Guidelines for Preparing DoD Pest Control Contracts Using ...

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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
February 1997AFPMB TIM #39GPWS-QA GuideCost or at Schedule Price (D x K)O. LDs <strong>for</strong> Government Rework (20% x N) $ 0 $ 0 $ 0P. LDs on All Other Defects $ .40 $ 1.12 $ .05[10% x B x (G - J)]Q. Other Adjustments ("-" Indicates $ 0 $ 0 $ 0Deduction)R. Total Deductions (M + N + O + P + Q) $ 4.40 $ 12.37 $ .55TOTAL PAYMENT DEDUCTIONS = $ 17.32AUTHORIZED SIGNATUREDATEQA-44
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ARMED FORCES PEST MANAGEMENT BOARDT
Page 3 and 4: Shop Facilities, Vehicles, and Pest
Page 5 and 6: vehicles:●●●Small purchase, w
Page 7 and 8: cockroaches and ants. Much of this
Page 9 and 10: 5. Pest Management Coordinator - de
Page 11 and 12: DoD GUIDE PERFORMANCE WORK STATEMEN
Page 13 and 14: February 1997AFPMB TIM #39GPWS-QA G
Page 23 and 24: WORK REQUIREMENTSWORKAUTHNUMBERSERV
Page 29 and 30: WORK REQUIREMENTSSERVICELOCATIONDAT
Page 45 and 46: SERVICELOCATIONDATEUNITPRICETIMELYS
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Page 59 and 60: WORK REQUIREMENTSDATE/TIMETIMELYSER
Page 65 and 66: DELIVERYORDERNUMBER 2DATE/TIMESERVI
Page 79 and 80: SERVICELOCATIONQUANTITYUNSATLFSFTIM
Page 85 and 86: WORK REQUIREMENTSDATE/TIMETIMELYSER
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Guidelines for Preparing DoD Pest Control Contracts Using ...

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