W912P421T0007 Amendment 0002_MMD Signal Booster Installation.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this Amendment is to add pertinent questions and answ ers, below :

Q1. The -85 dB signal strength is the minimum required per the contract, it is difficult to meet. Can this be relaxed? A. This requirement has been removed, the contractor must take the cellular signal from outside the building and rebroadcasts the signal inside of buildings.

Q2. Is the existing conduit running betw een the visitor center building and the garage building big enough to run the cables? A. The government w ill allow the contractor to install tw o separate system for the tw o buildings if the conduit is too small. The Booster in the visitor center building must be commercial type system. The contractor must not trench the ground betw een the tw o buildings.

- amendment also includes a new draw ing w ith building dimensions.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 28-May-2021

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street , County, State and Zip Code) X W912P421T0007

X 9B. DATED (SEE ITEM 11)

11-May-2021

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

28-May-2021

CODE

U.S. ARMY ENGINEER DISTRICT, BUFFALO

1776 NIAGARA STREET

BUFFALO NY 14207-3199

W912P4 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W912P421T0007

SECTION SF 30 BLOCK 14 CONTINUATION PAGE SUMMARY OF CHANGES

SECTION 00 70 00 - CONDITIONS OF THE CONTRACT

The following have been modified:

52.252-3 ALTERATIONS IN SOLICITATION (APR 1984)

Portions of this solicitation are altered as follows:

Amendment 0001 – Include 1 drawing.

Amendment 0002 - Include additional drawing and questions and answers List of attendees:

Mary Samoei (USACE PM), John Alford (MMD), Steve Winslow (MMD), Kevin Goodman (MMD) , Alexander

Trowe (Scope Integrated Services LLC), John L. Fox (Fox Partners LLC)

(End of Summary of Changes)

U.S. Army Corps of Engineers® Buffalo District

Statement of Work Mount Morris Dam, Mount Morris, NY

MMD Cellular Signal Booster

Customer:

Manager, Mount Morris Dam

Prepared By:

Mary Samoei, NY/PA O&M U.S. Army Corps of Engineers Buffalo District 1776 Niagara Street Buffalo, NY 14207

March 2021

1 Point of Contact 2 Pre-Bid Site Visit 3 Project/Contractual References 4 Detailed Description of Work

4.1 Detailed Description of Work – Base Bid Item(s)

4.1.1 Base Bid Item 1 Mobilization and Demobilization

4.1.2 Base Bid Item 2 Install a Signal Booster

5 Project Information

5.1 Basis for Award

5.2 Period of Performance

5.2.1 Pre-Construction Submittals

5.3 Pre-Construction Meeting

5.4 Work Schedule

5.5 Material/Equipment Information

5.6 Dimension/Quantity Verification

5.7 Material Storage

5.8 Site Cleanup

6 Quality Assurance (QA)

6.1 Overview

6.1.1 Government Project Manager (PM)

6.1.2 Government Quality Assurance (QA)

6.1.3 Government Inspections

6.1.4 Product Data Sheets

6.2 Contractor Quality Control (CQC)

6.2.1 Quality Control Program (QCP)

7 Communication 8 Repair/Restoration of Government Property 9 Work Stoppage, Contract Cancellation Actions 10 Material Change Orders 11 Liquidated Damages 12 Inspection/Testing

12.1 Pre-Final/Final Inspection

13 Completion 14 Payment 15 Warranty

15.1 Warranty Period

15.2 Repairs

16 Safety 17 Security

17.1 Access and General Protection/Security Policy and Procedures

17.1.1 Candidate Pre-Screening

17.1.2 Background Investigation

17.1.3 Suspicious Activity Reporting Training

17.2 Start of Work

17.3 Arrival/Departure

17.4 Video/Camera Equipment

18 Submittals

18.1 Bid Submittals

18.2 Pre-Construction Submittals

18.3 Project Completion Submittals

Attachment #1 – Bid Schedule Attachment #2 – Directions to Mount Morris Dam Attachment #3 – Visitor Center and Maintenance Garage

Attachment #4 – Government Safety Requirements Attachment #5 – Accident Prevention Plan (APP) Checklist Attachment #6 – Activity Hazard Analysis (AHA) Attachment #7 – Accident Investigation Form ENG 3394 Attachment #8 – USACE Buffalo District Monthly Man Hour Exposure Report

1 Point of Contact For scheduling project site visits and/or questions regarding this Statement of Work:

U.S. Army Corps of Engineers, Buffalo District Attn: Contracting Officer 1776 Niagara Street Buffalo, New York 14207

Phone: 716-879-4126 Facsimile: 716-879-4353

2 Pre-Bid Site Visit There will be one (1) scheduled pre-bid site visit for prospective bidders. The date and time of the visit will be posted on BETA.SAM.GOV. The location of the visit will be the William B. Hoyt II Visitor Center, 6103 Visitor Center Road, Mount Morris, New York 14510. Prospective bidders are urged to attend to gain information that will be necessary in the preparation of bid submittals. Due to maintenance, operation and security requirements, unscheduled visits may not be honored. Following the visit to the project site, a question and answer session will be held. During this session, prospective bidders are asked to direct all questions concerning the project to the Buffalo District Contracting Office (DCO).

3 Project/Contractual References

• EM 385-1-1, 30 Nov 2014, U.S. Army Safety and Health Requirements Manual

• FCC 13-21, Federal Communications Commission

• National Fire Protection Association (NFPA)

• National Electric Code (NEC)

4 Detailed Description of Work

4.1 Detailed Description of Work – Base Bid Item(s)

The Mount Morris Dam Recreation area is in a rural area surrounded by hills and trees that might be interfering with the cell phone signal connection. Work under this Statement of Work must consist of installing and configuring an outdoor antenna to capture the existing outdoor signal, an amplifier, and indoor antennas to rebroadcast the amplified signal to Visitor Center Building 304 and Maintenance Garage Building 303 building as shown in attachment #3. The system must be designed to operate on the major US cellular networks to include Verizon Wireless and AT&T cellular networks.

The contractor is strongly urged to attend the pre-bid site visit to better assemble a more accurate bid. Although fair cell phone voice and data signals are attainable at the outside location where the outdoor antenna is specified to be installed, the government will not list signal strengths per carriers and it is strongly recommended the contractor verify signal strengths at the pre-bid site visit. No exceptions will be granted to contractors who bid on the project without fully understanding the outdoor/indoor RF qualities of the site.

Per Federal Communications Commission (FCC) Report and Order FCC 13-21, the contractor may be required to obtain a license from the FCC and authorization from cellular carriers. Prior to work beginning, obtain a written authorization from both AT&T and Verizon Wireless for permissions to re-broadcast licensed frequencies on all applicable bands utilized in the region.

4.1.1 Base Bid Item 1 Mobilization and Demobilization

Include all costs for mobilization to and demobilization from the project site.

Obtain written authorization from the cellular carriers AT&T and Version Wireless.

4.1.2 Base Bid Item 2 Install Antenna and Signal Booster System

Install an outdoor directional antenna on the exterior of the visitor center building, which is only accessible by ladder, on a pole if necessary, aimed at the nearest cell tower. The exact location of the antenna with the strongest signal will be determined by the contractor. Wrap waterproof tape around the connectors between the outdoor antenna and cables, or otherwise weatherproof the connections to avoid water or other types of damage. Submit fall protection plan as part of pre-construction submittals.

Install lightning surge protector at the antenna to protect the installed equipment.

Install the amplifier, power supply, indoor antennas and all the necessary cabling in visitor center (building 304) and maintenance garage (building 303) as shown in attachment #3. Run the cables through the existing conduit between visitor center and the maintenance garage buildings. See Question/Answer 2, Amendment 2 for additional information.

Install a system which gives a minimum -85 dB signal strength throughout the administrative building, visitor center, and maintenance shop. Install the system and place antennas at spacing to meet this requirement. A walkthrough inspection must be completed in each building to confirm these minimum requirements. The system must have capabilities to boost 5G, 4G LTE, and 3G service for voice, text, and data.

All work must be done to meet industry standards and following manufacturers installation requirements.

5 Project Information

5.1 Basis for Award

The Government must award the contract to the offeror who provides the lowest priced technically acceptable offer.

The evaluated price must include the base work. In order to be considered technically acceptable, the contractor must:

• Have a minimum of five (5) years' experience work on projects of a similar type as work as required in this SOW. The contractor must supply the names, locations, and client contact information for two (2) projects of similar size and scope that have been accomplished within the previous five (5) years as part of the bid submittals.

5.2 Period of Performance

The project completion date is set at ninety (90) calendar days following the Notice to Proceed (NTP) for the awarded contract. In the event the contractor is unable to meet the project completion date, requests for extensions must be made in writing. The request must explain, in detail, why the original project completion date will not be met. The request must be sent to the DCO along with an informational copy to the Project Manager (PM). The request must be made as soon as possible, but not later than ten (10) calendar days prior to the original completion date. This request must not negate penalties for liquidated damages unless an extension is granted by the DCO in writing.

5.2.1 Pre-Construction Submittals

All pre-construction submittals, as stated in Section 18.2 of this SOW, must be provided to the Government within fourteen (14) calendar days following the NTP of the contract. The contractor must allow up to twenty-one

(21) calendar days from time of receipt for Government review of submittals. Work may not begin until Government approval of all submittals required in Section 18.2 of this Statement of Work. Submittals must include ENG FORM 4025.

5.2.1.1 Project Timeline

As part of the pre-construction submittals, the contractor must supply a timeline or schedule for accomplishing the work showing the following minimum milestones and completion dates: submittal completion date, start date, 100% completion date.

h5ct9fjd Cross-Out

5.3 Pre-Construction Meeting

Following the award of the contract and review and acceptance of the contractor’s pre-construction submittals, the prime contractor must attend a mandatory pre-work conference. The meeting must be scheduled by the Government, and conducted on-site, at the Mount Morris Dam, at a time and date to be announced following the award of the contract.

5.4 Work Schedule

All scheduled work is to be performed Monday through Friday 0800-1630 hours, excluding Federal holidays. If the contractor desires to work beyond the previously stated hours and days, written permission to do so must be obtained from the Government. Schedule changes must be requested at minimum 24 hours in advance, unless there is an emergency situation.

5.5 Material/Equipment Information

Contractor must provide all labor, tools, ladders, scaffolding, equipment, supplies and materials needed to complete the work described herein.

5.6 Dimension/Quantity Verification

Contractor must independently measure and verify all dimensions and quantities given herein prior to ordering materials and supplies for the project. This information must be provided to the Government QA person as part of the pre-work submittals.

5.7 Material Storage

If temporary storage of project material is requested, the contractor must make a written request to the Government’s QA person and receive written approval from the Government. If material is found to be hazardous, flammable, combustible, etc, the contractor will be required to provide the appropriate hazardous material storage locker. Storage locations will be discussed at the pre-bid site visit and during the pre-con meeting. See Section 16 of this SOW for further information.

5.8 Site Cleanup

All excess, waste, and removed material related to this project must become the contractor’s property and must be promptly removed from the site and disposed of or reused/recycled in accordance with applicable local, state, and Federal regulations. Documentation describing disposal of material must be furnished to the Government as part of the project closeout files. The contractor must not dispose of any project generated waste in Government receptacles or on Government grounds.

6 Quality Assurance (QA)

6.1 Overview

6.1.1 Government Project Manager (PM)

The Government has appointed a Project Manager (PM) for this project. The PM must ensure all questions of a technical nature concerning the contractual work are answered.

6.1.2 Government Quality Assurance (QA)

The Government will appoint a Quality Assurance (QA) person to ensure the Contractors QC is verifying all work is performed in accordance with the contract documents. The QA person for this contract will be identified after the contract is awarded. The QA person serves as the liaison between the contractor, PM, and the DCO. The QA person does not have the authority to modify contractual agreements.

6.1.3 Government Inspections

Contractor must allow inspection by the Government PM, QA person, DCO personnel, and District Safety and Health personnel, at any time during the life cycle of the project. The contractor must provide safe access for Government personnel visiting the project.

6.1.4 Product Data Sheets

The contractor must provide to the Government product data sheets from the manufacturer for all materials used on this job, as part of the pre-construction submittals. All materials must be delivered to the project site in new condition, in their original containers and wrapping material, with labels clearly showing all product information.

6.2 Contractor Quality Control (CQC)

Contractor Quality Control (CQC) is the means by which the contractor ensures that the construction, to include that of subcontractors and suppliers, complies with the requirements of this contract.

6.2.1 Quality Control Program (QCP)

The contractor must implement a written Quality Control Program (QCP) for performing contractual work and must designate an on-site Quality Control Manager (QCM). The contractor must provide copies of the QCP for review by the Government QA and PM. The QCP is one of the pre-construction submittals. The QCP must, at minimum, include the following to cover all construction operations, both on-site and off-site, including work by subcontractors, fabricators, supplies, and purchasing agents:

• The name, qualifications (in resume format), duties, responsibilities, and authorities of the person assigned the QCM.

• Procedures for scheduling, reviewing, certifying, and managing submittals, including those of subcontractors, off-site fabricators, supplies, and purchasing agents.

• Procedures for procurement, storage of materials and equipment, coordination of subcontractor’s activities, and inspections and tests require to be sure that the specified materials are used and installation is acceptable to produce the required end product. The plan must list any required tests to be performed (See Section 12), state who will be responsible for the results, and who will prepare and sign reports.

• Procedures for tracking construction deficiencies from identification through acceptable corrective action.

These procedures must establish verification that identified deficiencies have been corrected.

Acceptance of the contractor’s QCP is required prior to the start of construction. At the pre-construction meeting, the QCP will be discussed along with the relationship between the contractor and the Government. The PM must be available at all times to discuss the planned QC operations. It may be advantageous for the contractor to make incremental submittals of the plan. The Government reserves the right to require the contractor to make changes in his QCP plan and operations including removal of personnel, as necessary, to obtain the quality specified.

7 Communication

During the execution of the contract, the PM must receive weekly status reports from the contractor on issues such as milestones met and/or missed, and issues standing in the way of project completion. The DCO must be the communication hub for the Government QA Person, PM, and the contractor regarding clarification of contractual issues. By adhering to the established lines of communication, it will reduce or avoid generation of duplicate requests for information, which may inadvertently result in the Government or the contractor to the acceptance of contractual changes without official approval by the DCO.

8 Repair/Restoration of Government Property Contractor, at no expense to the Government, is required to protect all Government facilities, grounds, equipment, sidewalks, and pavement during construction. All Government structures, grounds, and equipment disturbed by contractor during the performance of work must be returned to a pre-work condition prior to request of final payment.

Damages to Government property that were caused by contractor and/or sub-contractor will be repaired at no expense to the Government by the prime contractor.

9 Work Stoppage, Contract Cancellation Actions The Mount Morris Dam Park Manager, PM, or Government QA person may issue temporary “Stop Work” notification if they find activities or job site conditions are in violation of Federal, Department of Defense, State or local health, safety and/or environmental standards, laws and regulations. The District Safety Officer (DSO), the DCO, and the PM must be contacted immediately after a Stop Work notification order is issued or rescinded.

Violation of health, safety or environmental regulations committed by the contractor must not be grounds for compensation by the Government to the contractor. Refer to contractual documents provided by the District Contracting Office regarding additional work stoppage and/or contract cancellation actions.

10 Material Change Orders Once equipment and materials are approved and accepted by the Government, the contractor must not substitute equipment or materials without providing a detailed explanation for the substitution. Changes in materials will require full justification and approval from the DCO. Modifications to contractual documents must be reviewed by the contractor, Government QA person and PM, and approved by the Government’s DCO. Requests for modifications must be in writing explaining the reasons for the modification, detailed description of the modification and what the benefits are, and an estimated cost broken down by materials, labor and equipment for prime and subcontractor work.

11 Liquidated Damages Liquidated damages will not be included.

12 Inspection/Testing

12.1 Pre-Final/Final Inspection

Upon completion of the work, the Government will perform a pre-final inspection to verify that the project is complete. A Government pre-final punch list may be developed as a result of this inspection. If contractual requirements are not met, this list must be provided to the DCO, who will bring them to the attention of the contractor.

The contractor’s QC supervisor must ensure that all items on this list have been corrected in a timely manner before notifying the Government, so that a final inspection with the Government and contractor can be scheduled. The contractor’s QC supervisor, PM, DCO representative, and QA person must be in attendance at the final acceptance inspection.

13 Completion The contract will not be deemed fulfilled until all submittals, products, services, equipment, material, installation, construction work, and final inspection is provided by the contractor under the terms of the contractual documents and found satisfactory to the DCO.

14 Payment The project will be paid for on as per job basis, the price for which includes all labor, materials, equipment, mobilization/demobilization, disposal, and other costs required to complete the work. Partial payment(s) may be made; this will be discussed at the pre-construction meeting.

15 Warranty

15.1 Warranty Period

Contractor must, at a minimum, warranty all workmanship against deficiencies for a period of three (3) year(s) from the date of acceptance of the work. The contractor must also provide the manufacturer’s warranty for newly installed equipment and/or materials produced by said manufacturer. The period of warranty must commence at time of Government's acceptance of the work. If within the warranty period the installed equipment/materials experiences failures, breakdowns, excessive wear, or become unreliable, the costs to repair or replace installed equipment and materials must be borne by the prime contractor. The warranty must bear the name of the Buffalo District, U.S. Army Corps of Engineers as the recipient of the warranty and display the period of coverage. All warranties must be submitted prior to request of final payment on this contract.

15.2 Repairs

When repairs are required because of factory issues or defective workmanship during the warranty period, contractor must make such repairs within 72 hours of notification. When repairs are not performed within the specified time, emergency repairs performed by others will not void the warranty and contractor must reimburse the Government for the cost of said repairs. Contractor must not bill the Government for costs of repair work and delay of payment due to repair work. Contractor must resolve defective workmanship and/or problems with materials used and services provided.

16 Safety

Refer to Attachment #4 for Government safety requirements.

17 Security

17.1 Access and General Protection/Security Policy and Procedures All contractor and all associated sub-contractors employees must comply with applicable installation, facility and area commander installation/facility access, and local security policies and procedures, which will be provided by a Government representative. The contractor must also provide all information required for background checks or background investigation and to meet installation/facility access requirements to be accomplished by the Army Corps of Engineers (USACE) Buffalo District Emergency Management Office. Contractor workforce must comply with all personal identity verification requirements as directed by the Department of Defense (DOD), Headquarters Department of the Army (HQDA) and/or USACE Buffalo District 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.

17.1.1 Candidate Pre-Screening

The contractor must pre-screen candidates using the E-verify Program (http://www.uscis.gov/e-verify) website to meet the established employment eligibility requirements. The vendor 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. An initial list of verified/eligible candidates must be provided to the COR no later than 3 business days after the initial contract award.

17.1.2 Background Investigation

For all prime and subcontractor employees working at Mount Morris Dam, the following Personally Identifiable Information (PII) must be provided for the US Army Corps of Engineers to perform a limited background check:

Complete name, social security number, driver’s license number, date of birth, place of birth, and current address of residence. This information is mandatory before any workers will be allowed to enter the facility. The contractor must allow up to twenty-one (21) calendar days from time of receipt for Government completion of background checks. Work may not begin until Government clearance of employees is given to the prime contractor.

17.1.3 Suspicious Activity Reporting Training

The contractor and all associated sub-contractors must receive a brief/training provided by the PM on the local suspicious activity reporting program. This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the project manager, security representative or law enforcement entity. This training must be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance with the results reported to the PM no later than five calendar days after the completion of the training.

17.2 Start of Work

Contractor must notify the PM of their planned arrival at the project to start work at least seven (7) calendar days in advance. Contractor must submit a weekly work schedule thereafter by no later than the Friday before the coming work week.

17.3 Arrival/Departure

Contractor is required to notify the Government QA person or Mount Morris DamManager of their arrival to and departure from the project site. A similar notification is required if there must be any deviation or cancellation of a scheduled workday during the life of the project.

17.4 Video/Camera Equipment

Contractor must not transport or use video or camera equipment while working at Mount Morris Dam unless permission to do so is requested through the Manager and approval is granted by the Buffalo District Security Officer.

18 Submittals

18.1 Bid Submittals

The following submittals are required from the contractor under this Scope of Work to be submitted with the bid proposal:

• Complete Bid Schedule with prices for all base. (See Attached)

• Contractor experience as stated in Section 5.1

• Other documentation as required by the DCO:

o Representations and certifications

• All submittals must be accompanied by ENG FORM 4025 coversheet

18.2 Pre-Construction Submittals

All submittals are required as per the timeline described in Section 5.2 of this SOW:

• Project Submittals

• Safety Data Sheets

• Fall Protection Plan

• Contractor timeline showing start and completion of contractual work

• Contractor employees Personally Identifiable Information (PII)

• Contractor Quality Control Program (QCP)

• Accident Prevention Plan (APP) in attachment #5 with Activity Hazard Analysis (AHA’s): Safety and health submittals as described in Attachment #6 of this Scope of Work will be submitted to the DCO. Safety and health submittals will be reviewed and accepted in writing by the COR prior to commencement of work.

• All materials/equipment data sheets provided under the contract, including but not limited to:

o All Cellular Booster equipment to be installed, cabling/wiring

18.3 Project Completion Submittals

All submittals are required as per the timeline described in Section 5.2 of this SOW:

• All required submittals required under this contract.

• Individual Component/System Testing Reports

• Manufacturer warranty for newly installed equipment and material.

• Contractor warranty for all work performed under this contract.

• Applicable equipment O&M manuals, shop drawings, maintenance and repair instructions.

• All required training on inspection and preventive maintenance of newly installed equipment and materials.

• Documentation for disposal of project waste material.

• Monthly Man-Hour Exposure Report

END OF STATEMENT OF WORK

Attachment #1 – Bid Schedule Attachment #2 – Directions to Mount Morris Dam Attachment #3 – Visitor Center and Maintenance Garage Attachment #4 – Government Safety Requirements Attachment #5 – Accident Prevention Plan (APP) Checklist Attachment #6 – Activity Hazard Analysis (AHA) Attachment #7 – Accident Investigation Form ENG 3394 Attachment #8 – USACE Buffalo District Monthly Man Hour Exposure Report

Attachment #1 – Bid Schedule Mount Morris Dam, Mount Morris, New York

Cellular Signal Booster Feb 2021

Item No. Description Bid Quantity Bid Unit Unit Price ($) Price ($)

1 (Base) Mobilization and Demobilization 1 JA

2 (Base) Install Antenna and Signal Booster 1 JA

TOTAL BASE BID AMOUNT (Item(s) 1-2): ________________

TOTAL BID AMOUNT (Item(s) 1-2): ________________

Attachment #2 – Directions to Mount Morris Dam

6103 Visitor Center Road Mount Morris, NY 14510

The William B. Hoyt II Visitor Center access road (Visitor Center Rd) is located approx. 1.7 miles South of Mount Morris and 11 Miles North of Nunda on SR 408.

From the north:

(Interstate 90) take 390S to exit 7 - Mount Morris/Letchworth, 5 miles south on Route 408. Turn onto Visitor Center Rd; continue for about 1.25 miles.

From the south:

(Route 17, I-86) take 390N to exit 6 - Sonyea, 7 miles north on Route 36, then two miles south on Route 408. Turn onto Visitor Center Rd; continue for about 1.25 miles.

Distance in Miles Rochester, NY………...35 Binghamton, NY…………..138 Buffalo, NY………...…75 Williamsport, PA………….144 Elmira, NY……………81 Cleveland, OH…………….200 Syracuse, NY…………111 Pittsburg, PA……………...300

Attachment #3 – Visitor Center and Maintenance Garage

Attachment #4 – Government Safety Requirements

The contractor must follow all applicable safety requirements detailed in the Unified Facilities Guide Specifications (UFGS) 01-35-26, Safety & Health Requirements Manual EM 385-1-1, OSHA 29 CFR 1910 Occupational Safety and Health Standards, OSHA 29 CFR 1926 Safety and Health Regulations for Construction, National Electric Code and any other applicable New York State or Federal regulations. Required submittals are listed below.

Submittals required prior to performance of each bid item:

• Accident Prevention Plan (APP) with APP Checklist, (Attachment 5)

• Activity Hazard Analysis (for each definable feature of work), (Attachment 6)

• Proof of qualifications for Site Safety and Health Officer(s) (SSHO); to include copy of the 30-hour OSHA construction safety class completion certificate and resume including five (5) years of similar project experience in supervising/managing safety programs to include hazardous energy control, lock out tag out, and fall protection plan.

• List of Competent Persons and Qualified Persons for Lock Out Tag Out, Fall Protection, Confined Space, etc.

Provide resume and applicable certificates.

• First Aid / CPR Certificates (at least 2 employees on-site at all times)

Submit reports as required

• Eng Form 3394 Accident Investigation Report as incidents occur, (Attachment 7)

• Monthly Man-Hour Reports by the 5th day of each month, (Attachment 8)

Overarching UFGS and EM 385-1-1 requirements, all contractor accidents involving injuries, illnesses or property damage, occurring during the execution of this contract must be reported to USACE immediately within the contractor becoming aware of its occurrence. Reporting injuries, illness or property damage to the Contracting Officer Representative (COR) may be sufficient. Based upon the severity of the injury, illness or property damage, more detailed reporting may be required. More detailed notification will include contractor name; contract title; type of contract; name of activity, installation or location where accident occurred; date and time of accident; names of personnel injured; extent of property damage, if any; extent of injury, if known, and brief description of accident (to include type of construction equipment used, PPE used, etc.

Work must not begin until the AHA has been submitted to, and accepted by the USACE Buffalo District Contracting Officer or COR. The AHA must be prepared following the format found in USACE publication USACE Safety and Health Requirements Manual EM 385-1-1.

During the performance of work, the contractor must create procedures for control and safety of persons visiting the site and USACE personnel conducting their normal daily activities transgressing between buildings in the vicinity of the work area. Contractor is responsible for his personnel and for familiarizing each of his subcontractors and all visitors with safety requirements. Contractor must advise the Contracting Officer of any special safety restriction he has established so that Government personnel can be notified of these restrictions. The SSHO must be present on-site whenever project-related work is being executed. The buddy system must be utilized. The contractor must permit safety inspections of all work being performed.

Attachment #5 – Accident Prevention Plan (APP) Checklist

CONTRACTOR ACCIDENT PREVENTION PLAN (APP) CHECKLIST

(EM 385-1-1, Appendix - A, dated 30 Nov 2014)

Minimum Basic Outline for APP The APP is the Contractor Safety and Health Program Document. The following Site Specific Areas will be addressed:

NOTE: 1. Contractor will complete Checklist and Submit with their APP.

NOTE: 2. Contractor APP WILL be submitted in format below.

NOTE: 3. Safety Office will review Contractor APP and return to PM /COR.

NOTE: 4. Contractor APP's ARE NOT APPROVED by the USACE, only found as Acceptable or Non-Acceptable.

Safety Office Review Status: ACCEPTED BY/DATE: NOT ACCEPTED BY/DATE:

Contractor Name: _______________________________________________________

Contract No: _________________________________

Project Title & Location: Included? Location

Page(s) Yes No N/A

ALL CHECKLIST ITEMS WILL BE COMPLETED!

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 Approval by company/corporate officers authorized to obligate the company (e.g. owner company president, regional vice president etc.)

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 (map);

equipment to be used; anticipated high risk activities

e. Major phases of work anticipated and activities that will require an AHA

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

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

a. A statement of the employer’s ultimate responsibility for the implementation of his SOH program for his own employees, all sub-contractors and all others on the worksite.

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. Per EM 385-1-1 01.A.17, the SSHO is required to have as a minimum the OSHA 30-hour Construction Safety course and construction industry safety experience; and must be on-site at all times when work is 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 and details of the employers Risk Management Process (i.e.AHAs)

e. Requirements for activity specific AHAs to be submitted and accepted at preparatory meetings, prior to work being performed;

f. Requirements that no work by the Contractor shall be performed unless a designated CP/SSHO is present at the job site;

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

h. Lines of authority;

i. 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.

7. SAFETY AND HEALTH INSPECTIONS.

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

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

8. MISHAP REPORTING AND INVESTIGATION. 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/incidents as soon as possible but not more than 4 hours afterwards to the Contracting Officer/Representative (KO/COR). The contractor shall thoroughly investigate the incident/accident per Section 01.D and, if applicable, submit the findings of the investigation along with appropriate corrective actions to the KO/COR in the prescribed format as soon as possible. Implement corrective actions as soon as reasonably possible and provide notice to the KO/COR when corrective actions are completed;

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. Fatigue Management Plan (01.A.20);

b. Emergency Plans (01.E);

c. Site Sanitation/ Housekeeping Plan (Section 02.B);

d. Medical Support Agreement (03.A.01; 03.A.03);

e. Blood Borne Pathogen Program (03.A.05);

f. Exposure Control Plan (03.A.05);

g. Automatic External Defibrillator (AED) Program (03.B.04);

h. Site Layout Plan (04.A);

i. Access / Haul Road Plan (04.B);

j. Hearing Conservation Program (05.C);

k. Respiratory Protection Plan (05.G);

l. Health Hazard Control Program (06.A);

m. Hazard Communication Program (06.B.01);

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

o. Lead Compliance Plan (06.C.02 & specifications);

p. Asbestos Abatement Plan (06.C.03 & specifications);

q. Radiation Safety Program (06.F);

r. Abrasive Blasting Procedures (06.I.01);

s. Heat Stress Monitoring Plan (HSMP) (06.J.02);

t. Cold Stress Monitoring Plan (CSMP) (06.J.04);

u. Indoor Air Quality Management Plan (06.L);

v. Mold Remediation Plan (06.L.04);

w. Chromium (VI) Exposure Evaluation (06.M);

x. Crystalline Silica Evaluation (06.N.02) ;

y. Lighting Plan for Night Operations (07.A.06);

z. Traffic Control Plan (08.C.05);

aa. Fire Prevention Plan (09.A.01);

bb. Wild Land Fire Management Plan (09.L);

cc. Arc Flash Hazard Analysis (11.B);

dd. Assured Equipment Grounding Control Program (AEGCP) (11.D.05, Appendix E);

ee. Hazardous Energy Control Program & Procedures (12.A.01);

ff. Standard Pre-Lift Plan – Load Handling Equipment (16.A.03);

gg. Critical Lift Plan – Load Handling Equipment (16.H);

hh. Naval Architecture Analysis – Load Handling Equipment (Floating) (16.L);

ii. Floating Plant Inspection and Certification (19.A.01);

jj. Severe Weather Plan for Marine Activities (19.A.03);

kk. Emergency Plan for Marine Activities (19.A.04);

ll. Man Overboard/Abandon Ship Procedures (19.A.04);

Page(s) Yes No N/A

mm. Float Plan for Launches, Motorboats, and Skiffs (19.F.04);

nn. Fall Protection & Prevention Plan (21.D);

oo. Demolition/Renovation Plan (to include engineering survey) (23.A);

pp. Rope Access Work Plan (24.H2);

qq. Excavation / Trenching Plan (25.A.01);

rr. Fire Prevention and Protection Plan for Underground Construction (26.D.01);

ss. Compressed Air Work Plan for Underground Construction (26.D.01);

tt. Erection and Removal Plan for Formwork and Shoring (27.C);

uu. Precast Concrete Plan (27.D.01);

vv. Lift Slab Plans (27.E);

ww. Masonry Bracing Plan (27.F.01);

xx. Steel Erection Plan (28.B);

yy. Explosives Safety Site Plan (ESSP) (29.A);

zz. Blasting Safety Plan (29.A; 26.J);

aaa. Dive Operations Plan (30.A.14 & 30.A.16);

bbb. Safe Practices Manual for Diving Activities (30.A.15);

ccc. Emergency Management Plan for Diving (30.A.18);

ddd. Tree Felling and Maintenance Program (31.A.01);

eee. Aircraft/Airfield Construction Safety & Phasing Plan (CSPP) (32.A.02);

fff. Aircraft/Airfield Safety Plan Compliance Document (SPCD) (32.A.02);

ggg. Site Safety and Health Plan for HTRW (33.B);

hhh. Confined Space Entry Procedures (34.A.05);

iii. Confined Space Program (34.A.06);

10. RISK MANAGEMENT PROCESSES. Detailed project-specific hazards and controls shall be provided by an Activity Hazard Analysis (01.A.14, 01.A.15) for each major phase/activity of work.

Attachment #6 – Activity Hazard Analysis (AHA)

Attachment #7 – Accident Investigation Form ENG 3394

Attachment #8 – USACE Buffalo District Monthly Man Hour Exposure Report

Contract No. __________________________________________________ Month/Year __________________________________________________

P/R WEEK WEEK DAYS PER

PROJECT NAME & LOCATION

TYPE OF CONTRACTOR MANHOURS # OF LOST WORKDAYS # OF DAYS SINCE LAST

# BEGINNING ENDING WEEK OPERATION NAME WORKED DUE TO INJURY LOST WORKDAY

TOTALS 0.0 0.0