A.2.11.3.1_17R0023-Amd_02.pdf

W912UM17R0023

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

a. Purpose of this amendment is to change Performance Work Statement(PWS) as a result of site orientation conducted on 23 August 2017.

b. A revised PWS, dated 24 August 2017 is attached.

c. All other terms and conditions of this solicitation remain the same

1. CONTRACT ID CODE PAGE OF PAGES

1 27

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

16C. DATE SIGNED

BY 25-Aug-2017

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 W912UM17R0023

X 9B. DATED (SEE ITEM 11)

17-Aug-2017

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

25-Aug-2017

CODE

CONTRACTING DIVISION

U.S. ARMY CORPS OF ENGINEERS

FAR EAST DISTRICT

UNIT #15546

APO AP 96205-5546

W912UM 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been added by full text:

PERFORMANCE WORK STATEMENT (PWS)

ASBESTOS REMOVAL, CLEAN UP, AND DISPOSAL WORK

for

Building 1320, 1325, 1326 and 318 at USAG-Daegu, Area IV, ROK

9 August 2017 Revision: 24 August 2017

1.0 LOCATION. Building 1320, 1325 and 1326 is located at Camp Henry and building 318 is located at Camp Walker, Area IV, Republic of Korea (ROK). Unless otherwise specified, the Contractor shall provide his/her own transportation, lodging, and meals while on site and in any matter directly related to this project.

2.0 REGULATORY REQUIREMENT. United States Forces Korea (USFK) Environmental Governing Standards (USFK Regulation 201-1), U.S. Federal regulatory standards for the U.S. Department of Labor, Occupational Safety and Health Administration (OSHA), U.S. Environmental Protection Agency (EPA), applicable international agreements, and U.S. and ROK occupational safety and health laws and environmental laws.

3.0 PURPOSE. Following the abatement of asbestos identified below, the Government plans to remove Asbestos Containing Material (ACM) from Building 1320, 1325 and 1326 is located at Camp Henry and building 318 at Camp Walker, Area IV, Republic of Korea (ROK).

4.0 ASBESTOS MATERIAL TO BE REMOVED. The various ACMs are located in Building 1320, 1325 and 1326 at Camp Henry and building 318 at Camp Walker. The asbestos materials are shown in Table 1 and Asbestos map and ACM photos are provided in Appendix G.

Table 1. Asbestos Containing Materials

No. Location Building Items Estimated Quantity Unit

1 Camp Henry Building

12" x 12" White Vinyl Floor Tile 1,656 SF(1)

12" x 12" Tan Vinyl Floor tile 312 SF

Transite Board for Siding w/non-ACM Exterior Wall 3,517 SF

2 Camp Henry Building

9" x 9" Green w/White Streak Vinyl Floor Tile and Mastic 548 SF

9" x 9" Grey w/White and Black Streaks Vinyl Floor Tile and Mastic 32 SF

No. Location Building Items Estimated Quantity Unit

12" x 12" White Vinyl Floor Tile 250 SF

3 Camp Henry Building

Transite Board for Wall 672 SF

Transite Board for Exterior 672 SF

4 Camp Walker Building 318 Tar Paper for Roof 528 SF

(1)SF: Square Feet

5.0 REFERENCES: The Contractor shall comply with all Korean Law, regulations and guidance listed in paragraphs 5.1 through 5.7 of this PWS regarding handling, removal, and disposal of ACM and protection of workers and the environment.

5.1 Occupational Safety and Health Standards

29 CFR 1910.1001 General Industry 29 CFR 1926.1101 Construction 29 CFR 1915.1001 Shipyard Employment 29 CFR 1910.134 Use of Respirators (General) 29 CFR 1926.59 OSHA HAZCOM Standard

5.2 Title 40, Code of Federal Regulation

Part 61 Subpart National Emission Standards for Hazardous Air Pollutants Part 61.141 Definitions

Part 61.145 Standard for Demolition and Renovation Part 763 Subpart E Asbestos Containing Materials in Schools

5.3 EPA Guidance

EPA 340/1-90-018 (1990) Asbestos/NESHAP Regulated Asbestos Containing Materials Guide

EPA 340/1-90-019 (1990) Asbestos/NESHAP Adequately Wet Guidance EPA 560/5-85-024 (1985) Guidance for Controlling Asbestos Containing Materials

Buildings, June 1985

5.4 U.S. Army Corps of Engineers (USACE):

EM 385-1-1 U.S. Army Corps of Engineers, Safety and Health Requirements Manual, Revised 30 November 2014

EP-1110-1-11 Asbestos Abatement Guideline Detail Sheets EP-1110-1-23 Asbestos Abatement and Air Monitoring -

Standard Scope of Work FED Guide Specifications Section 02 82 13.00 10, Asbestos Abatement

5.5 USFK Policy

USFK Regulation 201-1 Environmental Governing Standards

5.6 Compressed Gas Association (CGA)

CGA G-7 (1990) Compressed Air for Human Respiration CGA G-7.1 (1989, 3rd Ed) Commodity Specification for Air

5.7 ROK Law

Ministry of Environment (2017) Asbestos Safety Management Act

(2016) Waste Management Act Ministry of Labor (2016) Occupational Safety and Health Act

6.0 GENERAL REQUIREMENTS.

6.1 The Contractor shall perform all work and services in accordance with this project and shall furnish all labor, equipment, supplies, and transportation, except as otherwise specified herein.

6.2 All requests for technical information shall be made to the Far East District (FED) Contracting Officer’s Representative (COR).

6.3 All project correspondence, reports, and documents shall be identified by the project name and contract number.

6.4 With minor exceptions, work at night and weekends shall be allowed when requested. All such requests shall be submitted to the FED COR for each project site prior to field activities related to these time requests.

6.5 Supervision. During the course of the contract, any key personnel changes shall require prior written approval by the Contracting Officer(KO).

6.6 SubContractors. If the Contractor does not have the required personnel on his/her staff, appropriate subContractors must be utilized. The Contractor shall not subcontract any portion of this project to a party other than those identified in proposals without written approval from the KO.

7.0 UNEXPECTED DISCOVERY OF ACM For any previously untested building components that are suspected to contain asbestos, the Contractor shall immediately notify the FED COR by telephone and send a fax or e-mail message within four (4) hours.

8.0 WORK PLAN (WP)

All Class I and II asbestos work where critical barriers will be established shall require a work plan that will be reviewed and approved before any work may begin. The work plan shall be prepared by individuals who have current accreditation as AHERA Project Designer. The site specific work plan shall provide detailed description of the work that will be performed, including but not limited to:

- Location of the ACM to be removed. Provide the exact location where the asbestos work will be performed, including installation name, building number, and location of ACM within the building;

- Type and quantity of ACM to be removed;

- Project schedule;

- Design and construction of critical barrier. Provide drawings of the critical barrier design, construction material and negative air pressure systems;

- Work site control. Describe the procedures, barriers and signage that will be used to control access to the work area;

- Worker protection. Describe PPE usage, exposure monitoring and decontamination Procedures;

- ACM removal procedures. Describe the specific procedures that will be used to remove ACM and equipment that will be used;

- Asbestos waste management and disposal procedures;

- Air monitoring. Describe the number, location and frequency that personal and area air samples will be collected;

- Quality control and corrective action. Describe final clearance inspection procedure and criteria; describe corrective action procedure in the event that air monitoring indicates release of asbestos fiber for the containment area; and

- Current training certificates for asbestos workers and supervisor.

9.0 ACCIDENT PREVENTION PLAN (APP) Due to the nature of expected contaminants and the potential for serious incidents, special emphasis must be placed upon the health and safety of on-site personnel and the surrounding community during all aspects of the asbestos abatement and disposal. Accordingly, the Contractor shall review all information provided and develop the necessary documents, which contain the site specific health and safety criteria, procedures, and practices, and which are sufficient to protect on-site personnel, the environment, and potential off-site receptors from the chemical and physical hazards particular to this site. The site specific APP shall be submitted as a part of this project. The plan must indicate the specific procedures, hazards and methods for reducing those hazards.

The APP shall follow the format found in Appendix A of EM 385-1-1 the MINIMUM BASIC OUTLINE FOR ACCIDENT PREVENTION PLAN. An outline and suggested format is presented in Appendix A of this project.

The APP shall address all safety and health hazards that shall be anticipated and be site specific for the work that shall be accomplished at this project location Compliance with the outline in Appendix A shall allow for expedited review of the submitted APP. At a minimum all items in the outline must be addressed.

10.0 DESCRIPTION OF SERVICES.

A Government Approved (GA) abatement report requires signature prior to being considered complete (GA designation mentioned throughout scope shall refer to “Government Approved”). The required work shall include the following steps to complete the task (not necessarily in chronological order):

10.1 Submit WP and APP with an Activity Hazard Analysis (AHA) for review detailing the hazards and the methods of controlling the hazards. See Appendix A of this project for a format of the APP. (GA)

10.2 Visually inspect facilities under this project to verify the existence and quantities of the ACM listed on the attached summary sheet of known asbestos containing material. Determine the location of other suspicious material.

Notify the COR if additional suspect material is identified.

10.3 Schedule the date and approximate time of abatements. This schedule shall be provided to the COR as early as possible, preferably at least one (1) week before abatement work begins. The COR requires this schedule in order to coordinate the visual inspection associated with each abatement.

10.4 Remove ACM in accordance with the procedures found in the WP, APP and AHA.

10.5 Final Cleaning and Visual Inspection. Remove all visible dust and debris from the abatement area.

Abatement actions shall be coordinated with the COR (or designee) in order to complete the Certification of Final Cleaning and Visual Inspection (form found in Appendix B) as soon as possible after the abatement. (GA)

10.6 Apply encapsulant to exposed substrates and lockdown on poly sheeting.

10.7 Conduct final clearance sampling one (1) day after applying encapsulant/lockdown. Final clearance air monitoring shall be in strict accordance with the requirements specified in SECTION 02 82 14.00 10, ASBESTOS HAZARD CONTROL ACTIVITIES, FED Specification.

10.8 Remove the containment, if any.

10.9 Packaging and Transport. The Contractor shall properly package, transport, and dispose of all ACM generated during the execution of this project in leak proof containers that have the proper signage in accordance with applicable regulations.

10.10 Disposal. The Contractor is responsible for the completion of the removal of ACM. The Contractor shall obtain a receipt from the treatment and/or disposal Contractor and landfill operator that includes:

- Chain of Custody/Waste Transfer Form and Certificate of Disposal Form.

- The name of the Contractor and authorized agent responsible for the removal of the ACM.

- The signature of the Contractor’s agent responsible for the removal of the ACM. This signature shall be dated.

The date shall correspond with the date of transfer to a shipping agent or delivery to the disposal facility. The Contractor is responsible for the completion of the removal of ACM.

- The name and telephone number of the shipping agent.

- The signature of the shipping agent accepting the ACM for shipping. This signature shall be dated.

- The date shall correspond with the date of transfer from the ACM removal Contractor and the date of delivery to the disposal facility.

- The name and location and telephone number of the disposal facility.

- The quantity of ACM waste offered for disposal (e.g., one (1) 5-ton truckload).

- The name and title and telephone number of the authorized agent of the disposal facility.

- The signature of the authorized agent of the disposal facility.

- The Contractor is responsible for the completion of the removal of ACM.

The above information is required to be included in the waste shipment record.

10.11 Abatement Report. (GA)

10.11.1 Submit a draft report to the COR for review with digitized drawings of the floor plan showing the nature, location, and quantity of the ACM that was removed.

10.11.2 The Abatement Report shall contain:

- The project name, contract number, the installation(s) and building(s) where removal occurred and the date(s) of the removal(s).

- The drawings shall be referenced and attached to the memorandum.

- A brief narrative describing of the removal actions.

- A copy of the Waste Shipment Record (minimum information found in paragraph 10.10) for all shipments of waste material as specified in 40 CFR 61, Subpart M. The Contractor shall develop and maintain adequate documentation to show the date and final disposal location of the ACM.

- A copy of the Final Visual Inspection forms for the regulated areas where asbestos abatement was completed.

11.0 UTILITY AND WATER SERVICES

11.1 Water

11.1.1 If water is available in the building, the Abatement Contractor shall use hoses to bring water to the location where needed. Hose connections shall be kept tight.

11.1.2 If water services in not available in the building, the Abatement Contractor shall provide all temporary water needed for the project.

- Shower water for the decontamination unit shall include hot and cold at the temporary shower unit.

- Heating of the work area, if necessary

- Temporary drinking water and portable toilet facilities must be present to accommodate asbestos abatement site personnel.

11.2 Electricity

11.2.1 If electricity is available, the Contractor may use it for lighting, and for small power tools.

11.2.2 If electrical services in not available in the building, the Abatement Contractor shall provide all electricity needed for the project:

- The Abatement Contractor shall provide and set up temporary electrical generators, if necessary, to support the asbestos abatement process.

- All of the Abatement Contractor’s temporary lighting and electrical services for the work area shall have weatherproof enclosures and shall be ground fault protected.

12.0 PROFESSIONAL QUALIFICATIONS. The Contractor shall employ, either directly or through subcontract, personnel adequate in numbers, skill, and qualifications to accomplish the work required in conformance with the PWS and the schedule of this project. All personnel working on this project must possess the minimum qualifications: training certificates by Asbestos Hazard Emergency Response Act (AHERA) and related experience within two years. All certificates must not be expired and must be submitted. A synopsis of the required qualifications can be found in Appendix C of this project.

13.0 PERIOD OF CONTRACT AND SCHEDULE. The work shall begin upon direction of the COR and continue until the final report is complete. COR will coordinate release of the facilities with DPW, using Agency, or other applicable agencies. The Performance Schedule is shown in Table 2.

Table 2. Period of Contract and Schedule

Activity Calendar Days after Award Date Percent Complete

Visually inspect building 7 9% 4%

Submission of Work Plan and Accident Prevention Plan and, Antiterrorism (AT) and Operations Security (OPSEC) 14 15% 8%

Remove ACM (Building 1320, 1325 and 1326 at Camp Henry and building 318 at Camp Walker) 70 161 77% 88%

Edit digitized drawings to show ACM removal 77 168 85% 92%

Submit a draft report with drawings and disposal receipt for review 84 175 92% 96%

Submit final report with drawings and disposal receipt 91 182 100%

14.0 PERFORMANCE REQUIREMENT SUMMARY

The Table 3 provides metrics and methods that are designed to determine if the Contractor’s performance exceeds, meets, or does not meet a given standard and acceptable quality level:

Table 3. Performance Schedule

Performance Objective

Performance Standard Acceptable Quality Level

(AQL)

Monitoring Method Remedy

PWS. Para 2.0.

Does the work comply with all Policies, Regulations and Guidance

Systems must meet all compliance requirements

90% compliance 100% Inspection If deficiency is found, corrective action will be requested. If corrective action is not satisfied or deficiencies occur repeatedly more than once, the contract discrepancy report will be issued.

PWS Para 8.

Was all documentation provided as specified in the

PWS

Provide documentation as stated in PWS Para 8.

also upon request of customer provide any other documentation which was covered in the work and concerns the system being installed

90% Compliance As required during installation and operational checks.

If deficiency is found, corrective action will be requested. If corrective action is not satisfied or deficiencies occur repeatedly more than once, the contract discrepancy report will be issued.

PWS Para 10.10 Contractor disposed of ACM properly as specified in the

PWS.

Provide documentation that the ACM was disposed of properly

100% compliance 100% Inspection If deficiency is found, corrective action will be requested. If corrective action is not satisfied or deficiencies occur repeatedly more than once, the contract discrepancy report will be issued.

Performance Objective

Performance Standard Acceptable Quality Level

(AQL)

Monitoring Method Remedy

PWS. Para 13.

Contractor started and completed project as scheduled

Work will start and complete within the time period as specified in the PWS

100% compliance 100% Inspection If deficiency is found, corrective action will be requested. If corrective action is not satisfied or deficiencies occur repeatedly more than once, the contract discrepancy report will be issued.

15.0 EQUIPMENT. Unless otherwise specified in this project, the Contractor shall provide all equipment and supplies. Equipment/non-disposal supplies purchased under the contract shall become the property of the Government at the end of the contract.

16.0 MEETINGS AND COORDINATION. Conferences shall be held between the Contractor and the Contracting Officer (KO) and COR to resolve technical difficulties, to brief the KO and COR of any significant environmental problems, and to notify the KO and COR immediately, if necessary. The Contractor is responsible for coordination with the COR for scheduling, access, work hours, and other local conditions and restrictions.

17.0 SAFETY. The Contractor shall at all times conduct operations in a safe manner and in accordance with the EM 385-1-1. A copy may be provided to the Contractor at the time of contract modification award. EM 385-1-1 covers safety related to construction. Any specific safety requirements related to asbestos in accordance with EPA or OSHA requirements shall become a part of the Contractor’s safety program. The Contractor is expected to comply with all safety requirements and provisions. All personnel under contract shall have the appropriate training, exposure monitoring, and medical surveillance as required by applicable U.S. and ROK laws and regulations of the Corps of Engineers, the Army, and the Department of Defense. Such training, exposure monitoring, or medical surveillance shall NOT be billed separately. The Contractor shall submit a monthly man-hour report to the FED Safety Office by the first of each month for the previous month. The man-hours shall reflect work done in the field as well as office.

18.0 RELEASE OF CLAIMS. The Contractor is required to submit a written signed “Release of Claims” form to the KO with the final payment rendered under the terms of this contract.

19.0 CONTRACTOR MANPOWER REPORTING (CMR).

“The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address: http://www.ecmra.mil. Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year of contract/task order performance. Contractors may direct http://www.ecmra.mil/ questions to the help desk at help desk at: http://www.ecmra.mil to review user manuals and gain an understanding about the data fields that will be included in the reporting structure that is hosted at http://www.ecmra.mil.”

20.0 ANTITERRORISM (AT) and OPERATIONS SECURITY (OPSEC)

20.1 AT Level I training: This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. All contractor employees, to include subcontractor employees, requiring access Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 14 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 5 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: http://jko.jten.mil

20.2 Access and general protection/security policy and procedures: This standard language is for contractor employees with an area of performance within Army controlled installation, facility, or area. Contractor and all associated sub-contractors employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA 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 individual facility or installation change, the Government may require changes in contractor security matters or processes.

20.3 For contractors that do not require CAC, but require access to a DoD facility or installation: Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

20.4 iWATCH Training: This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This local 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 COR. This training shall be completed within 5 calendar days of contract award and within 14 calendar days of new employees commencing performance with the results reported to the COR NLT 30 calendar days after contract award.

http://jko.jten.mil/

APPENDIX A

ACCIDENT PREVENTION PLAN FORMAT

ITEMS REQUIRED IN THE ACCIDENT PREVENTION PLAN:

Contract No.:

Date:

Description:

Transmittal #:

1. SIGNATURE SHEET

a. Plan Preparer

b. Plan Approver

c. Plan Concurrence

2. BACKGROUND INFORMATION

a. Contractor Name

b. Contract No.

c. Project Name

d. Project Description and Location (map)- The Contractor shall include in this section a detailed description of the methods of asbestos abatement that shall be used for each type of asbestos from the different homogeneous areas. (e.g. 500 linear feet of TSI shall be removed from the attic run by negative pressure glovebags.) It can be described as a narrative or detailed on comprehensive Activity Hazard Analysis Sheets for each definable feature of work. The Activity Hazard Analysis shall conform to Figure 1-1 found in EM 385-1-1 section 01.A.10. Copy attached as Appendix E.

e. Contractor Accident Experience for the last 5 years.

f. Activity Hazard Analyses (AHA) form.

3. STATEMENT OF SAFETY AND HEALTH POLICY- Include a brief narrative of the company’s policy pertaining to completing the work in a safe and healthy manner.

4. RESPONSIBILITIES AND LINES OF AUTHORITIES FOR THE PROJECT:

a. Identification and accountability of personnel responsible for safety at the project level (including preparation and review of AHA's) - include resumes and certificates of training if not included in General Submittal. Refer to Appendix B of this project for the required information.

b. Lines of Authority- Include a diagram demonstrating the chain of command for the key personnel for the work to be completed under this project.

5. SUBCONTRACTORS AND SUPPLIERS

a. List the identification of subContractors and suppliers

b. Describe the means of controlling and coordinating subs and suppliers- (e.g. removed from project for violating safety rules.)

c. Include the safety responsibilities of subContractors and suppliers

d. Describe the method for reviewing subContractor safety plans and how subContractors shall be covered by the

APP. Include the individual(s) name(s) that shall conduct this review.

6. TRAINING

a. List subjects to be discussed with employees at safety indoctrination

b. List mandatory training and certifications applicable to this project

c. Identify requirements for emergency response training

d. Outline requirements (who attends, when given, who will conduct, etc.) for supervisory and employee safety training (meetings)

e. Furnish names and dates of First Aid and CPR Training for at least two (2) employees on site (See Appendix

D)

7. SAFETY AND HEALTH INSPECTIONS

a. List name of individuals responsible for conducting safety inspections

b. Indicate when inspections shall be conducted (minimum once per week)

c. Furnish sample forms upon which inspections shall be recorded

d. Describe the deficiency tracking system and procedures for correcting deficiencies.

e. Include any external inspections/certifications that may be required or anticipated

8. SAFETY AND HEALTH EXPECTATIONS, INCENTIVE PROGRAMS, AND COMPLIANCE

a. The company's written safety program goals, objectives, and accident experience goals should be provided

b. Provide written company procedures for holding managers and supervisors accountable for safety

c. Include a brief description of the company's safety incentive programs (if any).

d. Furnish policies and procedures regarding noncompliance with safety requirements Identify any disciplinary actions for violation of safety requirements

9. ACCIDENT REPORTING (the Contractor shall identify who shall complete the following how and when):

a. Exposure data (man-hours worked)

b. Accident investigations, reports, and logs

c. Immediate notification of major accidents

d. Include a copy of the forms that shall be completed to include the Eng. 3394 and POD 265R.

10. MEDICAL SUPPORT

Outline on-site medical support and off-site medical arrangements, along with approximate travel time to medical facilities.

11. PERSONAL PROTECTIVE EQUIPMENT (PPE)

Outline procedures - who, when and how will conduct hazard assessments and written certification for use of PPE.

Ensure that the resume demonstrating knowledge and experience for this individual is included.

12. PROGRAMS AND PLANS REQUIRED BY THE SAFETY MANUAL (to be added by appendix to the plan. Programs not required should be described that they are not applicable. Minimum information pertaining to each programs are included in Appendix F and the appropriate Table.

- Asbestos Abatement Plan (See Appendix F- Table # 1)

- Activity Hazard Analysis (See Appendix E for a copy of the form and Appendix F Table #2 for the required information.)

- Hazard Communication Program- Provide the key personnel to ensure that all hazardous materials on site have MSDS and are properly labeled, shall maintain the inventory of hazardous materials and shall ensure that adequate training is conducted.

- Respiratory Protection Plan (See Appendix F, Table #3)

- Confined Space Program- If Confined Spaces shall be entered under this project, a Site Specific Program must be submitted. It shall include the names of all the personnel involved in the entry. The list of potential hazards expected during the entry, the method for monitoring and controlling those hazards.

- Temp. Power Distribution Plan and Sketches

- Emergency Response Plans for:

- Layout Plans

- Personal Protective Equipment

- Health Hazard Control Program

- Hazardous Energy Control Plan (LO/TO)

- Fall Protection Plan

- Compressed Air Plan

- Drug and Alcohol Prevention Plan

13. FURNISH A DESCRIPTION ON HOW THE CONTRACTOR WILL MEET THE REQUIREMENTS

OF MAJOR SECTIONS OF EM 385-1-1

- Sanitation

- Motor Vehicles

- Medical & First Aid Requirements

- Temporary Facilities

- Pressurized Equipment and Systems

- Safe Access and Fall Protection

- Hazardous Substances, etc.

- Work Platforms

- Lighting

- Accident Prevention Signs/Labels

- Floor and Wall Holes and Openings

- Fire Prevention and Protection

- Welding and Cutting

- Hand and Power Tools

- Material Handling/Storage/Dispensing.

- Machinery and Mechanized Equipment.

- Confined Space Entry (if applicable)

APPENDIX B

Certification of Final Cleaning and Visual Inspection:

Individual abatement task as identified in paragraph, Description of Work ___________________________

Contract # _____________________ Building _______________________________

In accordance with the cleaning and decontamination procedures specified in the Contractor’s asbestos hazard abatement plan and this contract, the Contractor hereby certifies that he/she has thoroughly visually inspected the decontaminated regulated work area (all surfaces, including pipes, beams, ledges, walls, ceiling, floor, decontamination unit, etc.) in accordance with ASTM E1368, Standard Practice for Visual Inspection of Asbestos Abatement Projects, and has found no dust, debris, or asbestos-containing material residue.

BY: (Contractor’s signature) __________________________________________ Date_______________

Print name and title_______________________________________________________________________

(Contractor’s Onsite Supervisor signature)________________________________ Date_______________

Print name and title _______________________________________________________________________

(Contractor’s IH or Competent Person signature)___________________________ Date_______________

Print name and title ______________________________________________________________________

Contracting Officer Acceptance or Rejection

The Contracting Officer hereby determines that the Contractor has performed final cleaning and visual inspection of the decontaminated regulated work area (all surfaces including pipes, beams, ledges, walls, ceiling, floor, decontamination unit, etc.) and by quality assurance inspection, finds the Contractor’s final cleaning to be:

__ Acceptable

__ Unacceptable, Contractor instructed to clean the regulated work area.

BY: Contracting Officer’s Representative

Signature ___________________________________________________________ Date_______________

Print name and title _______________________________________________

APPENDIX C

Qualifications of Personnel

The Contractor shall designate in writing, the names and qualifications of personnel that meeting the following qualifications:

a. Designated Competent Person (Professional Investigator): The name, address, telephone number, and resume of the Contractor's Designated Competent Person shall be provided. Evidence that the full-time Designated Competent Person is qualified in accordance with 29 CFR 1926.32 and 29 CFR 1926.1101, has EPA MAP "Contractor/Supervisor" training accreditation, has EPA certification/license as a "Contractor/Supervisor" and is experienced in the administration and supervision of asbestos abatement projects, including exposure assessment and monitoring, work practices, abatement methods, protective measures for personnel, setting up and inspecting asbestos abatement work areas, evaluating the integrity of containment barriers, placement and operation of local exhaust systems, ACM generated waste containment and disposal procedures, decontamination units installation and maintenance requirements, site safety and health requirements, notification of other employees onsite, etc. The Designated Competent Person shall be responsible for compliance with USFK Regulation 201-1 and applicable ROK requirements, the Contractor's Accident Prevention Plan (APP) and Asbestos Hazard Abatement Plan

(AHAP).

The Designated Competent Person shall submit the "Contractor/Supervisor" course completion certificate and the most recent certificate for required refresher training, EPA certification/license with the employee "Certificate of Worker Acknowledgment". The Designated Competent Person shall submit evidence that this person has a minimum of 2 years of on-the-job asbestos abatement experience relevant to OSHA competent person requirements.

The Designated Competent Person shall be onsite at all times during the conduct of this project.

b. Project and Other Supervisors: The Contractor shall provide the name, address, telephone number, and resume of the Project Supervisor and other supervisors who have responsibility to implement the Accident Prevention Plan, including the Asbestos Hazard Abatement Plan and Activity Hazard Analyses. The Project Supervisor and other supervisors have EPA MAP "Contractor/Supervisor" training accreditation.

The Project Supervisor and other supervisors shall submit the "Contractor/Supervisor" course completion certificate and the most recent certificate for required refresher training, EPA certification/license with the employee "Certificate of Worker Acknowledgment". The Project Supervisor and other supervisors also submit evidence that the Project Supervisor has a minimum of 2 years of on-the-job asbestos abatement experience relevant to project supervisor responsibilities and Other supervisors have a minimum of 1 year on-the-job asbestos abatement experience commensurate with the responsibilities they will have on this project.

c. Designated Industrial Hygienist: The Contractor shall provide the name, address, telephone number, resume for the Industrial Hygienist (IH) selected to prepare the Contractor's AHAP, prepare and perform training, direct air monitoring and assist the Contractor's Competent Person in implementing and ensuring that safety and health requirements are complied with during the performance of all required work. The Designated IH shall be a person who is board certified in the practice of industrial hygiene or board eligible (meets all education and experience requirements) as determined and documented by the American Board of Industrial Hygiene (ABIH), has EPA MAP "Contractor/Supervisor" training accreditation, has EPA certification/license, and has a minimum of 2 years of comprehensive experience in planning and overseeing asbestos abatement activities. Submit the "Contractor/Supervisor" course completion certificate and the most recent certificate for required refresher training and EPA/State certification/license with the employee "Certificate of Worker Acknowledgment". The Designated IH shall be completely independent from the Contractor according to federal, state, or local regulations; that is, shall not be a Contractor's employee or be an employee or principal of a firm in a business relationship with the Contractor negating such independent status. A copy of the Designated IH's current valid ABIH certification or confirmation of eligibility in writing from the ABIH shall be included. In addition, submit resumes of additional IH's and industrial hygiene technicians (IHT) who will be assisting the Designated IH in performing onsite tasks.

IHs and IHTs supporting the Designated IH shall have a minimum of 2 years of practical onsite asbestos abatement experience. Indicate the formal reporting relationship between the Designated IH and the support IHs and IHTs, the Designated Competent Person, and the Contractor.

d. Asbestos Abatement Workers: Asbestos abatement workers shall meet the requirements contained in USFK Regulation 201-1. Worker training documentation shall be provided as required on the "Certificate of Workers Acknowledgment”. Training documentation is required for each employee who will perform OSHA Class I, Class II, Class III, or Class IV asbestos abatement operations. Such documentation shall be submitted on a Contractor generated form titled "Certificate of Workers Acknowledgment", to be completed for each employee in the same format and containing the same information as the example certificate at the Appendix F. Training course completion certificates (initial and most recent update refresher) required by the information checked on the form shall be attached.

e. First Aid and CPR Trained Persons: The names of at least 2 persons who are currently trained in first aid and CPR by the American Red Cross or other approved agency shall be designated and shall be onsite at all times during site operations, except for smaller jobs, one trained person may be acceptable. They shall be trained in universal precautions and the use of PPE.

f. Independent Testing Laboratory: The Contractor shall provide the name, address and telephone number of the independent testing laboratory selected to perform the sample analyses and report the results. The testing laboratory shall be completely independent from the Contractor. Written verification of the following criteria, signed by the testing laboratory principal and the Contractor, shall be submitted:

Phase contrast microscopy (PCM): The laboratory is fully equipped and proficient in conducting PCM of airborne samples using the methods specified by 29 CFR 1926.1101, OSHA method ID-160, the most current version of NIOSH 2003-154 Method 7400. The laboratory shall be currently judged proficient (classified as acceptable) in counting airborne asbestos samples by PCM by successful participation in each of the last 4 rounds in the American Industrial Hygiene Association (AIHA) Proficiency Analytical Testing (PAT) Program or by participating in the AIHA PAT Program, and being judged proficient in counting samples.

APPENDIX D

ACTIVITY HAZARD ANALYSIS

ACTIVITY ___________________________ ANALYZED BY & DATE

Principal Steps

Potential Safety/Health Hazards Recommended Controls

Identify the principal steps involved and and the sequence of work activities

Analyze each principal step for potential hazards

Develop specific controls for each potential hazard

Equipment to be used

Inspection Requirements Training Requirements

List the equipment to be used in the work activity

List inspection requirements for the work activity

List training requirements including hazard communication

APPENDIX E

Tables containing the Minimum Information required for the programs or plans specified.

Table #1- Asbestos Abatement Plan Requirements Table #2- Activity Hazard Analysis Table #3- Respiratory Protection Program

TABLE #1

ASBESTOS ABATEMENT PLAN APPENDIX Requirements

The Contractor shall address the following elements in the Asbestos Abatement Plan Appendix to the Accident Prevention Plan:

a. Personal protective equipment to be used;

b. Locations of asbestos regulated work areas with drawings/sketches;

c. Air monitoring plan including strategies, sampling and analytical methods, data documentation and quality control for personal, environmental and final clearance air monitoring. Include drawings/sketches;

d. Level of supervision;

e. Method of notification of other employers at the work site;

f. Abatement method with a detailed narrative of procedures;

g. Interface of trades involved in the construction;

g. Sequencing of work and schedule;

i. Storage and disposal plan;

j. Type of wetting agent and encapsulant to be used;

k. Location of local exhaust equipment with drawings/sketches;

l. Methods to be used to control the spread of ACM wastes and airborne fiber concentrations;

m. Emergency response procedures with drawings/sketches of emergency exits and locations of fire extinguishers; and

n. The security procedures to secure regulated work areas;

o. Location of critical barriers with drawings/sketches;

p. Layout of decontamination unit/waste load out with drawings/sketches;

q. Calculations for the determination of the number of negative pressure ventilation units;

r. Site layout plans

Table #2

Activity Hazard Analysis

An Activity Hazard analyses for each major phase of work, shall be submitted and updated during the project. It shall be in accordance with the format found in Appendix C of this project. The analysis shall define the activities to be performed for each major phase of work. It must identify the sequence of work, the specific hazards anticipated and the control measures to be implemented.

Work shall not proceed on that phase until the Government has accepted the Activity Hazard Analyses and a preparatory meeting has been conducted by the Contractor to discuss its content with everyone engaged in the activities in including the onsite Government representatives. The Activity Hazard Analyses shall be continuously reviewed modified to address changing site conditions or operations.

AHAs should address each type of work (e.g. gross abatement, glove bag work, working from heights, working in hot areas, working overhead).

TABLE #3

Respiratory Protection Program

The Contractor's Designated IH shall establish in writing, and implement a respiratory protection program in accordance with 29 CFR 1926.1101, 29 CFR 1910.134. The Contractor's Designated IH shall establish minimum respiratory protection requirements based on measured or anticipated levels of airborne asbestos fiber concentrations encountered during the performance of the asbestos abatement work.

The Contractor's respiratory protection program shall include, but not be limited to, the following elements:

a. The name of the individual that shall be the Respiratory Protection Program Manager. The individuals’ resume must reflect his training and experience to act in this capacity.

b. The method for the assignment of individual responsibility, accountability, and implementation of the respiratory protection program.

c. The standard operating procedures covering the selection and use of respirators.

d. The method for determining an evaluation of each user to verify that the worker may be assigned to an activity where respiratory protection is required.

e. Training about the proper use and limitations of respirators.

f. The type of fit testing that shall be used and a copy of the fit-testing, procedure.

g. Describe the cleaning and disinfecting process, who, how often and with what.

h. Provide a “Change out Schedule” for when filter cartridges shall be changed for new cartridges.

i. Include the procedure for showering and the removal of the respirator.

j. Who will conduct the routine inspection of respirators designated for emergency use (how often).

k. Where and how will respirators be stored.

l. Provide the method for surveillance of regulated area conditions and degree of employee exposure (e.g., through air monitoring).

m. Include the provision for a regular evaluation of the continued effectiveness of the respiratory protection program.

n. Discuss the way for the recognition and procedures for the resolution of special problems as they affect respirator use (e.g., no facial hair that comes between the respirator face piece and face or interferes with valve function;

prescription eye wear usage; contact lenses usage; etc.

APPENDIX F

APPENDIX G

Asbestos Map for Building 1320

ACM Information

- 01A, 01B : 12" x 12" White Vinyl Floor Tile 1,656 SF

- 04A, 04B : 12" x 12" Tan Vinyl Floor tile 312 SF

- No Sample : Transite Board for Siding w/non-ACM Exterior Wall 3,517 SF

Asbestos Map for Building 1325

- (01A, 02A), (01B, 02B) : 9" x 9" Green w/White Streak Vinyl Floor Tile and Mastic 548 SF

- (03A, 04A), (03B, 04B) : 9" x 9" Grey w/White and Black Streaks Vinyl Floor Tile (Non-

ACM) and ACM Black Mastic

32 SF

- 07A, 07B : 12" x 12" White Vinyl Floor Tile 250 SF

Asbestos Map for Building 1326

- 01A, 01B : Transite Board for Wall 672 SF

- 04A, 04B : Transite Board for Exterior 672 SF

Asbestos Map for Building 318

- 38A, 38B : Tar Paper for Roof 528 SF

(End of Summary of Changes)