i~rst eo...09000 - furniture maintenance and repair occupations 09010 electrostatic spray painter...
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WD 05-2432 (Rev.-13) was I~rst pose eo on www:wdoI.gov on 08)3Ij20IO •••••• *********.~* ••• ********.*********.********** •• *********************.********** REGISTER OF WAGE DETERMINATIONS UNDER I
THE SERVICE CONTRACT ACT I By direction of the Secretary of Labor I
Shirley F. Ebbesen Director
I I I I
Division of I Wage Determinations I
U.S. DEPARTMENT OF LABOR EMPLOYMENT STANDARDS ADMINISTRATION
WAGE AND HOUR DIVISION WASHINGTON D.C. 20210
Wage Determination No.: 2005-2432 Revision No.! 13
Date Of Revision: OB/26/2010
____ ~------------------_I-----------------------------State: Oklahoma
Area: Oklahoma Counties of Alfalfa, Atoka, Beckham, Blaine, Bryan, Caddo, Canadian, CarLer, Cleveland, Coal, CUster, Dewey, ~lliB, Garfield, Garvin, Grady, Grant, Harper, Hughes, Johnston, Kingfisher, Lincoln, Logan, Love, Major, Marshall, McClain, Murray, Noble, Oklahoma, payne, Pontotoc, pottawatomie, Roger Mills, Seminole, Washita, Woods, Woodward
~+Fringe Benefits Required Follow the Occupational Listing~+ OCCUPATION CODE - TITLE FOOTNOTE 01000 -
01011 01012 01013 01020 0104.0 01051 01052 01060 01070 01090 01111
Administrative Support And Clerical Occupatlons - Accounting Clerk I - Accounting Clerk II
Accounting Clerk III - Administrative Assistant
Court Reporter Data Entry Operator I Data Entry Operator II Dispatcher, Motor Vehicle Document Preparation Clerk Duplicating Machine Operator
- General Clerk I 01112 - General Clerk II 01113 General Clerk· III 01120 01141 01191
Housing Referral Assistant Messenger Courier Order Clerk I
01192 - Order Clerk II 01261 Personnel Assistant ('Employment) 1 01262 - Personnel Assistant (Employment) II 01263 Personnel Assistant'. (Employment'.) III 01270 Production Control Clerk 01280 01290 01300 01311 01312 01313 01320 OH.la
01420 01531 01532 01531 01611 01612
Receptionist Rental Clerk Scheduler, Maintenance
- Recre tary I Secretary II Secretary III Service Order Dispatcher Supply Technician Survey Worker Travel Cl erk I Travel Clerk II Travel Clerk III Word Processor I Word Processor II
01613 \i/ord Processor ITT 05000 - Automotive Service Occupations
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RATE
13.04 14.63 18.28 22.58 18.46 11.68 12.75 15.86 13.46 13.46 13 .10 14.30 18.00 IB.77 10.43 12.71 14.08 14.35 16.05 17.90 20.96 11.80 14. aq 11.04 14.04 16.20 18.77 14. aD 20,53 15.86 12.32 13.14 13.77 12.54 14.07 15.00
05005 Automobi(e Body Repal.rer, Pl.berglass' 05010 - Automotive Electrician 05040 Automotive Glass Installer 05070 - Automotive Worker 05110 - Mobile Equipment Servicer 05130 - Motor Equipment Metal Mechanic 05160 - Motor Equipment Metal Worker 05190 - Motor Vehicle Mechanic 05220 Motor Vehicle Mechanic Helper 05250 - Motor vehicle Upholstery Worker 05280 - Motor Vehicle Wrecker 05310 - Painter, Automotive 05340 - Radiator Repair Specialist 05370 - Tire Repairer 05400 Transmission Repair Specialist
07000 - Food Preparation And service occupations 07010 - Baker 07041 - Cook I 07042 - cook II 07070 - Dishwasher 07130 - Food Service Worker 07210 - Meat CUtter 07260 Waiter/Waitress
09000 - FUrniture Maintenance And Repair occupations 09010 electrostatic spray Painter 09040 Furniture Handler 09080 - FUrniture Refinisher 09090 - Furniture Refinisher Helper 09110 - Furniture Repairer, Minor 09130 Upholsterer
11000 - General Services And Support Occupations 11030 11060 11090 11122 11150 11210 11240
- Cleaner, VehIcles Elevator operator
- Gardener Housekeeping Aide Janitor Laborer, Grounds Maintenance Maid or Houseman
11260 - Pruner 11270 11330 11360
Trac~or Operator Trail Maintenance Window Cleaner
worker
12000 - Health Occupations 12010 - Ambulance Driver 12011 Breath Alcohol Technician 12012 Certified Occupational Therapist Assistant 12015 - Certified physical Therapist AssisLdllL 12020 - Dental Assistant 12025 - Dental Hygienist 12030 EKG Technician 12035 12040 12071 12072 12073 12100 12130 12160 12190 12195 12210
Electroneurodiagnostic Technologist Emergency Medical Technician Licensed Practical Nurse I Licensed Practical Nurse II Licensed Practical Nurse III Me.dical Assistant Medical Laboratory Technjcian Medical Record Clerk Medical Record Technician Medical Transcriptionist Nll,-lear Merli"ine Technologist
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16.49 17.24 16.31 14.84 13.22 H.49 14.84 16.49 12.63 14.03 14.B4 15.67 14.84 12.12 16.49
10.54 8.70
10.01 7.78 7.66
13.15 8.77
14.86 10.36 14.B6 11.75 13.31 14.86
10.50 9.B3
12.45 10.47 10.19 10.47
8.01 9.87
11.71 10,47 10.30
~3.35
16.67 25.26 20.37 14.00 29.89 20.95 20.95 13.35 15.25 17.06 19.03 12.15 16.14 11.31 14.89 12.04 32.89
------------1;~2y2y2'1,---Nu"'C~r~g~i~n~g~A"s~s~i~stant -r-----·-----------12222 NUrsing Assistant II 12223 Nursing Assistant III 12224 Nursing Assistant IV 12235 Optical Dispenser 12236 - Optical Technician 12250 - Pharmacy Technician 12280 Phlebotomist 12305 - Radiologic Technologist 12311 - Registered Nurse I 12312 Registered Nurse II 12313 - Registered Nurse II, Specialist 12314 - Registered Nurse III 12315 - Registered Nurse Ill, Anesthetist 12316 Registered NUrse IV 12317 Scheduler (Drug and Alcohol Testing)
13000 - Information And Arts Occupations 13011 - Exhibits Specialist 1 13012 Exhibits specialist II 13013 - Exhibits Specialist III 13041 Illustrator I 13042 - Illustrator II 13043 - Illustrator III 13047 Librarian 13050 - Library Aide/Clerk 13054 - Library Information Technology Systems J'l.dministrator 13058 Library Technician 13061 Media Specialist I 13062 - Media Specialist Il 13063 Media Specialist III 13071 Photographer I 13072 Photographer II 13073 Photographer III 13074 Photographer IV 13075 photographer V 13110 - Video Teleconference Technician
14000 -14041 14042 14043 14044 14045 14071 14072 14073 14074 14101 14102 14.103 14150 14160
15000 -15010 15020 15030 15050 15060 15070 15080 15090
Information Technology occupations Computer Operator I Computer Operator II Computer operator III Computer operator IV Computer Operator V Computer Programmer I Computer Programmer II Computer Programmer III Computer Programmer IV Computer Systems Analyst I Computer Systems Analyst II computer Systems Analyst III Peripheral Equipment Operator Personal Computer Support Technician
Instructional occupations Aircrew Training Devices Instructor (Non-Rated) Aircrew Training Devices Instructor (Rated) Air Crew Training Devices Instruct_OT (Pilot) Computer Based Training Specialist / Instructor Educational Technologist F] jght Instrl1ctor (Pilot) Graphic Artist Technical Instructor
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(see 1)
(see 1) (see 1) (see 1) (see 1 ) {see 1) [see 1 )
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9.36 10.52 11. 48 12.88 14.41 11.84 16.23 12,88 22.09 27.48 29.35 29.35 35.51 35.5l 42.55 20.65
20.97 20.67 24.86 22.65 27,63 33_81 18.93 10.85 17.07
12.18 12.32 13.79 15.37 12.06 14..88 17.97 22.44 25.75 14.89
14.91 16.74 18.70 20.75 22.97 21:1..07
14.91 20.75
29.92 36.20 39.82 29.92 22.28 39.82 20.81 17.74
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·-----~1~S"0=9"S-~T~ec-cc;·hn='ical Inst.r:Uctor!course Dev--e-l'o~p=e~r---- -------15110 - Test Proctor 15120 - Tutor
16000 - Laundry, Dry-Cleaning, Pressing ~d Related occupations 16010 Assembler 16030 - Counter Attendant 16040 Dry Cleaner 16070 - Finisher. Flatwork, Machine 16090 Presser, Hand 16110 - Presser, Machine, Drycleaning 16130 - Presser, Machine, Shirts 16160 Presser, Machine, Wearing Apparel, Laundry 15190 Sewing Machine Operator 16220 Tailor 16250 - Washer, Machine
19000 - Machine Tool Operation ~nd Repair Occupations 19010 - Machine-Tool Operator (Tool Room) 19040 - Tool And Die Maker.
21000 - Materials Handling And Packing Occupations 21020 - Forklift Operator 21030 Material Coordinator 21040 - Material Expediter 21050 - Material Handling Laborer 21071 - Order Filler 210BO 21110 21130 21140 21150 21210
Product jon Line Worker (Food Processing) - Shipping Packer
Shipping/Receiving Clerk S tore Worker I stock clerk Tools And Parts A..ttendant
21410 Warehouse Specialist 23000 - Mechanics And Maintenance And Repair Occupations
23010 Aerospace Structural Welder 23021 - Aircraft Mechanic I 23022 - Aircraft Mechanic II 23023 Aircraft Mechanic III 23040 - Aircraft Mec11anic Helper 23050 23060 230aO 23110 23120 23125 23130 23140
- Aircraft I Paint:er Aircraft Servicer
- Aircraft Worker Appliance Mechanic Bicycle Repairer cable Splicer
- Carpenter, MaintenanCe - carpet Layer
23160 - Electrician, Maintenance 23181 - Electronics Technician Maintenance I 23182 Electronics Technician Ma:intenance II 23183 Electronics Technician Maintenance III 23260 Fabric Worker 23290 - Fire Alarm System Mechanic 23310 - Fire Extinguisher Repairer 23311 ruel DistrIbution System Mechanic 23312 - Fuel Distribution System Operator 23370 General Maintenance Work~L 23380 Ground Support Equipment r1echanl.c 23381 Ground support E~~ipment Servicer 23382 Ground support Equipment Worker 23391 Gunsmith I 23392 23393
Gunsmith II Gunsmith [rI
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21. JU' 15.76 15.76
8.47 8.47
10.60 8.47 8.47 8.47 8.47 8.47
11.56 12.34
9.27
19.79 24.73
15.25 22.07 22.07 10.95 11.74 15.25 12.63 12.63 13.69 16.60 15.2.'> 15.25
22.74 21.79 22.74 23.71 15.83 18.84 17.91 18.97 16.59 12.12 23.88 18.10 17.15 18.93 19.75 24.54 25.71 17.01 18.63 16.03 23.73 17.99 17.04 20.90 17.07 lS.08 16.03 17.86 19.71
23410 -- He-aE-ing , Ventilation And Aii-CClndltlon;;-Ci"n~g;----------
Mechanic 23411 - Heating, ventilation A.nd Air Contditioning Mechanic (Research Facility) 23430 Heavy Equipment Mechanic 23440 Heavy Equipment Operator 23460 Instrument Mechanic 23465 - Laboratory/Shelter Mechanic 23470 Laborer 23510 - Locksmith 23530 - Machinery Maintenance Mechanic 23550 23580 23591 23592 23593 23640 23710 23760 23790 23810 23820 23850 23870 23890 23910 23931 23932 23950 23960 23965 23970 23980
24000 -24570 24580 24610
Machinist, Maintenance Maintenance Trades Helper Metrology Technician I Metrology Technician II
- Metrology Technician tIl Mill ..... right Office Appliance Repairer Painter, Maintenance Pipefitter, Maintenance Plumber, Maintenance pneudraulic Systems Mechanic Rigger Scale Mechanic Sheet-Metal Worker, Maintenance Small Engine Mechanic Telecommunications Mechanic I Telecommunications Mechanic 11 Telephone Lineman Welder, Combination, Malntenance
- Well Driller Woodcraft Worker
- Woodworker Personal Needs occupations
Child Care Attendant child Care Center Clerk Chore Aide
24620 Family Readiness And Support Services Coordinator 24630 - Homemaker
25000 - Plant And System Operations Occupations 25010 Boiler Tender 25040 25070 25190 25210
27000 -27004 27007 27008 ?o7010 27030 27040 27070 27101 27102 27131 27132
Sewage Plant Operator stationary Engineer ventilation Equipment Tender Water Treatment Plant Operator
Protective Service occupations Alarm Monitor Baggage Inspector Corrections officer Court Security Officer
- Detection Dog Handler Detention Officer Firefighter Guar·d I Guard II Police Officer I Police Officer II
7.8000 - Rec:reation Occupations 28041 carnival Equipment Operator 2BOQ2 - Carnival Equjpment Repairer
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18.92
19.99
18.92 18.50 22.65 18.81 10.59 18.24 21.77 18.92 13.97 22.65 23.62 24.62 19.60 18.56 17.94 19.97 19.20 19,71 19.71 17.86 21.68 17,04 21.87 22.83 22.95 18.92 19.71 19.71 16.03
8.50 13.27
8.73 13.33
15.64
22.39 16.59 22.39 15.08 16.35
14.22 12.57 19.16 20.62 15.03 19.16 24.14 J 2.57 15. 03 23. 19 7.S. 77
9. 61 10. 35
9/30/2010
2BO~3 CarnlvaI-gqupment Worke-r-----·· ---_ ....... --..
28210 - Gate Attendant/Gate Tender 28310 - Lifeguard 28350 Park Attendant (Aide) 28510 Recreation Aide/Health Facility Attendant 28515 - Recreation Specialist 28630 - Sports Official 28690 SWirmning Pool Operatqr
29000 - Stevedoring/Longshoremen Occupational Ser¥ices 29010 Blocker And Bracer 29020 - Hatch Tender 29030 - Line Handler 29041 29012
Stevedore I Stevedore II
30000 - Technical Occupations 30010 Air Traffic Control Specialist, Center (HFO) 30011 Air Traffic control Specialist, Station (HFO)
30012 - Air Traffic control Specialist~ Terminal (HFO) 30021 - Archeological Technician I 30022 Archeological Technician II 30023 Archeological Technician III 30030 Cartographic Technician 30010 Civil Engineering TechniCian 30061 - Drafter/CAD Operator r 30062 - Drafter/CAD Operator II 30063 Drafter/CAD Operator III 30064 Drafter/~AD Operator IV 30081 Engineering Technician I 300B2 Engineering Technician II 30083 Engineering TechniCian III 30084 Engineering TechniCian IV 30085 Engineering Technicjan V 30086 Engineering Technician VI 30090 Environmental Tech,niciaH 30210 Laboratory Technicia~ 30240 Mathematical Technician 30361 Paralegal/Legal Assistant I 30]62 Paralegal/Legal Assistant II 30363 - Parqlegal/Legal Assistanc III 30364 Paralegal/Legal Assistant IV 30390 Photo-Optics Technician 30461 - Technical writer I 30462 - Technical Writer II 30463 )0491 30~92
30493 30494 30495 3D620
Technical writer III Unexploded ordnance (UXO) Technician I Unexploded Ordnance (UXO) Technician II Unexploded Ordnance IUxo) Technician III Unexploded IUXO) safety Escort Unexploded (UXO) Sweep Personnel Wedther Observer, Camhi ned Uppe)~ Air Or
SUrface Programs
(see 2) (see 2)
(see 2)
(see 2)
30621 Weather Observer, Senior (see 2) 31000 - Transportation/Mobile Equipment Operatlon Occupations
31020 31030 31043 31260 31290 31310 31361 31162
Bus Aide Bus Driver Driver Courier Parking and Lot Attendant Shuttle Bus Driver Taxi Driver TruckdrIver, Light TI-"uckdri vex, Medium
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}. 53 13.14 12.47 15.51 10.73 17.06 11.71 16.74
20.94 20.9' 20.94 19.94 22.0B
35.77 24.66 27.16 17.01 20.36 25.27. 25.22 24.03 17.01 20.36 22.71 26.17 19.05 21. 83 23.92 29.64 36.26 43.B6 21.77 19.34 25.23 18.67 23.12 28.28 34.22 25.27. 21.12 22.51 27.24 22.74 27.51 32.97 22.74 22.74 22.71
25.22
11.62 14.66 13.20
9.68 14.03 10.60 14.03 15.85
9130/2010
. 31363 ". Truckdr~ver, }:!e-.iVy 31364 Truckdriver, Tractor-Trailer
99000 - Miscellaneous occupations 99030 - Cashier 99050 Desk clerk 99095 Embalmer 99251 99252 99310 99410 99510 99710
99711 99730 99810 99820 99830 99831 99832 99840 99B41 99842
- Laboratory Animal Caretaker I Laboratory Animal Caretaker II Mortician Pest Controller Photofinishing worker Recycling Laborer
- Recycling Specialist - Refuse Collector - Sales Clerk
School Crossing Guard - Survey Party Chief
surveying Aide - surveying Technician
Vending Machine Attendant Vending Machine Repairer
- Vending Machine Repairer Helper
ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:
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"17.'70 17.70
8.20 8.70
24.96 10.44 11.10 24.96 13.65 12.45 14.23 17.42 13.83 11.46 9.89
23.62 13.28 20.91 12.16 14.53 11.82
HRALTH & WELFAREl Life, accident, and health insurance plans, sick leave, pension plans, civic and personal leave, severance pay, and savings and thrift plans. Minlmum employer contributions costing an average of $3.50 per hour computed on the basis of all hours worked by service employees employed on the contract.
VACATION~ 2 weeks paid vacation after l year of service with a contractor or sUccessorj 3 weeks after 10 years, and 4 after 15 years. Length of service includes the whole span of continuous service with the presenL contractor or successor, wherever employed, and with the predecessor contractors in the performance of similar work at the same Federal facility. (Reg. 29 C~R 4.173)
HOLIDAYS: A minimurn of ten paid holidays per year, New Year's Day, Martin Luther King Jr's Birthday, Washington's Birthday, Memorial Day, Independence Day, Labor Day. Columbus. Day, Veterans' Day J Thanksgiving Pay r and Chri~tmaR Day. ("A
contractor may substitute for any of the named holidays ~nother day off with pay in accordance with a plan communicated to the employees involved.) (see 29 CPR 4174)
THE OCCUPATIONS WHICH HAVE NUMBERED FOOTNOTES IN PARENTHESES RECEIVR THE FOLLOWTNG:
1) COMPUT8R EMPLOYEES: under the SCA at section B (b) I this wage determInation doe8 not apply to any employee Who individually qualifies as a bona fide executive, adm~nistrative, or professional employee as defined in ?9 C.r.R. Part 541. Because most Computer System Analysts and Computer Programmers who are compensated at a rate not less than $27.63 (or on a salary or fee basis at a rate not less than $455 per week) an hour would likely qualif.y as exempt computer profeSSl.OIl<':lls, (29 C.~.R. 541. 400) wage I.-ates may not be 1 isted on this wage detp.T1llination for all occupatlons withln those job familleG. In addit.ion, because this wage determination may not list a waqe rate for some or all occupallUJls within those job families if the survey nat-.a 1 ndicates that the pre-vdi Ling wage rate for thc occupation equals or exceeds
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---.$~2,.7'. 63 per hour coni'ormances may be necessary for '-certa~n nonexempt- -em·~pTl"o"'Y"'e;;;e"Bc-.-'F'"o"r;O---- -'--example, if an individual employee is nonexempt but nevertheless performs duties within the scope of one of the Computer Systems Analyst or cpmputer Programmer occupations for which this wage determination does not specify an seA wage rate, then the wage rate for that employee must be conformed in accordance with the conformance procedures described in the conformance note included On this wage determination.
Additionally. because job titles vary widely and Change quickly in the computer industry. job titles are not determinative of the application of the computer professional exemption. Therefore, the exemption applies only to computer employees who satisfy the compensation requirements and whose primary duty consists of:
(1) The application of systems analysis techniques and procedures, including consulting with users, to determine hardware, software or system functional specifications;
(2) The design, development, documentation, analysis, creation, testing or modification of computer systems or programs, including prototypes, based on and related to USer or system design specifications i
(3) The design, documentation, testing, creation or modification of computer programs related to machine operating systems; or
(4) A combination of the aforementioned duties, the performance of which requires the same level of skills. (29 C.P.R. 541.400).
2) AIR TRAFFIC CONTROLLERS AND WEATHBR OBSERVERS - NIGHT PAY & SUNDAY PAY: If you work at nIght as part of a regular tour of duty, you will earn a night differential and receive an additional 10% of basic pay for any hours worked between 6pm and 6am. If you are a full-time employed (40 hours a week) and Sunday is part of your
regularly scheduled workweek, you are paid at your rate of basic pay plus a Sunday premium of 25% of your baslc rate for each hour of sunday work. which is not overtime (i.e. occasional work on Sunday outside the normal tour ot duty is considered overtime work) .
HAZARDOUS PAY DIFFERENTIAL: An B percent diffe~ential is applicable to employee~ employed in a po~ition that represents a high degree of hazard when working with or in close proximity to ordinance, explosives, and incendiary materials. This includes ~ork. such as screening, blending, dying, mixing, and pressing of sensitive ordance, explosives, ann pyrotechnic compositions such as lead azide, black powder and photoflash powder. All drY··house activities involving propellants or explosives.
Demilitarization, modification, renovation, demOlition, and maintenance operations on sensitive ordnance, explosives and incendiary materials. All operations involving regrading and cleaning of artillery ranges.
A 4 percent different,ial is applicable to employees employed in a position that represents a low degl:8e of hazard when working with. or in close proximity to ordance, (or employees possibly adjacent to) explOsives and incendiary materials which involves potential injury such as laceration of hands, face, or arms of the employee engaged in the operation, irri.tation of the skin, minor bUrns and the lik.e; minimal damage to immediate or adjacent work area or equipment being used. All operations involving, unloading, storage, and hauling of ordance, explosive, and incendiary ordnance material other than small arms ammunition. These differentials are only applicable to work that has been specifically designated by the agency for ordance, explo8ives, and ince~diary material djffp.rp.ntial pay.
** UNIFDRM ALWWANCE **
If employees are required to wear uniforms in the performance of this contract (either by the Lerms o[ the Government contract, by the employer, by the state or local law" etc.), thE: cost of fUraishing such uniforms and maintaining (by laundering or dry cleani::1g) such uniforms is an expense that may nol be- borne by an employee where such cost rpollces the hOllrly rate bel oil t~~~ ~eJqUired by the wage
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---.- deterrid.nation. The' Department oY Labor will accept payment in -accordance with thefollowing standards as compliance:
The contractor or subcontractor is required to furnish all employees with an adequate number o£ uniforms without cost or to reimburse employees for the actual cost of the uniforms. In addition, where uniform cleaning and maintenance is made the responsibility of the employee, all contractors and subcontractors subject to this wage determination shall (in the absence of a bona fide collective.bargaining agreement providing for a different amount, or the furnishing of contrary affirmative proof as to the actual cost), reimburse all employees for such cleaning and maintenance at a rate of $3_35 per week (or $.67 cents per day). However, in those instances where the uniforms furnished are made of uwash and wear" materials, may be routinely washed and dried with other personal garments, and do not require any special treatment such as dry cleaning, daily washing. or commercial laundering in order to meet the cleanliness or appearance standards set by the terms of the Government contract, by the contractor, by law, or by the nature of the work~ there is no requirement that employees be reimbursed for uniform maintenance costs.
The duties of employees under job titles listed are those described in the "Service Contract Act Directory of occupations", Fifth Edition, April 2000, unless otherwise indicated. Copies of the Directory are available on the Internet. A links to the Directory may be found on th~ WHD home page at http;//www.dol. gov/esa/whd/ or through the Wage Determinations On-LiDe (WOOL) Web site at http,//wdol.gov/.
REQUEST FOR AUTHORIZATION OF ADDITIONAL CLASSIFICATION AND WAGE RATE' {Standard Form L444 (SF 1444)}
Conformance Process:
The contracting officeY shall require that any class of service employee which is not listed herein and which is to be employed under the contract {i .e. t the work to be performed is not performed by any classification listed in the wage determination}, be classified by the contractor so as to provide a reasonable relationship (i_e .. appropriate level of skill comparison) between such unlisted classifications and the classifications listed in the wage determination. Such conformed classes of employees shall be paid the monetary wages and furnished the fringe benefits as are determined. such conforming process shall be initiated by the contractor pr10r to the performance of contract work by such unlisted class{ee) of employees. The conformed classification, wage rate, and/or fringe benefits shall be retroactivp- to the commencement date of the contract. {See Section 4.6 (e) (vi)} when multiple wage determinations are included in a contract, a separate SF lq44 should be prepared for each wage determination to which a class (es) is to be conformed.
The process for preparing a conformance reque~t is as follows;
11 When preparing the bid, the cont.ractor ident~fies the need for a conformed occupation(s) and computes a proposed rate(s)
2) After contract award, the contractor prepares a written report listing in order proposed classification title(s), a Federal grade equivalency (FGE) for each proposed classificat~on(s', iob description(s), and rationale for proposed wage rate (s), Including information regarding the agreement- or disagreement of the authorized representative of the employees inVOlved, or where there is no authorized representaLive, the employees themselves_ This report should be submitted to the contractlng officer no la~er than 30 days after such unlisted class(es) of employees performs any contract work.
J) The contracting officer reviews the proposed actiOn and prolopt.ly subm~ ts a report of the action, together with the agency's recommendations and pertinent
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information i:6cluding the- position of tbe contractor and the employees, and Hour Division, Employment Standards Administration, U.S. Department for review. (see section 4.6(b) (2) of Regulations 29 eFR Part 4).
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to the Wage of Labor)
4) Within 30 days of receipt, the Wage and Hour Division approves, modifies, or disapproves the action via transmittal to the agency contracting officer, or notifies the contracting officer that additional time will be required to process the request.
5) The contracting officer transmits the wage and Hour decision to the contractor.
6) The contractor informs the affected employees.
lnformation_ required by the Regulations must be submitted on SF 1444 or bond paper.
When preparing a conformance request, the uService Contract Act Directory of Occupations" (the Directory) should be used to compare job definitions to insure that duties requested are not performed by a classification already listed in the wage determination. Remember, it is not the job title, but thc required tasks that determine whether a class is included in an established wage determination. Conformances may not be used to artificially split, combine, or subdivide classifications listed in the wage determination.
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CONTRACT OAT A REQUIREMENTS LIST (CDRL) I Form Approved (1 Dafa Hem)
-. -_. ----oMS i'iltl. orOil·OIB8 I
Tho public re:p:1r\lng tllu'tl~tl lor this ClJlIsclkln or inrormaUon Is esllmaled 10 IiIItIfage 110 hoW'!! per reptJrIll6, irdutllrlg Ihe IIITID 'or reviewing instructJOIl:!l, ooan;;hlng eldstlng dilla aource~, IIli1!.herlng and maintaining IhII data needed, and complJil'1lg and f9'o'iawing the cnliection gj' InlOI1"J'IStIOn. S€lnd COOImenl5 reglMtl'ng I!'IIB burden e31lrnate or arrf oUIl!I' aspect of this collection 01 InlcllMUon, Including eugllEls!.lort3 lar reducing Ihe bL.ll'l1en. 10 the Olfp!ll"\m!!nl 01 Dden~, E~eaJUw S~ Dlrecloca!e (07o-t..of§). Responaenls &hould ~ lNIEIre 11"081 notwJl/l!;Iaodlng any olher pr0Yl51on or lalli, nD porwn 1Ih!lll tie .... ~I to ,my penally lor '.IHrIg 1o comply wHh II ~Il rllm'ormallon if il doe! rot dll5"pla~ i!I ~n1l1 118!ld OMB cartrDI' !'lumber. Plene do nol ret\.lm yowr form to the abovo orll.nltallon. Send C'Ol'ZIpletad. fonn 10 till!" Government i'luing Contrucdng Omcarfor the Contract/fiR No. 11!l~ III Bloc\( E. A. CONTRACT LINE ITEM NO, lB. EXHIBIT IC' CATEGORY:
TOP TM OTHER D. SY5TEMfITEM IE. CONTRACT(PRNO. F. CONTRACTOR
IT SUPPORT SERVICES -_. --_.-
1. DATA ITEM NO. 2. TITLE OF DATA ITEM l. SUBTITLE 17. PRICE GROUP
AD01 STATUS OF GOVERNMENT FURNISHED EQUIPMENT (GFE) REpORT
4. '\uTHORITY (DatIl Acqll/sKlon DxilIf"BlINo.I r CONTRACT REFERENCE 6. REQUIRING OFFICE HI. ESl1MATED
PWS 322.F AMQ-2401AMI-IO TOTI\l. PRICE
7.0026"0 REQ 9. DIST STATEMEtH 10. FREQUENCY 12, DATE OF F1RSTSUSMISStON 1 •• Dl5lR1BUnON
N/A REQUIREO ANNUAL SEE Bl.OCK 1e b. COPIES
B. APP CODE 11. AS OF DATE 13. DA.TE IF SUBSEQUENT SUBM.. a. ADDRESSEE Final
SEE BlK 16 SEE BLOCK 18 0", R .. R_
IB_ REMARKS A~-2-4a/CO 1
BLOCK 11 - DATE OF ASSUMING FULL PERFORMAt-tCE AMI-lIl1PROGRAM t.\GFI 1 BLOCK t 2 - AFfER ASSUMING FULL PERFORjlAANCE, REPORT IS DUE AT THE BEGINNING OF THE FIRST OPTION PERIOD, IF EXERCISED
BLOCK 13 - SUBSEQUENT REPORTS ARE DUE AT THE BEGINNING OF EACH SUBSEQUENT OPTION YEAR, IF EXERCISEo
FORMAT;
CONTRACTOR 10 PROVIDE COMPOSITE LIST OF GFElGFP SEPERATED BY TASK
t--... -......
t<\ '" \Z! UJ -:E ci 13 z
"'" UJ
15. TOTAL ---. ,
S '" <C G. PREPARED BY H. DATE I. APPROVED BY J. DATE C-
I g Jul2010 BRENDA WELCHEL. AMK-1 0 CYNTHIA L. COOPER, AMQ-21D
DD FORM 1423.1, FEB 2001 PREVIOUS EDITION tAAY BE USED Page 1 Of! Pag~
CONTRACT DATA REQUIREf>\ENTS LIST (CDRL) I Form Approved (1 Clara Uem)-' - -_ .. -' ---
..l '"0,
Tl'Is public leI,lIOf1lng bUIQen lor Ii'll!. OOlledJO/I or Inlarmallon II e!!iIlmated to awrege 110 nolll1l pot Wpon8~, Indudlng IhIIllme lor rcvlewlll9 InstructlDns. IIBBfchlng !lXl&lIng data tolJrcBS. gsltlorlrJg and malnl8lnlng the datil nClt!I'I!!d, eni;! cor!1~~lng an" mrNllng the t:O/lEialon lIr InlOlTl\lltIGn. Send cormnenls regl3ln::ltng till!! burden eslImate or BI'Tl' ather B'Ped. ill' thlB C::In~lIDn 01 IrbmsU~n.. 'lIIC'Udlng IlU1Ja0000tIl. fot rc(IllC'ng tl'te bUnien, 10 the D~artmBnl DI Del'ens!l, ~ulMI Sefvlals. Dlrgctors\B (CJ7[)04-018B). Responderr\ll IhDUId be INfSl"e that nMw1Ih!larrdlflg, any ~her plUIIlalO!1 oIlcrN, ~ pMKII'I 91'1al! be ~ ... bJ8ct 10 Bny p8ll!!/ty for raJlng ID I;OI'TIpty with a c:olltlctloo of .r.-QI"mallon If II doe! nol dl!lpll1)' EI currenlJy valId OM8 l:OI1lrol number. Plell.U do not I"6tum your form to the aboVII orglnlzlUon. Sand complet&MI form to tn. Government issuing Conlr¥t1ng omc;or for thlt ContnlCtfPR No. Ihrtutl In Block E.
A. CONTRACT LINE ITEM NO. ja. EXHI81T Ie. CATEGORY: TOP m OTHER
D. SYSTEM1!TEM la CDNTRACTlPR NO. F. CONTRACTOR IT SUPPORT SERVICES
1. DATA nEM NO. Z. TITI.EOFDATAITEtJ! 3.SUBnTt.E 1T. P~E GROUP
I\J){J2 CDNTRACTORR05TER
4. AUTltORITY (O<Ila kqu/sllion Doau/f"l5l1/ No.) 1.5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18.5STIMATED
PWS 1.2.1.-4 AMQ-240/AMI-1 OIAMC-7QO TOTAl. PRICE
1. DO 25DREQ 9.01516TA.TEJI'IENT 10. fREQUENCY 12. DATE OF FIRST SUBMISSION 14- DISTRIBUTION
HlA REQUIRED SEMIANNuAL SEE BLOCK lEi b. COPIES a.AP? CODE H. AS OF DAre 13. DATE IF SUB&EQUENT SU8M. a. ADDRESSEE FInal
SEE eLK 16 SEE BLOCK 16 Do'
"'" Rupn>
16. REMARKs AMa·2401GO 1
BLOCK 11 - OATEOF ASSUMING FULL PERFORMANCE AML-101PRQGRAM MGR 1
BLOCK 12 - AFTER ASSUMING FULL PERFORM'\NCE, REPORT IS DUE ON THE 16"Tr1 OF THE MONTH FOLlOWlf.lG THE FIRST SEMI-ANNUALCONTRACT PERIOD AMC-7001SECURITY 1 BLOCK 13 - SUBSEQUENT REPORTS ARE DUE ON THE 15TH OF ruE FOLLOWING MONTHS·
MARCH 1STJt
SEPTEMBER 15TH I
._.-
l::---u.. 0
\'<1 ~ <:i w :;; d
~ z '-'-'
Si '" 15. TOTAL ---. 3 <C "--
G.PREPARED BY H. DATE. I. APPROVED BY J. DATE
9Jul2010 BRENDA WELCHEL. AMK·10 CYNTHIA l COOPER, AMQ-210 - , ::-c-
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MA.Y BE USED Page..1 of ! Pages
CONTRACT DATA REQUIREMENTS LIST (CORL) I Form Approved .--
(1 Dala Jfem) I The publll: 'I:IpoltillOl bl.ll"den for this coJled.\OiI 0\' Inftlrmellon I, esLlmaLed tt> everage 110 hour: per retpCl\1se, Inch.ldlng tho lime lor (l:!vl~g insllllOlJon;s, s:earching exisllng ~ SOu("t:E!!I, g.!!lher1ng BOO mslnlami~ Ihe dale nt=~ed, Bnd complelng eml revlewlog th!! colll'l!:l.IM crllnlmm8l)oo. S:=nd O'JmrnetlLs regarding LhiB burden os:lmate PI" an, other IB:Sped of thEa o:Jll!!ctIon 01' Inlcl1l'I!lUon, Irdudh.,g aYgge:sLlI)f1:J lor redudng Ihe burden, 10 IhCl D~r1mcn! of DeI~n5EI, Exaeutiva Scrvr;:,sl Olreclo/IIUI (0704--011;111). RespO{ldenls ehtJUid twI awere t09I notwilllSlandl/l'J BTly other prowlftion 0\ laW, no pentf' shall be subject to any penlllly fur Jllrlllg 10 comply wHh • coIled:\cJn rll InJOIl'I1aIlon if It dPes not display a currently v!il~d OMB conIlol numbel'. PIe .. e 1:$0 nM retum vour form to Ihe abo .... orgllnl'i21(on. send eompleled ftJrm to the Gov.mllli,"t IlSulnll Oontrac.Ung om~e1"fl:If ttlIII' Contnlc.UPR No, listed In aloek E. A. CONTRACT LINE ITEM NO. lB. EXHIBIT IC' CATEGORY;
TOP rM OTHER
O. SYSTEMlITEM r' CON'TRACTIPR NO: F. CONTRACTOR
IT suPPOfn SERVICES
1. DATA ITEM NO. 2. TlTLEOP OAT41TEM J.SUBllTLE 17.~EQROUP
AOD3 EMPLOYEE CkANGES
4. AUTHORII ... (~m ~ioo O;;1;;;ument MI.) 16. CONTRACT REFERENCE 6. REQUIRING OFFICE: 1B. E$lIMATEP
PWS1.21,4 AMQ-24~AMC-700'AMI·m TOTAl.pR)CE
7.00 26D REQ 9. DIST STATEMENT to. FREQUENCY 12. DATE OF FIRST SUBMISSION ... DISTRlBUnON
NJA REQUIRED MO,,",THLY SEE BLOCK 16 b.COPIES
8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM. 8. ADDRESSEE Final SEE BLK 16 SEE BLOCK 16 '''''' "" R_
16. REMARKS AMQ-24C!ICO t
BLOCK 11 - DA.TE OF ASSUM.ING FULL PERFORMANCE AMC-7OQ/SECURITY 1 BLOCK 12 -AFTER ASSUMING FuLL PERFORMANCE, REPORT IS DUE ON THE 15T1'1 DAY FOLLOWING THE MONTHLY REPORTING PERIOD AMI-1D1PRDGRAM MGR 1 BLOCK 13 - SUBSEQUENT REPORTS ARE DUE ON THE 16T
/t DAY FOLLOWING THE MONTHLY REPORTING PERIOD
I-----I;:-.... -.. 0
l<l
~ r<) "" ;:;; a ~
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~ C!J
1S TOTAL ---> 3 Ci: G. PREPARt.U BY H.DATE I APPROVED BY J. DATE
9Jul201D BRENDA WELCHEL. AMK·10 CYNTHIA L. COOPER, AMQ·210
DO FORM 1423-1, FEB Z001 PREVJOUS EOrTlDN MAY BE USED Page 1 of 1 Pages
CONTRACT DATA REQUIREMEIITS LIST (CORL) I Form Approvad - -- ('I Dafa IfMl) -------
I .. " -The pubHc reporting blrden rDr Ihl:!; eollw.iOTl of infDllTle\lon I. ~tlmaled to 8'1erllll''' 110 tJ;lUnI per ~a.pon~l!I, lrlclutllng Ihe time fa' reviewing 1n~ltII'IS, ~liIrdllng o);:I&1:lnll tlatB !IOUrt:e!l, gsthlll'fnillind malnlalrJlng the II. n058dI(!, and ccmpl~rq and ~GWlng the o;>I1ecllon or InJoonallon. Send Cat'IilIIIrtl5 ~an::llng litis burden esl.lrn!Il8, or any I:thct asp"d of ttlllI wlleclJon or Infollllalion, ir,;:;ludlnil PII(IgO'l!Iion9 Jor rodudnll thu burden, to [he Department 01 De!enao, E:A;~" Sflrvi= DIrec1Cfate (D10<1-a1eS). RCllpo/ldlllntJ Ihould be awll~ lhal nahwlL4st.oolng 811'/ other provision of law, no perscn shEoll ba .ubjed 10 BIl)' penalty ror JalUog 10 tIllnply With Ii coIIIJctJDIl 01' Infonnetlon " 11 d~ no! d~pley II cummlly ya!ld OM6 conlrol numb~. PIBaSII do not return your rOnn to lhe- abo-.rll QI'V~nlla'tlort, Band completed tonn tolh_ Goltltmment l!;IIulng Cc;mb".cting Offie« far the CcmtractlPR Nu, Ustei:lln Bloek E. A. CONTRACT UNE ITEM NO. lB. EXHISIT I C. CATEGORY:
TOP m OlliER D.SYSTEMnrEM J E. CONTRACTIPR NO. F, CONTRACTOR
rr SUPPORT SERVICES
1. OATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 11. f'R)Cf E3ROUt>
AOO4 TRAINING REPORT
4. AUTHORITY (Dahl ~ DocuIJlCllI No .• 15. CONTR~CT REFERENCE e. REQUIRING OFFICE tIL ESTlMA,TED
f'lIIiS 1.2.1.7 AMI·10fTASKC01RS TOTAl PRICE
1. OD250 REO 9. DIST STATEME.NT 10. FREQUENCY 12. DATE OF- FIRST SUBMISSION 14, DISTRIBUTION
NJA REQUIRED MO!iTHLY SEE BLOCK 16 b. COPIES
13. APPCODE 11. AS OF DATE 13. CATE IF SUBSEQUENT SUBM. B. ADDRESSEE Final
SEE 8lK 18 SEE Bl.OCK 19 0,,,,
R .. R,P"'
16. REMARKS AMI·IOIPROORIW MaR 1
BLOCK 11 ~ DATE OF ASSUMING FULL PERFORMANCE tJlULllPLE TASK corns ., BLOCK 12 - AfTER ASSUMING FULL PERFORMANCE, REPORT IS DUE ON THE 15nl DAY FOLLOWING THE MONTHLY REPORTING PERIOD
BLOCK 13 - SUBSEQUENT REPORTS ARE DUEON THE '5TH [)Ay OF EACH MONTH FOLLOWING EACH MONTHLY REpORTING PERIOD
FORMAT TO INCLUDE THE FOLLOWING:
IDENTIFICATION SECTION
REPORT TITlE
CONTRACT NUMBER
REPORTING PERIOD
TRAINING INFORMATION SECTION
ORGANIZATION
TASt( NUMBER
CONTRACT EMPLOYEE NAME
COURSE NAME
PURPOSE OF TRAINING
SUMIlllARY OF TRAINING BY ORGANIZAT!ON SECTION
ORGANIZATION
NO. OF EMPLOYEES r-- -NO. OF COURSES
TOTAL
SUMMARY OF TRAINING YEAR TO DATE SECTION
WNTH
NO. OF EMPLoYEES
NO. Of COURSES
TOTAL
~ -... 0 --
• THE TOTAL NUMBER OF REPORTS WILL DEPEND ON THE NUMBER OF TASKS AND COTR'S 1'<) ASSIGNED TO PROVIDE OVERSIGHT OF THE IASKS.
~ -::r-I
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15. TOTAL ---~ "---G. PREPARED BY H_ OATE I, APPROVED BY J_ DATE
12 Jul 2010 BRENDA WELCHEL. AMK-10 CYNTHIA L COOPER AMQ-210
00 FORM 1423-1, FEB 2001 PREVIOUS EDIT!ON MAY BE USED Page 101 1 Page~
CONTRACT DATA REQLJIREMENTS LIST (CDRL) I Form Approv8'd ('I Dafs llem) I
.. 0Iv'IEJ ,'i/o, OTOzJ-O 18ti
Tha pllbllc ~f'IIJ burden fO( this cnlilldion 0( rnrol'7J\.Qllon Ia ~lml1lted to Bverage I to hIM'll per re!lponBD, IIlr;:hJ~lng Ihl! time Jor rev~ing In,uud:tonll. ~an:hlng ~&tIng data .oUI'C8B, GBlMririg and maintaining Ihe dsta nelldlld, anO' compleUng iilnd ml!Wln; the wUecllon or Irtun'lIaIloll. Set\od comtTl!!nl:r; IbgBrtlI,n; lhIa tJUrdlln estImste or any DIll~ .. peel. of this. coUIlodJon of InformaIlon, Indlding tll.JCI~Uon. for R:lducing rho burden, to 1m Llep:!lrtrnelrtL or Oefenee, EniQ,Jtiw Services OIred.crM (D704-(l1~). ~pondl!flls 5h~ld be ~ Ibm no!Wlthl~n:ll1Q any oIher provlolon o:r law, no pereon ,hall be ~bjec:t 10 Sf'/)' p8tla~ lor talling b:I o;:tnply with eo coll&Cllon c( InIormaUon It iI ~es nol dIsplay iii aJIToollly \'aIijd OMB IlOI'JIrnJ number. Plsoli. do not Mum !{Owr Ionn kJ th. above organization. Send compl~d form to !hI! Gollltmment ]slilJlng Cl:Intracilng OffIcer far ibll COlitraetIPR No. 1i1I18d" In Blrx;k ~
A. CONTRACT L.INE ITEM NO. lB. EXHIBIT IC' CATEGORY: TOP TM OTHER
D. 5YSTEMlfTE:M je.CONTRACTfPR NO. F. CONTRACTOR
IT SUPPORT SERVICES
1. DATA ITEM NO. 2. TIne OF DATA [TEM 3.5UBTITL.e t7.PRlCEIlROtJP
MOS MONTHLY PROGRESS REPORT
4. AUTHORITY (DIIt,. ACqlJi:Wo!J iJocvmaI!j No) L,CONTRACTREFERENCE S, REQUI~ING OFFICE U.ESnIllATEO
PINS 12.14 AMl-l0, TASKCOTRS TOTAL PRJCE;
7. DO 260 REQ 9. DISTSTATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. Ol5TRlBUTION
NlA REQUIRED MONTHLY SEE ElLOCK1B b. COPIES 8.APP COCE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM. 0. ADDRESSEE Final
seE BlK 11'1 SEE BLOCK 11'1 DiAl' R" ""pm
16. REMARKS AWI·j nlf'ROGAAM MGR 1
BLOCK t1 . DATE OF ASSUMING FULL PERFORMANCE MULTIf'LE TASKCOTR3 "1 BLOCK t2 ·AFTER ASSUtJlING FUll. PERFORMANCE, REPORT IS aUE ON THE 6TH DAY FOLLOWING THE MoNTHLY REPORTING PERIOD
BLOCK 13 - SUBSEQUENT REPORTS ARE DUe ON THE sni DAY OF EACH MONTH FOLLOWING El\CH MONTHLY REPORTlNG PERIOD
FORMAT TO INCLUDE THE FOLLOWING:
TIME & MATERIAL TASK ORDERS:
pROGRESS ACHIEVED DURING THE PAST MONTH
PLANS FOR THE FORTHCOMING MONTH
ANTICIPATED PROBLEMS
ACTIONS REQUIRED BY THE GOVERNMENT
MONTHLY & CUMULATIVE LABOR HOURS
ASSOCIATED IJ\BOR RATES
EXTENDED DOLlAR EXPENDITURES
FIRM FIXED PRICE TASK ORDERS:
PROGRESS ACHIEVED DURING THE PAST MONTI-!
PLANS FOR THE FORTHCOMING MONTH
ANTICIPATED PROBLEMS ACTIONS REQurRED BY THE GOVERNMENT
t--~
0
'THE TOTAL NUMBER OF REPORTS WILL DEPEND ON THE NUMBER OF TASKsANO COTR'S t()
ASSIGNED TO PROVIDE OVERSIGHT OFTHE TASKS. I ~ ~ '" :;;; ci ::r:: z ~ LoJ
115 TOTAL ___ ~ S '" "" a.. G. PREPARE.D BY H. DATE I. PJlPROVED BY J. DATE
I 12 Ju120,O 8REN DA WELCHEL, AMK·1 (I CYNTHIA L COOPER. AMQ-210
DD FORM 1423·1, FEB Z001 PREVIOUS EDITION MAY BE USED Page! o( ! Pagas
CONTRACT DATA REQUIREMENTS LIST (CDRL) J Fofm Approvad
p Dafa1rem) I OMS lila. 07()<t:O 188
~ pUbllt: "'porting burdan lor thIs coledlM 01 Inlormatlon Is estimated 10 81111£ag& '10 hollr.l per ~p;lI'l!!!I, Jncludlng Ittc limn ror ~~ng In!llrllclklll!l, Marcb.lng e:dstlng deta 801JrcEla, galner111g and ma/nlalnlng lhe data rn!edeti, ami completing ArId revlewlnll ~he eolleclion of Informallon. Send o;J!nlrl/!lnlll regl!l't!lng this tKJrtlen esUmirlo ot any othDf eosp~ t.If UlI.,. wllecl.lon of Informallon, IrdJding: lIt.lggestJons fOr redudnllihe burdlffi, to 1M Dapartmoot fA O","enae, ElM".l.lIIve ~Iu.. Dlred.Drate (0704·0188). R~poM!lIll. should be !l'oVa!'e thai n~lhsIandlog srrt olMr pf'01II,)on 0( law, no poEIfUln !lhall ba aUbje,.cl, 10 uny pena~y for relnng to corTIply with a wledlon or ll'lbma\ltm II It d08ll I1DI dl!iple.y a currently valid OMS control number. PIN •• cto not return YDUr form to ttl • .00118 orgtmlzallon. Se-Dd c:omplei!d form w lM Gov.rnmont lssliing Cootru:tlng ORk:ar 'or the Con!racttPR No.ll*d lh alo~k E. A. CONTRACT UNE ITEM NO. IS.EXHIBIT I C. CATEGORY:
rDP no OTHER O. SYSTEM/ITEM ,E. COHTRACTIPR NO. F. CONTRACTOR
IT SUPPORT SERVICES
1. DATA rrElII NO. 2... TITLE OF DATA ITEM 3.SUBmLE H. PRICE GRDUP
MO' TECHNICAL AND MAHA.GEME~TWORK PlAN (TASK lEVEL)
4. A.UTHORITY (Oa/B Acqukl/loo OoCllmetJI No..) 15. CONTRACT REfl!.RENCE S. REQUIRING OFFICE 'I, ESTUIATED
PWS 1.2.3 AMQ·24Q1CO, AMI·10, TASKCOTRS TOTAL "RICE
7.00 25DREQ 9. DI5T 5TATEME.NT 10. FREQUENCY 12. DATE Of FIRST SUBMISSION '4_ DISTRIBUTION
NlA REQUIRED AS REa'D SEE BLOCK 16 b.COPIES
B.APP CODE 11. AS OF [lATE 13. DATE IF SUBSEQUENT SUBM. c. ADDRESSEE Final
SEE BLK 16 SEE BLOCK 16 ""n R·O Ropro
16. REMARKS AMO.2'101CO 1 , BLOCK 11· DATE OFCD REQUcs.T
AMI.1IYPROGRAMMGR , BLOCK 12- DUE WITH THE TASK PRoPOML IFIWHEN IDENTIFIED BI( THE COAS A REQUIREMEttT OR IF NOT INITIALLY IDENTIFIED AT THE BEGINNiNG OF A TASK, DUE WITHIN 10 MULT1?1.£ T"-'iKCOTRS ., DAI(5 OF CO REQUEST
BLOCK 13: SUBSEQUENT REPORTS ANDtoR UPDATES TO INITIAL REPORT ARE DUE WITHIN fO DAYS UPON UPDATE OF THE PLAN ANDJOR WHEN CHA~GES OCCUR
SEE PAGE 2--4 FOR DETAilS OF REPORT.
--
t:---U-0
K)
'THE TOTAL NUMBER OF REPORTS WILL DEP!::ND ON THE ""UMBER OF TASKS AND COTR'S ~ ~ ASSIGNED TO PROVIDE OVERSIGHT OF THE TASKS ....
:e <:>
~ z: w
S u>
"'" "-\5 TOTAL ___ ~
G. PREPARED By H. DATE I. APPROVED BY J-:-OATE
12 Jul 2011] BRENDA WELCHEL. AMK·l0 CYNTHIA l COOPER. AMQ-210
00 FORM 1423.1, FEB 2001 PREVIOUS EDITION MAY BE USED P~ge 101 i Pages
___ . ____ . CDRL A006 TECHNICAL AND MANAGEMENT WORK PLAN
This report will be on an as required basis for an individual task(s). If the CO/COTR requires a more detailed plan for a specific task than the information provided in the Monthly Progress Report (CDRL ADOS), the CO will request a Technical and Management Work Plan to be provided either with the contractor's proposal for the task or at a later date as the need is identified.
FORMAT.
The plan shall be submitted in a contractor devised and Government approved format which conforms to the following;
IDENTIFICATION.
The plan shall identify the contractor's name, contract number, task order number, task reference number, security classification of the plan, and the name of the COTR.
DESCRIPTIVE MATERIAL. The plan shall include descriptive material, tables, forms, graphs, worksheets, charts, drawings, etc., as required.
PAGE SIZE.
The plan shall be on 8 112 X 11 inch paper. Pages shall be sequentially numbered and securely bound together. As necessary, graphic material may be one way foldouts. All attachments shall be identified and referenced in the text Each section and paragraph shall be numbered.
TABLE OF CONTENTS AND INDEX.
Plans of more than 30 pages in length shall contain a table of contents.
CONTENT. The plan shall include information necessary to substantiate the contractor's approach to completing the task order and information necessary for the Government to assess the soundness of the contractor's approach. The plan shall contain the following;
a. Organizational Structure - The plan shall include a description of the contractor's organizational structure and assignment of functions, duties, and responsibilities which will be assigned in support of the task. Additionally, the plan shall identify the contractor's procedures, policies, and reporting requirements established to initiate, monitor, control, complete, and report on activities required of the task order.
Page 2 of 4
t::-... --~ 0
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· _____ CDRL A006 TECHNICAL AND MANAGEMENT WORK PLAN
b. Organizational Interfaces - The plan shall describe all interfaces between the contractor and the Government and between the contractor and other contractors or sUbcontractors which are necessary to complete the assigned task. This shall include a description of the applicable responsibilities and functional relationships between those organizations.
c. Methodology - The plan shall include a narrative description clearly defining the technical approach (or method) including tools, standards, and procedures to be used by the contractor to accomplish the task order. All documentation, activity, or decisions required from the Government or other Government contractor shall be identified.
d. Personnel- The plan shall identify the names and types of personnel assigned to accomplish the task order. The plan shall show how the combination of people assigned to each task provides a sufficient knowledge or experience base for the task. This includes identifying any special education, training, experience, or skills of these individuals. Also, any special administrative support requirements shall be identified.
e. Security - The plan shall identify any special or unique security requirements nesulting from the task order.
f. Schedule - The plan shall include a milestone chart(s) graphically depicting the schedule of events associated with the task order. The level of detail shall be sufficient to clearly show how each subtask shall be perfonned. This includes:
1. Contractor activities.
2. Contractor deliverances (interim and final), including briefings (if required).
3. Other program milestones as appropriate (including Government input in paragraph c. above).
4. Periodic milestones to allow adequate Government review of contractor progress.
g. Resources Chart - The plan shall include a resources chart that graphically and numerically identifies the contractor's total planned manhour level of effort (LOE) and LOE by month for each subtask identified in tihe task order. Proposed monthly subtask manhours shall be broken out be labor category in support of the task order.
Page 3 of 4
t:-.....
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_ CDRLAOD6 TEC-:""H:-:-N:-:-ICC-CAccL-AC-CND MANAGEMENT WORK PLAN
h. Travel- The plan shall include a list of the travel requirements that shall provide the following information for each trip:
1. Company or Government agency visited.
2. location.
3. Number of travelers by labor category.
4. Trip duration.
i. Contractor Requested Data - The planshali include the contractor's best assessment of any additional data required by the contractor. This list shall be detailed as possible and shall include document titles, responsible Government organizations, and responsible Government contractors. The criticality of each data required shall be identified.
j. Deliverables - The plan shall include a brief description of the contents of each deliverable to be provided as a result of the task order.
Page 4 of 4
\.L
't<')'"
s;:;c:r I.U :Ed
!i
- f---CONTRACT DATA REQUIREMENTS LIST (CDRL) - I Foon Approved -- . - P DafeTemJ---------------
I The plIblic reportiDII burden for this coHediQrl of information is e.stlmaled 10 evB~!t '10 hol.1J1l per responge, irJ;;ludlolllhe tlme ror I'lI1Tisvoing inHrudlana, searc:hlll9 existing (fall eOlM'Ql5, gathering- lind rMimalning lha data netId!!d, ilnd CCfTIplM'ng and revj~rQ Ille oolillCtlcn oIlnronnalion. SlIfId COIT1mcnle regllrdng 11111 boJrden Clsllma/e Dr Bny ClItI'M a5ped 0111'11. collec1lon of iliormallon, including Buggestlons lor tedOOfllg ftte bl.in:fen, \0 the Oaplll1J:n5fl1 at Oo!lfert'I!I. Exc=QJt!ve Servla!u Dlr<doruIe (0704-0188). ~flaponIi9n!s shOo.lId be IlI/r'are that notwtth5~1"dIIl9 any oth!lr provision tI taw, I'J;I pllroOll shall be IUbJet110 any peralty for railing to oompry With a CXlllac110n 01 lM::rmation If tt. doee not dlspla,o a aHTently valid OMS Q:JmrOi. number. PIMN do IIDI return your form to ttls abo\le orglnlzation. Send complBttd form to the GQVernment issuing conlrte.tlng OmCElT lor thlll ContractfPR No. Ihlllld In Block E. .... CONTRA(;T UNE ITEM NO. lB. EXHIBIT I C, CATEGORY:
TOP TM OTHER D. SVSRM/ITENI J E. CONTRACT/PR NO. F. CONTRACTOR
IT SUPPORT SERVICES
1_ DATA ITEM NO. 2. TITLE OF DATA ITEM 3.5UBTITLE n.PRJCEGUiOUP
AOO7 CONFERENCE REPORT
.c. AUTHORITY (DelaA~1sf#oo Docu~ NU.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE n.. EBnl4A:TEO
f'VI/S 1.2.'1 AMQ·240. AMI-1 D TOTAL PRICE
7. DD 260 REQ 9. DIST STATEMENT 10. FREQUENCY 't2. DATE OF FIRST SUBMISSION 1<. DISTRIBUnON
NJA REQUIRED AS REQ'O SEE BLOCK 16 b. COPIES
8,APP CODE 11. ASOF DATE 13. DATE IF SUBSEQUENT smull. a. ADDRESSEE Final
SEE BlK 16 SEE BLOCK 1B """ .... R.,-,
113. REMARKS AMIl-2-4'OICQ 1
BLOCK 11 - DATE OF ASSUMING FULL PERroRMANCE
BLOCK t2 -AFTER ASSUMI~G FULL PERFORMANCE, REPORT IS DUE ON THE 7TH DAY AMI-IOIPIWGRAM MGR 1
FOLLOWING ANY MEETING/CONFERENCE CALLED BY THE CO AND/OR THE MMAC PM
BLOCK 13 _ SUBSEQUENT REPORTS ARE DUEaN ruE i TH DAY FOLLOWING EACH SUBSEQUENT caNFERENcElMEETING CALLED BY THE CO ANDIOR THE MMAC PM
FORMA. T TO INCLUDE THE FOLLDV-JING:
DATE OF THE MEETINGJCONFERNcE
PARTICIPANTS OF THE MEfOTINGlCON:FERENCE
TOPICS DISCUSSED
AGREEMENTS ANDlOR CONCLUSIONS (IF ANY)
NOTE; IF THE COtHRACTOR PM OR ALTERNATE WISHES TO MEET WITH TltE FAA IN REGARD TO At-N FACET OF THE CONTRACT. SUCH MEETINGSfCONFEREt.\CES WILL REQUIRE AMQ-24D1COAPPROVAL OF CONTRACTOR'S AGENDA ANGIOR STATED REASOfII(S) FDR THE MEETING AND MUST INCLUDE THEAMQ-24D/COAN[I nlE AMl-101PROGRAM MANAGER (OR DESIGNEES) AS ATTENDEES OF THE MEEllNG1CONFERENCE CONFERENCE REPORT REQUIREMENTS WILL APPLY TO CONTRACTOR REQUESTED MEETINGS/CONFERENCES.
I
I::'-----W-
i<} '" ~ Q -"-' := 0
-- '" "" ~ .... c:J
"'" 15. TOTAL __ -> , '" c..
G. PREPARED BY H. DATE 1.-,r..pPROVED BY J. DATE
12 Jul201Q BRENDA WELCHEL. AMI<-1D CYNTHIA L. COOPER, AMQ-21O .-
DO FORM 1423-1, FEB 2001 PREVIOUS EDITION MAYBE USED Page! ot 1 Pages
l::ONTRAl::T DATA REQUIREMENTS LIST (l::DRLI I Form Approved ._-(1 DalB /fern) - -.- -
I • {J1'tt*(} fS8
1lJ& p~b\ic ~porting burdBfl for this colletllon til' InrOl"ma\ioo Is esllmsleti 10 ..,erage 110 hoLa'S per raspo-ns!!, Including Ihe Ume ror revlawlng Instrucllom., IleIElIllhlng e'>:lstirg d;ota IOIhIrCeI, gaU18lir.; and mairll2iJ'llnll Hte dlll.a needed, snd ecmp~ng an:! re\llSllllng the rolledian oIll"Ifoonatlon. Senti comments tagardlng Ihls bun1~ I!lllImab:I or Bny Qlhllf ssped. Df this c:ul!ed.lon of InfarmaUoo, Including suggeliflana lor re\1lJtlJ'lg tho burden, 10 IItCI OepertlTllrlll 01 Defease, El/ecutm- SI:l'Vb=s Dlrecia'abll (0704-0166). Rftllponden!! :ahCIukl be EhYBl1llMlI1OlWJthstarJdlng any other pfDVI&i::n or 1aoY, no pef1.On ~BII be !I.Ibj8d. (g Bny penalty tor (aiLlre 10 t:QlTlpIy wllll B collo!Jctlon ~ information till dt'e'll not dhlp[sy EI cunrnlly valid OMB control number. PlHse do not return your (ann 10 the _bove orgBnlzatlon. $lind completed ~rm to ttH! Government laulng Contmctlng OffIcer rot'" the ConmeUPIt tfG. U51ec11n Block E. A. CONTRACT UNE rreM NO. lB. EXHIBIT le. CATEQORY:
mp 1M OTHER D. SYSTEMlfTEM ) E. ?ONTRACT/PFt NO. F. CONTRACTOR
IT SUPPORT SERVICES
1. DATA ITEM NO. 2, TJTLE OF DATA ITEM J. SUBnTlE f1.PRlCE.GlRQUp
ADOB CONTRACT INVOICING AND PAYJV!ENT REPORT (TASK LEVEL)
4. AUTHORITY (~AcqllisSlO/l DocumcIIt No.) 16, CONTRACT RE!FERENCE i. REQUIRING OFFICE 18. E&TlMAn;.O
PWS 12.22 AMO-240,AMI-10, TASKCOTRS TOYAL P,IdCE
7. DD 250REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATe OF FIRST SUBMISSION ... DISTRIBUTION
NfA REQUIRED MONTH LV SEE BLOCK 16 b. COPIES 8. A.PP CODE 11. AS OF OATE 13. DATE IF SUBSEQUENT SU6M. B. ADDRESSEE Final
SEE BLK16 SEE BLOCK 16 0"",
'" "'" 16. REMARKS AMQ-24QfCO 1
BLOCK t 1 . DATE OF ASSUMING FULL PERFORMANcE AMi-1OJPRDGAAM ""Gil: 1 BLOCK t2 -AFTER ASSUMING FULL PERFORMANCE, ELECTRON.IC EX"CELSPREAOSHEET REPORT IS DUE MONTHLY IN ARREARS FOR THE PREVIOUS MONTHS OATA OR WITHIN 7 DAYS MUL TJPLE TASK cams '1 FROM CONTRACTOR'S RECEIPT OF PAYMENT
EXAMPLE - POP Of 101D1fXX. ·1W311XIC:· CONTRACTOR RECEIPT OF PAYMENT 121011XX _ ElECTROr-ilC EXCEL SPREADSHEET REPORT IS DUE NL T 12/0800<
BLOCK 13 - SUBSEQUENT ELECTRONIC EXCEL SPREADSHEET REPORTS ARE DUE MOttrHLY IN ARREARS FOR THE PREVIOUS MONTHS DATA OR WITHIN 7 DAVS FROM CONTRACTOR's RECEIPT OF PAVIJIENT(SEE t::XAMPLEABOVE)
ELECTRONIC EXCEL SPREADSHEET REPORT IS ATTHE TASK LEVEL AND IS TO INCLUDE PREVIOUS MONTHS PAYMENT INFORW,TlON. FOR A RUNNING TASK TOTAL AS SHOWN IN TJiE FORMAT ON PAGE 2·3.
ElECTRONIC COP'( OF THE EXCEL SPREADSHEET fORMAT WILL BE SUPPLIED TDTHE CONTAACTOR B'fTHEAMI-10IPROGRAM MANAGER UPON AWARDICONTRACTOR'S REQUEST
t:----~ ~ '"
"THE TOTAL NUMBER OF REPORTS WILL DEPEND ON THE NUM8ER OF TASKS AND COTR'S ~ --1="'0 m ,-"' "~"" .mn«, w :E d 5 "" "" u.J
~ C!>
"" 0-
Hi. TOTAL ~~-..
IG. PREPARED BY 'H, CATE I. APPROVED BY J. DATE
12 Jul201 0 BRENDA WELCHEL, AMK-l0 .QYNTHlA L COOPER:. AMQ·2.1O
DD FORM 1423-1. FEB 2001 PREVIOUS EDITION MAV BEUSED Page- 1 of ~ Pages
VENDOR-
TASK ORDER NO.
REVISION NO.
REVISION NO.
REVISION NO.
Invoice Description Number
Establish budget for Ets: Invoice 000 Invoice Invoice
Invoice Invoice Invoice Invoice lnvoice Invoice Invoice Invoice Invoice Invoice Invoice Invoice
ATTACHMENJ 3 PAGE NO./.;:t. OF'1
CONTRACT INVOICING AND PAYMENT RECORD - TASK LEVEL
CONTRACT - DTFAAC-ORDER NO AMOUNT
0001 $ 5,000.000.00
000110001 $ 50,000.00
Period of Original Invoiced Performance Overtime Quarterly Totals Amounl
10/01/10 - 10/31/10 $ 550.00 $ 500,000.00 11/01/10 -11/30/10 $ - $ -12101110 -12131/10 $ - $ -
$ 500,000.00 01/01/11 - 01/31/11 $ - $ -02/01/11 - 02/28/11 $ - $ -03/01111 -03/31/11 $ - $ -
$ -04/01/11 - 04/30111 $ - $ -05101/11 - 05/31/11 $ - $ -06/01111 - 06/30111 $ - $ -
$ -07/01/11 07/31/11 S - $ -08/01/11 - 08/31111 $ - $ -09/01/11 - 09/30/11 $ - $ -
$ -. - -
$ $ $ $
$ $ $
$ $ $
$ $ $
'Pald Invoice Amount 5.050000 00
500,000.00 --
-
--
---
---
CDRLA008 Page 2 of 3
CONTRACT INVOICING AND PAYMENT RECORD - TASK LEVEL
Invoice Origln.1 Invoiced Description Number Service Dates Overtime Quarterl~ Totals Amount
Balance Tot.l Expended $ 550.00 $ 500,000.00 Cumulative Overtime
I BALANCE REMAINING
'Actual Amount Paid After COTR Adjustment (If any)
Sample Information
ATIP.CH MEfH .3 PAGE NO. 18 OF 17
$
$
*Paid lnvoice Amount
500,000.00
4,550,000.00
CDRLAOOB
Page 3 of 3 \
-CONTRAC:TDATA O~~"'CI ITS LIST (CDRq Form,
"",(n).'.I'am) .--VI"C
Eii!~ b~:",:=:~~" ~ .. " 110 ho~,.,- ... po ...... ~",-'he '"':.:~ ~-'-~'!.' j-i'::=~~ , l compleUog and ~vieWiJlJ ttle collection of ,
~?;,i~ ~ho' -.. ,,d-;"-~I:I'~=~~ ;<, . '''''''0,. t;oy,u,;, 7;-;;;;;;;;;; ~~ ~~"'". 10 ";, ;.; w~'" ,~ '!,~::"~r =-~~ ,,~:~ ... r;;-~~ ':::,:,,~Io' • " d_ ;'" ,.,1", , W",,,,,, ~lId OUB w"", ':=:'~::'~i£J~ ,""m "'"' ,om. ... Ih''''''
fA:' ~, LINE""fiEiiND.
~ rc. Tep TM OTHER 10 ;: 'EM 1EI 1 F.
IT:
~ rrm"i¥OF OP IA '" I" '"' n.e 17. Pfi:iGE GROup
AoD9 CDNTRA..GTOR'S PROGRESS, STATUS AND MANAGEMENT REPORT
0""""",,, ,".J I"~ PWS '.1.2 1&· AMI-1D." ,:~::~,E 111 ESTIMATED TOTj\LPJUGE
7~ f9:DiST 1
'
•. ~:l~~:'~:T , m: ,
RECUIRED 'COP'ES lB. APP CODE
"~;:;:K~:'" 113~~~T;,~o< 18 '6U."- B ADDRESSEE , 0""
: R" I R.pro
HI. REMARKS I BLOCK 11 - DATE OF ASSUMING FULL PERFORMANCE
BLOCK 12 - AFTER ASSUMING FULL PERFORMANCE, REPORT IS DUE ON THE 15'H DAY OF THE I .,
MONTH.
BLOCK 13 -SUBSEQUENT REPORTS ARE DUE ON THE 15TH DAY OF EACH MONTH
REPORT SHAll BE IN THE CONTRACTOR'S FORMAT. CONTENTS SHp.LL INCLUDE:
CURRENT VACANCIES - NEED TO IDENTIFY PER TAsKlPER VACANCY:
TASK NllMBER
COTR NAME
SKJLL LEVEL
DATE NOTIFIED Qi= VACANCY
TARGET DATE TO BE FILLED BY
NUMBER OF DAYS DELINQUENT <IF ANY)
STATUS
TASK LEADER NAME
FILLED VACANCIES - NEED TO IDENTIFY PER TASK/PER VACANCY:
TASK NUMBER
COTR NAME
SKJLL LEVEL
DATE NOTIFIED OF VACANCY
DATE FILLED
NO. OF DAYS DELINQUENT (IF ANY)
NO. OF DAYS FILLED PRIOR TO TARGET DATE (IF APPUCABLI.'Ol
TASK LEADER NAME
SUMMARY SECTION:
PERCENT AND TOTAL NO. OF POSrnONS F[LLED ON TIME
PERCENT AND TOTAL NO. OF POSITIONS FILLED LATE
PERCENT AND TOTAL NO. OF POSITIONS FILLED EARLY l:;-.... AVERAGE NO. OF DAYS LATE OVER TARGET DATE --AVERAGE NO. OF DAYS EA.RLYOVER TARGET OATE "-0
'" "THE TOTAL NUMBER OF REPORTS WILL DEPEND ON THE NUMBER OFTASKSAND COTR'S I-ASSIGl"ED TO PROVIDE OVERSIGHT OF THE TASKS. :z -..... ,--- :!E 0
~ "" u.l
~ c.o dO Q.
115. TOTAe . IG. ) B' IH.D"E IJ·D!.T'E
1;!Ju12010 BRENDA .e. ~
."''' <n CYNTHIA L COOPER. AMO-210 DO FDRM 1423.1. FEB 2001 PREVIOUS EOITION MAY BE' USED Page i 01 1 Pages
CONTRACT DATA REQUIREMENTS LIST [CDRll I Form Approved P Data nem) --- ... -
I - OItl1S 1110. 01(1:4:;0188- ----
The public l'l!I~ng Ilurnell for ttlls ool~dloll of InformallDn It l'llillmaled to aYalll96 110 hDUI~ per respof"Ge, InclUding tile lim!! for llYt'ie-.Wg lnaructiOOB, .I11an:hiog I!J(lslng dala IIOUn:::c1l, galhl:lf"rou Bnd maintaining lhe data r-dlld, arM:! compleltng and rwlewtr.g ItllI 0lI1ed1on 01 InJDm"aUoo. S&nd comrnanls regarding lhll burdan V3Um81B or IIny alhCl" aspect 01' lilli coIl9dloo of InfOITIIsmn. Including !!ugllesUol1E; for rlldudng the Ilurdan, 10 the DePBrbn=nl 01 Defense, ExeClllIIIfI SIIrVk:aa Dlre:ioratll 1070-(..0166). Respondents should btl ;rware thai. not'Nit/l:.tllndlnll' arry Dlher prwlaloo or \gyI, no pM'ROn =r;tIaU ~ 5Ubje:t Ie IIny pellSlty fDr fal!lnll to -.;;ofTlp\y 'IIIIItJ B co/l~ at Inlormalinn If it OOtlB on! dlsplll)' II r::urrenUy "'BlId OM8 control number. PIElllae do not return your form to tn. above orgenb.atlon. Svrid CC)JfJplsted form ttl lb. Governmollt I,o;ulng Contl1l<:::tlng OIltcerfof ltto ContractIPR No. It.ted In Block E.
A. CONTRACT LINE ITEJIIf NO. IB.EXHIBIT I C. CATEGORY; TOP TM OTHER
D. sYST5MflTEM IE. CONTRA.CTIM NO. F. CONTRACTOR
IT SUPPORT SERVICES
1, DATA ITEM NO. 2, TITLE OF DATA ITEM l,$UBTlTLE 17. PRICe GRoUP
Mi0 QUALITY CONTROL PLAIi
--4. AUTHORITY (DalE! Acqi/J$llloo OocU/JIf!m Nfl.) ,5. COf'ffRACT REFERENCE S. REQUIRING OFFICE HL iSTIIaATEIJ
P'NS 1.2.2_1 AMQ-240. AMI-1D TOTAL PRICe'
1.00250 REQ 9.. DISTSTATEMENT ill. FREQUENCY 12.. OATE Of FIRST SUBMISSION '4_ DISTRIBUTION
NlA REQUIRED ANNUALLY SEE BLOCK 15 b. COPIES
B.APP CODE 11, A5 OF DATE 13. DATE IF SUBSEQUENT SUB.,. 8. ADDRESSEE Final
SEEBLK II) SEE BLOCK 16 D"" -.. --15. REMARKS AMQ-2.40r'CD 1 1
BLOCK 11 - DATE OF ASSUMING FULL PERFoRMANCE AMI. illlPROGRAt.I UGR 1 BLOCK 12-AFTERASSUMING FULL PERFORMANCE, UPDATEO REPORT IS DUE6 MONTHS AFTER CONTRACT AWARD
BLOCK 13, SUBSEQUENT REPORTS ARE OUEATTHEBEGlNNING OF EACH SUBSEQUENT OPTION YEAR,IF EXERCISED ANIlIORAS CI-IA!IIGES OCCUR
FORMAT TO INCLUDE THE FOLLOWING;
A A DESCRIPTION OF THE CONTRACTOR'S QUALITY CONTROL SYSTEM. THE SYSTEM SHALL COVERALL SERVICES, SPECIFY WORK TO BE INSPECTED ON ErrHER A SCHEDULED OR UNSCHEDULED BASIS, FREQUENCY, AND DESCRIBE HOW INSPECTIONS ARETD BE CONDUCTED.
---B. THE NAME(S) AND QuALIFICATIONS OF INDIVIDUAL(S) RESPONSIBLE FOR PERFORMING QUALITY CONTROL INSPECTIONS, AHD THE EXTEtnOF THEIR AUTHORITY.
C. A DESCRIPTION OF THE METHODS USED TO RECORD THE QUA.LITY CONTROL INSPECTION AND CORReCTIVE ACTIONS TAKEN,
O. A DESCRIPTIO". OF THE METHODS USED FOR IOENTlFYlNG AND PREVENTING DEFECTS IN THE QUALITY OF SERVICE{S) PERFORMED.
E. THE APPROACH FOR FlLUNG VACANCIES IN A TIMELY MANNER, PROVIDING QUAUAED PERSONNEL AND MAINTAINING AN ONGO ING TRAINING PROGRAM TO ENSURE CONTRACTOR EMPLOYEES ACOUlRE THE KNOWLEDGE AND SKILLS NECESSARY FOR NEW/EMERGING TECHNOLOGY, MANAGING CHANGES IN WORIQOAD REQUIREMENTS, AND PROVlDING TIMELY AND ACCURATE INVOICES
THE CONTRACTOR SHALl.lMINTAIN A FilE OF ALL SCHEDULED AND PERFORMED QUALITY CONTROL INSPECTIONS, INSPECTION RESULTS, AND DATES AND DETAILS OF CORRECTIVE ACTIONS. THE FilE SHALL BE t-nADEAVAJLA9LE TO THE CO AND THE AMI-10IPROGRAM MANAGER UPON REQUEST.
-------
I:;:-...
---.... 1'<\ '" ~ \f\ -w
== 0
~ Z W
~ "" -<X: '5. TOTAL ---~ 1 , 0-
~ PREPARED BY - I" dATE
I. APPROVED ay J. DA.TE
BRENDA WELCHEL AMK·10 12 Jul2010
CYNTHlA L. COOPER, AMQ-21 0 - -DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page! of 1 Pages
- CONTRACT DATA REQUIREMENTS LIST (CDRL) ---t-{,;; ~~';':DIB8 ----(10./. Item) The public reporting burdon 'tit IhIs conectJon ollnJonnaIl::m 11:\ eiSllrr.!iled to awtagl'l 110 hoUIB per I"a!I.ponse, Including the tlroll for reviewing Instrucfrms, seiltChlng 1:)d,UIIII dsla aaurc:B!l, gallie-ring and maln!Blnlng [hI! !lala )'IeI!ded. and oompleUng and raviawing the coIlec\ItI., oIlnlonnallon. SelJd coll'llTll!lnb regatlir(llhls bfJrdOl\ !!Imillel a- any cllhu .aspacI of lhl; collection d. InJDrmation. ]ndudlng lIugQClSUOIliJ for reoou::lng Ih!! burden, Ia Ihe OepartrMnI: of QefllrJ&e, EJ;eocullllll &w\Ilcas DlracioraLo {D704·D188) Respondents ehalJld ba _II/.II IJ'\8l notwilhshmdln; any ctl'ler prmrlsion 01' law, no p!SIlIc.J shall bo IIllbJed.lo anI' =u.lty fcrfalllnlilio wmpl, WIth .. tDllllltilm cI. Infotmallon It K ckJel nol display a a/mmUy valid OMS control numbllr. Pln.1t do nat I'!tbJm your 'DOlI 10 the a ."" OIlJllnlzatlon. Sal'ld completDd form tD the Government 1!I!ulng Contractlnll Officer lor Ihl: Cgntracl/PR Ho, listed In 81ockE.. A. CONTRACT LINE ITEM NO. IB.EKHIEUT Ie. CATEGORY:
TOP no OTHER D. SYSTEMJJTEM IE. CONTRA.CT/PR NO. F. CONTRACTOR
IT SUPPORT SERVICES
1. DATA ITEM NO. :z. TITLE OF DATA ITEM 3.SUSTITLE 17.PRlCEGRQUP
A011 PROGRAM MANAGEMENl PLAN
... AUTHORITY 1Da./a Ar::qWs!tfon Doc;umenfNo.} 16. CONTRACT Re:f'ERENCE 6. REQUIRING OFFICE t&. ESTIMATED
PWS 1.2.3 AMQ..240, AlJII-l0 TOTAL PRICE
1. no 25DREQ 9.DISTSTATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14, DISTRIBUTION
N/A REQUIRED ANNUALLY SE~ BLOCK 1& b.COPIES
8, APP CODE 11. AS DFDATE 13. DATE IF SUBSEQUENT SUBM. a. ADDRESSEE Rnal
seEBLK16 SEE BLOCK 1& On"" Roo ~BprO
16_ REMARKS M1a·2~CQ 1 1
BLOCK 1! - DATE OF ASSUMING FULL PERFORMANCE IIMI-IOIPROG!WA. MGR 1 BLOCK 12 -AFrERASSUMING FULL PERFORMANCE, UPDATED REPORT IS DUE WtTHIN 60 CALENDAR DAYS Of CONTRACT AWARD
BLOCK 13- SUBSEQUENT REPORTS ARE DUE ATTHE BEGINI'IING OF EACH SUBSEQUENT OPTION YEAR,. IF EXERCISED ANDJORAS CHANGES OCCUR.
CONTRACTOR TO PROVIDE A WRITTEN PROGRAM MANAGEMENT PLAN wrnllNITIAL PROPOSAL AND UPDN CONTRACT AWARD, AN UPDATED PROGRAM MANAGEMENT PLAN TO THE CD FOR APPROVAL 60 CALENDAR DAYS FROM DATE OF CONTRACT AWARD. THE PLAN SHALL BE IN THE CONTRACTOR'S FORMAT At-ID SHALL INCLUDEA DETAILED MANAGERIAL APpROACH AS RELATED TO EACH rr SERVicE. AS fURTHER DEFINED IN SECTION 5 OF THE PWS.
~ --. U-
N) 0
\2l --S
'" -::;; d 5 "" ""'- '" ~
CO
"" 15. TOTAL ---> 1 2 c-
G. PREPARED BY H. DATE 1. ",PPROVED BY J. DATE
11 JulZ010 I BREN.DA WELCHEL AMK-10 CYNTHIA L. COOPER, ~.9:-210_ - - ---DD FORM 1423-1, FEB 2001 PREVIOUS EDITION l:JA.y BE USED Page 1 Qf 1 Pages
.---CONTRACT DATA REClUIREMENTS ~IST (CDRLI I ForrJ!.!!/!PIE.ved ----. -
(1 D.,. itOm) ..
I OMB No. 0704-01 BS
The pubDc reporting burden for this COUection of InlorrnaUon b ~Irnat~ to -1<19" 11() hour-! per ralIponae, Including the tImll lor ~bWlng lnstructlons, SElBJ1:hlrlg exlsUrQ dais ~DUrCl!>8, Ilelherlng and maintaining thII dale n~, llna tnmpl"sUng Bnd rsvl_lng the collecUon of InformaUon, Senl! calT)menl. regllrdlng Ihi! burden esllmal!l Ir BIl)' ather B~ of thlli coJ)ecl.km of InfOlTMilDn, 'i1d~'i111 8uggealbll3 for !'5du.::lng Ul8 burden, til' 1t1., D~artmont of D!lfllll$!ll, ~ SmW:::fIS Olr!lcioreill (0104-0188). Re9pl:md~ lIhould be aware thai. nO~lhII..i!Indlng any Q]hl:ll'" pnnr1~ or IBIII. no person 8hall be subjett to any plinlllT.y rur ,.)11119 to comply willi iii C:Ollec[Jon of Inl'orrnBUon II' II does "til. clleplay a CJm!(1Hy Villlt! OMS eonIroi numb8t, Plellae' do nCit ~tum )lour form to th. above o'lllllnIUlIIDn. 8,,"Q compllllH klrm ttl ltTe Government Issuing ConVl:cUnlil OfrIOIIr tor Ih!il' Ccmnl;tlPR No, listed In Block E. A. CONTRACT 1.INE ITEM NO. lB. EXHIBIT IC' CATEGORY:
TOP 1M OTHER D. SYSTEMflTEM IE, CaNTRACT/PR NO. F. CONTRACTOR
rr SUPPORT SERVICES
1. DATA ITEM NO. z. mLE OF DATA ITEBI 3. SUBTITLE 11. P~CE GROUP
AOl2 CONTRACTOR INJURY AND ILLNESS REPORT
4. AUlHORfTY (DaIs ~t;q1l18lfirJa DoGumanf No.) 16. CONTRACT REFERENCE 6. REQUIRING OFFICE 1!L ESTlMATED
CLAUSE H.11 AMQ-240 l1JTAl. PRICe
1. DI) 250 REQ B. DIST STATEMENT 10. FREQUENCY 12.. DATE OF FIRST SUBMISSION ,.. DISTRIBUTION
"'A REQUIRED ANNUALLY SE!: BLOCK 13 b. COPIES 8. N'P CODe 11. AS OF DATE 13. DATE IF SUBSEQUENT SU8M, CI. ADDRESSEE Final
SEE BlK 16 SEE BLOCK 16 ",oil
R" ... ~o
16. REMARKS AMQ...24QICO 1
BLOCK 11 - DATE OF ASSUMING FULL PERFORMANCE
BLOCK 12 . AFTER ASSUMING FULL PERFORMANCE, REPORT IS DUE NOT LATER THAN .. NOVEMBER 30 OF THE BASE CONTRACT YEAR
BLOCK 13 - SUBSEQUENT REPORTS ARE DUE NOT LATER TKAN NOVEMBER 30 OF EACH SUBSEQUENT OPTION YEAR, IF EXERCISED.
lAW CLAUSE H.ll, ENVIRONMENTAL, SAFETY AND HEALTH (APRIL 2010). CLA.0080, REPORT SHALL INCLUDE:
(1) THE NUMBER OF EMPLOYEE-HOURS WORKED DURING THE PRECEDING FISCAL YEAR;
(2) THE NUMBER Of OSHA. RECOROA8LE CASES (DEFINED AS MISHAPS THAT RESULT IN FATAUIIES. LOSTWORKDA.'t'S, MEDICAL TREATEMENT. RESTRICTED WORKDAYS DR A LOSS OF CONSCIOUSNESS) THAT OCCURREO DURING THE PRECEOING FISCAL YEO.AR;
(3) THE NUMBER Of CASES WHICH RESULTED IN DAYS AWAY AND/OR RESTRICTEOITRANSFERRED DUTY THAT OCCURRED DURING THE PRECEDING FISCAL YEAR.
NOTE: THE REFERENCES TO FISCAL YEAR REfER TO THE GOVERNMENTAL FISCA.L YEAR. OCTOBER ot THROUGH SEPTEMBER 30.
.
~
---"-
l'<) a
J--, t:---z ~ u.J ::;; ci
It '" u.J
S '" 15. TOTAL ---~ <to
1 Q..
G. PREPARED BY H. DATE I'. APPROVED BY J. DATE
28 Ssp 20'.0 BRENDA WELCHEL, AMK-10 GYNTIiV\ L. COOPER, AMQ"210
DD FDRM 1423-1, FEB 2001 PREVIOUS EomON MAY BE USED Page 1 all Pa~es
ITSS Government Property
- - _0. - .-.. -- .
Ref Num Description Serial Number Cost
NOTE: TIllS LIST IS NOT AU INCl.USIVE - AS ADDITIONAL ITEMS ARE IDENTIFIED THI511ST WILL BE AMENDED ACCORDINGLY
T202
T202
T202
T202
1202 1202 1202 T202
T202 T202
T202 T202 T202
T202 T202 1202 T202
T228 T228 T228
T228 1228
1228 122B T228 T228 1228 1228 T228 T228 1228 1228 T228 1228 T228 T228 T228
T228 1228 T228
T228
T228
T228 T228
T228
T228
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7BV5YH1 [(8004)0744696100043283]
FF9HYD1 [(8004)0744696100028936] HRT4JJ1 [(8004)0744696100044328)
WXC408007420(AC3503) 6F9HYD1[(8004)0744696100028935) 79MGQF1 (AB3122) WXE208KN6550 (AC3505) WXE50BKP8202 (AC3507) 354332033342758 (AC2793) AC3526 .
GTG1VH1 [(8004)0744696100040234] 2WBJ9K1 [(8004)07446961000454391 3BBGNK1 [(8004)0744696100046726) S13-E1789710
513-E1789710 BTlC5F1 S13-E1378069 S13·EB78069 513-E1247060 GXUJDl S13·E0472648 513·E0472648 513·E1041658 513-EI041658 S13·E0196373 513-E003944544 513-E003944544 513-E002999139
S13-E002999139 T3f070302919 8T1C5f1 T3F970302825 9R1C5F1
T3F060803324
BR1C5F1
T3f02D915030
513·E0146315
513·E0146315
513-E1789710
513·E1789710 1V95CSLBL2L6
1V95CSLBL2L6
$ 5,933.44
$ 75.00
$ 146.00
$ 1,548.30
$ 3,066.40
$ 1,548.30 $ 2,393.30 $ 75.00 $ 1,548.30
$ 4,514.23 $ 75.00
$ 107.00
$ 199.99
$ 146.00 $ 3,066.40
$ 5,933.44 $ 5,910.73
$ 99.00 $ 99.00
$ 2,200.00 $ 99.00
$ 99.00 $ 99.00
$ 2,200.00
$ 99.00
$ 99.00
$ 99.00 $ 99.00
$ 99.00
$ 99.00 $ 99.00
$ 99.00
$ 99.00 $ 20.00
$ 2,200.00 $ 20.00
$ 2,200.00
$ 20.00
$ 2,200.00
$ 99.00
$ 99.00
$ 99.00
$ 99.00
$ 99.00
$ 2,640.00
$ 2,640.00
Attachment II Pagelof4
- .--
Ref Num T228 T228
T228
T22B T226
H2B
T228 T228 T22S T22S
n2S n28 T228 TnS T22S n28
TnS
T228 T22S T228
T22B
T22B T228 T228 T228 n28 T228
T228 T228 T228
T228 T228 T22S Tl28 T22S T22S
T22S Tl2S
T228 T228
T228 T229
T231 T231
T231
T231
T231
T231
T231
.. -
Description
Laptop
Pager Laptop
Laptop
Laptop
Pager
Pager Pager Pager Pager
Pager Pager
Pager
Pager
Pager
Pager
Pager laptop
Pager Pager
Pager pager Pager Pager
Pager Pager Pager
Pager
Laptop
Pager
laptop
Pager laptop laptop Pager
Laptop laptop Laptop
Laptop
Laptop
Pager
Dell E6500 Laptop
Dell Latitude 0830
USB Passport Portable Drive
Dell Latitude D630
Dell Latitude 0630
Del! latitude D830
USB Passport Portable Driye
Dell Latitude D630
Version 1.0
09/17/2010
ITSS Government Property -- - .
Serial Number 5Y27KLMZT007 513-E14S8055
BQIC5Fl
HSCIC5Fl BQIC5F1
T3f02091S030 513-El789710
513-E1789710
513-E1789710 513-E1789710 80FDDY2BHB 80FDDY2BHB 513·EI041658 513-EI041558 513-E002999139 513-E002999139
IV95C5LBL2L5 IV95CSLBL2L6 513-E003944544 513-E003944544 513-E137S069
513-E137B069 513-E0146315
513-E0146315 513-E0472648 513-E047Z648 513-E1247060 513-EOl96373
SY27KLM2T007 HF070302919 8TlCSFl T3F970302825 9RICSFl HSCIC5Fl T3F060S03324 BRIC5F1 8Q1C5F1 BTlCSFl BQIC5F1
GXUJD1 513-E1488065
100048213
GWHIQD1
WXEB07626350
7F9HYDl
3D9HY01
GWH1QDl
WXE807626350
7F9HYOl
-
Cost
$ 2,200.00
$ 99.00
$ 2,200.00
$ 2,200.00
$ VOO.OO $ 99.00
$ 99.00
$ 99.00
$ 99.00
$ 99.00
$ 99.00
$ 99.00
$ 99.00
$ 99.00 $ 99.00
$ 99.00
$ 2,640.00
$ 2,640.00
$ 99.00
$ 99.00
$ 99.00
$ 99.00
$ 99.00 $ 99.00 $ 99.00
$ 99.00
$ 99.00
$ 99.00
$ 2,200.00
$ 20.00
$ 2,200.00
$ 20.00
$ 2,200.00 $ 2,200.00 $ 20.00 $ 2,200.00
$ 2.,200.00
$ 2,200.00
$ 2,200.00
$ 2,200.00
$ 99.00
$ 1,598.87
$ 2,540.6S
$ 199.00
$ 1,548.30
$ 1,548.30
$ 2,540.68
$ 199.00
$ 1,548.30
Attachment 4
Page 2 Df 4
Ref Num f231 T231 T239 T239 T239 TZ39 TZ39 T239 1239 T239 TZ39 T239 T239 T239 T239 T239 T239 1239 T239 1239 TZ39 T239 1239 TZ39 T239 T239 TZ39 1239 T239 T239 T239 T239 T239 T257 TZ57 T257 T2S7 T257 1257 T257 T257 T257
T257 T259 T269 T269 T270 T270 T270
.- .'.
DescrIption Dell Latitude D630 Dell Latitude D820 Pager
Pager Pager D620 Laptop D620 laptop D620 laptop D620 Laptop 0620 Laptop 0620 laptop D620 Laptop D620 laptop latitude 0620 Dell laptop 0620 laptop .
0620 laptop D620 Laptop
0620 laptop 0520 laptop 0620 Laptop 0620 laptop d630 d830 Delll'ptop d830 d630 0630 d630 d630 d630 d630 Latitude D630 Dell Laptop latitude D630 Dell laptop Oell Latitude 0820 Key Fob Oidaphone (Qty_ 2) Laptop Laptop Oeillatitude D420 Oeillatitude 0830 Laptop Laptop
Dell Notebook laptop Oeillatitude D830 laptop latitude 0630 Dell Laptop
Desktop PC Laptop Fluke 5copemeter 1928
Weller WRS3000 Soldering Station laptop Oell80040744696100048236
Version 1.0 09/17/2010
JTSS Government Property ---- --
Serial Number 3D9HYDI 100002169
HTZASD400654 HT2A6B300799 HT2A4Kzoo198 100028920 100028910 100028909 100028918 100046816 100016840 100047309 100046805 100046811 100028917 100023856 100467611 100046807 100046785 100028944 100046801 100046761 100046804 100059948 100016839 100046756 100046799 100046750 100046763 100046760 100046810 100046813 100016829 CN-OJF242-48643-75E.(J603 30409434
N/A CN-OWM416·12961-899-4755 eN-OJ F2 4 2-48643-67£ -0087 HPKW6D1 FWHIQDl BJPJOB1
G25MVK1 100046754
8bqOhh1 38394866017 OM8990091 0052302299 HZ4STKI
-- . - . -
Cost
$ 1,548.30
$ 2,540.68
$ 199.00
$ 199_00
$ 199.00 $2,000.00 $2,000.00 $2,000.00 $2,000.00
$895_08 $2,000.00 $1,598.87
$895.08 $1,000,00 $2,000.00 $2,000.00 $3,000.00
$895.08 $1,598.87 $2,000,00
$895.08 $1,598.87
$895.08 $1,598.87 $2,000.00 $1,598.87
$895.08 $1,598.87 $1,598.87 $1,598.87
$895.08 $895.08
$2,000.00 $ 1,743,49 $ 50.00 $ 600.00
$ 1,743.49
$ 1,743.49
$ 1,743.49
$ 2,540.68 $ 2,177.38
$ 2,177.38
$ 2,540.68
$ 1,598.87
$ 1,402.05
$ 2,564.58
$ 1,999.00
$ 2,443.18
$ 1,500.00
Attachment 4
Page30f4
Ref Num T272 Tl72 Tl72 Tl72 T272 T273 T273 T273 T273 T273 T273 Tl73 T273 T273 T273 T273 T273 T273 T273 T273 T273 T273 T273 1273 T273 T273 T273 T273 T273 T273 T273 T273 T273 TI73 T273 T273 T273 T273 T273 T273 T27a T273
T273 T273 T273 T273 T273
Description Deilialitude 0630 Deilialitude 0630 Delll.lltude D630
Dell latitude 0630 Dell latitude 0630 laptop Dell latitude D630 laptop Toshiba Teera Laptop OeU Latitude 0810 laptop Toshiba Teer. laptop DeU Latilude 0620 laptop Dell Latitude 0620 laptop Dell latitude D620 laptop Oell latitude 0620 laptop Dell latitude 0620 laptop Den Latitude E6400 laptop Dell latitude E6400 laptop Delll.lilude E64DD
laptop Dell latitude E6400 laptop DeUlatilude E6400 laptop Deillalilude E6400 laptop Deillalitude E6400 laptop Dell Latitude E6400 laptop Delllalilude E6400 laptop Oeillatitude E6400 laptop DeUlatitude E6400 laptop DeUlatltude D630 laptop DeUlatitude 0810 laptop Delllalitude 0620 laptop DeUlatltude D620 Laptop Dell latitude 0620 Laptop Deillalilude D620
laptop Dell latitude D620 laptop Deillatilude 0630 laptop Deillalitude E6400 laptop Toshiba Teera laptop Delllatilude £6400 Laptop Toshiba Tecra laptop Dell latitude E6400 laptop Deillalilude 0630 Laptop Toshiba Tecra
laptop DeUlatltude 0810 Laptop Deillalilude 0620 laptop Dell latitude 0620 laptop Deillatilude 0620 Laplop Delll.tllude 0620 laptop Deillalilude 0620 Laptop Toshiba Tecra
Version 1.0
09/17/2010
ITSS Government Property
Serial Number 80040744696100028945 80040744696100028943 80040744696100028941 80040744696100028944 80040744696100028906 80040744696100016851 AA2811 AB3509 AA2809 80040744696100016824 N8ll00 80040744696100016831 80040744696100016832 80040744696100016852 80040744696100047714 80040744696100047807 80040744696100047815 80040744696100047764 80040744696100047768 80040744696100047809 80040744696100047729 80040744696100047731 80040744696100047827 80040744696100047743 80040744696100047780 80040744696100016851 AB3509 80040744696100016824 N87300 80040744696100016831 80040744696100016832 80040744696100016852 80040744696100016824 80040744696100047717 AA2811 80040744696100047785 AA2809 80040744696100047756 80040744696100016851 AA2811 AB3509 80040744696100016824
N87300 80040744696100016831
80040744696100016832 80040744696100016852
AA2809
Cost
$ 2,000.00
$ 2,000.00
$ 2,000.00
$ 2,000.00
$ 2,000.00
$ 2,000.00 $ 2,000.00 $ 2,000.00
$ 2,OD0.OO
$ 2,000.00
$ 2,000.00
$ 2,000.00
$ 2,000.00
$ 2,000.00
$ 2,200.00
$ 2,200.00 $ 2,200.00
$ 2,200.00 $ 2,200.00
$ 2,200.00 $ 2,200.00 $ 2,200.00
$ 2,200.00 $ 2,200.00 $ 2,200.00
$ 2,000.00
$ 2,000.00 $ 2,000.00
S 2,000.00
$ 2,000.00 $ 2.000.00 $ 2,000.00
$ 2,000.00 $ 2,200.00
$ 2,000.00
$ 2,200.00
S 2,000.00
$ 2,000.00 $ 2,000.00
$ 2,000.00
$ 2,000.00
$ 2,000.00
$ 2,000.00
$ 2,000.00
$ 2,000.00
$ 2,000.00
$ 2,000.00 $ 276,253.30
Attachment 4 Page 4 of4
(
f;:rY\ C!. .. - - - -_. " --.... . . .. _-Ol}cralional Control Document
A. Significan I Envil'onmental B. Object in.: A'I,ecl: S,)lid (lluil-hAzArdous) Wn,te Comply with ail npplil.!able r-cgulat;ons and othcl' requiremell1s GCllcration --C. Documenl Conlrol Code: 1:.8C-OC-2.5-1 D. Dale: 4-5-10
Revision Ilate: l. Source or ASllecl (activities):
• Genel·ation llf waste paper fro III office activities.
• Activities related to j:!ovemmenl acquisition. 2. Legal and Othe.· Rcqlliren.cnls (specific 10 lIclivili •• ):
• Solid Wasle Dispo.<al Act. PL 89-272
• Resumee Conserv'lion and Recovery Act. PL 94-580.42 U.S. C., 6901-6907
• E.O. 13423. Srrcnglhc1ling Federal Environmental. Energy, and Transp0l1nlion Management
• OAC 252:515 Man"lIemenl ol·Solid Wru;te
• DOT GI'cell ProcLirement Program. August 2007
• On-Site BOSH Support Service, Conb-act. AMP-I OOA: olher contracts as srecilied in applicable organization operarional c()mrol documents.
3. Operational Conlrols (such as technological. operational. procedural ::md eorrespondillg written controls. where applicable):
• MMAC Recycling progl'am- encollrage employees to paJ1icipale in Center \\'jdt:: programs. e.g. cardhoard. p~lp.er. aluminum. plastic and ::)tyrofoam.
• Purchase recycled omce products. e,~. paper- Review E.O 13423 widl orgallizalil11l ollkc administrators regarding guidelines in purchasing recycled prodllctS.
4. MainlOnan •• plan(s) ror Ih. operational controls:
• Review purchase of oftico supplies quarterly S. Actions to be t.ken if <onttols fail:
• Conduct aftCl"adion mL~t,illgs to discuss conective actions 6. Reconl(s):
• Qwu1IJrly review records • Nolt:s of corrective actions
7. Re.ponsibility: Conlrols (rrorn 3 nbove) Responsible Individual
• MMAC Recycling program ESC nnd Organiz31ionai Environmenlal Network Representative or Allerna(e
• Purchas.e: recycled office products ESC and Organizational Environmental Nef\.lJork Rt:P_resentatil!c or Alternate
8. Cv-m(!etency {a.~ evidenced ~ training'!. e~erience, or education.) Tille or Name Comnetence El.i:wbelh Probsl, AMK-I 0, rriln~lIY Environmental Requirements per IIC SUP Order 1054.1 Network Relxesentative Altemall' Envirumnentul Network Representl1tive Requirements per AC SUP Order 1054.1
• Amy Marlin, AMZ-l0
• Deann ('rowley_ AMI-I ()
• Karen Our-ao. AME-IO
Authorization
'\YI,_-.?--< ... It I I h-;'t,·", <"Marshal Gimpel, rrograrb Director, AMK-l Date If/£,/~J:..··,,l(;
(
ATTACH MEN.T
PAGE NO. I 5
OF g
----- ---~-- .~-------
Em:!:. One rational Control Document
A. Significant Environmental I B. Objeclh'es: A.peel: Energy Consumplion Minimize energy consumption to lhe rullest extent ~rac.:lic,ahle --C. Document COlltrol Code: ESC-OC-2.16-1 D. Dute: 4-5-10
Revision Date: I. Source of Asped (activities):
• Building lighting . • Operation of computer!l and other otlice equipment.
2. Legal and Other Requirement. (SI)ccific to 8cth'iti •• ):
• National Energy Conservation Policy Act. PL 95-619
• Energy Policy Act or 1992, PL-I02-486
• E.G. 13221, Energy Efficienl Standby Power Devices
• E.O. 13423~ Strengthening, Fedend EmJjronmcntal. Energy. and THlnsp<>rlD\ion Management
• FAA Energy Order I053.rA
• Contracts: COlltracts- as spccitied'in applicable organization opernlional control documenls
3. Openllional Controls (such as technological, operational, procedural and corr~sponding wrirten controls. where applicable): Encourage' employees to follow the- ellc!'l'gy conservation measures outlined in Stanley A Sieg.. Deputy Director, Aeronautical Center, memo 011 July 15.2008. The measures .ncludc the rollowing;
• TUIll otTljgbts in unoccupied ilreas Clnd maximize the usc of I1rttumllig-ht where possible. Use task lighting Dnd tllrning. otT general lighting where feasible. Turning off display and decoralive lighting
• Restricting the \Ise of personal food preparation and storage applianc:es in employee work areas, slich as microwave Rlld toaster ovens. refrigerators. and cotl"ee makers. These items should be limited to designated break rooms
• Res(ricting. the use ofpersollal fans. space heaters. and air puritiers. etc. (pmhibited under 41 erR 101)
• Limiting request!. for tlfler hOllrs~ weekend and holiday heating, ventilation and air conditioning. (HVAC) services t(llllissioll es.sential needs
• Ensuring thai all thermostats ill areas occupied by your organization are nol sel lower than 74 degrees during the summer cooling months.
EncOlII'fig~ employees to follow the controls outlined in FAA Energy Order 1053.1 A
• Controls include turning offcnergy \l5ing equipment when not in use. Equipmenl includes fans. personal cnmpliters. and printers and other devices that do not impflci the performance of other employees and require minimum slartup time. TUI11 offequipmenr at the end of the ",,'ork day such AS
lig_~tir!g., cofle.e pots, etc. 4. Mainlenanc., plan(s) ror the operational conlwls:
• Perform IJcdodic walk through of organization
• Review operatiollal comrols annual!y 5. Actions to b. take. if conlrols fail:
• CondHC\ flner-8clior1 meetings to disclIss corrective action 6. Record{s);
• Note.c:: of corrective actions
• Records of annual reviews or operational conlrols -
7. Responsibility: Controls (from J abovr) Resvonsible Individual
• Remind personnel or resron~ibilitles as ESC and Organization Envtronmema I Network outl illcd in FAA Energi Order 1051.1 A representative or a1t~rn.t~~~ __ , .... __ ._
AITACHMENT 5 ._-
PAGE NO.J.- O~ g
8. Competency (as evidenced b~ Irainillt:h e~erience, or educfltion.) Title or Name Com/!l!tcnce Elizabeth Proh.sl. AMK-l0. Prirnnry EnvironllleJltal ReqlliremcLlls pCI' AC SUP Order 1054.1 Network rC2rescniative Altcl'nHle Ellvirol1lnental Nelwork reprcsclll,lli\'c Reqlliremellis per Ac SUP Ordel'
• AIIlY Mal·lill, AMZ-IO • DCHIlIl Crowley, AMI-IO
• Kal'cil Olll'OO, AME·tO Authorization
_'fYl >"--.. ~JI.. S r ;<y-}~ \, '-+ J c:, / lA::', i 0 k""
!'Marshal Gimpel, P"ol!tam Director, AMK-I Date:
ATTACHME~T 5 PAGE NO,:3 Of 8
C"M <:: - ---,-.. - .. ---..
Operational Control Document --
A. Significant Em·it·ollln·~;I(al Aspect: .. .. _- -- --------_. -.-.. -----
B.Ohjective(.):
.sfJilll'r~venlilln and Response Comply wilh applicable regulalions and other
--------_ .. -- - ---- reqlli~~_m~,~!s. ---c. I)oeuillent (~ontrol Cot/co D.Dnte: AMI-OC-2.04A-J 2/22/2010
•. -_ .. '- ... ---I. Sonrce of Aspect (activities):
• Chemical HIlU pdroleum product stl1l'age,
• TnHl~porlalion of chemicals.
---_. -- -- .. -.. _------ ---2. Legal lIlId Othe< Requirclllcnts (specilic to activities):
• Clean Wall'!" AL:t lEn<lcled Octoher 18, 1972 as PL-2500. It comprchl!lIsivc I'cvision of the Federal WulCI'
Pollution ('01111'01 Ad: Now coclifle·d a1 33 usC' 1251-13761 (Amel1(led evelY year bclw(!cn 1973 And 11)~3. :lnd in t l)S7.)
• Comprdlt~lIsjve En\'imnn1tlltal, Re$pOllse. CompcIlSalil)" and Liability Act (CEI{CLA) also known £IS "SlJpertillld"1 PI. 96-510,42 USC 960 1-96S719Ellacled Oec_ I I, 1980; Amended 1982, and Illost recently by lilt": "Superrund Aln~Il(lmcllts find RCHUlhnl'izntion Act of 1986" (SA.RA) rrL 99-.:199]).
• Resource Conservation lind RecovelY Act, 42 U.S.l'. 690 I, d SC<J.~ H<llnrdous find Solid Waste Alllefldlllenl~. t.l2 U,S.C'. 590 I, el seq.
• Oil Polluliun Prevention and Response, 40 CFR 112
• FAA Policy and Guidance for Developmenl of Spill Prevenlion Controls and Counlel' IllCasmes Plans
• MMAC Spill Prevention and Re'ponses Plan, AC O,'der IOSOAA
• On-Site EOSf) SUppUrl Serviccs Controcl, AMP-IOOA: Ilazardous Waste Disposal Conlracl, AMP-IIlOA
3. Opel'alionnl Cnntl'"l" (;-;:;~j;-os technological, opemti"nal, procedural [and cllrresponding writlen ----
conlrols, where "PI,limble]):
• Provide sec(lndary conlninment for liquid hazardous materials flnd petroleum producl storage.
• Fllilowing" spill, measures will be utilized to slop and contain the spill immediatciy.
• Annual inspection will be conducled on all slorage and opending facilities containing petroleum prodllctS find haz,mdous chemi..::als.
.. - ... -.- - ----4. Mnintcnancc planes) for tbe operational COli trois:
• Review find updntc this Operational Cuntrol docliment and R.ssocinted Standard Operating Proccdtll"cs annually.
-_.- ._._--_.- --- ---5. Actio", to bc 1o.I,en jf cOlltrols fail:
• Conduct after-OIclj\.)Jl 1l1t.:cting tu di!-;clIss necessary corrective acLions.
• Provide post incident l!"nining.
• Follo\-'llip inspeclions to aSSESS Ihe nc:wly implemenled controls.
- - -_._----------------- .... _-
Spill PrevenllOIl 'lilt! Response AMI OC2.04.4_1.doc I\TTACHMEtH 5 PAGE NO. ~ OF ~
Gms ,: '-', ,.----------- - .,_.,-----6. [(ee""d(,):
• AnnulI! employee trnining records on vvasle I land ling and emergency response:: procedllr('~
• Spill log records
• Wasle tUlll-in documents
• Wllslc management profile forms
~~-. -7. Res/>o;; .. ibiJily :
---- ---_._------------ ---- --------_.-- - - -- -------.-. --._------- .----~ ..
Controls (rrom Section 3 ahove) - ---------------.........,------
Provide sec()nd~~ry contalnment 'for liquid h(~~i',i-~fl~~;S-_ Respon~I~)!~ 1~_~i~_id:_u:_a-I---Division or Seeti<m Manager
materials a.nd petroleum procillcl storage.
Following a spill, IllcnSlII"es will be urifizecl to stop and conlain Ihe spill illlll1ediately.
"._. -Awareness training will be provided to cnlployces Division Ma·nager via AMP training in spill prevention and response proC~dtH·es.
Annual inspt:'cliol1 will be conducted on all storage -~----~--~-~--~~--------
Division Manager/Mullngcr Designee Clnd operating tacililir~ t"olllDining petroleulll products lln{! hazmdou~ chelnicals.
-:;:---.. . ---8. Competency (as e"idenced hy fraining, exrcriel .. ce~ 01' education,)
Competence Title or Name f-=--------- ------- ..... --.. _----- -
- -(j-;:,Qfir.-cntions are listed o,i-th~ ;,prTi-~;ble J~b description and job pl'rrormllnl.:e sl<uldarus.
Division or Section Manage-r
------- -----.... -._------Organization Environmcn!Tl.t Ne(work Reprcsenlallve
--_ .. -
Qua I i tical;oll" ';1'0 I is -le-:cJ-n-n-(:7h-c-,,-p-p-'-r', c--.""b""Ic-J-o--0-'10--- -
description i1nd job performance s1<.lndarus.
Applicable trainingns described in AC SliP Ill> Order 1054_
Employees working with or uround liquid hazmctous Spill prevenlion and response awafe-nes.s truining OJ' oliler Imining as arpropriate Ill:1terials or petroleum protiuds
-_ ... _----- -_.-- -- -- -t------------ ------,---.-----
Aulho";z.tion-' ~ s€--_ Date ;2.4 Fe:£ diY/O -~-----
._ ... --- ------
Sp,lI Prevenlion "nd Response AMI_OC 2_04.4 I_li(,c ATIACHMEN.T PAGE NO. 5
5 Pnge 2
OJ '3
" Ems .. " -- --
Operational Control Document .•. - - . --- ."--- -. ._--
A. Significant Envil"onmcnhll Aspccf: D, Objective(,):
1-lawrdoLis/Universlll Waste liener'llion Comply wilh applicable rcgulalions and other
... ---_ rcqllirelnent.~.: --. -C:D~nllnent C;;-~Irol ClIdc:- D. Date:
AMI-OC-2_06-1 2122120]0
-- --'_._---- ------- .. ---. -- ,,--'- SOllrce of ASI)ed (aclivities):
I. lInl1S~lbl~ or !lOll-spec wasfc fuel producl:-: rrom vebicle.s. 2. Vehicle fueling. ], Sl"rage of lIsed hatteries_ 4. Excessing, oreleClTonic equipment. S. Excess; ng of cxp ired ,he I r Iile Illaleria Is. 6. Toner ~IlU toner c;}l'lriuges. 7. I ,Hcque .. nlltllrlcqucr thinner containers.
2. Legal and Othe,- Hcqui;·cmenls (specil'C-I,)-"ctiYii~s): -
• Re'Ollrce COllservation and Recovery ACI. PI.. 94-5RI), 42 U,S.c. 690 I 6907
• Okiaholll[l I-J<lz.ardnus W£lstc ManagernenlAt.:1 and Rules
• MMAC Wa."Ile Ge-nerator Matlagcmellt Procedures
• Conlracts: On-Silc EOSH Support Scrviccs eonlrucl; AMP-IOOA; Hazardous Wasle Disposal contrflct, AMP-I OOA~ nlhe:!" contracts us specitied in applicflble organlzkltjoll operational control <locLiments.
3, Operationnl Controls (slIch as technologic"], operational, procedural [and corresponding wrillen controls, where applicable]):
I. Stanuard Operaling Procedllre-MainlenanccC'ontraclor SOP 2-1. I (Hazardous Wasle Management Operations).
:l. In the evenl ora spill or leak, Ihe MMAC Spill Prevenlion and Response Plan will be followed. ,
Requesl training l'rum AMP-I OO-A 1<11' all empluyees in AMI-700. o.
~---- -' -"- . ---4. Maintenallce plan(s) for Ihe open./iollal conlrols:
• Review and follow Siandard Operating Procedures developed and maintained by AMP annually.
-5. Actions to be taken ifconlrols fail:
• CondLlct after~action m~eting to discllss necessary corrective actions_
• Provide posl incident training.
• Follow lip in~pecliulls to ijS~C5S the ne\\oJy itl1plclll\;:~nled controls.
--' ------ --6. Record(s):
• AllIUm! employee Ir(lining records on waste handling lmtl emergency response pro~etlllres
• Spill log ,-cco,-us
• Waste lurn-in documents
• W;Jste management profile forms ---------_ ... ---.. ----- ---------- .. - ----- ...
OCD Ilazardolls 1 JniverSCf[l\ V'/<1ste Gencratil111 AMI. 0(' 2.06._I.doc AlTACHMEI'lT 5 Page 1
PAGE NO. {P Of '3
--------------------- ---- ---------
-;:--: - --- --- - --------- - - --- --------- -~l~espoo,ibilify: ----- - -- ------- ---;c;c--- _ (_'onl.-ol. (from Scclioo 3 above) Responsible Individual Slandard Operating Procedure - Maintenance Maintenance Contract Pr~iect Mannger ('onll'Llctor SO~ 2- LI (Haz""lol!s W,,-,lc Management Operations)
--;--- - --In the event ofa spill or leak, the MMAC spill Maintenance Conlract Environmental Prcvention and Response Plan will be followed_ Coordinator & Maintenance Contmd Sal'ety
Spccialisll Qualily Control
----- -- -- -- - -
~o~n-Pcfency (as_ cvidenced by training, eXlle-rien«, 0'- education.) ___ -_______ .----
Titlc or Name Competence Scott Freeman, AMI-700. Division Manager l1azardolls Waste Management Training
t-- -- -,---- _ Jl'rovided by AMp·) OOA)
AUlhorizalioli Dale '~~j~-. d'-\;Fe~ :;>010
Top Managcmenl
O('D HalllrJulls Universeml Waste Generation AMI_OC 2_06_ l_dDc ATTACHMEttT
PAGE I/O 1 §
Page 2
OF g
eM<:' . ,'. ' . -
.- . - - .' -
-
Operational Control Document A. Significani-lCnvil'olllne;;-I:,l Aspect: B.Objeclive(s}: Comply with applicable--
Hazardolls Material Storage "cgulalions and olhe!},eguil'cmenls --C Document Ctmlrol Code: O. Dale:
AMI·OC-2.08-l 211812010 --.-1. Source'or Aspecl (aclivities):
• Haz~lI'dot1s mmcrial purchasing and slornge
T.L~g>l1 ,md Olhel'Requircments (specilic 10 nClivi.ics):
• The Emergency Planning & COJnl11l1l1ily RighHo-Know Acl (EPCRA); 41 U.S.c. 11011 or seq. (1986) • EPA Hnzardolls Chemical Rep0l1ing and Community Rig.ht-to-Know Requifell1enl~. 40 eFR 370
• E,ecutive Order (E.o.) 12856. Federal Compliance wilh Right-Io-Know Laws ond Pollution Prevenlion Rcqui rcments
• MMAC OI'der, "Spill Prevention and Response Plan," AC Order 11J50AA
• MMAC order "Occupational Safety:' AC' Order 3900.21 E
• Conlmcts: Contmcls as specified in applicable urganization ope"atiol1"1 cOlltrol documents.
3. OI,craHonal Conlrols (such as technological, operational. procedural [and corresponding written controls. where applicablel):
• Conduci annual hazardous materials inventory and MSDS updatc review.
- ---- - -
4. M .. intenancc planes) for the operational controls:
• Review and update Ihis operational control documenl and associated work process inslructions annually.
--- .--- ---- - - . 5. Actions In he taken if controls fail:
• Conduct aftcr~acti{)n meeting to disclIss necessary corrective aclilln~. -
6. Rceord(s):
• Hazanlolls materials inventories will be pertonned and J(,rworded 10 AMP-IOOA upon compldion. with a copy inserted inlo the [[azardous Materials C60rl\inalors. /\MI-700 local file.
• Maintain up 10 date. Malerial Sa rely Data Sheets (MSDS) on all stored chemicals .
,- ---r-1=--~esronsibili.t}': . _
Controls (from Section 3 above) --,-----
Resl'onsible Individual ___
Conduct annual hazardous material inventory and Organ izatioll Environmental Nctwork
MSDS LI~datc review. Representative or allernate. .-
.. J'~.Com~e-ienc}' (as t:\,idcnccd b~ training .. experi.ence, or education.) _
Title 01' Name Competence __ --oe;;;;;;-frowley. AMI, Primary Envi"unl11e;ilal N~twork Qualificalions are listed in the applicablcjob Representali ve description_and job perlormance standards. Eliznbeth Pmbsl. /\MK- i6~ Primary Environmental Ql'lOlillcalions arc listed in Ihe applicahle job
Nelwork Re[,rcscnlativc dcserietion nnd j~_edormance slandards.
Authorization <j:::._-j, I-:::>V_ .- Oale J. r.t .£ ~ OiDiD TOI' Management
ATTACHMEliT S PAGE NO. 'D OF 't
oSUms
Operational Control Document
A. Significanl OSli Hazard: Falls B.Objeclive(s): Comply with applicable regulations and other requirements
C. Documenl Conlrol Code: E5('·OC-5.1-1 Il. lJatc: 6-4-10 Revision Dale:
I. Source of Hazard (activities):
• Trip hazaJ'ds tI'OIll equipment. I~Ols, cords, stairs. curbs. uneven surfaces, etc.
• SI ip hazards from wet floors. ice on ground. leaking equipment. elc. • .. ~~ing stairs (indoor and outdoors) and entrance stairs and ramps.
2. Legal and Olber Requirements (specific 10 aclivities);
• 29 CFR 1910 SunpBI'1 0_ Walking-Working Surfaces. and Subpart N, Materials Ham!ling ami Storage
• FAA Order 3900.l9B Chapter Q. Reports by Employees 011 Hazardous Conditions; Chapler 3 L Omce Safety
• AC Order 3900,21F Chapter 9, Reports by Employees on Hazardous Conditions; Fall Protection; Chapter 31. Office Safety; and Chapter )0. Walking and Working Surfaces
• OSHA Voluntary Protection Program Policies and Procedures Manual. Directive IICSP03-01-003
3. Operalional Conlrol9 (9ueh as engineering, adminislralive where applicable):
• Comluet quarterly office safety inspections
• Report facility slipltrip safety issues to Ihe AMP "Trouble Desk" at 954-3687.
• Report hazardous conditions ill accmdance with AC Order 3900.21 F Chapter 9. Repmls by Employees on Hazardous Conditions
4. Maintenance plon(s) for Ibe operalioo:1i controls:
• Operalional controls shall be reviewed ulleast annually by the organization OSHMS Representative,
5. AcHons to be laken if conlrols fail:
• Complete a mish8Q.report (AC Form 3900-11) 6. Reeord(s):
• Records of organization fall-related mishaps
• Records oJ qWUi-~rly otlice sufet;r inspections 7. Respon,~ibility:
Controls (from Section 3 above) Responsible Individual Conduct quarterly oflice safely inspections OrganizatiDn OSHMS Representative or
alternate RepoJ1 lacility slipltrip safety issues to AMP Responsible Organization Personnel "Trouble Desk" at 954-36&7 RepOlt Hazardous conditions in accordance with Responsible Organization Personnel AC Order )900.21 F Chapter 9, Report, by Employees on Halanlolls Conditions
...
ATIIl.CHMENT & PAGE NO- r Of 10
oSJ.!-m.5 8. Cl)mpetenc~' {as evidenced by traininK, exneric]lc., or education.)
Title or Name Com "etence Primary OSHMS Representative: OSIIA COllrse 6000 (or equivalent)
• Elizabeth Probst, AMK-JO Allernate OSHMS Representatives: OSHA COllr.e 6000 (or equivalent)
• Amy Martin. AMZ-IO
• Deann Crowley, AMI-I 0 Responsible Organization Personnel OSlIMS - 18001 Awareness Briellng
Authorization LMn .I,p" /bjI
Marshal Gimpel, Di~ector, AMK-I Date 6/'11}O
AlTACHMENT (P PAGE NO. J. OF fO
OSjflY}5
Operational Control Document I :-1-:--- -----. - ------- --
A_ iSignilirllnt OSH Hazard: Biological B. Objective(s): Manage lle preventIOn of occupational heallh exposures to subslances with known hazHrdoll~
f-:::-. --- ". . . - - propertie, C. Iloctlmenl Conlrol Code: AMI-OC-l.1-1 D. Da Ie: 611 7/2009
Re"ision Dale: 4/9/20 I 0 ------I. Source of Hazard (activities):
• Toxic,)logical boxes receivcd for CAMI.
~-----. -_. - ----.-~
2. Legal and Otber ReqUirements (specific 10 activities):
• FAA Order .1900.19B, Hazard Comlllunication Program
• '29 CFR 1910.1 030, Toxic and Hazardous Substances
• AC Order '>900.21 F Chapter 17. Blood bome Pathogens
• OSHA Yoillut"ry Protection Program Polici"s and Procedures Manual. Directive #CSP03-01-01)3
• MMAC Environmental Management System plan for Biological Wastc Gcneration MMAC-EMP-2.14
• MMAC Mail Services Contract
- .. - ------ - ----- - ------------J. Opel-.lional Controls (.omh as engineering ... dmillistrative where "I'plicable]):
• PL'Oper pncking/shipp-ing proc.e(\ul'es nre aVElilabJc to oUlside SOlll'ces_
• S"spicio"s packages Hre repol1ed to MMAC 'security guards.
• Ob~ervc universal preeatJliol'l.c; to prevent or minimize contact with blood or other polential infectiolls m"terial in aCCMnanCe with AC Order 3900.2IF. Chapter 17, Blood borne Pathogens.
---:-c---- --- - ---- . - -4. Maintenance plan(s) ror the operational controls:
• Operational controls shall be reviewed atieast annllally by the organi2J1tinll OSIIMS Representative.
---"-- -5. Actions to be taken if con Irol. fail:
• Ensure Ihat medical treatment if exposed. FTE illdividlwls arc rderred to AAM-700 CAMI for post-exposure evaluation and Contractor employees will tt,\low their
Company's policy.
• Complete a mishap report (AC Form 3900-11): aceidelll, iJl,iury, hculth situation, all spills.
.. --;. . _-- -- ---_ ... - . ----6. Recol-d(s):
• AMP keeps records of mishaps and correclive aClion rcpOIis.
• Compleled training records will be kept in eLMS tl>r FTE employees and the proper rer")Il~1 (COTR or Contracting Company) will keep it luI' the Contl'act Employees.
- ... -------- .• ---- .-. .- - --
AlTACHMENl (p PAGE NO . .3 Of 10
"" .. ----J.:. Responsibility: ---. --
Contmls (fmm Section}.lIbo~e~)~ ___ Responsible IndividulIl Proper packing/shipping procedures arc avnilable to Responsible Organi>:ation Employees uutside sources. Gumd inspects s"spiciolls packages_ - - Responsible Organi.alion EmploYees
- - _._ I -------J!:. Competency (as eVidenced by training, CXIJerieoce, or educlItion.) ----Title or Na.Do Competence __
Responsible Organization Employees Aware of FAA Order 3900.1913, 29 erR 1910.1030
Organizatioll OSI-1MS Representative or Allernate OSHA Course 6000
Authori1.ation Date
Top lV!l!na~.:!:r5;;e. C- - AJ.." ,.1+G: -,;;L q A-Pf!- d-VJO
ATIACHMENT (P PAGE NO. Lf OF 10
"',,'" n
Operational Control Document
A. Significant OSH Ha~al'd: Respiratory I B. 01> jcctive(s): • Comply with applicable regul"tiol1s and
other requirements • Protect MMAC personnel from respiratory
hazards
.. - .. - -C. Document Control Code: AMI-OC-IO.I-1 O. Date: 6!141Z010
- - .. _" I. Source ~f Ilazo,-d (llclivitics):
• Telecoillmunicaliolls personnel enter alld flllellcJ confined spaces
--:-0- ---... ---- --- ----... . ---2. Legal and Other Requirements (specilic to aclivilies):
-
• 29 CFR 1910.134, Permit-Required Conlined Spaces and 1910.134, Respiratory Protection
• FAA 3900.19B Chapter 11, Confined Space Entry and Chapter 20, Respiratory Protection Program
• AC 3900.21 F Chapter 11, Confined Space Enlry
• OSHA Volliniary Protection Program Policies and ('rocedures Manual, Directive #CSP03-01-003
• ANSI z'88.2. Practices for Respiratory Pl"Olectioll
• ANSI Z88_6, Respiratory Protection Respirator Use
• ANSI! ASSE Z I J 7. i, Safety Requirements for Contined Spaces
• MMAC Teiecollllllunications Supp0l1 Contract 3. Operational Controls (snch as engineering. ndministrative where aPPli~-abl~);_--
.... -
• Confined spaces are not entered until evaluated, lise respiratory protection in accordance with instrllctions and training received.
• Obtain confined space entry permits. as applicable. --
4. Maintenance plan(s) for the operational controls:
• Operational controls shall be reviewed at least annually by the organization OSHMS Representative amI respec1ive Telecommunicalions organization.
-.-~-.--
5. Action. 10 be taken if cOllt .. ~ls rail:
• Conduct aHer-action meeting to discuss neeessary corrective actions, determine the root CEluse of tbilurc~ and modity documentation nnd any associaled lnl.ining.
• Contact AMP for rerreshcr trainitlg. -, . -._-- .. .-
6. Reconl(s):
• Federal empluyee training record for Re:'lpiratory <lwal'enCSS is maintained in elMS .
• The awnrded Contracting Company keeps training rec-ords for their t:lUployces .
---2.,~~onsi!)ilily: ______ ___ _ ..
~--- - C"',",, to"" ,,,",' , "'''<) ~'l . . .. ,,,,,",, "",,,,,,, --Contlned spaces arc nOl entered until ev!duale(i and n.,e ResponSible orgol1lzallOll personnel respiratory prolection in accoronnce wilh jnSlruclions and lraining received. -Obtain confined space cntly permits, as appl·icE.blc. ; R~sJll;nsible organization personnel
.. -
ATT I\Cfl MEN.T /P PAGE NO.5 OF 10
QSHmS _________ ~ __ _ ------~--~-----.
--"'-- ------ - --B. COllll'etency (as evidenced by Irajlling, exp"ri.",-~cc, or education)c-_-:c:-_________ _
Tille or Name Competcn~ ____ ___f
-R~,llisTi;-:-lc-> -(l)-·~-'a-n-ciz--~tiOn personnel __ Confined ~P"Cc EnlrYL;;l-:-"r"ai"n",il"lg,.' __ . __ _ Responsible org~ni:c~lion management Confined Space Enl!:.i'.-,T-,t'=aic.n",in-"g~' ___ _
Autbo.-izatioll
Top Managemenl Bo Peelcr, ACling I'mgram Dil'ector, Office of In l\)I'In8lion Technolo '.y, AMI-J
ATIA.CHMENT f.p PAGE NO. W OF ID
os !-Im.'!
Operational Control Document'
A. Significant OSH Hazard: Ergonomics B. Objeclive(s): • Comply with applicable regulations and
other requirements • Protect MMAC personnel from serioLls
ergonomic hazards
,----- --C. Document Control Code: AMI-OC-4.1·1 D. Date: 6114/2010
. ----_.- ... _-I. Source of Hazord (activities):
• Material shipping and handling. packaging and warehousing_
• Lifting stock and pnckages, reaching. bending, awkward postures while moving.
• Litling/twistingiknccling with packages/stock for stomge and distribution.
-_.-2. Legal and Other Requirements (specific to activities):
• NIOSH (Nationallnstitlltc for Occupational Safety and Healtll) Element of Ergonomics ProgralllS Musculoskeletal Disorders and Workplace factors
• AC Order J900.21F Chapter 35, Ergonomics
• FAA I'luman Factors Design Standard • NlOSH ElemEnt or Ergonomics Pfllgrams Musculoskeletal Disordcrs and Workplace Factors
• OSHA Voluntary Protection Prog1'll1ll Policies and Procedures Manual, Directive #CPSOJ-Ot -003
• MMAC Mail Services Contract
• AMP EOSH Services Contract
- -3. Operational Controls (sl1ch as engineering, administrative where applicable):
• Use appropriate lifting assistance such as "Buddy System," carts. dollys, pallet tl'llcks. forklifts. hoists, etc.
• Review new plans/processes for equipment/design changes related to ergonomics_
.---
4. Mainlcnancc plall(5) for the operational conlrols:
• Operational controls shall be reviewed at least annually by tbe organization OSHMS Representative and respective organization.
-5. Actions to be lal(en if controls rail:
• Conduct after-action meeting to disCllSS nece!::sary corr~clive actions. deterlllinl; the ("(lot cause ur ["ilure, and modify Ihe documentation and any associated training.
• Contact AMP for refresher training ond evaluatil)n or reevalnation. -. --.. " --
6. Record(s):
• Ergonomics awareneSs training kept in eLMS lor federal employees and contracting company
keeps lor their employees, --
D~on_~bility: ----______ ·_Rcspunsib\e Individual Controls (from Section 3 above) ---- -
Use apPlOpriate lifting assistance such as "Buddy Responsible organization personnel.
System," curts. dollies. pallet trucks, forklitls, hoists, ctc:._ - ------' '----Review new plans/processes for equipment/design AMI' Engineer or likewise qnalilled personnel,
changes related 10 ergonomics, with AMK space management POC's. ---I - ,-- --- -- -- ' ATfIl.CHMENT Ii ------------- -, --_ ...
PAGE N0.7 Of 10
Os
. ____ Title or Name
Authorizatioll
Top Managcmen Bo Peeler, Acting Program Director, Office of Information Technology, AMI-l
b-It/-Jo 2r ..
ericnce, or education.
Com ctencc
Date t
ATT A.CIIMEfH (P PAGE NO. S OF 10
---. - _ .. --------_ .. _---_._-.. -.- _.-.
Op crational Control Document .- -- _._- --- .,' ~.-------.-.-------
A. Signilieanl OSH Hazard: Ph ysical B. Objective(s):
• Comply wilh applicable regulalions and llther requirenumts
• Proteel MtvlAC personnel from physical hazards -,'--- "- ---
1-0('-8.1-1 O. U"te: 41712010
I. Source of l1a,.a,·d (.-;'iiYitics): - ._--
• Forklift operations
• Matel'ial shipping. receivi ng, packaging and warebousing opemtions • Overhead storage and relr i~val • Loading/unlomling of sloe k
.- - --_. .---2. Leg.1 and Olher n.quirerncn Is (specific 10 activities):
• 29 CFR 1910 Sllbparl N. M Machine Guarding; 1910.2 ,)ml 1910.243, Guarding 0
alerials Handling and Storage; 1910 Subparl O. Machinery and 42, Hand and Portable Powered Tools and Equipment. Gelleral;
fPorlable Powered Tools
• FAA Order J900.19R eha Indllslri,,1 Technologies; "
pteI' 25. Person.ll'rnleetivc Equipment (PPE); Chart~I' 26. nd Chaptel· 32. MUlerials Ilandling and Storage ler 25, Personal P/'()Icctivc Fquipment (PPE); Chap1er 26, • A(' OrderJ9()O.21 F Chap
Industrial Technology Pro gram; and Chapter 31_ Maleri"ls Ilnndling and Storage
• OSIIA Volllntai·y Proleeli #CSP03-0 1-003
on Program Policie::; and Procedures Manual, Direclive
• MIVIAC Milil Services C[) nlmel
-3. Ope"atinllal Cont,..,ls (such a S engineering, ~dlDinistrative whe."r applicable)!
• Operate forklifB in accol'd anee with sile-~peciiic operatil1g procedures.
• Inspect I,)rklili daily.or be fore each use
4. Maintenance pllln(s) for the 0 pc."ational control.~: _.
• Opcrmional conlrols shaH Representative.
be reviewed at leasl annually by lhe o['ganizalion OSHMS
• Prevenlative maintenance per manLIfar..:turer's recommendations.
• Review organiZAtion mish aps rclaled lu forklift::; on alieasl an annual basis.
- - .-fail:
. __ ._- -- --.----:-S. Actions to be taken if conlrols
ing to discuss necessary corrective actions, dclc-rlTlinc the 1'001 • (\mduct al1:er-ac1ion meet cmlst of t~liltlre, alld nlOcli fy the doclIInentat ion amJ allY associat~d {raining.
• ('olllplete il IllfshflP I'cporl (AC' Form 3900-11)
... -.. _"--.... - . - _.-- --6. Rec[)nt(s):
• MtvlAC IIwK Ii II license (0 required 01 least once eve
[. record of rorkl i ft lraini ng/rece rtitic81ioll (recerl i rrcalion is
ry J years))
- ------_ .. _.---._- ----_ ..... .
AMI_ OC_B_1_1 Operallonal Control Document - PhYSical v02 doc
Last updaled on 4/7/2010 An ACII MENI
PflGE NO. q
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(p OF 10
. --.
os ro~ _____ . __ _ .. -. _7: Rcsponsibilitr.: ._. -- .. . ..
.'~'--
___ ~()ll~rols (from Section :I abo,:& _ .. __ -1-Opemtc lorklin, in "ccol'dance with site-specilk F
Responsibl~ indlvldll~l _ "-"-... -
mklill Operators 11 eratinll proced,!!"s, _ .. ----- -
-------_ .. _--8. Competency (as evidencetl by trailling,
_e.~l'cricllfc, or education~) .... - .. _----- "".-Title 01' NilJUe . ..s'!'l1i>el~n.c_c
Forklift 0j!en.t"rs F 'orklift Operator Tr~!.ning )SHA Course 6000
- -'. i~rganiZIltil1ll OSIIM§_l3.epresentative or Alternate (
.\te '8 A/'F-. ;}.",\o
... , .. _-
~.- -
AMI_OC_8 J~ 1 Operational Control Documenl- Physicat vO 2 doc Page 2 of 2
Last updated on 41712010 ATTACHMENT /p PAGE NO. 10 OF 10