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Guidelines for Preparing DoD Pest Control Contracts Using ...

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February 1997AFPMB TIM #39GPWS-QA GuideQUALITY ASSURANCE PLAN #12SAMPLE MONTHLY PAYMENT DEDUCTION FORMSCHEDULED WEED CONTROLCONTRACT NO.:TREATMENT:Broad Leafed Weed <strong>Control</strong>SUMMARY 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 Service (Schedule of $ .50 $ 4.25 $ .25Deductions, Item 8a or 8b)C. Population (Number of 1000 SF of 644.688 644.688 644.688Lawn Areas Treated)D. Number in Sample Defective 24.8 24.8 0E. Defects Observed Outside Sample 0 0 0F. Total Observed Defects (E + F) 24.8 24.8 0G. Number of Services Reworked - 12.0 0by ContractorH. Number of Services Reworked by - 0 0Government or othersI. Net Services Deducted at Schedule 24.8 12.8 0Price (F - G - H)J. Net Amount to Deduct (B x I) $ 12.40 $ 54.40 $ 0K. Deduct Government Rework, Actual $ 0 $ 0 $ 0Cost or at Schedule Price (B x H)QA-69

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