Guidelines for Preparing DoD Pest Control Contracts Using ...

February 1997AFPMB TIM #39GPWS-QA GuideCONTRACT NUMBER:QUALITY ASSURANCE PLAN #8SAMPLE MONTHLY PAYMENT DEDUCTION FORMLARVAL SURVEILLANCE AND CONTROLSUMMARY FOR THE PERIOD TIMELY QUALITY DAILY1 DEC 95 - 31 DEC 95 SERVICE WORK RECORDSA. Relative Value of Services 20% 75% 5%(From PRS)B. Cost of Services (Schedule of $ 40.00 $ 150.00 $ 10.00Deductions Item 5b x 20 ÷ 100)C. Population 40 40 40D. Price per Service (B ÷C) $ 1.00 $ 3.75 $ .25E. Number of Services Sampled 10 10 10F. Number in Sample Defective 4 3 2G. Defects Observed Outside Sample 0 0 0H. Total Observed Defects (F + G) 4 3 2I. Observed Defect Rate (ODR) 40% 30% 20%(F ÷ E x 100)J. Number of Services Reworked by - - 0ContractorK. Number of Services Reworked by - - 0Government or OthersL. Net Services Deducted at Schedule 4 3 2Price (H - J - K)M. Net Amount to Deduct (D x L) $ 4.00 $ 11.25 $ .50N. Deduct Government Rework, Actual $ 0 $ 0 $ 0QA-43