporting and Investigation. The Contractor shall identify means to provide the following:

(1) Exposure data (man-hours worked);

(2) Mishap reports, investigations, and documentation. Report all accidents per the requirements covered in Section 01.D. Mishaps shall be reported as soon as possible but not more than 24 hours afterwards to the KO/COR. The contractor shall report, thoroughly investigate, and analyze all mishaps occurring incidentally to an operation, project or facility for which this manual is applicable. Implement corrective actions as soon as reasonably possible and provide notice to the KO/COR when corrective actions are completed;

i. Plans, Programs and Procedures, required by this manual. Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable SOH risks and associated compliance plans.

(1) Include a project-specific compliance plan, as applicable to the work being performed, and as identified below. The plans shall incorporate project-wide procedures to control hazards to which the employees of all project employers may be exposed.

(2) These procedures shall be coordinated with all project employers and shall include project-specific, project-wide emergency response and evacuation procedures, PPE requirements, recordkeeping and reporting requirements, and training requirements.

(3) The plans shall be prepared prior to the start of any work activities on the job site (as much as the information can be known at that point in time). The plans shall be updated throughout the life of the project to include changes in personnel, equipment, conditions, etc. Additional revisions shall be incorporated as necessary to reflect changing site conditions, construction methods, personnel roles and responsibilities and construction schedules.

(4) No activity (DFOW) shall be started on site until the APP is revised and submitted to the GDA…