A22_W912EK-17-T-0023.pdf

REQUESTFORQUOTATION

PLEASE RETURN TO:

US Army Corps of Engineers

US Army Corps of Engineers Cherry Glen Campground Playground Installation

W912EK-17-T-0023

Attn: Troy Robbins 1500 Rock Island Drive Rock Island, Illinois 61201 Email: troy.a.robbins@usace.army.mil

PLEASE INCLUDE THE FOLLOWING INFORMATION:

1. Complete Block 17a on the SF1449 - Enter Name, Address, and Current Phone Number of Person to Contact Regarding Proposal

2. Complete and sign Blocks 30a, 30b, and 30c on the SF1449

3. Complete Offeror Representations and Certifications (Clause 52.212-3) if your company has not completed the Representations and Certifications located with your company’s SAM record (https://www.sam.gov).

4. Complete and submit the SF1449, Bid Schedule, Technical Capability Statement and USACE Past Performance

Questionaire (PPQ).

5. Please fill out the below information completely and include this cover page with your offer, along with the above items that need to be filled out.

6. Include the Solicitation Number on the outside of your envelope, cover sheet, or as subject line if submitting by email pdf format. It is the responsibility of the offeror to verify that their offer has been received and is legible when using a method other than electronic format to submit an offer.

7. Technical questions must be submitted directly to the Contract Specialist listed above.

8. Complete and submit Representation by Corporations Regarding Delinquent Tax Liabaility or a Felony

Conviction under and Federal Law (Clause 52.209-11).

9. Please ensure costs associated with Part 4 of the PWS are included in your final price.

Contractors must be current in their registration in the System for Award Management (SAM) Database before a Government Contract award can be made.https://www.sam.gov/

Please provide: Taxpayer ID Number:

CAGE Code (SAM):_ Point of Contact:

Phone & Email: ____________________________________

FOR ADDITIONAL INFORMATION, CONTACT:

Troy Robbins - Phone: 309-794-5259 or Email: troy.a.robbins@usace.army.mil

SEE ADDENDUM

(No Collect Calls)

W912EK-17-T-0023 09-Feb-2017

b. TELEPHONE NUMBER

309-794-5259

8. OFFER DUE DATE/LOCAL TIME

02:00 PM 22 Feb 2017

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.

W912EK9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

TROY A ROBBINS

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

(TYPE OR PRINT)

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

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

0 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.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

96514763155947

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

(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:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

WOMEN-OWNED SMALL

BUSINESS (WOSB)

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

CONTRACTING DIVISION

US ARMY CORPS OF ENGINEERS

1500 ROCK ISLAND DRIVE

ROCK ISLAND IL 61201

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 966109 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

SAYLORVILLE LAKE PROJECT OFC

CEMVR-OD-S

US ARMY CORPS OF ENGINEERS

5600 NW 78TH AVE

JOHNSTON IA 50131-1941

TEL: 515/276-4656 FAX:

--- --- ---- REF BLOCK 18A)FAX:

TEL: 309-794-5613 (INVOICES SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL BUSINESS

(EDWOSB)

SIZE STANDARD:

$7.5 Million

NAICS:

541320

X

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

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

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

24.22.21.19.

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF117

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

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

REPRESENTATIVE

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

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

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

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W912EK-17-T-0023

Section SF 1449 - CONTINUATION SHEET

PERFORMANCE WORK STATEMENT

SECTION A

INSTRUCTIONS: NOTICE TO OFFERORS

INSTALLATION OF PLAYGROUND FOR CHERRY GLEN CAMPGROUND

SAYLORVILLE LAKE PROJECT, IOWA

1. REQUIRED SAM REGISTRATION: Prior to submitting an offer, vendors must be actively registered in the System for Award Management (SAM) website, Registration instructions may be obtained, and online registration may be accomplished, at www.sam.gov.

2. SCHEDULE OF PRICES (CLINS): Offeror’s must quote on all items and entire quantities contained in the base period and all options to be considered for award. Offers received not complying with this requirement will be considered non-responsive and will be rejected.

3. WAGE RATES: Prevailing Wage Rates will apply for any award resulting from this solicitation. See the included Wage Determination, and contract clauses 52.222-41, Service Contract Act of 1965 for details

4. REQUIRED INSURANCE: After award, the Contractor shall furnish proof of all required insurance to the Contracting Officer or the representative, before starting work. This is normally accomplished at the Pre-Work Conference.

Workmen’s Compensation . . . . . . Coverage complying with applicable State statute** Employer’s Liability . . . . . . . . . . . Minimum $100,000 General Liability/Bodily Injury. . . Minimum $500,000 per occurrence Automobile Liability . . . . . . . . . . . Minimum $200,000 per person $500,000 per occurrence $ 20,000 property per occurrence

* Reference FAR 28.307-2 Liability, subparagraphs (a), (b), and (c).

** Iowa Insurance Division, telephone # (515) 281-5705 Iowa Division of Workers Compensation, telephone # (800) 562-4692

5. LOW PRICE TECHNICALLY ACCEPTABLE PROCUREMENT: This will be a Lowest Price Technically Acceptable (LPTA) acquisition. See contract clause FAR 52.212- 2 “Evaluation – Commercial Items” for evaluation factors and technical requirements.

6. DOCUMENTS TO RETURN: In order to be considered responsive, offerors shall complete and return all of the following:

Solicitation Cover Sheet, including taxpayer ID number, CAGE code, point of contact, phone number and email address.

First page of solicitation, including offeror’s complete mailing address, telephone number, offeror’s name, title, and signature.

Schedule of Prices (CLINs)

USACE Past Performance Questionnaire (PPQ)

Technical Capability Statement (see 52.212-2 Evaluation – Commercial items)

Offerors must complete all fill-ins and assure all return pages are received by the due date and time shown on page one of the solicitation, at the address indicated below. Please mark the envelope with the Solicitation Number and Project Title. Quotes may also be e-mailed to troy.a.robbins@usace.army.mil.

U.S. ARMY CORPS OF ENGINEERS

CLOCK TOWER BUILDING – P.O. Box 2004 Attn: Contracting Division – Troy Robbins

ROCK ISLAND, IL 61204-2004

7. TELEPHONE NUMBER: Offerors must provide on the first page of this solicitation a telephone number at which they can be contacted for a period of one week following the due date of this solicitation. Quotes from persons who cannot be contacted by telephone during normal office hours (8:00 a.m. through 4:00 p.m., CST) within the one-week period following closing of this RFQ will be considered non-responsive and will be removed from further consideration.

8. PRE-BID SITE VISIT: No formal site visits are scheduled; however, offerors are encouraged to inspect the site where the work will be performed. Site visits may be arranged during normal business hours of 7:30AM through 4:00PM. Contact the following to set up a site visit:

Dayne Magneson Saylorville Lake Project Office 5600 NW 78th Ave, Johnston, IA 515-276-4656 Dayne.C.Magneson@usace.army.mil

SECTION B

SCHEDULE OF PRICES (CLINs)

ITEM NO SUPPLIES/ QUANTITY UNIT UNIT PRICE AMOUNT

SERVICES

1 Job $ __ $ __

INSTALLATION OF PLAYGROUND, SURFACING, AND BORDER

CHERRY GLEN CAMPGROUND, SAYLORVILLE LAKE

Provide all tools, labor, supplies, and equipment to install 1 BCI Burke Voltage Basic playground structures, 2 “C” spring bouncers, underlayment fabric, rubber mulch surfacing, concrete slab for rubber tile surfacing, rubber tile surfacing, and plastic playground border.

TOTAL

AMOUNT: $_ __

TECHNICAL CAPABILTY STATEMENT

(OFFERORS MUST COMPLETE)

The Offeror SHALL provide sufficient documentation of their technical capability, such as experience of the company and/or the key personnel and crew who will be performing the work, resumes, equipment lists, etc. or other information to enable the Government to determine the company's capability on projects of similar type, size, scope and complexity.

USACE PAST PERFORMANCE QUESTIONNAIRE (PPQ)

(OFFERORS MUST COMPLETE)

AGENCY/COMPANY THAT WORK WAS PERFORMED FOR:_______________________________

POINT OF CONTACT & TELEPHONE NUMBER: __________________________________________

DATES SERVICES PROVIDED: ________________________________________________________

BRIEF DESCRIPTION OF SERVICES PROVIDED: _________________________________________

DATES SERVICES PROVIDED: ________________________________________________________

BRIEF DESCRIPTION OF SERVICES PROVIDED: _________________________________________

DATES SERVICES PROVIDED: ________________________________________________________

BRIEF DESCRIPTION OF SERVICES PROVIDED: _________________________________________

SECTION C

PERFORMANCE WORK STATEMENT

INSTALLATION OF PLAYGROUND, SURFACING, AND BORDER AT

CHERRY GLEN CAMPGROUND,

SAYLORVILLE LAKE PROJECT, IOWA

SECTION TITLE

1 GENERAL INFORMATION

2 PRODUCTS

3 EXECUTION

4 ANTITERRORISM (AT) AND OPERATIONS SECURITY

(OPSEC)

5 QUALITY ASSURANCE SURVEILLANCE PLAN

TECHNICAL EXHIBIT #1 “BCI BURKE VOLTAGE BASIC PLAYGROUND

EQUIPMENT DRAWINGS”

TECHNICAL EXHIBIT #2 “MIRACLE RECREATION BUZZY THE BUMBLEBEE C

SPRING RIDER & LUCKY THE LADYBUG C SPRING

RIDER”

TECHNICAL EXHIBIT #3 “PLAYGROUND SURFACING”

TECHNICAL EXHIBIT #4 “PROJECT SITE”

SECTION C

SPECIFICATIONS FOR INSTALLATION OF

PLAYGROUND EQUIPMENT

PART 1 – GENERAL

1.1 SCOPE OF WORK: This specification covers requirements for supervision, labor, transportation, coordination, and other items necessary for the installation of the playground equipment at Cherry Glen Campground at Saylorville Lake in Polk County, Iowa. The work location is approximately 10 miles north of Des Moines, Iowa in Johnston, Iowa. Saylorville Lake is a flood control reservoir in Iowa, with numerous parks and access areas managed by or leased from the U.S. Army Corps of Engineers.

All materials and installation shall be in accordance with these specifications and drawings in addition to the manufacturer’s specifications. All work shall be accomplished in a safe, workmanlike manner and in accordance with the Corps of Engineers Safety and Health Requirements Manual, EM 385-1-1, most current, all applicable Federal, State, and local safety codes and practices.

1.2 REFERENCES: References as follows:

EM 385-1-1 – Current Edition (available as a download at http://www.usace.army.mil/SafetyandOccupationalHealth/SafetyandHealthRequir ementsManual.aspx

All applicable Federal, State, and local safety codes, rules, and regulations ADA Standards for Accessible Design

ASTM F1487

ASTM F1292

1.3 BASIS FOR PAYMENT: The contractor shall provide a firm-fixed price cost proposal for the installation of the playground equipment by the date and time identified in the Solicitation.

1.4 INVOICING: Send invoices via email after completion of work for payment processing:

Dayne Magneson

U.S. Army Corps of Engineers Saylorville Lake Project Office

Dayne.C.Magneson@usace.army.mil

1.5 WORK HOURS: Regular work hours will be from 7:00 am – 4:00 pm Monday through

Friday, excluding federal holidays. Any proposed changes to the work hours must be coordinated with the Contracting Officer’s Representative (COR).

1.6 COMPLETION TIME: Work shall be fully complete by April 15, 2017.

1.7 SAFETY REQUIREMENTS: The contractor shall comply with Corps of Engineers Safety and Health Requirements Manual, EM 385-1-1, most current edition, all applicable Federal, State, and local safety codes and practices. It is the contractor’s responsibility to insure public safety during the entire duration of the contract. Necessary signage, barriers, and warning devices shall be operated and maintained by the contractor at the contractor’s expense. If the contractor fails or refuses to promptly comply with safety requirements as specified herein, any project employee may stop all or part of th work until satisfactory corrective action has been taken. No part of the time lost due to any such work stoppage shall be made subject to any claims for extension of time or for excess costs or damage sustained by the contractor. Also, the contractor will not be paid for work not performed as a result of the stop order. The contractor shall prepare a site-specific Abbreviated Accident Prevention Plan as outlined in the EM 385-1-1, Appendix A. Contractor must address each element/sub-element in the order they appear in the outline. The Abbreviated Accident Prevention Plan shall be submitted to the COR before work can begin.

1.8 QUALITY CONTROL PLAN: A quality control plan is the contractor’s management plan for executing the contract. It describes the way in which the contractor will produce deliverables, and the step-by-step approach that will be taken to ensure the quality of the service is met. The Quality Control Plan shall be submitted to the COR before Work can begin.

1.9 PRE-WORK CONFERENCE: A pre-work conference will be held with the COR on site prior to the commencement of work. The COR will establish date and time of the pre-work conference after consultation with the contractor. Procedures for proper invoicing and payment, schedule, etc. will be coved at this time.

PART 2 – PRODUCTS

2.1 MATERIALS:

The Government will furnish the following materials and equipment:

1 - BCI Burke Voltage Basic Playground Equipment 600 CuFt - Rubber Mulch Surfacing 360 SqFt - Rubber Tile Surfacing and Adhesive 50 - Plastic Playground Border 1 roll - Fabric Underlayment 2 – “C” Spring Riders

The Contractor will furnish all of the equipment, supplies, and materials as may be necessary to meet the terms and conditions of this contract.

2.2 SUSTAINABILITY:

Bio-based:

The United States Department of Agriculture (USDA) designates certain biobased products for federal procurement and specifies minimum biobased content levels for those products. Any designated product that is being offered or supplied under this contract shall meet USDA BioPreferred’s minimum biobased content level. Visit the BioPreferred web site for the complete list of designated products and the associated minimum biobased content level requirements.

PART 3 – EXECUTION

3.1 ACCOMPLISHMENT OF WORK: This specification covers requirements for supervision, labor, transportation, coordination, and other items necessary for the installation of the specified playground equipment at Cherry Glen Campground at Saylorville Lake in Polk County, Iowa. All materials and installation shall be in accordance with these specifications and drawings. The contractor shall install the new playground equipment, playground fabric underlayment, playground surfacing, and playground border. Any damages to the equipment or materials will be the responsibility of the contractor to repair or replace at no cost to the Government.

3.2 INSTALLATION OF NEW PLAYGROUND EQUIPMENT: The contractor shall install one BCI Burke Voltage Basic playground designed for 2-5 year old children and two “C” spring bouncers. The contractor shall construct the playground equipment according to the manufacturer’s specifications, ASTM F1487 standards, and as noted in the drawings of this specification.

The border for the playground equipment shall be installed to encompass the entire playground, an estimated area of 1600 square feet. All border material shall be installed according to manufacturer’s specifications and ASTM F1487.

Fabric material designed for playground applications shall be installed prior to the installation of playground rubber mulch surfacing. The fabric shall be installed according to manufacturer’s specifications.

Surfacing material shall be install under and around the playground equipment to cover entire area within the confines of the playground boundary. The impact attenuation of the surfacing material shall be appropriate for the fall height of the structure and shall meet ASTM F1487 and ASTM F1292 standards. A 20’ x 18’ x 4” reinforced concrete pad will need to be placed for the installation of rubber playground tiles. The attached drawings show the placement of the area of playground tile installation to meet ADA standards. The remaining use zone will be covered with playground rubber mulch surfacing.

3.3 WARRANTY: Contractor warrant’s that the playground unit shall meet or exceed those warranties and guarantees set forth by the playground design offered by BCI Burke Company, LLC.

3.4 TESTING: After installation of the playground unit, all parts shall be tested to insure public safety and that the final product is in accordance with the minimum requirement of ASTM F1487 guidelines.

PART 4 – ANTITERRORISM (AT) AND OPERATIONS SECURITY (OPSEC)

4.1 ACCESS AND GENERAL PROTECTION POLICY AND PROCEDURES: Per

ENG FORM 6055, September 2014, the Contractor must comply with the following Operational Security Requirements. All Contractor and subcontractor employees to comply with installation and facility access guidelines and rules as stated herein. Contractor workforce must comply with all personal identity verification requirements as directed by Department of Defense (DoD), Department of the Army Headquarters, Rock Island District, and/or local policy. In addition to the changes otherwise authorized by the CHANGES clause of this Contract, should the Force Protection Condition (FPCON) at any installation or facility change, the Government may require changes in Contractor security matters or processes.

In support of Rock Island District evaluation of personnel authorized for access to federal facilities, the Contractor to submit background checks that have been conducted by a bonded third party within the last 6 months of the Notice to Proceed date and authorize reports to be mailed to the Rock Island District Security and Law Enforcement Office by the third party, see paragraph SUBMITTALS for address and other requirements. The background check will cover, at a minimum, the last ten years covering the states the employee had/has lived in, national crime records check which includes felony and misdemeanor offenses, Department of

Motor Vehicles (DMV) records, and a national sex offender registry check, submitted 14 days prior to accessing the project site.

Identification Badges: The Contractor to be responsible for furnishing a photo identification badge/card to each employee prior to the employee's work on-site, and for requiring each employee engaged on the work to display identification. At a minimum, the badge to have the following items shown, the employee's picture, employee's name, and company name working for. The badge will be prominently displayed unless restricted for safety concerns, in which case it will be available for immediate display upon request (carried on person).

As employees are added or deleted from the submitted and approved Access Control List (ACL), this information will be reported immediately to the Contracting Officer. Added employees will not be permitted on-site until requirements of this paragraph are completed, submitted, and approved.

Disqualifying factors include, but are not limited to:

a. Criminal conduct, in particular, violent crime and sex offenders

b. Habitual use of intoxicating beverages to excess as evidenced by Driving Under the Influence (DUI) or public intoxication records; or

c. Any illegal activity or other disqualification which makes the individual unfit for service (e.g., drug trafficking or procurement fraud).

In addition to the submitted background checks, supplemental agency checks may be performed at the discretion of the Rock Island District security personnel. The Contractor agrees to cooperate and ensure that Contractor employees provide any documentation required to complete these checks. Any employee lacking proper identification credentials or deemed a security threat may be denied access to the project. Such action in no way relieves the Contractor from performance of the contract. The Rock Island District retains the right to deny any Contractor and sub-contractor employee(s) from working on this Contract awarded by the Rock Island District based on final background investigation results. All information received as a result of a background check will be handled according to Privacy Act regulation.

In the event that an unexpected change in personnel is required, due to sudden absence of a critical path employee, the Contractor to immediately contact the Contracting Officer to coordinate obtaining written approval from the Security and Law Enforcement Office for new/additional personnel to be brought on-site prior to background check acceptance. The Contractor to submit ATTACHMENT A - Personnel Change Request Form and will receive written authorization from the Security and Law Enforcement Office prior to bringing new personnel on-site, and will ensure a background check is sent to the Rock Island District Security and Law Enforcement Office no later than 10 days from written notice of approval. The Rock Island District reserves the right to terminate access of the employee upon completion of the

Government's review of the background check and the Contractor to be notified immediately of any such Government decision.

In the event of an unforeseen change in work site conditions, which may require a Contract Modification, and the Contractor has to immediately add employees, the Contractor to submit ATTACHMENT A - Personnel Change Request Form and will receive written approval from the Security and Law Enforcement Office prior to bringing new personnel on-site, and ensure a background check is sent to the Rock Island District Security and Law Enforcement Office no later than ten (10) days from written notice of approval. The Rock Island District reserves the right to terminate access of the employee upon completion of the Government's review of the background check and the Contractor to be notified immediately of any such Government decision.

Contractor, Contractor employees, and subcontractor employees not expected to be on the worksite for more than 15 days may be allowed on-site with the following conditions:

a. Employee will be on site a total of 15 days or less, for the duration of the project.

b. Employee is added to the ACL as a short term employee.

c. Employee is escorted while on-site. This is defined as being in the line of sight of an identified Contractor employee who has a background check on file with the Rock Island District (as noted on the ACL).

d. Each Contractor employee can sponsor only up to five short term employees at a time.

Foreign National Employees: Due to a difference in background check procedures for long term foreign national employees, all such employees must provide a photocopy of their passport to the Rock Island District Security and Law Enforcement Office no later than 30 days prior to arrival on-site. Short term foreign national employees (e.g. specialists with a two week period of performance) may work on site with the following conditions:

a. Foreign national employee will be on-site a total of 15 days or less, for the duration of the project.

b. Foreign national employee will comply with E-Verify requirements (see paragraph "E- Verify Program").

c. Approved and identified Contractor employee to escort the foreign national employee AT ALL TIMES while on-site.

d. Each Contractor employee can sponsor only one short term foreign national at a time.

For all projects located at the Clock Tower and Annex Buildings, all personnel will receive an identification badge or pass for access to either building. This must be accomplished prior to start of work and will be coordinated with the Contractor, Contracting Officer, and Security and Law Enforcement Office.

Personnel Change Request Form Contract #_______________ Date___________ We, _____________________, respectfully request to add/replace (circle one) personnel to the jobsite due to the following situation:

Personnel to be conditionally added to the ACL (escorted by):

Background checks (if required for a long term employee) shall be submitted by close of business on (insert proposed date): ________________

(Insert signature block)

4.2 E-VERIFY PROGRAM: The Contractor must pre-screen candidates using the E-Verify Program website (http://www.uscis.gov/e-verify) to meet the established employment eligibility requirements. The Contractor must ensure that the candidate has two valid forms of Government-issued identification prior to enrollment to ensure the correct information is entered into the E-Verify system. Documentation of company enrollment in E-Verify, via a print screen of the company profile within the E-Verify system, must be submitted to the Security and Law Enforcement Office no later than 3 business days after receiving the Notice to Proceed.

*When Contracts are with individuals, the individuals will be required to complete a Form I-9, Employment Eligibility Verification must be given/coordinated with the Contracting Officer's Representative. This Form will be provided to the Security and Law Enforcement Office after Notice to Proceed is received.

PART 5 – QUALITY ASSURANCE SURVEILLANCE PLAN

5.1 INTRODUCTION: This quality assurance surveillance plan (QASP) is pursuant to the requirements listed in the performance work statement (PWS) entitled Install Playground and Rubber Surfacing at the Cherry Glen Campground. This plan sets forth the procedures and guidelines the US Army Corps of Engineers will use in ensuring the required performance standards or services levels are achieved by the contractor.

5.2 PURPOSE: The purpose of the QASP is to describe the systematic methods used to monitor performance and to identify the required documentation and the resources to be employed. The QASP provides a means for evaluating whether the contractor is meeting the performance standards/quality levels identified in the PWS and the contractor’s quality control plan (QCP), and to ensure that the government pays only for the level of services received.

5.3 EXAMINATION: Examine areas and conditions for compliance with requirements for Project site clearing, earthwork, surface and sub-grade drainage, and other conditions affecting installation. Do not begin installation before final grading for placing protective surfacing is completed. Proceed with installation only after unsatisfactory conditions have been corrected.

5.4 PREPARATION: Verify locations of playground perimeter and pathways. Verify that playground layout and equipment locations comply with requirements for each type and component of equipment.

5.5 INSTALLATION, GENERAL: Comply with manufacturer’s written recommendations, unless more stringent requirements are indicated. Anchor playground equipment securely, installed at locations and elevations indicated. Coordinate installed heights of equipment and components with installation of protective surfacing. Install equipment so fall heights and elevation requirements for age group use and accessibility are within required limits.

Verify that playground equipment elevations comply with requirements for each type and component of equipment. Installation must be inspected and approved by playground safety inspector prior to installation of protective surfacing.

5.6 ADJUSTING AND PROTECTION: Adjust movable playground equipment components to operate smoothly, easily and quietly, free from binding, warp, distortion, nonalignment, misplacement, disruption, or malfunction, throughout entire operational range.

Protect the Work of this section until Substantial Completion.

5.7 CLEANING AND CLEANUP: After completing playground equipment installation, inspect components. Remove spots and dirt. Repair damaged finishes to match original finish or replace component. Remove rubbish, debris, and waste materials and legally dispose of off the Project site.

5.8 ACCEPTABLE QUALITY LEVELS: The acceptable quality levels (AQLs) included in Attachment 1, Performance Requirements Summary Table, for contractor performance are structured to allow the contractor to manage how the work is performed while providing negative incentives for performance shortfalls. For certain critical activities the desired performance level is established at 100 percent. Other levels of performance are keyed to the relative importance of the task to the overall mission performance at Saylorville Lake Project.

5.9 DETERMINING PERFORMANCE: Government shall use the monitoring methods cited to determine whether the performance standards/service levels/AQLs have been met. If the contractor has not met the minimum requirements, it may be asked to develop a corrective action plan to show how and by what date it intends to bring performance up to the required levels.

Failure to meet the AQL may result in a deduction from the monthly payment, using the deduction percentages shown in table below.

5.10 REPORTING: At the end of each month, the COR will prepare a written report for the US Army Corps of Engineers summarizing the overall results of the quality assurance surveillance of the contractor’s performance. This written report, which includes the contractor’s submitted monthly report and the completed quality assurance monitoring forms, will become part of the QA documentation. It will enable the government to demonstrate whether the contractor is meeting the stated objectives and/or performance standards, including cost/technical/scheduling objectives.

5.11 REVIEWS AND RESOLUTION: The COR may require the contractor to meet with the COR and other government IPT personnel as deemed necessary to discuss performance evaluation. The COR will define a frequency of in-depth reviews with the contractor, including appropriate self-assessments by the contractor; however, if the need arises, the contractor will meet with the COR as often as required or per the contractor’s request. The agenda of the reviews may include:

Monthly performance assessment data and trend analysis Issues and concerns of both parties Projected outlook for upcoming months and progress against expected trends, including a corrective action plan analysis Recommendations for improved efficiency and/or effectiveness

The QAR must coordinate and communicate with the contractor to resolve issues and concerns regarding marginal or unacceptable performance. The COR and contractor should jointly formulate tactical and long-term courses of action. Decisions regarding changes to metrics, thresholds, or service levels should be clearly documented. Changes to service levels, procedures, and metrics will be incorporated as a contract modification at the convenience of the

PCO/ACO.

5.12 PERFORMANCE MATRIX:

Required Service Performance Standard

Acceptable Level of

Performance

Method of Surveillance

Impact on Contractor Payments

EXAMINATION,

PREPARATION,

INSTALLATION,

ADJUSTING,

PROTECTION,

CLEANING &

CLEANUP OF

PLAYGROUND &

RUBBER SAFETY

TILE SURFACING

Refer to PART 3

- EXECUTION

2 or fewer deficiencies per inspection

2 or fewer customer complaints during installation period

1) Periodic Inspections by

COR

2) Employee Complaint

3) Public Visitor Complaint

Deduction =

0.5% of Lump Sum Amount X number of days failed service

TECHNICAL EXHIBIT #1

BCI BURKE VOLTAGE BASIC

PLAYGROUND EQUIPMENT DRAWINGS

*Red box illustrates location of Playground Surface Tile.

20’ x 18’ x 4”

TECHNICAL EXHIBIT #2

MIRACLE RECREATION BUZZY THE BUMBLEBEE C SPRING RIDER & LUCKY

THE LADYBUG C SPRING RIDER

TECHNICAL EXHIBIT #3

PLAYGROUND SURFACING

TECHNICAL EXHIBIT #4

PROJECT SITE

CLAUSES INCORPORATED BY FULL TEXT

52.204-7 SYSTEM FOR AWARD MANAGEMENT (OCT 2016)

(a) Definitions. As used in this provision--

Electronic Funds Transfer (EFT) indicator means a four-character suffix to the unique entity identifier. The suffix is assigned at the discretion of the commercial, nonprofit, or Government entity to establish additional System for Award Management records for identifying alternative EFT accounts (see subpart 32.11) for the same entity.

Registered in the System for Award Management (SAM) database means that--

(1) The Offeror has entered all mandatory information, including the unique entity identifier and the EFT indicator, if applicable, the Commercial and Government Entity (CAGE) code, as well as data required by the Federal Funding Accountability and Transparency Act of 2006 (see subpart 4.14) into the SAM database;

(2) The offeror has completed the Core, Assertions, and Representations and Certifications, and Points of Contact sections of the registration in the SAM database;

(3) The Government has validated all mandatory data fields, to include validation of the Taxpayer Identification Number (TIN) with the Internal Revenue Service (IRS). The offeror will be required to provide consent for TIN validation to the Government as a part of the SAM registration process; and

(4) The Government has marked the record ``Active''.

Unique entity identifier means a number or other identifier used to identify a specific commercial, nonprofit, or Government entity. See www.sam.gov for the designated entity for establishing unique entity identifiers.

(b)(1) By submission of an offer, the Offeror acknowledges the requirement that a prospective awardee shall be registered in the SAM database prior to award, during performance, and through final payment of any contract, basic agreement, basic ordering agreement, or blanket purchasing agreement resulting from this solicitation.

(2) The Offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation ``Unique Entity Identifier'' followed by the unique entity identifier that identifies the Offeror's name and address exactly as stated in the offer. The Offeror also shall enter its EFT indicator, if applicable. The unique entity identifier will be used by the Contracting Officer to verify that the Offeror is registered in the SAM database.

(c) If the Offeror does not have a unique entity identifier, it should contact the entity designated at www.sam.gov for establishment of the unique entity identifier directly to obtain one. The Offeror should be prepared to provide the following information:

(1) Company legal business name.

(2) Tradestyle, doing business, or other name by which your entity is commonly recognized.

(3) Company physical street address, city, state, and Zip Code.

(4) Company mailing address, city, state and Zip Code (if separate from physical).

(5) Company telephone number.

(6) Date the company was started.

(7) Number of employees at your location.

(8) Chief executive officer/key manager.

(9) Line of business (industry).

(10) Company headquarters name and address (reporting relationship within your entity).

(d) If the Offeror does not become registered in the SAM database in the time prescribed by the Contracting Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror.

(e) Processing time, which normally takes 48 hours, should be taken into consideration when registering. Offerors who are not registered should consider applying for registration immediately upon receipt of this solicitation.

(f) Offerors may obtain information on registration at https://www.acquisition.gov.

(End of clause)

52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER SUBCONTRACT AWARDS

(OCT 2016)

(a) Definitions. As used in this clause:

Executive means officers, managing partners, or any other employees in management positions.

First-tier subcontract means a subcontract awarded directly by the Contractor for the purpose of acquiring supplies or services (including construction) for performance of a prime contract. It does not include the Contractor's supplier agreements with vendors, such as long-term arrangements for materials or supplies that benefit multiple contracts and/or the costs of which are normally applied to a Contractor's general and administrative expenses or indirect costs.

Month of award means the month in which a contract is signed by the Contracting Officer or the month in which a first-tier subcontract is signed by the Contractor.

Total compensation means the cash and noncash dollar value earned by the executive during the Contractor's preceding fiscal year and includes the following (for more information see 17 CFR 229.402(c)(2)):

(1) Salary and bonus.

(2) Awards of stock, stock options, and stock appreciation rights. Use the dollar amount recognized for financial statement reporting purposes with respect to the fiscal year in accordance with the Financial Accounting Standards Board's Accounting Standards Codification (FASB ASC) 718, Compensation- Stock Compensation.

(3) Earnings for services under non-equity incentive plans. This does not include group life, health, hospitalization or medical reimbursement plans that do not discriminate in favor of executives, and are available generally to all salaried employees.

(4) Change in pension value. This is the change in present value of defined benefit and actuarial pension plans.

(5) Above-market earnings on deferred compensation which is not tax-qualified.

(6) Other compensation, if the aggregate value of all such other compensation (e.g., severance, termination payments, value of life insurance paid on behalf of the employee, perquisites or property) for the executive exceeds $10,000.

(b) Section 2(d)(2) of the Federal Funding Accountability and Transparency Act of 2006 (Pub. L. 109-282), as amended by section 6202 of the Government Funding Transparency Act of 2008 (Pub. L.

110-252), requires the Contractor to report information on subcontract awards. The law requires all reported information be made public, therefore, the Contractor is responsible for notifying its subcontractors that the required information will be made public.

(c) Nothing in this clause requires the disclosure of classified information.

(d)(1) Executive compensation of the prime contractor. As a part of its annual registration requirement in the System for Award Management (SAM) database (FAR provision 52.204-7), the Contractor shall report the names and total compensation of each of the five most highly compensated executives for its preceding completed fiscal year, if—

(i) In the Contractor's preceding fiscal year, the Contractor received—

(A) 80 percent or more of its annual gross revenues from Federal contracts (and subcontracts), loans, grants (and subgrants), cooperative agreements, and other forms of Federal financial assistance; and

(B) $25,000,000 or more in annual gross revenues from Federal contracts (and subcontracts), loans, grants (and subgrants), cooperative agreements, and other forms of Federal financial assistance; and

(ii) The public does not have access to information about the compensation of the executives through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986. (To determine if the public has access to the compensation information, see the U.S. Security and Exchange Commission total compensation filings at http://www.sec.gov/answers/execomp.htm.).

(2) First-tier subcontract information. Unless otherwise directed by the contracting officer, or as provided in paragraph (g) of this clause, by the end of the month following the month of award of a first-tier subcontract with a value of $30,000 or more, the Contractor shall report the following information at http://www.fsrs.gov for that first-tier subcontract. (The Contractor shall follow the instructions at http://www.fsrs.gov to report the data.)

(i) Unique entity identifier for the subcontractor receiving the award and for the subcontractor's parent company, if the subcontractor has a parent company.

(ii) Name of the subcontractor.

(iii) Amount of the subcontract award.

(iv) Date of the subcontract award.

(v) A description of the products or services (including construction) being provided under the subcontract, including the overall purpose and expected outcomes or results of the subcontract.

(vi) Subcontract number (the subcontract number assigned by the Contractor).

(vii) Subcontractor's physical address including street address, city, state, and country. Also include the nine-digit zip code and congressional district.

(viii) Subcontractor's primary performance location including street address, city, state, and country. Also include the nine-digit zip code and congressional district.

(ix) The prime contract number, and order number if applicable.

(x) Awarding agency name and code.

(xi) Funding agency name and code.

(xii) Government contracting office code.

(xiii) Treasury account symbol (TAS) as reported in FPDS.

(xiv) The applicable North American Industry Classification System code (NAICS).

(3) Executive compensation of the first-tier subcontractor.

Unless otherwise directed by the Contracting Officer, by the end of the month following the month of award of a first-tier subcontract with a value of $30,000 or more, and annually thereafter (calculated from the prime contract award date), the Contractor shall report the names and total compensation of each of the five most highly compensated executives for that first-tier subcontractor for the first-tier subcontractor's preceding completed fiscal year at http://www.fsrs.gov, if—

(i) In the subcontractor's preceding fiscal year, the subcontractor received—

(A) 80 percent or more of its annual gross revenues from Federal contracts (and subcontracts), loans, grants (and subgrants), cooperative agreements, and other forms of Federal financial assistance; and

(B) $25,000,000 or more in annual gross revenues from Federal contracts (and subcontracts), loans, grants (and subgrants), cooperative agreements, and other forms of Federal financial assistance; and

(ii) The public does not have access to information about the compensation of the executives through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986. (To determine if the public has access to the compensation information, see the U.S. Security and Exchange Commission total compensation filings at http://www.sec.gov/answers/execomp.htm.)

(e) The Contractor shall not split or break down first-tier subcontract awards to a value less than $30,000 to avoid the reporting requirements in paragraph (d) of this clause.

(f) The Contractor is required to report information on a first-tier subcontract covered by paragraph (d) when the subcontract is awarded. Continued reporting on the same subcontract is not required unless one of the reported data elements changes during the performance of the subcontract. The Contractor is not required to make further reports after the first-tier subcontract expires.

(g)(1) If the Contractor in the previous tax year had gross income, from all sources, under

$300,000, the Contractor is exempt from the requirement to report subcontractor awards.

(2) If a subcontractor in the previous tax year had gross income from all sources under $300,000, the Contractor does not need to report awards for that subcontractor.

(h) The FSRS database at http://www.fsrs.gov will be prepopulated with some information from SAM and FPDS databases. If FPDS information is incorrect, the contractor should notify the contracting officer. If the SAM database information is incorrect, the contractor is responsible for correcting this information.

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2016)

(a) Definitions. As used in this clause--

Electronic Funds Transfer (EFT) indicator means a four-character suffix to the unique entity identifier. The suffix is assigned at the discretion of the commercial, nonprofit, or Government entity to establish additional System for Award Management (SAM) records for identifying alternative EFT accounts (see subpart 32.11) for the same entity.

Registered in the System for Award Management (SAM) database means that--

(1) The Contractor has entered all mandatory information, including the unique entity identifier and the EFT indicator (if applicable), the Commercial and Government Entity (CAGE) code, as well as data required by the Federal Funding Accountability and Transparency Act of 2006 (see subpart 4.14), into the SAM database;

(2) The Contractor has completed the Core, Assertions, Representations and Certifications, and Points of Contact sections of the registration in the SAM database;

(3) The Government has validated all mandatory data fields, to include validation of the Taxpayer Identification Number (TIN) with the Internal Revenue Service (IRS). The Contractor will be required to provide consent for TIN validation to the Government as a part of the SAM registration process; and

(4) The Government has marked the record ``Active''.

System for Award Management (SAM) means the primary Government repository for prospective Federal awardee and Federal awardee information and the centralized Government system for certain contracting, grants, and other assistance-related processes. It includes—

(1) Data collected from prospective Federal awardees required for the conduct of business with the Government;

(2) Prospective contractor-submitted annual representations and certifications in accordance with FAR subpart 4.12;

and

(3) Identification of those parties excluded from receiving Federal contracts, certain subcontracts, and certain types of Federal financial and non-financial assistance and benefits.

Unique entity identifier means a number or other identifier used to identify a specific commercial, nonprofit, or Government entity. See www.sam.gov for the designated entity for establishing unique entity identifiers.

(b) The Contractor is responsible for the accuracy and completeness of the data within the SAM database, and for any liability resulting from the Government's reliance on inaccurate or incomplete data. To remain registered in the SAM database after the initial registration, the Contractor is required to review and update on an annual basis, from the date of initial registration or subsequent updates, its information in the SAM database to ensure it is current, accurate and complete. Updating information in the SAM does not alter the terms and conditions of this contract and is not a substitute for a properly executed contractual document.

(c)(1)(i) If a Contractor has legally changed its business name, doing business as name, or division name (whichever is shown on the contract), or has transferred the assets used in performing the contract, but has not completed the necessary requirements regarding novation and change-of-name agreements in subpart 42.12, the Contractor shall provide the responsible Contracting Officer a minimum of one business day's written notification of its intention to—

(A) Change the name in the SAM database;

(B) Comply with the requirements of subpart 42.12 of the FAR; and

(C) Agree in writing to the timeline and procedures specified by the responsible Contracting Officer. The Contractor shall provide with the notification sufficient documentation to support the legally changed name.

(ii) If the Contractor fails to comply with the requirements of paragraph (c)(1)(i) of this clause, or fails to perform the agreement at paragraph (c)(1)(i)(C) of this clause, and, in the absence of a properly executed novation or change-of-name agreement, the SAM information that shows the Contractor to be other than the Contractor indicated in the contract will be considered to be incorrect information within the meaning of the ``Suspension of Payment'' paragraph of the electronic funds transfer (EFT) clause of this contract.

(2) The Contractor shall not change the name or address for EFT payments or manual payments, as appropriate, in the SAM record to reflect an assignee for the purpose of…