A02_-_SOW_-_APP_B_-_F.pdf

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JANITORIAL SERVICES AT LAKE SHELBYVILLE, SHELBYVILLE, IL
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W912P918B0010
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APPENDIX B - F

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APPENDIX B

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

APPENDIX C

Location of Trails for Trail Litter Removal

Bo Wood Along shore fishing berm in picnic area

Coon Creek By Site 15 Across from Site 21 and 22 Behind site 23, 67, and 82 Between sites 148 and 149 South side of turnaround across from site 159 By site 202 and comfort station #8 Across from site 212 North side of boat ramp parking lot (nature trail)

Lithia Springs By Site 11 Behind site 12 to tower By site 31 Between sites 32 and 33 Between sites 54 and 55 North edge of beach turnaround (entire shoreline - boat parking area) By site 87 (behind gate) Between sites 76 and 77 Between sites 91 and 92

Lone Point Between sites 13 and 14 At end of turnaround by site 21 Between sites 46 and 47 Between sites 74 and 75 Behind Picnic Shelter 2

Whitley Creek North of boat ramp starting at the bench along the mowed path to the shoreline

Opossum Creek By sites 12 and 13

Dam East Path down to and along shoreline on west side of picnic area

Wilborn Creek Steps down to and along shoreline north of picnic area

APPENDIX D-1

Recreation Area

Complete Cleaning Partial Cleaning

Shower Building

Flush Comfort Station

Vault Comfort Station

Routine Litter

Shower Building

Flush Comfort Station

Vault Comfort Station

Routine Litter

Dam East 0 1 0 1 0 1 0 1

Dam West 1 4 0 1 0 Pa

Pa

Spillway 0 3 0 1 0 0 0 0

Lithia Springs 3 6 0 1 0 1 0 1

Opossum Creek 1 2 0 1 0 1 0 1

Coon Creek 4 10 0 1 3 8 0 1

Lone Point 1 4 0 1 0 1 0 1

Whitley Creek 0 1 0 1 0 0 0 0

Bo Wood 3 3 0 1 1 0 0 1

Wilborn Creek 1 2 0 1 P/Pa/Pb

1/0/0 P/Pa/Pb

1/1/2

P/Pa/Pb 1/1/1

Sullivan Beach 1 0 0 1 0 0 0 0

Camp Camfield 0 0 1 1 0 0 0 0

Area F 0 0 0 0 0 0 0 0

Complete Cleanings represented by a “C” on the schedules.

These totals reflect the total number of facilities in each recreation area. This is the current condition and does not reflect any remodel, additions, or future planned work. The area maps in Appendix A show the locations of these current facilities/conditions and their designated number.

Partial Cleanings represented by a “P”, “Pa”, or “Pb” on the schedules.

These totals reflect the number of facilities that may be serviced when a portion of the recreation area is either closed or not being serviced. In general, this is when a campground or beach is closed while its associated boat ramp remains open or when individual less-used buildings are not cleaned as frequently as the rest of the recreation area. The COR will identify the individual affected facilities in each recreation area.

APP. D-1

Recreation Area

Periodic Complete Cleaning Periodic Partial Cleaning

Weekly B i-

M o n th ly

M o n

Annually Weekly B i-

M o n

M n

Annually

P ic n ic

S h e lt e r

B e n c h S h e lt e r

In fo rm a ti n

S ta ti

T ra ile r

D u m p ti

A p h it h e a te r

G ri ll

P ic n ic

T a b le

C a m p s it e

T a

G te A tt e n d a n t

S ta ti ic n ic

S h e lt e r

B e n c h S h e lt e r

In fo rm a ti ti

T ra ile r

D u ti p h it h e a te r

G ri ll

P ic n ic

T a m p s it e

T a te A tt e n d a n t

S ta ti

Dam East 1 0 2 0 0 19 22 0 0 0 0 0 0 0 0 0 0 0

Dam West 4 8 6 0 0 43 48 0 0 3 3 4 0 0 13 15 0 0

Spillway 2 2 2 0 0 14 17 0 0 0 0 0 0 0 0 0 0 0

Lithia Springs 0 2 2 1 1 106 0 106 1 0 0 0 0 0 0 0 0 0

Opossum Creek 0 0 2 1 0 64 0 64 1 0 0 2 0 0 0 0 0 0

Coon Creek 0 1 3 1 1 189 0 189 1 0 0 3 1 0 173 0 173 0

Lone Point 2 0 4 1 1 88 2 88 1 1 0 3 0 0 2 2 0 0

Whitley Creek 0 0 1 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0

Bo Wood 1 0 2 2 1 142 5 142 1 0 0 0 0 0 4 5 0 0

Wilborn Creek 0 0 3 0 0 38 24 17 0 0 0 2 0 0 5 6 0 0

Sullivan Beach 1 0 1 0 0 13 15 0 0 0 0 0 0 0 0 0 0 0

Camp Camfield 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Lithia Chautauqua 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0

Area F 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

This is the current quantity of facilities to be cleaned when the schedules in Appendix E indicate a complete or partial cleaning.

Periodic Cleaning is done at the discretion of the COR.

APP. D-2

p p e n d ix

E -1

E xa m p le o f C le an in g

Sc h e d u le

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Appendix E-2- Tenative 2018 Cleaning Schedule

Lake Shelbyville Schedule of Recreation Area Cleaning Services April 2018 Cleaning

Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M April 2018 Cleaning

Facility 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Facility B C P Pa L

C C C C C C C C C C C C C 13 0 0 0 3 3 3 3 3 3 3 3 3 3 3 3 3 39 0 P P P P P P P P P P P P P 0 13 0 0 7 7 7 7 7 7 7 7 7 7 7 7 7 91 C C C C C C C C C C C C C 13 0 0 0 4 4 4 4 4 4 4 4 4 4 4 4 4 52

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

C C C C C C C C C C C C C 13 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 13

0 0 0 0

P P P P P P P P C C C C C C C C C 9 8 0 0 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 85

C C C C 4 0 0 0 1 1 1 1 4

Pa Pa Pa Pa Pa Pa Pa Pa Pa Pa Pa Pa Pa 0 0 13 0 1 1 1 1 1 1 1 1 1 1 1 1 1 13

"AREA" - C All comfort stations and shower buildings(if present) + litter

Spillway P 3 Comfort Stations and Litter 297 52 21 13 0 Dam West - Pa Overlook and litter Dam West - P All comfort stations and litter (No beach)

Opossum Creek - P Boat ramp comfort station and litter

Lithia Springs-P Boat ramp comfort station and litter

Wilborn Creek - Pa Boat ramp comfort station and litter

Bo Wood - P Boat ramp comfort station, area 5, and litter

Lithia and Bo wood Open

Power Wash Lithia and Bo Wood Buildings

Dam East Dam East

Dam West Dam West

Spillway Spillway

Lithia Springs Lithia Springs

Opossum Creek Opossum Cre

Coon Creek Coon Creek

Lone Point Lone Point

Okaw Bluff Area F

Whitley Creek Whitley Creek

Wilborn Creek Wilborn Creek

Sullivan Beach Sullivan Beach

Bo Wood Bo Wood

Camp Camfield Camp Camfie

Appendix E-2- Tenative 2018 Cleaning Schedule

Lake Shelbyville Schedule of Recreation Area Cleaning Services April 2018 Cleaning

Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M April 2018 Cleaning

Facility 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Facility B C P Pa L

C C C C C C C C C C C C C 13 0 0 0 3 3 3 3 3 3 3 3 3 3 3 3 3 39 0 P P P P P P P P P P P P P 0 13 0 0 7 7 7 7 7 7 7 7 7 7 7 7 7 91 C C C C C C C C C C C C C 13 0 0 0 4 4 4 4 4 4 4 4 4 4 4 4 4 52

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

C C C C C C C C C C C C C 13 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 13

0 0 0 0

P P P P P P P P C C C C C C C C C 9 8 0 0 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 85

C C C C 4 0 0 0 1 1 1 1 4

Pa Pa Pa Pa Pa Pa Pa Pa Pa Pa Pa Pa Pa 0 0 13 0 1 1 1 1 1 1 1 1 1 1 1 1 1 13

"AREA" - C All comfort stations and shower buildings(if present) + litter

Spillway P 3 Comfort Stations and Litter 297 52 21 13 0 Dam West - Pa Overlook and litter Dam West - P All comfort stations and litter (No beach)

Opossum Creek - P Boat ramp comfort station and litter

Lithia Springs-P Boat ramp comfort station and litter

Wilborn Creek - Pa Boat ramp comfort station and litter

Bo Wood - P Boat ramp comfort station, area 5, and litter

Lithia and Bo wood Open

Power Wash Lithia and Bo Wood Buildings

Dam East Dam East

Dam West Dam West

Spillway Spillway

Lithia Springs Lithia Springs

Opossum Creek Opossum Cre

Coon Creek Coon Creek

Lone Point Lone Point

Okaw Bluff Area F

Whitley Creek Whitley Creek

Wilborn Creek Wilborn Creek

Sullivan Beach Sullivan Beach

Bo Wood Bo Wood

Camp Camfield Camp Camfie

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)

P E

N D

IX

F

A02 - SOW - APP E-2.pdf
April 2018
A02 - SOW - Appendix D-2 - Periodic Cleaning of Rec Areas.pdf
APP. D-2
A02 - SOW - APP E-2.pdf
April 2018
A02 - SOW - APP F - Accident Prevention Program.pdf
ACCIDENT PREVENTION PROGRAM
JOB HAZARD ANALYSIS

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