(WNC) Attachment 4 - Initial Headstone-Marker Raise and Realign Verification Survey.pdf

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Attached to
Y1PZ--PSD SHRINES - NMCP and Willamette National Multiple Award
Solicitation number
36C78623B50261
Issued by

About this file

This document is an attachment to a solicitation for headstone and marker raise and realignment verification surveys at Willamette National Cemetery. The solicitation is for a cemetery section renovation project by the Department of Veterans Affairs National Cemetery Administration. The attachment provides templates for contractors to conduct an initial survey of all headstones and markers in the scope of work before and daily surveys after completion of any raise and realignment work. The surveys are to be done by the Contracting Officer's Representative, Cemetery Director, Foreman, or Work Leader using the Burial Register Report and Gravesite Layout Map for the cemetery and sections. Any discrepancies found are to be documented and later verified as resolved once all work is complete. Contractors must sign and date that the required initial and daily verification surveys were performed.

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Text version

Willamette National Cemetery National Shrine Project – FY23 Cemetery Section Renovation - Phase 4 Project No.: 907-Mill-FY23-001

ATTACHMENT 4

INITIAL HEADSTONE/MARKER RAISE & REALIGN VERIFICATION

SURVEY

Station Number: __________ Date: __________________________

Cemetery: _______________ Cemetery Director: _______________

Contracting Officers Representative: ______________________________________

Instructions: The Contracting Officer’s Representative (COR) /Cemetery Director/Cemetery Foreman/ Work Leader/designee MUST conduct an initial survey of ALL headstones/markers included in the scope of work (SOW) before any work is performed. The COR/Cemetery Director/Cemetery Foreman/Cemetery Work Leader/designee will use the Burial Register Report and the Gravesite Layout Map(s) for the initial survey.

Discrepancy/Issue Identified: Y/N_______ Date: ____________________

All discrepancies/issues resolved Y/N ________ Date: ____________________

I certify that the Initial Headstone/Marker verification survey was completed by the COR/Cemetery Director/Foreman or Work Leader/designee. The Burial Register Report and the Gravesite Layout Map for the Cemetery and sections listed in the SOW were used to complete the survey.

COR/Director/Foreman/Work Leader/designee Signature: ______________________

Date: _________________

Prior to the completion of the workday, a Daily Headstone/Marker R&R Verification Survey MUST be completed by the COR/Cemetery Director/Cemetery Foreman/Work Leader/designee utilizing the same Burial Register Report and Gravesite Layout Map as used in the initial survey for ALL completed work.

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