A02-AppendicesA-E.pdf
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- W912P918B0009
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APPENDICES TO THE INVITATION FOR BID FOR LANDS MANAGMENT SERVICES AT LAKE SHELBYVILLE, SHELBYVILLE, ILLINOIS. THESE APPENDICES ARE REFERRED TO THROUGHOUT THE SCOPE OF WORK.
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| A22-W912P918B0009-IFBF.pdf |
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Appendix A-1
Appendix A-2 Hunter Fisherman Parking Lot Map
1. Hunter Lake
2. Lithia Bridge
3. Compartment 5
4. Compartment 7
5. Woodard Road
6. Gun Club Road
7. South Sand Cr. Road
8. Sand Cr. Bridge
9. Rees Ridge
10. Wolf Creek Bridge
11. Wolf Road
12. Beaver Lake
13. South Shores
14. Bruce West
15. Hugh’s Ridge
16. South Crooked Bridge
17. North Crooked Bridge
18. Bruce East
19. Whitley Creek Dove Field
20. Woods Lake East
21. East Slaughterhouse
22. West Slaughterhouse
23. McClure Pond
24. Coalshaft North
25. Coalshaft South
26. Liberty Access
27. Findlay Bridge
28. South Findlay Access
29. North Findlay Access
30. Wright Cemetary
31. Johnson’s Bluff
32. Wilborn Creek Dove
33. Ivan’s Beanfield
34. Camp Camfield Bridge
35. Mahoney Road (Lot 1)
36. Mahoney Road (Lot 2)
37. Eagle Creek Cove Road
38. Old Lithia
39. Okaw Bluff East
40. Lone Point East
41. Kirkwood Access
42. Woods Lake West
43. Woods Lake East
Appendix A-3
Hunter/Fisherman Parking Lot Names
1. Hunter Lake
2. Lithia Bridge
3. Compartment 5
4. Compartment 7
5. Woodard Road
6. Gun Club Road
7. South Sand Cr. Road
8. Sand Cr. Bridge
9. Rees Ridge
10. Wolf Creek Bridge
11. Wolf Road
12. Beaver Lake
13. South Shores
14. Bruce West
15. Hugh’s Ridge
16. South Crooked Bridge
17. North Crooked Bridge
18. Bruce East
19. Whitley Creek Dove Field
20. Woods Lake East
21. East Slaughterhouse
22. West Slaughterhouse
23. McClure Pond
24. Coalshaft North
25. Coalshaft South
26. Liberty Access
27. Findlay Bridge
28. South Findlay Access
29. North Findlay Access
30. Wright Cemetary
31. Johnson’s Bluff
32. Wilborn Creek Dove Field
33. Ivan’s Beanfield
34. Camp Camfield Bridge
35. Mahoney Road (Lot 1)
36. Mahoney Road (Lot 2)
37. Eagle Creek Cove Road
38. Old Lithia
39. Okaw Bluff East
40. Lone Point East
41. Kirkwood Access
42. Woods Lake West
43. Woods Lake East
ANNUAL PEST CONTROL PLAN
ANTICIPATED USAGE
REPORT X ACTUAL USAGE REPORT
FIELD OFFICE: Lake Shelbyville DISTRICT: St. Louis
CALENDAR YEAR: DATE: PAGE:
PESTICIDE TRADE NAME: EPA CLASS: EPA REGISTRATION NO:
TARGET PEST:
LOCATION DESCRIPTION:
TOTAL ESTIMATED
QUANTITY:
TOTAL ESTIMATED
ACREAGE:
PESTICIDE TRADE NAME: EPA CLASS: EPA REGISTRATION NO:
TARGET PEST:
LOCATION DESCRIPTION:
TOTAL ESTIMATED
QUANTITY:
TOTAL ESTIMATED
ACREAGE:
PESTICIDE TRADE NAME: EPA CLASS: EPA REGISTRATION NO:
TARGET PEST:
LOCATION DESCRIPTION:
TOTAL ESTIMATED
QUANTITY:
TOTAL ESTIMATED
ACREAGE:
PESTICIDE TRADE NAME: EPA CLASS: EPA REGISTRATION NO:
TARGET PEST:
LOCATION DESCRIPTION:
TOTAL ESTIMATED
QUANTITY:
TOTAL ESTIMATED
ACREAGE:
PESTICIDE TRADE NAME: EPA CLASS: EPA REGISTRATION NO:
TARGET PEST:
LOCATION DESCRIPTION:
TOTAL ESTIMATED
QUANTITY:
TOTAL ESTIMATED
ACREAGE:
Appendix B
A C
C
ID
EN
T PR
EVEN
TIO
N
PR
O G
R A
M
JO
B
H A
ZA
R
D A
N A
LYSIS
1.
C ontract N
o. N /A
2.Project: Lake S helbyville
3.
Facility:
4.
D ate:
5. Location:
6.
Estim ated Start D ate:
7.
Item
8.Phase of W ork:
9.
Safety H azard:
10.
Precautionary A ction Taken:
11.
C ontractor/Volunteer:
(S ignature and D ate)
12.
R eport discussed w ith C ontractor/Superintendent on:
A rea/R esident E ngineer (S ignature and D ate)
13.
C ontracting O fficer or C ontracting O fficer
R epresentative:
(S ignature and D ate)
APPENDIX C
APPENDIX D
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 E
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 - SOW - Appendix B.pdf |
| ANNUAL PEST CONTROL PLAN |
| A02 - SOW - Appendix C.pdf |
| ACCIDENT PREVENTION PROGRAM |
| JOB HAZARD ANALYSIS |
| A02 - SOW - APPENDIX D.pdf |
| QUALITY ASSURANCE SURVEILLANCE PLAN |
| EXAMPLE: |
| EHR/60 minutes X inspection minutes = Deduction |
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