A22_Attachment_J_appendix.pdf

Appendix B

APPENDIX C

Proper pruning methods for both hardwoods and conifers.

Illustration of proper and improper pruning cuts.

ACCIDENT PREVENTION PROGRAM

JOB HAZARD ANALYSIS

1. Contract No. N/A 2. Project: Lake Shelbyville 3. Facility:

4. Date: 5. Location: 6. Estimated Start Date:

7. Item:

8. Phase of Work:

9. Safety Hazard: 10. Precautionary Action Taken:

11. Contractor/Volunteer:

(Signature and Date)

12. Report discussed with Contractor/Superintendent on:

Area/Resident Engineer (Signature and Date)

13. Contracting Officer or Contracting Officer Representative:

(Signature and Date)

A P

P E

N D

IX

D

APPENDIX E

QUALITY ASSURANCE SURVEILLANCE PLAN

1. Quality Assurance Surveillance Plan (QASP). This plan will be used to assure the Government that the work specified under this contract is completed satisfactorily.

1.1. Requested Work. Work that is performed as requested will be listed and inspected 100% as time and personnel permits. Deficiencies must be corrected within 48 hours after the contractor has been notified by the Government.

1.2. Customer Complaints. Information gathered verbally or in writing from employees or the public about specific deficiencies in services provided as a part of this contract will not be used to withhold payment. All complaints will be verified by a Government Quality Assurance Inspector, which may be used to withhold payment until the contractor corrects the deficiencies. Customer complaints may also be used to substantiate findings of other sampling procedures used by the Government as a part of the QASP.

1.3. Re-inspections. Should it become necessary for the Government's Quality Assurance Inspector to perform re-inspections of defective work that was required to be redone (due to failure of contractor Quality Control System to locate and cure these deficiencies prior to inspections), there will be a re-inspection/administration charge equal to the Actual Government Cost (AGC) at the Effective Hourly Rate (EHR) applied to re-inspect requested work. The AGC re-inspection time will start the minute the inspector is called and/or stops other duties to perform the re-inspection and will end after the inspector returns to their duty site after the inspection. These charges will be deducted from the contractor's monthly invoice. Re-inspection charges will only be charged when contractor has been given the opportunity to do over again work that was not originally performed correctly. Deductions for re-inspection will be taken based on the following example:

EXAMPLE:

a. Re-inspection of tree removal is required in Coon Creek and in Bo Wood. The Government's Inspector was at the office at the time she was called to re-inspect. Her actual time to inspect the two parks and return to her duties at the office was 105 minutes. The Effective Hourly Rate (EHR) for the inspector was $11.30 per hour.

The re-inspection deduction will be made as follows:

EHR/60 minutes X inspection minutes = Deduction

$11.30/60 X 105 = $19.78

1.3.1. Monitoring. Inspections of all services performed under this contract will be performed 100% as time and personnel permits. All deficiencies in services will be brought to the attention of the contractor for corrective action.

APPENDIX F

CONTRACT DISCREPANCY REPORT

For use of this form, see DA PAM 715-15; the proponent agency is DCSLOG.

1. CONTRACT NUMBER

2. TO: (Contractor and Manager Name)

3. FROM (Name of QAE)

DATES

PREPARED

ORAL NOTIFICATION

RETURNED BY

CONTRACTOR

ACTION COMPLETE

4. DISCREPANCY OR PROBLEM (Describe in Detail; Include reference in PWS/Directive; Attach continuation sheet if necessary)

5. SIGNATURE OF CONTRACTING OFFICER'S REPRESENTATIVE

6. TO: (Contracting Officer's Representative)

7. FROM: (Contractor)

8. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. ATTACH CONTINUATION SHEET IF NECESSARY. (cite applicable Q.A. program procedures or new A.W. procedures.)

9. SIGNATURE OF CONTRACTOR REPRESENTATIVE

10. DATE

11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, rejection; attach continuation sheet if necessary.)

12. GOVERNMENT ACTIONS (Payment deduction, cure notice, show cause, other.)

CLOSE OUT

CONTRACTOR

NOTIFIED

NAME AND TITLE

SIGNATURE

DATE

QAE

CONTRACTING

OFFICER'S

REPRESENTATIVE

A02_APPENDIX F