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Task Task! ActivitylDescription Number <br />DOH will provide a tablet and GPS unit <br />for the LHJ to gather source data during a <br />routine sanitary survey. DOH expects the <br />LHJ to commit to using the tablet and <br />GPS for a five-year period. <br />2 Trained LHJ staff will conduct Special <br />Purpose Investigations (SPI) of small <br />community and non-community Group A <br />water systems identified by the ODW <br />Regional Office. <br />See Special Instructions for task activity. <br />Exhibit A, Statements of Work <br />Revised as of November IS, 2016 <br />*May Support PHAB <br />Standardsn\feasures Deliverables/Outcomes <br />4. Photos of water system with text <br />identifying features <br />S. Any other supporting <br />documents. <br />*Final Reports reviewed and <br />accepted by the ODW Regional <br />Office. <br />The LHJ surveyor will record at least <br />two (2) GPS data points, for each <br />source, into the preloaded Excel <br />template on the tablet and submit that <br />data file with the associated sanitary <br />survey. <br />Provide completed SPI Report and <br />any supporting documents and <br />photos to ODW Regional Office. <br />Page 9 of21 <br />AMENDMENT #10 <br />Due Date/Time Frame Payment Information <br />and/or Amount <br />non-community system <br />with four or more <br />connections and each <br />community system. <br />Payment is inclusive of <br />all associated costs such <br />as travel, lodging, per <br />diem. <br />Payment is authorized <br />upon receipt and <br />acceptance of the Final <br />Sanitary Survey Report <br />within the 30 day <br />deadline. <br />Late or incomplete <br />reports may not be <br />accepted for payment. <br />Completed SPI Reports Upon acceptance of the <br />must be received by the completed SPI Report, <br />ODW Regional Office the LHJ shall be paid <br />within 2 working days of $800 for each SPI. <br />the service request. <br />Payment is inclusive of <br />all associated costs such <br />as travel, lodging, per <br />diem. <br />Payment is authorized <br />upon receipt and <br />acceptance of completed <br />SPI Report within the 2 <br />working day deadline. <br />Late or incomplete <br />reports may not be <br />accepted for payment. <br />Contract Number C 1 7114-1 0