A.01.13_Exhibits_18T0079.pdf

SECTION J

LIST OF ATTACHMENTS

EXHIBITS

EXHIBIT A ........................................... Vicinity Map EXHIBIT B ........................................... Basic Outline, Contractor Safety Plan EXHIBIT C ........................................... Sample Safety Forms EXHIBIT D ........................................... Suggested Outline, Contractor Quality Control and Security Plan EXHIBIT E ........................................... Task Order DD Form 1449 EXHIBIT F ........................................... Quality Assurance Surveillance Plan (QASP) EXHIBIT G ........................................... Contract Discrepancy Report (CDR) EXHIBIT H ........................................... Sample Invoice Format EXHIBIT I ............................................ Project Maps EXHIBIT J ............................................ Approximate Quantities by Area EXHIBIT K ........................................... Equipment Provided by the Government EXHIBIT L ........................................... Partial Listing of Safety and Security Requirements EXHIBIT M .......................................... Contractor Equipment and Supply Inspection EXHIBIT ........................................... Navigation Aids and Signs

EXHIBIT A

VICINITY MAP

EXHIBIT B

BASIC OUTLINE, CONTRACTOR SAFETY PLAN

Exhibit B

EM 385-1-1

15 Sep 08

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.

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 for this contract should be provided.

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

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 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 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 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.

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 C

SAMPLE SAFETY FORMS

Activity Hazard Analysis, CELRH-2796

Accident Investigation Report, ENG-3394

ACTIVITY HAZARD ANALYSIS CHECKLIST

1. Are all blocks in the top 1/3 of the form completed including:

Project:

Date:

Job:

Estimated Starting Date:

Prepared by:

Recommended Protective Clothing and Equipment:

Reviewed by:

Page ______ of ______

Positions Assigned to do Job:

2. Does the "Job" block include the job request number and sufficiently descriptive information to understand the tasks to be performed?

3. Is all the protective equipment necessary for all phases of the work listed in PART I?

4. Are all job steps listed and numbered consecutively in Part I including if applicable but not limited to:

a. Inspection of equipment and safety gear.

b. Loading and unloading of personnel and equipment.

c. Transportation to and from the job site.

d. Setting up equipment and safety markers.

e. Performance of tasks.

f. Securing job site while it is unattended.

g. Clean-up and storage of safety gear and equipment.

5. Are all hazards associated with each job step in Part I listed in Part II opposite the appropriate job step?

Hazards may include but are not limited to:

a. Potential injuries during loading and unloading of equipment.

b. Potential injuries from improperly loaded and/or secured equipment and vehicles during transportation to and from job site.

c. Potential injuries from failure to follow defensive driving procedures or wear seat belts and shoulder harnesses to and from job site.

d. Potential electrical shock and/or fire hazards.

e. Potential injuries from improperly maintained or guarded equipment and vehicles.

f. injuries such as pinched fingers and/or hands or smashed feet.

g. Potential injuries to public and/or workers due to inadequate set up at job site prior to, during and after work.

h. Slips, trips and falls.

i. Potential injuries from improper, unsafe or careless performance of tasks including improper lifting or overexertion.

j. Potential injuries from failure to use appropriate personal protective gear.

k. Natural hazards such as moving water, falling tree limbs, rock slides, etc.

l. Contact with poisonous or harmful substances.

6. Does Part III contain an appropriate action to prevent injuries from every hazard listed in Part II? Note this section should avoid general safety clichés such as "Be alert." Part III should be specific as to what the worker should do to avoid injury associated with each hazard. Safety clichés or generalities are OK if they are included with the specific directions for avoidance of a particular hazard. However, they cannot stand alone as a Part III ACTION to avoid a Part II HAZARD. An example of appropriate usage of a safety generality would be: "Be alert. Watch for members of the public wandering into mowing area.

Immediately stop machine. Do not resume operation until area is clear of people."

Utilizing the Risk Assessment Matrix in the upper right hand corner asses the risk for each job step, the actions indicated to reduce that risk and finally the overall risk associated with this activity. Assign a Risk

Assessment Code for the overall activity in the upper right hand corner to complete the Hazard Analysis.

This checklist should be utilized by other the preparer and reviewer to assure proper completion of the

JHA.

NOTE: Get everyone involved with the job to take part in the preparation of the JHA. Oftentimes problems overlooked by one member of a crew will be uncovered by the group. Finally, insure that every member of the work crew has thoroughly reviewed the JHA and is well aware of all the potential hazards so that they can take preventive action before an accident occurs.

EXHIBIT D

SUGGESTED FORMAT

CONTRACTOR 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 D

EXHIBIT E

TASK ORDER FORM

SF1449

EXHIBIT F

QUALITY ASSURANCE SURVEILLANCE PLAN

BURNSVILLE LAKE

Date Contracting Officer

Table of Contents

SECTION PAGE NO.

SECTION I. Introduction.

A. General 4 B. Roles and Responsibilities 4 C. Authority 4 D. Acronyms and Definitions 4

SECTION II. Acceptance/Rejection of Services A. General 9 B. Acceptance 9 C. Rejection 9

SECTION III. Calculating Deductions A. General 11 B. Examples

1. Random Sampling 11

2. One-hundred Percent Sampling 11

3. Planned Sampling 12

SECTION IV. Performance Requirements Summary Tables 15

SECTION V. Sampling Guides 18

SECTION VI. Surveillance Tables 31

SECTION VII. Inspection Checklists A. Examples

1. "Generic" Inspection Form 35

2. Emergency / Estimated Task Order 36

3. Grass Mowing and Maintenance of Landscaped Areas 37

4. Contractor's Quality Control Program 38

5. Comments / Description (Back of all Inspection Forms 39

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. 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

Assigned PCO: Mary L. Newman Organization or Agency: US Army Corps of Engineers, Huntington District Telephone: 304-399-5228 Email: mary.l.newman@usace.army.mil

(COR) The COR is responsible for providing continuous oversight/surveillance process. The COR shall keep a Quality Assurance file that accurately 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 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.

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

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

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

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

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

r. Reject Level. The number of defects beyond which the total service for that lot is rejected by the Government and deductions are made. The contractor must reperform defective services, when possible, even if the number of defects is less than the reject level.

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

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

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

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

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

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 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.

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 Task

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. Random Sampling. Once a random sample has been taken of a lot or population, and the number of defective items exceeds the AQL for that lot, a deduction will be made.

The following example demonstrates how a deduction would be calculated for excessive defects in restroom cleanings. In this example, the lot or population size (i.e., the number of restroom cleanings over a 30 day period) is 125.

IF: Quality of work for cleaning restrooms is found to be unsatisfactory (i.e., the

AQL of 5% is exceeded).

AND: Contract price is $2,000 for 30 days of restroom cleaning services.

AND: The deducted percentage for cleaning restrooms is 25% (taken from the

Performance Requirements Summary Table).

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

AND: Number of defects in sample is 10.

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

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

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

10/55 X .25 X 2,000 = $90.91

Therefore, $90.91 would be deducted from the contractor's monthly invoice for cleaning services.

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 ten recreation areas.

AND: Contract price is $5,000.00 per complete mowing.

AND: By the expiration of the completion date given on the Task Order contractor has successfully mowed and trimmed eight areas, but has not begun work on the last two areas.

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 ninth and tenth area. Actual costs incurred by the Government to obtain the services of another contractor to correct the deficiencies in the ninth and tenth area will be deducted from the contractor's invoice amount.

IF: The actual cost to the Government to correct the deficiencies is $2,800.00 which will be deducted from the Contractor's invoice for mowing.

THEN: $2,800.00 will be deducted from the contractor's invoice of $5,000.00, leaving him a balance of $2,200.00 for mowing the first eight areas.

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

SITUATION. In this example the Task Order specified the installation and painting of new fascia boards on a picnic shelter. Issuance of the Task Order was preceded by Contractor/ Government negotiations which culminated in the issuance of the Task 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 Task 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.

3. Planned Sampling. This example shows how a deduction would be calculated when planned sampling documents deficiencies in Janitorial Services. In this example, planned sampling has documented 3 defects in services over a 30 day (month) period.

Therefore, the deduction would be calculated as follows:

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

E

X H

IB

IT

F

P ag e o f 3

P E

R F

O R

M A

N C

E R

E Q

U

IR

E M

E N

T S

S U

M M

A R

Y

Q U

IR

E

D S

E R

V

IC

S

C

T

IO

N

O

A R

A G

R A

H

M

X

IM

U M

A

LL

O W

A B

LE

D

G R

E E

O F

D E

V

IA

T

O M

R E

Q U

IR

E

M E

T

(A

Q L)

T H

O D

U R

V E

IL

LA

N C

D U

C T ai nt en an ce o f L an ds ca pe d A re as ow in g S er vi ce ui ld in gs , F ac ili tie s, M ec ha ni ca l, E le ct ric al

S ew ag e

S ys te m

M ai nt en an nt en an ce a nd R ep ai r of

R oa ds

P ar ki ng

A re as , P ul l-O ffs , a nd L au nc h R am ps nt en an ce o f G ua rd ra ils , S ig ns

B ar ric ad es

, B um pe rs

, C ur bs a nd P os ts nt en an ce o f N av ig at io n

A id s B ea ch a nd

S w im B uo y

M ai nt en an

-2

-5

.1

.1

.3 a

C -5

.3 b

C -5

.3 c

C -5

.3 d

C -5

.3 e

A ll w or k m us t b e pe rf or m ed in ac co rd an ce w ith th e T as k

O rd er

A ll w or k m us t b e pe rf or m rd an ce w ith th e T as k

O rd er

A ll w or k m us t b e pe rf or m rd an ce w ith th e T as k

O rd er

A ll w or k m us t b e pe rf or m rd an ce w ith th e T as k

O rd er

A ll w or k m us t b e pe rf or m rd an ce w ith th e T as k

O rd er

A ll w or k m us t b e pe rf or m rd an ce w ith th e T as k

O rd er

A ll w or k m us t b e pe rf or m rd an ce w ith th e T as k

O rd er

0%

In sp ec tio n

0% In sp ec tio n

0%

In sp ec tio n

0% In sp ec tio n

0%

In sp ec tio n

In sp ec tio n

0% In sp ec tio n

/A

X H

IB

IT

ag e o f 3

P E

R F

O R

M A

N C

E R

E Q

U

IR

E M

E N

T S

S U

M M

A

Y

Q U

IR

E

D S

E R

V

IC

C

T

R

A G

R A

H

X

IM

U M

A

LL

O W

A

LE

G R

E E

O F

D E

V

IA

T

O M

R E

Q U

IR

E

M E

(A

Q L)

T H

O D

R

V E

IL

LA

N

D U

C T ar k A tte nd an t S er vi ce s

C le an in g R ec re at io n A re as

Ja ni to ria l

S er vi ce s D rif t, D eb ris a nd T ra sh

R em ov al at ur al R es ou rc e

M an ag em en t

D is as te rs

.3 f

C -5

.3 g

C -5

.3 h

C -5

.3 i

C -5

.3 j ll w or k m us t b e pe rf or m rd an ce w ith th e T as k

O rd er

A ll w or k m us t b e pe rf or m rd an ce w ith th e T as k

O rd er

A ll w or k m us t b e pe rf or m rd an ce w ith th e T as k

O rd er

A ll w or k m us t b e pe rf or m rd an ce w ith th e T as k

O rd er

A ll w or k m us t b e pe rf or m rd an ce w ith th e T as k

O rd a nd o m S a m pl g nd o m S a m pl

In sp ec tio n

0% In sp ec tio n

0%

In sp ec

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 Task 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 Task 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 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, or for any defects/rejects in service requirements.

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 Task 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 Task 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

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

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

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

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

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 Task 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 Task Order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an inspection checklist form. The

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

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

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 get a copy of the Task Order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an inspection checklist form. The

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

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 get a copy of the Task Order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an inspection checklist form. The

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

1. Service Requirement: Beach and Swim Buoy Maintenance.

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 get a copy of the Task Order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an inspection checklist form. The

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

1. Service Requirement: Park Attendant Services.

3. Method of Q.A.: Random Sampling

4. Acceptable Quality Level: 5%

5. Lot Size for Sampling: Variable

6. Sampling Size: Variable

7. Reject Level: Variable

8. Sampling Procedures: The COR will randomly select dates for park attendant station operation to be inspected each month, and inform inspectors of the schedule.

9. Inspection Procedures: The inspection will be conducted in accordance with contraction specifications for park attendant services. Information will be recorded on an inspection checklist. The Contractor will be informed of the Government's assessment of this 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

1. Service Requirement: Cleaning Recreation Areas / Janitorial Services.

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 COR will randomly select times and/or dates for cleaning / janitorial services to be inspected each month, and inform inspectors of the schedule.

9. Inspection Procedures: The inspection will be conducted in accordance with contraction specifications for park attendant services. Information will be recorded on an inspection checklist. The Contractor will be informed of the Government's assessment of this 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

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

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 get a copy of the Task Order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an inspection checklist form. The

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

1. Service Requirement: Natural Resource Management.

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 get a copy of the Task Order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an inspection checklist form. The

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

1. Service Requirement: Disasters.

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 get a copy of the Task Order, scope of work, and measuring devices needed to verify work and record all aspects of the work on an inspection checklist form. The

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

SECTION VI

SURVEILLANCE TABLES

Surveillance Table Sample Sizes and Reject Levels

Reduced Surveillance

AQL 5% AQL 10%

Sample Size Reject Size Sample Size Reject Size

2-8 9-15

16-25 26-50

1,000 1,200

1,400 1,600 1,800 2,000

Population Size

Normal Surveillance

Sample Size Reject Size Sample Size Reject Size

2-8 9-15

16-25 26-50

1,000 1,200

1,400 1,600 1,800 2,000

2,500 3,000 3,500 4,000

5,000 6,000 8,000

10,000

Tightened Surveillance

Sample Size Reject Size Sample Size Reject Size

2-8 9-15

16-25 26-50

1,000 1,200

1,400 1,600 1,800 2,000

2,500 3,000 3,500 4,000

5,000 6,000 8,000

10,000

SECTION VII

INSPECTION CHECKLISTS

fe W o rk

H a b it s

E q u ip m en t

U n if o rm e d E m p lo y ee s

M a rk ed V e h ic le s

In s p ec ti o n C h e ck li s t

P ro je ct

C o n tr ac to r:

C o n tr ac t

N o

T as k O rd er

N o

D el iv e ry D a te

W ea th e r:

S e rv ic e R eq u ir e m e n t:

R at in g

C o d e:

(1

A c ce p ta b le

(2

U n a cc ep ta

(3

W o rk i n P ro g ss

(4

W o rk N o t

S ta rt ed

N e g o ti a te d

W o rk

S p e c if ic

T a sk (s o r It e m

(s

W o rk A re a s

C o m p le te

F o ll o w in g O n ly

I f

D e fi ci en ci e s

N o te d

S ig n a tu re o f C

R o r Q

C I w h o R e v ie w ed

D im e

O R

S ig n a tu re o f C

R o r Q

C I w h o R e ce iv ed a C o p y

D e

T im e

In sp ec to r' s

S ig n a tu e

R S ig n a e

S e e b ac k f o r d e sc ri p ti o n o f d ef ic ie cy s p ec ti o n C h e ck li s t

P ro je ct

C o n tr ac to r:

C o n tr ac t

N o

T as k O rd er

N o

D el iv e ry D a te

W ea th e r:

S e rv ic e R e q u ir e m e n t:

E m e rg en c y

T a s k

O rd e rs

E s ti m a te d

T a sk O rd er s , e tc

R at in g

C o

A…