A.03.09 Exhibits.pdf

SECTION J

LIST OF ATTACHMENTS

EXHIBITS

EXHIBIT A, Items to be delivered at least one week prior to Pre-Work Conference EXHIBIT B, Cleaning Maps EXHIBIT C, Approximate Quantities by Area EXHIBIT D, Accident Prevention Plan (APP) Outline EXHIBIT E, Partial listing of Safety Requirements (Not Applicable) EXHIBIT F, Safety Forms OSHA Form 300; Accident Investigation Report ENG 3394 EXHIBIT G, Quality Control Plan EXHIBIT H, Quality Assurance Plan (QASP) EXHIBIT I, Work Schedule and Example Format EXHIBIT J, Sample Invoice EXHIBIT K, Government Furnished Equipment List EXHIBIT L, Task Order, DD 1155 EXHIBIT M, Job Request Form, CELRH 2770 EXHIBIT N, Contract Discrepancy Form, CELRH 1104 EXHIBIT O, Contractor Equipment and Inspections Forms 2800 , CELRH Form 2788, and

CELRH FORM 2790

EXHIBIT P, Vehicle Operations CELRH 2796, CELRH 2813, ENG Form 4900-R, ENG Form

Cleaning

EXHIBIT A

ITEMS TO BE DELIVERED AT LEAST ONE WEEK PRIOR TO PRE-

WORK CONFERENCE

ITEMS TO BE DELIVERED AT LEAST ONE WEEK PRIOR TO PRE-WORK

CONFERENCE

Contractor shall provide documents as outlined in Exhibit A at least one (1) week prior to the pre-work conference, including but not limited to the following:

a. Quality Control Plan. A suggested outline for the Contractor’s Quality Control Plan is in Exhibit G.

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

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

d. Accident Prevention Plan. A suggested outline for the Contractor’s Accident Prevention Plan is in Exhibit D. See Section C-1.9 for APP requirements.

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

f. Operators. A list of names of qualified equipment/vehicle operators, including experience, training, and qualification to operate specific equipment.

g. Certificate of Insurance. See Special Contract Requirements .

h. Security Requirements. See Special Contract Requirements.

EXHIBIT A

EXHIBIT B

CLEANING MAPS

EXHIBIT C

APPROXIMATE

QUANTITIES BY AREA

*Includes one outdoor free standing shower

** Vault Restroom During the life of the contract the government reserves the right to make minor variations in the size and number of items in areas with no change in bid prices for mowing and cleaning services.

EXHIBIT D

ACCIDENT PREVENTION PLAN (APP) OUTLINE

APPENDIX A

Minimum Basic Outline for Accident Prevention Plans

k. Abbreviated APP for Limited-Scope Service, Supply and R&D Contracts. If service, supply and R&D contracts with limited-scopes are awarded, the contractor may submit an abbreviated APP in lieu of a full APP. The abbreviated APP shall address the following areas at a minimum. If other areas of the EM 385-1-1 are pertinent to the contract, the contractor must assure these areas are addressed as well. The non-mandatory Abbreviated APP Form, Form A-01 (or similar) may be used to insure each area of required information has been provided.

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

(2) Background Information to include:

(a) Contractor;

(b) Contract number;

(c) Project name;

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

(e) Description of work to be performed, and

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

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

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

Identification and accountability of personnel responsible for safety at all levels to include designated site safety and health officer (SSHO) and associated qualifications. The District SOHO will be asked to review the qualifications for acceptance.

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

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

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

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

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

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

(11) Personal Protective Equipment (PPE).

(a) ) Work Clothing - Minimum Requirements. Employees shall wear clothing suitable for the weather however minimum requirements for work shall be short-sleeve shirt, long pants (excessively long or baggy pants are prohibited) and leather work shoes.

If analysis determines that safety-toed (or other protective) footwear is necessary (i.e., mowing, weedeating, chainsaw use, etc), they shall be worn.

(b) Eye and Face Protection. Eye and face protection shall be worn as determined by an analysis of the operations being performed, however, all involved in chainsaw use, chipping, stump grinding, pruning operations, grass mowing, weedeating and blowing operations shall be provided safety eyewear (Z87.1) as a minimum.

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

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

(e) High Visibility Apparel shall comply with ANSI/ISEA 107, Class 2 requirements at a minimum and shall be worn by all workers exposed to vehicular or equipment traffic.

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

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

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

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

(13) Hazardous Substances. When any hazardous substances are procured, used, stored or disposed, a Hazard Communication Program must be in place and MSDSs (SDSs) shall be available at the worksite. Employees shall have received training in hazardous substances being used. When the eyes or body of any person may be exposed to corrosives, irritants or toxic chemicals, suitable facilities for quick drenching or flushing of the eyes and body shall be provided within 10 seconds of the worksite.

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

(15) Control of Hazardous Energy (Lockout/Tagout). Before an employee performs any servicing or maintenance on any equipment where the unexpected energizing or startup of the equipment could occur, procedures must be in place to ensure adequate control of this energy. > See Section 12.

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

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U.S.Army Corps of Engineers Safety Inspection Checklist Abbreviated

Accident Prevention Plan

Date of Inspection

Location (Plant or Facility) Contract Number

Contractor Name Project Name

Inspector Name (Print) Inspector Signature

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

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

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

1. Signature sheet

a. Includes the name, signature, and title of the Plan Preparer (Qualmed person, i.e. corporate safety staff person, QC)

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

owner, company president, regional vice presiden

c. Includes the name{s), signature(s), and title{s) for Plan Concurrence (provide concurrence of other applicable corporate and project personnel(contractor))

2.Background information

a. Includes the Contractor Name.

b. Includes the Contract Number.

c. Includes the Project Name.

d. Includes the Brief Project Description.

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

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

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

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

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

b.Includes the lines of authority.

5. Training- new hire SOH orientation training at the time of initial hire of each new employee and any periodic retraining/recertification requirements 6.Procedures for job site inspections - assignment of responsibilities and frequency

Accident Prevention Plan

Date of Inspection

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

7.Procedures for reporting man-hours worked and reporting and investigating any accidents as soon as possible but not more than 24 hours afterwards to the Contracting Officer/Representative

(CO/COR)

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

9.Drinking W ater provisions, toilet and washing facilities.

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

11.Personal Protective Equipment

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

b.Eye and Face Protection. Eye and face protection shall be worn as determined by an analysis of the operations being performed HOW EVER, all involved in chain saw use, chipping,stump grinding, pruning operations, grass mowing, weed eating and blowing operations shall be provided safety eyewear (Z87.1) as a minimum.

c. Hearing Protection. Hearing protection must be worn by all exposed to high noise activities {includes grass mowing/trimming, chainsaw operations, tree chipping, stump grinding and pruning) d.Head Protection. Hard hats shall comply with ANSIZ89.1 and shall be wom by all workers when a head hazard exists. At a minimum, hard hats shall be worn when performing activities identified in {b) e.High Visibility Apparel shall comply with ANSI/ISEA 107, Class 2 requirements at a minimum and shall be worn by all workers exposed to vehicular or equipment traffic.

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

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

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

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

Accident Prevention Plan

Date of Inspection

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

13. Hazardous Substances. W hen 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. W hen the eyes or body of any person may be exposed to corrosives, irritants or toxic chemicals, suitable facilities for quick drenching or flushing of the eyes and body shall be provided within 10 seconds of the worksite.

14. Traffic control shall be accomplished in accordance with DOrs

MUTCD.

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

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

EXHIBIT E

Partial listing of Safety

Requirements

(Not Applicable)

EXHIBIT F

SAFETY FORMS OSHA FORM

300; ACCIDENT INVESTIATION

REPORT ENG 3394

Exhibit F Page 1 of 15

Exhibit F Page 2 of 15

Exhibit F Page 3 of 15

Exhibit F Page 4 of 15

Exhibit F Page 5 of 15

Exhibit F Page 6 of 15

Exhibit F Page 7 of 15

Exhibit F Page 8 of 15

Exhibit F Page 9 of 15

Exhibit F Page 10 of 15

Exhibit F Page 11 of 15

Exhibit F Page 12 of 15

Exhibit F Page 13 of 15

Exhibit F Page 14 of 15

Exhibit F Page 15 of 15

EXHIBIT G

QUALITY CONTROL PLAN

SAMPLE CONTRACTORS QUALITY CONTROL PLAN

1. INSPECTION OF SERVICES.

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

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

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

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

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

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

4. SECURITY.

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

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

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

QUALITY CONTROL CHECKLIST FOR CLEANING SERVICES

INSPECTION ITEM RATING COMMENTS

Restrooms

Fixtures

Toilet Tissue

Walls (Inside and out), Floors, Ceilings, Windows, Mirrors, Roof

Insects and nests

Cleaning Compounds/Methods

Tables and Benches

Grills

Trash Cans

Drinking Fountains

Shelters

Bulletin Boards, Signs, Etc.

Grounds – Recreation Area

Grounds – Roadways

Grounds – Shoreline, Beach

Grounds – Trails

Beach and Playground Inspections Accurate

Minor Maintenance

Safe Work Habits and Equipment

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

EXHIBIT H

QUALITY ASSURANCE PLAN (QASP)

Table of Contents

SECTION PAGE

NO.

SECTION I. Introduction.

A. General B. Acronyms and Definitions

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

SECTION III. Calculating Deductions A. General B. Examples

1. Random

2. Planned Sampling

SECTION IV. Performance Requirements Summary Table

SECTION V. Sampling Guides

SECTION VI. Inspection Checklists A. Examples

1. Cleaning

SECTION I. Introduction

A. General. This plan will be used to assure the government that work specified under this contract is completed satisfactorily. The plan is included for information purposes only. It does not supersede any of the requirements in other sections of the contract. Surveillance or inspections will be primarily conducted in three ways; however, the Government has the right to change or modify inspection methods at its discretion. The three principle inspection methods are random, one-hundred percent, and planned. In conjunction with describing the principle methods used for providing surveillance (i.e., inspecting), this plan defines common terms and acronyms; summarizes in table form the performance requirements for each contract section; summarizes in table form a "sampling guide" for each contract section; explains how deductions are calculated; and, provides examples of Inspection Checklists.

B. Acronyms and Definitions.

1. List of Acronyms.

a. AQL Acceptable Quality Level

b. CDR Contract Discrepancy Report

c. COR Contracting Officer Representative

d. CO Contracting Officer

e. PRS Performance Requirements Summary

f. PWS Performance Work Statement

g. QA Quality Assurance

h. QAE Quality Assurance Evaluator

i. QASP Quality Assurance Surveillance Plan

j. QC Quality Control

k. QCP Quality Control Plan

l. N/A Non-Applicable

2. Definitions.

a. Acceptable Quality Level. Predetermined value used by the Government to distinguish between satisfactory and unsatisfactory performance. AQL may be stated in percent and is the maximum number of defects per 100 units that can be considered satisfactory. As long as the defective performance does not exceed the AQL, the total service will not be rejected by the Government. The contractor, however, must reperform the defective service.

b. Defect. Any deficiency determined to be significant as to render the unit unsatisfactory.

c. Deficiency. Any inspection unit which does not meet the Contract requirements in their entirety.

d. Inspection Unit. For statistical sampling the unit is identified in the sampling guide. For all other work the inspection unit is the job. The inspection unit may include several tasks.

e. Inspector. Individual designated by the COR to perform Quality Assurance.

f. Item. The term item, when used with the Contract, refers to the Bid Items contained in Section

B of the Contract.

g. Job. A job describes an individual, separate, and defined element of work to be performed.

"Mowing the Below Dam Recreation Area" is an example of a job.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

SECTION II. Acceptance/Rejection of Services

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

B. Acceptance.

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

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

C. Rejection.

1. Statistically Sampled W ork. Whenever the defects exceed the reject level the Government will issue a CDR and effect a monetary deduction from the Contractor's invoice.

2. 100% Inspection. Whenever the work does not conform to all requirements of the Work Order, the Government will issue a CDR and proceed in accordance with the Inspection of Services Clause of the contract.

SECTION III. Calculating Deductions

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

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

B. Examples.

1. Random Sampling. Once a random sample has been taken of a lot or population, and the number of defective items exceeds the AQL for that lot, a deduction will be made. The following example demonstrates how a deduction would be calculated for excessive defects in restroom and washhouse cleanings. In this example, the lot or population size (i.e., the number of restroom cleanings over a 30 day period) is 381.

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

AND: The contract price is $21,200.

AND: Sample size is 9 with a reject level of 3.

AND: Number of defects in sample is 4.

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

No. of Defects X Percentage of X Contract Price for = Amt. of Sample Size Required Service month of Cleaning Services Deduction

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

4/9 X .55 X $21,200 = $5,182.22

Therefore, $5,182.00 would be deducted from the contractor's monthly invoice.

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

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

PERFORMANCE REQUIREMENTS SUMMARY

Required Services

Section Number

Paragraph Number

Maximum Allowable Degree of

Deviation From Requirement (AQL)

Method of

Surveillance

Deduction

Schedule Restroom and Washhouse

C-2

C-2.2

5%

Random

Sampling

55%

Scheduled Office

1%

Scheduled Grounds Cleaning

& Shelter

44%

Non-Scheduled Restroom/

Washhouse or Shelter Cleaning

All work must be preformed in accordance with the specifications

100%

Inspection

N/A

SECTION V - SAMPLING GUIDES

1. Service Requirement: Scheduled Restroom and Washhouse Cleaning

2. Corresponding Contract Section: C-2

3. Method of Q.A.: Random Sampling

4. Acceptable Quality Level: 5%

5. Lot Size for Sampling: Variable

6. Sampling Size: Variable

7. Reject Level: Variable

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

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

10. Performance Criteria: The Contractor shall perform all work as specified in Section C-2 and as scheduled on the calendars. For all identified deficiencies the Contractor will be allowed to reperform if the work order and contract specifications allow. Defects in Contractor performance may be addressed by the issuance of a CDR. A CDR will be issued should the Contractor fail to correct deficiencies by reperformance, or for any defects/rejects in service requirements. Should the reject level be exceeded, a deduction will be made.

1. Service Requirement: Scheduled Office Cleaning

4. Acceptable Quality Level: 5%

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

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

scheduled on the calendars. For all identified deficiencies the Contractor will be allowed to reperform if the work order and contract specifications allow. Defects in Contractor performance may be addressed by the issuance of a CDR. A CDR will be issued should the Contractor fail to correct deficiencies by reperformance, or for any defects/rejects in service requirements. Should the reject level be exceeded, a

1. Service Requirement: Scheduled Grounds Cleaning & Shelter Cleaning

4. Acceptable Quality Level: 10%

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

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

The Contractor will be informed of deficiencies in his performance.

scheduled on the calendars. For all identified deficiencies the Contractor will be allowed to reperform if the work order and contract specifications allow. Defects in Contractor performance may be addressed by the issuance of a CDR. A CDR will be issued should the Contractor fail to correct deficiencies by reperformance, or for any defects/rejects in service requirements. Should the reject level be exceeded, a

1. Service Requirement: Non-Scheduled Cleaning of Restrooms/Washhouses and Shelters

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

9. Inspection Procedures: The inspector will get a copy of the 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 ordered. For all identified deficiencies the Contractor will be allowed to reperform if the work order and contract specifications allow. Defects in Contractor performance may be addressed by issuance of a CDR. A CDR will be issued should the Contractor fail to correct deficiencies by reperformance.

SECTION VI

INSPECTION CHECKLIST, CLEANING SERVICES

Exhibit H

EXHIBIT I

WORK SCHEDULE AND EXAMPLE FORMAT

EXHIBIT J

SAMPLE INVOICE

EXHIBIT J

SAMPLE INVOICE FORMAT

FROM: Contractor's Name INVOICE NO:

Address City, State Zip Phone Number

INVOICE FOR MONTH OF: DATE OF INVOICE:

CONTRACT NUMBER:

TO: Resource Manager Summersville Lake 2981 Summersville Lake Road Summersville, WV 26651

DATE ITEM AMOUNT

3-1-04 Line Item 001, Cleaning April $000.00 Line Item 003, Extra Restroom Cleaning 0.00

TOTAL INVOICE $000.00

EXHIBIT H

EXHIBIT K

GOVERNMENT FURNUSHED

EQUIPTMENT LIST

Government Furnished Facilities. We will provide a fenced in area for employees to store cleaning work vehicles

Restroom facilities for contract employees are the responsibility of the Contractor. The Contractor may elect to use any of the following alternatives:

(1) Use public restroom facilities, unless closed.

Utilities. The Government will furnish available utilities to perform the specified work.

At remote locations the Contractor shall supply his own utilities such as water and electric power. The Contractor shall make a dedicated effort to conserve utilities and shall comply with all Government regulations regarding energy conservation.

Government furnished utilities shall be used only in the performance of work specified in this contract. Government will not provide a telephone for Contractor use.

Forms. All Department of Defense forms, required by the Government to be used under this contract, will be provided by the Government during the contract period.

The Government reserves the right to modify or supersede these forms during the contract period.

Control. The Contractor shall provide control to ensure Government furnished equipment, property, or items are utilized only for contract purposes. The Contractor will be provided keys to allow access to certain non-secure areas, and will be held responsible for losses due to his negligence and for the replacement of compromised locks (which can occur due to loss or duplication of keys). Upon completion (including any extensions of contract term) or termination of the contract for any reason, and except for fair wear and tear, the Contractor shall return all Government furnished equipment, keys and any unused material or supplies in the same condition as received. Any discrepancies (except for fair wear and tear), damages or deficiencies in the inventory will be chargeable against the Contractor.

EXHIBIT L

TASK ORDER,

DD 1155

EXHIBIT M

JOB REQUEST FORM,

CELRH 2770

Exhibit M

EXHIBIT N

CONTRACT DISCREPANCY FORM,

CELRH 1104

EXHIBIT O

CONTRACTOR EQUIPMENT &

INSPECTION FORMS

Exhibit O Page

EXHIBIT P

VEHICLE OPERATIONS,

CELRH 2796,

CELRH 2813,

ENG FORM 4900-R,

ENG FORM 4866

CLEANING