Guidelines for Preparing DoD Pest Control Contracts Using ...

February 1997AFPMB TIM #39GPWS-QA GuideCONTRACT NUMBER:QUALITY ASSURANCE PLAN #3SAMPLE MONTHLY PAYMENT DEDUCTION FORMSTRUCTURAL WOOD INSPECTIONSUMMARY FOR THE PERIOD TIMELY QUALITY DAILY1 DEC 95 - 31 DEC 95 SERVICE WORK RECORDSA. Relative Value of Services 10% 85% 5%(From PRS)B. Price per 1000 SF (Schedule of $ 2.50 $ 21.25 $ 1.25Deductions, Item 3a or 3b)C. Number of Buildings Sampled 7 7 7D. Number of Buildings in Sample Unsat 1 1 1E. Number 1000 SF in Unsat Building 2 2 2F. Number 1000 SF in Unsat Building 0 0 0Observed Outside SampleG. Total Observed Defects (E + F) 2 2 2H. Observed Defect Rate (ODR) 14.2% 14.2% 14.2%(D ÷ C x 100)I. Number of Services Reworked by 0 0 0ContractorJ. Number of Services Reworked by 0 0 0Government or OthersK. Net Services Deducted at Schedule 2 2 2Price (G - I - J)L. Net Amount to Deduct (B x K) $ 5.00 $ 42.50 $ 2.50M. Deduct Government Rework, Actual $ 0 $ 0 $ 0QA-19